Sri Mulyati
Politeknik Kesehatan Kemenkes Semarang

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Biomodeling Normal Delivery Process and monitoring at Kala I and II at parturition Simulator Sri Mulyati; Yudi Satria Gondokaryono; Arief Syaichu Rohman
Jurnal Riset Kesehatan Vol 2, No 3 (2013): September 2013
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4241.514 KB) | DOI: 10.31983/jrk.v2i3.388

Abstract

Labor process is complex. Anatomically and physiologically must be monitored during labor process. Normal labor case is higher than labor with medical interventional. In Indonesia, labor process training still used conventional simulation media. The simulation can’t determined about labor process and monitoring during labor process. Thus, model that can simulate of labor process and monitoring during labor process in stage I and II must be provided This research expected to contribute in learning media to simulate normal labor process and monitored during labor process in stage I and II. Biomodeling expected to provide understanding about labor process, stage of labor, and monitoring during labor process. This research conducted with approach method scenario based model for simulate gameplay for normal labor process and monitoring in stage I and II. Based on literature about reproductive system organ and physiological, also must be monitored about physiological change during labor process with partograf  WHO standard and analyze parameter to determined labor process closely with the reality. Beside that, theory of labor process and pushing in contraction also be analyze  to find the basic formula from physic and mathematical concept. From the basic formula, modified basic formula for scenario gameplay simulation of normal labor process and monitoring in stage I and II.The result of this research was produce biomodeling to determine normal labor process, the stage of labor, and physiological monitoring for report that monitored appropriate with WHO partograf standard. This biomodeling expected become learning and training media for midwivery and doctor include student of medical and midwifery. Model that is produce from this research can be develop to abnormal labor process (medical interventional) include labor complication.
Dose Area Product Performance in Fluoroscopy as Supporting Modalities Lithrotripsi Extracorporeal Shock Wave (ESWL) Action for Kidney Stone Localization Resolution Siti Daryati; M. Irwan Katili; Sri Mulyati
Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (753.192 KB) | DOI: 10.31983/jrk.v3i2.220

Abstract

This is an observational method with a quantitative approach to study the magnitude of dose area product who received ESWL patients and the level of safety in accordance with the rules of radiation safety in the use of X-ray. Processing and analysis of the data is done by calculating the dose area product ( DAP ) received by the patients at each exposure based on the thickness of the patients were detected with the TLD. Comparison is done with the use of standard flouroscopy examination. Result shows that 10 cm material thickness in 0.008 minutes results 187mGy.cm2 and 5095 mGy.cm2 DAP in 5 minutes. While in 20 cm phantom thickness and in 0.008 minutes result 424 mGy.cm2 and DAP obtained in 5 minutes is 2 20912 mGy.cm. The use of fluoroscopy on ESWL in Dr . Kariadi hospital is still within the safe limits: less than 100 mGy / min , the dose rate exposure on a 10 cm phantom thickness is 3.38 mGy / min and in 20 cm phantom thickness is 13.89 mGy / min , exposure dose rate per minute on the phantom thickness of the 23 cm is 17.03 mGy / min and the rate of patient exposure dose obtained by the observation of 17.61 mGy / min.
RADIATION DOSE AND ANATOMICAL INFORMATION IN SACRUM BONE EXAMINATION WITH AP AND AXIAL AP PROJECTIONS Rini Indrati; Siti Daryati; Dewi Kartikasari; Sri Mulyati; Marichatul Jannah
Jurnal Riset Kesehatan Vol 10, No 1 (2021): MAY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (573.967 KB) | DOI: 10.31983/jrk.v10i1.6777

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The projections for the sacrum are axial anteroposterior with the beam 15 degrees toward the cephalad, and axial posteroanterior in the direction of the beam 15 degrees caudally. Some practitioners take steps to examine the sacrum with AP projections in a perpendicular beam direction. Around the sacrum are reproductive organs that are sensitive to radiation, so it is necessary to select the right projection to reduce the radiation dose and show clear anatomical information. This study aims to determine the projection of an examination that produces clear anatomical information at a minimal dose. This is an experimental study with one shot post-test only. Samples in the form of radiographs were obtained from perpendicular AP and axial AP projections assessed by radiologists regarding the clarity of anatomical information. The radiation dose was measured using TLD on the ovaries and gonads. Data were analyzed by t-test and Wilcoxon test with an error level of 5%. The AP axial projection shows better anatomical information than the perpendicular AP projection. The axial AP projection shows a smaller dose of the ovaries and gonads. There is a difference in anatomical information between AP and axial AP projections with a p-value = 0.017. There was a difference in radiation dose between AP and axial AP projections on the right ovary (p-value = 0.002), left ovary (p-value less than 0.001) and gonads (p-value = 0.008).
TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG Ardani Ardani; Edy Susanto; Nanang Sulaksono; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5403

