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THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION Nanang Sulaksono; Agustina Dwi Prastanti; Vederica Farida Candra
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.v5i1.4011

Backgroud: Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and Mediastinum Standard.Methods: The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and 32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital.Results :The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig0.05 p value 0.000).Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.

Informasi Diagnostik Pemeriksaan Appendikografi Oral dan USG dalam Menegakkan Diagnosis Appendisitis Agustina Dwi Prastanti; Darmini Darmini; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6651

Background: Patients with suspected appendicitis are always asked by the sending doctor (Pediatric Surgeon) to ask for an oral appendicography examination without seeking other investigations such as ultrasound or CT scan. Whereas in the oral appendicography examination, false negative often occurs so that the patient is exposed to radiation several times until the barium reaches the caecum area and no more barium is still in the small intestine. Compared to the oral appendicography examination, ultrasound examination is easier in patient preparation, cheaper in terms of cost and more safety against the dangers of X-ray radiation.Methods: This research is a descriptive analytic study conducted with a cross sectional approach. The study was conducted by providing interventions for ultrasound examination before carrying out an oral appendicography examination. Ultrasound examination of the appendix is an examination using ultrasound waves with a frequency of 5-7.5 MHz or 2-4 MHz to diagnose appendicitis. Oral appendicography examination is a radiological examination to confirm the diagnosis of appendicitis using 100 grams of barium sulfate contrast medium diluted to a volume of 200 ml that is administered orally.Results: Diagnostic information obtained on oral appendicography examination of suspected appendicitis in radiology department Roemani Hospital, among others, can show the presence of calcification and the length of the appendix organs can be measured. Diagnostic information obtained on ultrasound examination of suspected appendicitis, among others, can show the presence of debris (pus), can evaluate the thickness of the intestinal wall and its vascularity.Conclusion: Ultrasound examination for suspected appendicitis is the first choice in diagnosing appendicitis than oral appendicography because it can be done in a faster, safer, more convenient and non-invasive manner and the cost of ultrasound is cheaper than oral appendicography.

CR Image Optimization and Radiation Dose Limitation With Collimation Adjusting on Cervical Radiography Agustina Dwi Prastanti; Bagus Abimanyu; Andrey Nino Kurniawan; Salis Nurbaiti
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8259

Background: Radiological examination in cervical services, Radiographers often opening the collimation wider of the size of the imaging plate for fear of being cut. This is done because it is supported by the image cropping facility on the CR. So there is a habit of opening the collimation width as wide as the imaging plate, which is often done with the assumption that it is better to widen the collimation than cut off the object. Obviously this will increase the radiation dose in patients with basic limitations. According to ICRP, patient safety must refer to the principle of radiation protection ALARA namely in the shortest possible time to get quality radiographs and patients receive the most minimum radiation exposure as possible.Methods: This research is a descriptive analytic research conducted with a cross sectional approach. The study was conducted by varying the radiation field area to be used for cervical examination. There are 10 variations of collimation area with 3 (three) exposures in each collimation. Then measured contrast, noise and radiation dose. Radiation dose is calculated by means of a babyline device.Results: The results showed that the collimation setting did not affect contrast radiography in CR because collimation was not the main factor that could affect contrast radiography on CR. The collimation setting on cervical radiography has an effect on the radiation dose, so it is necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination was obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and had higher contrast. Average contrast value achieved was 0.45 with a dose of 39.23 µGy.Conclusion: The collimation setting on cervical radiography has an effect on the radiation dose, so it is very necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination is obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and has a higher contrast.

RANCANG BANGUN ALAT FIKSASI SEKALIGUS CASSETTE HOLDER UNTUK PEMERIKSAAN RADIOGRAFI ABDOMEN PROYEKSI LLD (LEFT LATERAL DECUBITUS) PADA PASIEN NON KOOPERATIF Agustina Dwi Prastanti; Kevin Ade Juliantino; Ardi Soesilo Wibowo; Siti Daryati
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.v6i1.5568

Background: Research on the design of fixation devices as well as cassette holders for projection of abdominal radiography in LLD (left lateral decubitus) in non-cooperative patients is motivated by difficulties in fixing patients and placing tapes by radiographers during LLD (left lateral decubitus) radiographs with non-patient conditions cooperative. The purpose of making a design is to replace the patient's family role in holding patients and tapes during the examination.Methods: This type of research is applied research. The method used in data collection is designing tools, using tools, testing the performance of tools, testing the function of tools. The performance test and the function test of the tool were carried out directly on the patients at the RSK Radiology Installation Ngesti Waluyo Parakan. The results of the performance test and function test were analyzed based on the check list of respondents regarding the work value of the tool.Results: The design of this fixation tool consists of a supporting iron component, patient stand, cassette holder, strap strap. The performance test of the tool is in accordance with the specifications of the tool made by the author. Function tests are divided into two, namely function tests based on the technique of using tools and based on the radiograph produced. Function tests based on the use of tools techniques obtained a total work value of 3.1 can be concluded the function of a tool based on the technique of good use.Conclusions: Function tests based on the resulting radiographs obtained a total work value of 3.33 can be concluded that the function of a tool based on the resulting radiograph is good

