Claim Missing Document
Check
Articles

Found 25 Documents
Search

CHEST X-RAY IN HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTED-PEDIATRICS: A CASE SERIES REVIEW Dhira Rizki Putri; Marichatul Jannah
Jurnal Riset Kesehatan Vol 11, No 1 (2022): MAY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i1.7670

Abstract

In 2017, Indonesia had 4.950 new cases of HIV infection in pediatrics. In HIV, a chest x-ray is generally used to determine the Opportunistic Infections (OIs) to accelerate treatment. There are differences in the projections and the typical features on chest x-ray in each OI. The research aims to study the projections and the role of pediatric chest x-ray examination in HIV. This is a descriptive qualitative research design with a case series. In this series, 5 pediatric patients with HIV infection are described with tuberculosis, pneumonia, and bronchiectasis. A chest x-ray in pediatrics is the most accessible investigation for respiratory disease and has an important role in the initial assessment and the follow-up of respiratory disease in HIV-infected children. It is recommended that a pediatric chest x-ray should be carried out with PA projection to obtain more optimal results. Pediatrics with clinical HIV infection can employ chest x-rays to find typical features of bilateral hilar adenopathy in cases of TB, focal and multifocal parenchymal abnormalities in cases of pneumonia, or dilated and thickened airways that appear as ring shadows or tramways in bronchiectasis.
DIFFERENCE OF THE IMAGE INFORMATION AXIAL PELVIC MRI USING DIFFUSION WEIGHTED IMAGE SEQUENCE WITH THE VARIATION OF B VALUE IN CERVICAL CANCER Rini Indrati; Distyarini Primadita; Widiana Ferriastuti; Marichatul Jannah; Sri Mulyati; Siti Daryati
Jurnal Riset Kesehatan Vol 8, No 2 (2019): NOVEMBER 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.584 KB) | DOI: 10.31983/jrk.v8i2.5446

Abstract

Cervical cancer is the second most common type of cancer worldwide, it is reaching 15% of all kind of cancer in women. There are several ways to diagnose cervical cancer, one of them is an MRI. One of the MRI sequences which can perform the pathology of cervical cancer is Diffusion-Weighted Image. The aim of this research is to find out the anatomical differences between axial slice image of Pelvic MRI which is using DWI sequence with the variation of b value in the case of cervical cancer, and also to reveal the optimal b value to obtain the image of Pelvic MRI which is using DWI sequence in the case of cervical cancer. The method of this research is experimental with the comparison of static groups. Data is 30 images of axial DWI Pelvic MRI from 10 patients in the case of cervical cancer with 3 different variations of b value, which are 600 s/mm2, 800 s/mm2, and 1000 s/mm2. Assessment of information image data done by the radiologist. Data analysis by Friedman and Wilcoxon Test. The result showed that there are differences of image information between axial Pelvic MRI which is using the DWI sequence with the variation of b value in the case of cervical cancer with a significant p-value less than 0.001. Differences in image information occur in the tumor, expansion of tumor, parametrium until the pelvic wall and lymph. The optimal use of b value for axial Pelvic MRI with DWI sequence in the case of cervical cancer is 600 s/mm2.
FAKTOR DETERMINAN KOLIMASI, UKURAN IMAGING PLATE DAN DELAY TIME PROCESSING TERHADAP EXPOSURE INDEX Dwi Rochmayanti; Darmini Darmini; Marichatul Jannah
Jurnal Riset Kesehatan Vol 6, No 2 (2017): NOVEMBER 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1261.443 KB) | DOI: 10.31983/jrk.v6i2.2910

Abstract

Exposure index merupakan parameter yang penting terhadap kualitas citra, meskipun bukan merupakan hal teknis yang dapat menentukan dosis pada pasien, tetapi menjadi rujukan dalam mengestimasi dosis yang diterima oleh pasien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi nilai exposure index dengan menggunakan phantom thoraks. Faktor yang diteliti meliputi kolimasi, ukuran imaging plate yang digunakan serta delay time processing. Penelitian kuantitatif ini dilakukan dengan pendekatan eksperimen. Ukuran kolimasi yang digunakan meliputi dua ukuran yaitu 35x35 cm dan 35x43 cm. Untuk luasan kolimasi menggunakan lima variasi ukuran yaitu 30x30 cm, 30x35 cm, 35x35 cm, 30x40 cm, dan 35x43 cm. Delay time processing sebesar 0 menit, 10 menit, dan 20 menit. Semua data nilai exposure index dicatat untuk selanjutnya dilakukan pengolahan data dan dilakukan analisis dengan uji korelasi. Dari hasil penelitian didapatkan bahwa delay time processing memberikan pengaruh yang dominan dibandingkan dengan variabel yang lain, dengan nilai signifikansi sebesar 0.000 less than 0.05, sedangkan besar pengaruh adalah 73%. Adapun ukuran imaging plate yang digunakan tidak memberikan efek yang jelas terhadap perubahan nilai exposure index. Faktor kolimasi memberikan pengaruh sebesar 49%, sedangkan untuk ukuran imaging plate tidak ada perbedaan pengaruh terhadap exposure index.
KOMUNIKASI EFEKTIF BERPERAN DALAM MENINGKATKAN KEPUASAN PASIEN DI INSTALASI RADIOLOGI Marichatul Jannah; Darmini Darmini; Dwi Rochmayanti
Jurnal LINK Vol 13, No 2 (2017): NOVEMBER 2017
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.726 KB) | DOI: 10.31983/link.v13i2.2924