Abstract

Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning
ANILISIS IMAGE QUALITY CT SCAN THORAX DENGAN VARIASI LUNG WINDOW KERNEL PADA MSCT SIEMENS SOMATOM EMOTION 6 IMAGE QUALITY ANALYSIS CT SCAN THORAX LUNG WINDOWS WITH KERNEL VARIATIONS USING MSCT SIEMENS SOMATOM EMOTION 6 Angga Yosainto Bequet; Yeti Kartikasari; Sri Mulyati; Susi Tri Isnoviasih
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4431

Abstract

Background: To be able to show the Lung anatomy in detail in CT Scan Thorax lung window then required a sharp image quality. One way to improve image sharpness is to use kernel settings. The purpose of research is to know the difference of the quality of anatomical image with kernel variation CT Scan Thorax Lung Window and know the proper kernel selection to produce CT scan of thorax lung windows the bestMethods: Type of research is an experiment. The study was conducted using a CT image scan of thorax on axial lung window slices in cases of lung tumors in the kernel B50s, B60s, B70s, B80s, and U90s. The research was conducted by measuring the CT image quality of thorax scan on the windows lung by way of questionnaire assessment to 5 radiologist as the observer to CT Scan image to determine the level of clarity of anatomical criteria.Results: The results showed that there were significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s with p-value 0.05. CT images can thorax lung windows that have the best anatomical image quality of the samples taken are shown by the use of the kernel U90s.Conclusions: There are significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s. The kernel that generates image detail for CT thorax lung windows is the U90s kernel
THE DIFFERENCE OF ANATOMICAL INFORMATION AND IMAGE QUALITY OF NASOPHARYNX CARCINOMA CT SCAN WITH SLICE THICKNESS VARIATION ON AXIAL SLICE IN RSUD DR MOEWARDI SURAKARTA Aisyah Amalia Dewita Rachmani; Siti Masrochah; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3992

Abstract

Background : The use of Slice thickness examination of nasopharyngeal CT based on theory (Seeram, 2001) using 3 mm and according (Ballinger, 2010) using 5 mm, while in hospital Dr. Moewardi Surakarta the slice thickness used is 5 mm according to theory and 7 mm based on the radiographer. The purpose of this research is to know the difference of anatomical information and image quality of CT scan of nasopharynx of carcinoma case and to know the slice thickness that produces anatomical information and the best image quality CT Scan nasopharynx case carcinoma.Method : The type of research is a quantitative with experimental approach. The data were obtained from 10 nasopharynx CT patients with carcinoma using variations of slice thickness 3 mm, 5 mm, and 7 mm. The assesment of anatomical information and image quality by spreading questionnaire at 3 doctor radiolog. Data were tested with Shapiro Wilk for normality data, then friedman test. To determine the optimal slice thickness using descriptive mean rank test.Results : The results showed that there were differences in anatomical information and image quality of nasopharyngeal CT scan of axial slice using slice thickness. The probability value of this study is p value = 0,000 (0,05). Optimal slice thickness on nasopharyngeal CT scan for anatomical information using slice thickness of 5 mm with the highest mean rank of 2.61 and for viewing image quality it is best to use slice thickness of 7 mm with a mean rank of 3.00.Conclusion : There are differences in anatomical information and image quality on nasopharynx CT scans of carcinoma cases using slice thickness variations. The optimal slice thickness is 5 mm slice thickness to anatomical information and the optimal slice thickness is 7 mm  to quality image.
LOPOGRAPHY EXAMINATION WITH PATIENT POST-HARTMANN PROCEDURE AT RADIOLOGY DEPARTMENT RSPAU dr. S. HARDJOLUKITO YOGYAKARTA Sri Mulyati; Ismi Lulu Walidaeni
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4007