PEMANFAATAN LIMBAH JELANTAH SEBAGAI ALTERNATIVE INCOME BAGI MASYARAKAT TERDAMPAK COVID-19 Agustina Dwi Prastanti; Rini Indrati; M. Irwan Katili; Siti Daryati; Salis Nurbaiti
Jurnal LINK Vol 17, No 1 (2021): MEI 2021
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Minyak jelantah merupakan limbah dari minyak goreng yang jika diolah lagi memiliki potensi ekonomi. Banyak masyarakat yang masih mengkonsumsi minyak jelantah padahal limbah tersebut jika dikonsumsi berdampak bahaya bagi kesehatan. Selain itu ada pula masyarakat yang membuang minyak jelantah disaluran air. Hal ini dapat menyebabkan penyumbatan saluran air dan rusaknya ekosistem air. Sehingga jumlah minyak jelantah yang semakin bertambah perlu penanganan khusus, salah satunya mengolahnya kembali menjadi sabun pembersih piring. Tujuan pelatihan ini adalah memberikan edukasi pembuatan sabun pembersih piring dari minyak jelantah melalui pendampingan secara intensive untuk meningkatkan taraf kesehatan dan ekonomi masyarakat terutama yang terkena dampak pandemi COVID-19. Metode pengabmas menggunakan ceramah, diskusi dan praktek langsung. Unsur pengabmas melibatkan ketua PKK RT, RW dan kader kesehatan. Praktek langsung pembuatan sabun dari minyak jelantah oleh masyarakat didapatkan hasil berupa sabun pembersih piring dari olahan minyak jelantah yang dijernihkan terlebih dahulu sebagai bahan dasarnya. Sabun pembersih piring siap digunakan setelah melewati masa saponifikasi selama kurun waktu 14 hari. Tolok ukur keberhasilan pembuatan sabun dari minyak jelantah dinilai dari sabun dapat digunakan sebagai pembersih piring dengan baik secara menyeluruh dan piring menjadi mengkilap dan kesat kembali.

PENDAMPINGAN PEMBUATAN BLACK GARLIC SEBAGAI UPAYA PENCEGAHAN PENYAKIT JANTUNG KORONER (PJK) Agustina Dwi Prastanti; Rini Indrati; Darmini Darmini; Andrey Nino Kurniawan; Marichatul Jannah
Jurnal LINK Vol 16, No 2 (2020): NOVEMBER 2020
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Penyakit Jantung Koroner (PJK) merupakan penyakit jantung dan pembuluh darah yang disebabkan penyempitan arteri koroner yang mengakibatkan aterosklerosis. Black Garlic telah dievaluasi penggunaannya dapat digunakan untuk pengobatan hiperkolesterolemia yang mengarah pada PJK. Survey kependudukan pada tahun 2018 jumlah lansia pada RW 02 Kelurahan Sambiroto berjumlah 342. Keluhan pada lansia terkait permasalahan penyakit degeneratif seperti diabetes, kardiovaskular, osteoporosis, alzheimer, kanker. Sehingga perlu edukasi konsumsi Black Garlic mengingat khasiatnya yang besar dalam mencegah dan mengobati PJK.Tujuan pengabdian masyarakat ini adalah memberikan edukasi pembuatan Black Garlic secara mandiri untuk kemudian dikonsumsi untuk pencegahan PJK. Uji laboratorium menunjukkan hasil Black Garlic memiliki prosentase antioksidan dan phenol yang lebih tinggi daripada bawang putih.Praktek langsung pembuatan Black Garlic oleh masyarakat didapatkan hasil proses pembuatan selama kurun waktu 14 hari berupa olahan bawang putih yang telah terfermentasi menjadi bawang hitam (Black Garlic). Tolok ukur keberhasilan dinilai dari rasa Black Garlic yang manis dan asam dengan tekstur yang kenyal seperti dodol yang bisa dikonsumsi sehari-hari untuk memperlancar peredaran darah sehingga dapat mencegah penyakit jantung koroner.