Abstract

Komunikasi merupakan hal yang penting untuk mempengaruhi kualitas pelayanan sertaditujukan untuk mengubah perilaku pasien dalam rangka mencapai kesehatan optimal. Salah satufaktor yang mempengaruhi kepuasan pasien adalah adanya komunikasi yang terjalin antararadiografer dengan pasien. Tujuan penelitian ini yaitu mendeskripsikan gambaran komunikasiefektif dan menjelaskan pengaruh komunikasi efektif dengan kepuasan pasien di InstalasiRadiologi. Penelitian ini menggunakan metode kuantitatif dengan pendekatan survei. Kuesionerdibagikan kepada 50 orang responden yang komunikatif. Penelitian ini dilakukan di salah satuInstalasi Radiologi terbesar di Jawa Tengah. Analisis data menggunakan metode deskriptif dananalisis regresi linier berganda. Hasil penelitian menggambarkan bahwa humble merupakan faktordominan dengan nilai mean sebesar 9,48 ± 0,995. Hasil uji F menyatakan bahwa respect, empathy,audible, clarity, dan humble secara simultan berpengaruh terhadap kepuasan pasien dengan sig.0,000. Namun, hasil uji t untuk respect dan emphaty tidak terbukti berpengaruh secara signifikanterhadap kepuasan pasien. Besarnya kontribusi komunikasi efektif terhadap kepuasan pasiensebesar 78,1%.
COMPARISON OF THE EFFECTIVENESS OF RADIATION SHIELD WALL BETWEEN LEAD-LAYERS AND PLASTERING BRICK-LAYERS Ardi Soesilo Wibowo; Edy Cahyono; Retno Sri Iswari; Kholik Al Amin; Marichatul Jannah
Jurnal Riset Kesehatan Vol 11, No 2 (2022): NOVEMBER 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i2.9307

Abstract

The rate of exposure to X-ray radiation on the radiation shielding wall at the Laboratory 3 of Radiology Study Program Purwokerto Diploma Three Program has been analyzed, to find out the difference in the effectiveness of the radiation shielding wall between a 10 cm thick Lead (2 mm) coated partition and a 28 cm thick stucco brick wall. Measurements were made using a radiation source, namely a mobile unit X-ray machine with a Fluke survey meter radiation measuring instrument. Measurement of the rate of exposure to X-ray radiation is carried out by adjusting the distance of the radiation source with the radiation shield wall from 100 cm, 150 cm and 200 cm and taken from 5 measurement points that represent the radiation shield wall. The measurement results show that measurement point C produces the highest radiation exposure rate and measurement point A produces the lowest radiation exposure rate for Do and D. There is a radiation exposure rate of more than 1 μSv/Hr after passing through a 10 cm thick Lead-coated partition wall (2 mm) at a distance of 100 cm to 150 cm. Radiation shielding walls of walls covered with stucco bricks with a thickness of 28 cm were more effective than partitions covered with lead (2 mm) with a thickness of 10 cm. It is necessary to pay attention to aspects of radiation protection, the use of a mobile unit X-ray machine in placing the X-ray tube in the direction of the X-ray tube and, the radiation source distance of at least 2 meters from the lead-coated partition radiation wall.
PERBEDAAN INFORMASI ANATOMI PADA SEKUEN T1WI TSE POST GADOLINIUM DENGAN FATSATURASI MAUPUN TANPA FAT SATURASI PADA PEMERIKSAAN MRI LUMBAL Marichatul Jannah; Sugiyanto; Irwan Katili; Edy Susanto
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 1 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (485.126 KB) | DOI: 10.55451/jri.v1i1.11