Abstract

Backgroud: The research has been done about lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta. This research aims to know lopography examination with patient post- Hartmann procedure, giving contrast media and  to know the reason of the use AP and Oblique (RPO and LPO) projection.Methods: The type of this research is qualitative with case study approach. Data were collected by observation, interview, and documentation methods. The subject of this research are radiographers, radiologist, and referring doctor. Data analyse  with Interactive models.Results: The result of the research showed that lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta is done with patient preparation diet with low fibrous, a lot of waters  and fasting before examination approximately 10 hours. Giving contrast media to lopography examination with patient post-Hartmann procedure is contrast media water soluble diluted NaCl with ratio 1 : 4 . Total volume is 650 cc. Giving contrast media through anus and stoma.Conclusion: The reason of the use AP and Oblique (RPO and LPO) projection is based of  radiologist advise, based on confirmation with radiologist that projection can maintain the diagnose. AP projection can  show entire colon and Oblique (RPO and LPO) projection can show flexure area.
Comparative Analysis of Silver Generated Fixer of Saturated with Electrolytic Method and Deposition Of NaOH 5 M Sri Mulyati; Jeffri Ardiyanto; Ahkmad Haris Sulistiyadi
Jurnal LINK Vol 10, No 1 (2014): Januari 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1566.354 KB) | DOI: 10.31983/link.v10i1.276

Abstract

The purpose of this study was to determine the weight of the silver produced from silver recovery process using electrolysis and chemical deposition method with which NaOH 5 M. As well as to determine the method most widely produced silver from both methods. This research is an experimental study. Data collection was performed on material that has been saturated with fixer electrolysis method and precipitation with NaOH 5 M. Fixer solution that has been saturated by 20 liters divided by two. Furthermore, each volume by 10 liters silver recovery process performed by the method of electrolysis and precipitation with NaOH 5 M. The results showed that the silver recovery by electrolysis method produces silver as much as 29 grams, while silver recovery with NaOH 5 M resulted in the deposition of silver as much as 27 grams. Of both methods are the most widely produced silver is a method of electrolysis. Besides electrolysis method has the advantage of faster process, more practical, in generating pure silver is ready for sale. But it has the disadvantage expensive appliance. While the deposition method is cheaper, long process, longer chemical contamination and dangerous, impractical, drying takes a long time to do a new purification by combustion (burning with welding tools).
Analysis and Design Software Evaluation Assessment Clinical Practice (PKL / PKN) in the Web-Based Program D-III and Radiotherapy Techniques Radiodiagnostic Semarang Sri Mulyati; Gatot Murti Wibowo; Darmini Darmini
Jurnal LINK Vol 9, No 3 (2013): September 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3173.02 KB) | DOI: 10.31983/link.v9i3.303

Abstract

Has done research for the analysis and design of software evaluation clinical practice assessment (PKL / PKN) WEB based on the Diploma Program Radiodiagnostic and Radiotherapy Techniques Semarang. Needs analysis has been conducted for designing software evaluation clinical practice assessment (PKL / PKN) Web-based programming using PHP and MySQL. Analyses were performed with several stages of system analysis, analysis of the weaknesses of the old system based PIECES, a new system needs analysis, feasibility analysis and design of software systems sistem.Desain done with methods for object-oriented programming (Object Oriented Programming) created using the Unified Modeling Language (UML) that is using the use case, the database and interface design. With the analysis and design of the software, will be developed (development) and monitoring and evaluation in the next stage of research.
Factors that influence suffered of Low Back Pain (LBP) in MRI examination patients in Hospitals Semarang City Sri Mulyati; Rini Indrati; Yeti Kartikasari; Jeffri Ardiyanto
International Journal of Health Science and Technology Vol 1, No 2 (2019): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.798 KB) | DOI: 10.31101/ijhst.v1i2.1110

Abstract

Low back pain can be caused by a variety of musculosceletal diseases, psychological disorders and mobilization. Patients who performed MRI examinations were mostly caused by indications of Low Back Pain (LBP). LBP became an important problem in the United States, in Indonesia an estimated 40% of the population of Central Java aged over 65 years have suffered from low back pain, the prevalence in men is 18.2% and in women is 13.6%.  In recent years, Magnetic resonance imaging (MRI) has been used widely, including for diagnosis of LBP. This study aims to identify factors that affect the suffered of low back pain in patients undergoing an MRI examination which consists of personal factors covering : age, habits, smoking  exercise habits, height, obesity, and work factors (tenure, work duration). The research categorize as a quantitative research with cross-sectional design. This study used a sample of all cases of MRI examination with complaints of low back pain as many as 60 patients. Statistical tests using chi square and non-parametric Mann Whitney tests. From the results of the study found that those who suffer  of LBP are mostly from personal factors covering :  men, have jobs that have more burden (weight), more at the age of ≥ 35 years, no smoking, no exercise, height ≥ 163 cm, overweight / obesity, with tenure of ≥ 10 years, with a work duration ≥ 8 hours a day, and type of LBP suffered in the chronic categorized. The factors that caused LBP in this study were personal factors in the most dominant sequence is caused by age, smoking habits, exercise habits, height, BMI, tenure and work duration and type of LBP chronik.