Pengolahan Limbah Jelantah Menjadi Lilin Aromaterapi Sebagai Pendongkrak Potensi Ekonomi Dan Peningkatan Kesehatan Masyarakat Agustina Dwi Prastanti; Bagus Abimanyu; Dwi Rochmayanti; Rini Indrati; Darmini Darmini
MATAPPA: Jurnal Pengabdian Kepada Masyarakat Volume 5 Nomor 2 Tahun 2022
Publisher : STKIP Andi Matappa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31100/matappa.v5i2.1801

The purpose of this training is to provide education on the use of used cooking oil household waste into aromatherapy candles through intensive assistance to improve the economic level and public health. The community service method used is lecture, discussion and direct practice. The community service element involves the head of the PKK RT, RW and health cadres. The direct practice of processing household waste cooking oil by the community obtained results in the form of aromatherapy candles where the used cooking oil was cleared up first as the basic ingredient. Aromatherapy candles are ready to use after a period of 2 (two) days to get maximum wax density. The benchmark for the success of making aromatherapy candles from used cooking oil is assessed from candles that can be used as lighting when the lights go out as well as aromatherapy as well as room decoration, repellent for flies, mosquitoes and other insects.

PROSEDUR PEMERIKSAAN LOPOGRAFI DENGAN KLINIS SUSPECT COLON CARCINOMA Rosy Amelia Azhari; Nanang Sulaksono; Agustina Dwi Prastanti
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.129

ABSTRACT Background :The lopographic examination according to Lampignano and Kendrick (2018) uses barium sulfate contrast media which is inserted through the stoma, using plain photos, AP/PA, Lateral, Oblique, post evacuation. Installation of Radiology Hospital Prof. Dr. Margono Soekarjo Purwokerto using a non-ionic water soluble contrast media mixed with NaCl, inserted into the proximal stoma and anus with plain photos, AP, Lateral. The purpose of the study was to determine the lopographic examination procedure, the reasons for using water soluble contrast media, to find out anatomical information from the AP and Lateral. Methods :This research used qualitative approach with a case study. Data collection were used observation, interviews, documentation. Research respondents were patients, radiographers, radiologist, and dispatching doctors. Data analysis with interactive analysis model. Result : Showed that the lopographic examination was aimed at evaluating the colon after colostomy and chemotherapy. Patients undergo special preparation. The water soluble contrast medium was mixed with NaCl in a ratio of 1: 4 because it was safer than barium sulfate. The reason for insertion of contrast media through the proximal stoma and anus is the absence of a stoma to the distal colon. Anatomical information from the plain photo is the distribution of air in the colon, the AP projection looks contrast to fill the ascending colon, transverse colon, descending colon and superpositioned sigmoid colon. Laterally, the sigmoid colon and rectum are seen. Diagnostic information was not found in colonic carcinoma residif cells.

Optimalisasi Tegangan Tabung (KvP) Terhadap Kejelasan Informasi Anatomi Dan Dosis Radiasi Pada Pemeriksaan CT Scan Kepala Area Basis Cranii Agustina Dwi Prastanti; Yeti Kartikasari; Robets Pribadi; Andrey Nino Kurniawan; Dwi Rochmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 2: JULY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i2.9370

Background: Tube voltage (kVp) is one of the exposure factors on a head CT scan that can be varied to achieve a minimal radiation dose. Radiology installation of Bhakti Wira Tamtama hospital has a new CT scan modality that never variation its tube voltage. The variation of tube voltage is 80 kVp, 100 kVp, and 120 kVp. The aim of this research is to know and to analyse the most optimize tube voltage which can produce the best anatomy clarity and has the lowest radiation dose on a head CT scan examination of the base skull area that dominates CT scan examination.Methods: This research is descriptive analytic research conducted with an experimental approach. The study was conducted by varying the tube voltage to be used for head CT scan examination. There are 3 variations of tube voltage 80 kVp, 100 kVp, and 120 kVp where one variation contains 16 images for analyzing the clear anatomy of the base skull area. Then assessed by radiologists as the respondent. Data was analyzed by scoring where score 1 is not clear, score 2 is clear and score 3 is very clear. Radiation dose was obtained from CTDI and DLP records.Results: The results showed that there is no difference in anatomy clarity between variation of three tube voltage with p value 0,135. The anatomical clarity assessed includes anterior skull base, central skull base (fossa cranial middle, sphenoid, temporal bone, petrosous ridge), anterior clinoid processes, posterior margin of the lesser sphenoid wings, anterior and superior rim of the greater sphenoid wings, mastoid, and posterior skull base. All of them is very clear at 100 kVp and 120 kVp with value 100%. But at 80 kVp assessed clear at anterior and posterior skull base. So the value of anatomy clarity at 80 kVp is very clear only 71%. The effect of the difference in tube voltage on the radiation dose on a head CT scan of the base skull area showed a difference in the decrease in radiation dose from 120 kVp to 100 kVp for CTDI 39.9% and DLP 40.19%. There was a decrease in radiation dose from 100 kVp to 80 kVp for CTDI 52% and DLP 49.88%.Conclusion: The tube voltage setting on head CT scan examination of the base skull area can be applied with 100 kVp because this is evidenced by the same total score at 100 kVp and 120 kVp, which is 100% is very clear, while at 80 kVp tube voltage only 71% is very clear. And the radiation dose at 100 kVp is lower than 120 kVp.

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

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.

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