Abstract

Backgroud: Fat Saturation is useful in MR Imaging to supress high signal from fatty tissues. When Fat Saturation is used in combination with gadolinium, enhancing lessions become more conspicuous. T1 post-contrast examination usually does not require fat saturation, in Dr. Hasan Sadikin Hospital Bandung combined with fat saturation. Another interesting things are the tumor, metastasis and inflammation will be isointense on T1 enhance contrast but still added Fat Saturation. The objectives of this research is to find out anatomy information differences between TIWI TSE Post Gadolinium with and without Fat Saturation and acknowledge which better anatomy information between two pulse sequences. Methods: The research uses quantitative method with experimental approach and questionnaire. The research takes place at Radiology Unit RSUP Dr. Hasan Sadikin Bandung on May-June 2013 with 20 patients with a variety of cases using gadolinium and 5 respondents. Data analysis uses univariate method, wilcoxon test, and friedman test Results: The research result shows that are differences anatomy information between TIWI TSE Post Gadolinium with and without Fat Saturation by P value 0,000 (sig.<0,05). The anatomy information has good present on the first treatment T1WI TSE Post Gadolinium with Fat Saturation pulse by mean rank 2,99
Optimization Of Fat Suppression Techniques Using Dixon And Application In MRI Examination Wahdini Hanifah; Fatimah Fatimah; Marichatul Jannah
Journal of Applied Health Management and Technology Vol 5, No 1 (2023): January 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i1.9486

Abstract

ABSTRACTMagnetic resonance imaging has been used to detect and assess the presence and extent of fat accumulation. Dixon technique has been used clinically to achieve fat suppression through different presession frequencies of fat and water protons. Dixon, allows the contribution of fat signals to be suppressed in post-processing rather than during acquisition, as well as providing a map of the distribution of water and fat. The aims of this study is to analyze the role of Dixon techniques on fat suppression or fat quantification. Evaluated its advantages in performing fat suppression, reducing artifacts, and describing Dixon's application on MRI examination. Literature review was conducted to analyze the effectiveness, role, and advantages of Dixon techniques in MRI examinations. Articles are selected based on inclusion criteria. Each article is qualitatively analyzed and explained descriptively. The results show that Dixon technique can be combined with several sequences, including gradient echo or fast spin echo. Scanning with Dixon sequences, namely 2-point Dixon, 3-point Dixon, 6-point Dixon and multi-point Dixon. Dixon technique used provides better fat suppression even in areas where other techniques fail for technical reasons. The uniformity of Dixon's technique in suppressing fat signals is significantly higher. Dixon technique plays an excellent role in MRI imaging of the head and neck, musculoskeletal, abdominal and breast. In conclusion, Dixon technique has been proven to be able perform fat suppression more effectively on MRI examination. In its application, Dixon can shorten the scanning time, thereby reducing the risk factor for sedation, especially for children.ABSTRAKMagnetic Resonance Imaging telah digunakan untuk mendeteksi dan menilai keberadaan dan tingkat akumulasi lemak. Teknik Dixon telah digunakan secara klinis untuk mencapai penekanan lemak melalui frekuensi presesi yang berbeda dari proton lemak dan air. Dixon memungkinkan kontribusi sinyal lemak ditekan dalam pasca-pemrosesan daripada selama akuisisi, serta menyediakan peta distribusi air dan lemak. Tujuan dari penelitian ini adalah untuk menganalisis peran teknik Dixon terhadap penekanan lemak atau kuantifikasi lemak. Mengevaluasi keuntungannya dalam melakukan penekanan lemak, mengurangi artefak, dan menggambarkan aplikasi Dixon pada pemeriksaan MRI. Literature review dilakukan untuk menganalisis efektivitas, peran, dan keunggulan teknik Dixon dalam pemeriksaan MRI. Artikel dipilih berdasarkan kriteria inklusi. Setiap artikel dianalisis secara kualitatif dan dijelaskan secara deskriptif. Hasil penelitian menunjukkan bahwa teknik Dixon dapat dikombinasikan dengan beberapa urutan, termasuk gradient echo atau fast spin echo. Pemindaian dengan urutan Dixon, yaitu 2-point Dixon, 3-point  Dixon, 6-point Dixon dan multi-point Dixon. Teknik Dixon yang digunakan memberikan penekanan lemak yang lebih baik bahkan di daerah di mana teknik lain gagal karena alasan teknis. Keseragaman teknik Dixon dalam menekan sinyal lemak secara signifikan lebih tinggi. Teknik Dixon memainkan peran yang sangat baik dalam pencitraan MRI kepala dan leher, muskuloskeletal, perut dan payudara. Kesimpulannya, teknik Dixon telah terbukti mampu melakukan penekanan lemak dengan lebih efektif pada pemeriksaan MRI. Dalam penerapannya, Dixon dapat mempersingkat waktu pemindaian, sehingga mengurangi faktor risiko sedasi, terutama untuk anak-anak.
PENGEMBANGAN MONITOR PERSONAL DOSIMETRI DENGAN MENGGUNAKAN PLATE DETECTOR GUNA MENUNJANG KESELAMATAN RADIODIAGNOSTIK Siti Masrochah; Darmini Darmini; Muhammad Nui; Arie Soewondo; Farid Agusyahbana; Dimas Prakoso; Marichatul Jannah
Jurnal LINK Vol 19, No 1 (2023): MEI 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i1.9674

Abstract

Setiap personil radiasi yang melakukan pelayanan radiodiagnostik wajib menggunakan monitor personal dosimetry. tetapi karena harganya mahal, tidak semua personel pekerja radiasi difasilitasi oleh tempat bekerjanya. Tujuan penelitian ini adalah membuat desain pengembangan alat monitor radiasi menggunakan Imaging Plate (IP). Jenis penelitian ini adalah jenis Research and development dengan pendekatan eksperimental dan dianalisa secara deskriptif. Hasil penelitina menunjukkan nilai sensitivitas respon terbaik pada Image Plate Computed Radiography merek iCRco diperoleh dengan menggunakan faktor eksposur tegangan 90 kV dengan arus 6,3 mAs dan 8 mAs, energi sinar-X yang diserap oleh lapisan fosfor (per mA per satuan luas) dihitung secara teoritis sebagai indeks sensitivitas radiografi dengan menggunakan spektrum foton sinar-X insiden dengan rumus Birch-Marshall dan spektrum sensitivitas untuk rentang 40-140 kV. Kesimpulan bahwa semua respon radiasi memberikan pengaruh indeks eksposure yang berbeda, sehingga masih diperlukan alat bantu pemantau serapan radiasi yang akan dikembangkan pada periode selanjutnya yaitu mendesain monitor yang mudah digunakan petugas. 
IMPROVING BITEWING RADIOGRAPHY: EVALUATING THE EFFECT OF A DENTAL X-RAY POSITIONER ON IMAGE QUALITY IN DENTAL EXAMINATIONS Marichatul Jannah; Ardi Soesilo Wibowo; Agustina Dwi Prastanti; Wingghayarie Patra Gandhi
Jurnal Riset Kesehatan Vol 12, No 1 (2023): MAY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i1.9769

Abstract

Bitewing radiography is a valuable tool in detecting and monitoring dental decay and other oral health problems and is typically performed as part of a routine dental examination. It has certain limitations that should be considered. Some of these limitations may cause discomfort or pain to the patient if not positioned correctly. Some patients may find biting down on the film holder difficult or have a strong gag reflex, making the procedure uncomfortable or even impossible. Bitewing radiography can be costly, especially if it needs to be performed regularly, which may limit access to this diagnostic tool for some patients. This study aimed to evaluate the effect of a dental X-ray positioner with a silicone layer on the quality of radiographic images in posterior bitewing dental examinations. Using this positioner was expected to improve the precision of radiographic interpretation and subsequent patient treatment. The study used a multivariate general linear model to analyze the data obtained from radiographic images using the X-ray positioner with the silicone layer and the conventional X-ray positioner. The results showed no significant difference in image quality between the two positioners, indicating that adding the silicone layer did not significantly improve image quality. However, using any X-ray positioner is still beneficial in ensuring accurate radiographic interpretation and subsequent patient treatment.
PEMBUDAYAAN GERAKAN MASYARAKAT HIDUP SEHAT (GERMAS) DAN PERCEPATAN VAKSINASI COVID-19 DI JAWA TENGAH M. Choiroel Anwar; Sri Widiyati; Fauzan Ma&#039;ruf; Puteri Inandin Nabiha; Marichatul Jannah; Sunarto Sunarto
Jurnal LINK Vol 18, No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.052 KB) | DOI: 10.31983/link.v18i2.9240

Abstract

Pandemi COVID-19 yang menyerang sistem pernafasan pada manusia, yang telah menginfeksi jutaan orang di seluruh dunia, tidak terkecuali Indonesia. Salah satu usaha dari pemerintah dalam menjaga agar tidak terpapar wabah ini adalah dengan melaksanakan vaksinasi, meningkatkan promosi kesehatan dengan memberikan penyuluhan. Kegiatan Pengabdian Masyarkat bekerja sama dengan Dinas Kesehatan Provinsi, Dinas Kesehatan Kabupaten Tegal dan Puskesmas di wilayah kerja Kecamatan Adiwerna dan Suradadi. Rangkaian kegiatan diantaranya pemeriksaan kesehatan yaitu screening kesehatan pra vaksin, pelaksanaan vaksinasi COVID-19 dosis 1 dan 2 maupun booster, serta pemberian materi penyuluhan bagi 400 warga dari 2 Desa Gembongdadi dan Desa Pedeslohor. Dari hasil kegiatan yang didapatkan pengetahuan warga di Desa Gembongdadi dan Desa Pedeslohor meningkat dan cakuipan vaksin COVID-19 juga ikut meningkat.