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Journal Of Vocational Health Studies

JVHS
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Published by Universitas Airlangga

ISSN : 25807161 EISSN : 2580717X DOI : -

Core Subject : Health,

Health Professions

Journal Of Vocational Health Studies (J.Voc.HS), with registered number ISSN 2580-7161 (Print) and ISSN 2580-717X (Online), is a scientific journal published by Department Of Health, Faculty of Vocational Education, Universitas Airlangga. Journal of Vocational Health Studies publishes scientific articles such as, Case Studies, Literature Studies, and Research Reports related to various aspects of science in the field of Vocational Health.

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Articles 184 Documents

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THE ROLE OF BLACK TEA AND PINEAPPLE JUICE AS NEGATIVE ORAL CONTRASTS ON MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY (MRCP) EXAMINATION Shinta J. Hapsari; Risalatul Latifah; Muhaimin Muhaimin
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Magnetic resonance cholangiopancreatography examination is a superior examination in the detection of anatomic structures or pathological abnormalities in the human pancreatobiliary system. This examination is recommended to use negative oral contrast which aims to eliminate gastrointestinal signals that are around the pancreatobiliary system which can be a barrier to the visualization of the pancreatobiliary tract. Materials that can be used as oral contrast contrast must be able to survive for a long time in the gastrointestinal tract and contain elements of iron (Fe) and Manganese (Mn). The high Mn content of black and pineapple juice and its abundance need to be explored as contrast oral negative. Purpose: To prove the role of pineapple juice and black tea which are natural ingredients of negative oral contrast in the visualization of the pancreatobiliary system on MRCP examination. Methods: Experimental quasy studies have been carried out on 9 samples prospectively. Each sample underwent MRCP examination with three treatments, namely given black tea, pineapple juice and plain water. The image results from the three treatments were assessed by Radiology Doctors to assess the quality of their image. Results: The results showed that black tea was more effective in providing optimal image results on MRCP examination than pineapple juice and without using oral contrast contrast. The metal content of negative oral contrast can cause magnetic susceptibility which is characterized by the presence of shortening at the time of T2 relaxation. Negative contrast agents affect signal intensity usually by shortening T2 or T2 *, as an effect, areas of concern, especially areas with negative contrast agents will experience darkening. Conclusion: Black tea is effectively used as a negative oral contrat on MRCP examination.

FRACTIONAL ANISOTROPY AND MEAN DIFFUSIVITY VALUE IN 2ND GRADE OF DEGENERATIVE CERVICAL CANAL STENOSIS Hans Cendikiawan; Sri Andreani Utomo
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: By using T2 weighted image (T2WI) of Magnetic Resonance Imaging (MRI), a radiologist can classify degenerative cervical canal stenosis (DCCS) into three grade, but there is no correlation between stenosis classification with clinical symptoms. It means that radiologist need a new parameter to make an early detection for spinal cord injury (SCI). Objective: Proving decrease of FA and increase of MD at the most proximal level of 2nd grade DCCS patient compared with C1-2. Methods: Cervical MR examination with 15-direction DTI sequens was performed on twenty one patient with neurological signs and symptoms of 2nd grade DCCS. Apparent FA and MD maps were generated on axial plane. The FA and MD measurements in each individual were made at the most proximal level of 2nd grade DCCS and C1-2. Wilcoxon rank sump test was used to compare FA and paired t-test was used for MD. Result : There are significant differences for FA (p = 0,00) and MD (p = 0,00) at the most proximal level of 2nd grade DCCS compared with C1-2. Conclusion: This research shows that FA and MD value at DTI sequens can be used for SCI early detection at 2nd grade DCCS patient

DETERMINATION OF LOCAL DIAGNOSTIC REFERENCE LEVEL (LDL) PEDIATRIC PATIENTS ON CT HEAD EXAMINATION BASED ON SIZE-SPECIFIC DOSE ESTIMATES (SSDE) VALUES Risalatul Latifah; Naily Z. Jannah; Dezy Z.I Nurdin; Budi P
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: CT Scan provides the biggest contribution in receiving radiation doses in patients. Especially in pediatric patients or children. Local DRL (Diagnostic Reference Level) is an effort to optimize radiation for patients in every health facility. During this time the LDRL value is determined from the CTDIvol displayed from the CT Scan workstation. However, CTDI has a weakness which is irrelevant for wide-beam CT and is only a tool output dose, not paying attention to patient size. SSDE is a dose correction based on the patient's geometry. Purpose: This study aims to determine the estimation of pediatric patient dose profiles on head CT scan based on SSDE values to determine LDRL. Methods: The study was conducted by collecting data on pediatric patient doses with an age range of 0-1 years, 2-5 years and 6-10 years who underwent a head CT scan within the period from July to December 2017. The samples were measured lateral and anterior-posterior diameter for determine the correction factor. The results of the CTDIvol record and conversion factor will determine the SSDE value. The third quartile data from SSDE is specified as LDRL. The SSDE value in the three groups shows the same trend which is smaller than the CTDIvol value. The correction of the factor gives estimates of doses received by patients reduced by 2.6%, 8.5% and 20% respectively for ages 0-1 years, 2-5 years and 6-10. Acceptance of patient doses is influenced by tube tension, filament current, rotation time, scan length, number of phases and pitch. Conclusion: From the results of the SSDE value, DRL values can be determined for the age group 0-1 years, 2-5 years and 6-10 years respectively 23,1±1,5 mGy, 24,3± 1,8 mGy and 27, 5± 10,5mGy.

COMPARISON OF RADIOGRAPHY WRIST JOINT POSTERIOR ANTERIOR (PA) ULNAR DEVIATION CENTRAL RAY VARIATION FOR ASSESSING OS SCAPHOID Oktavia Puspita Sari; Syandra Edo Marlindo; Heriansyah Heriansyah
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: The technique of examining the wrist joint to see abnormalities in the carpalia region, especially in the scaphoid os, there is a special technique, namely ulnar deviation with variations of the central ray 150 to 250 proximally. Purpose: to determine in which direction the light is to assess the optimal scaphoid anatomy. Methods: data retrieval is done by shooting wrst joints with 15x and 25x proximaly rays. Results: The direction of the angular ray is 15 degrees of scapoid which is free from overlapping and more informative. Conclusion: The average value of the results of the questionnaire processing is obtained on the technique with 15o ray variation of 3.2733 with a value of 0.083.

ANALYSIS OF FRACTIONAL ANISOTROPY (FA) VALUES AND APPARENT DIFFUSION COEFFICIENT (ADC) VALUES IN ISCHEMIC STROKE DISEASES OF MRI GE 3 TESLA Ali Mustofa; Anggraini Dwi Sensusiati; Muhaimin Muhaimin; Sri Andreani Utomo; Risalatul Latifah
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Diffusion Weighted Imaging and Diffusion Tensor Imaging is an advanced technique in MRI that shows the diffusion in brain of ischemic stroke disease. Diffusion Weighted Imaging (DWI) shows the lesions without gadolinium contrast agent and produce Apparent Diffusion Coefficient values. Whereas, Diffusion Tensor Imaging (DTI) shows connectivity’s of central nervous system that cannot be seen by using conventional MRI. Diffusion Tensor Imaging produces Fractional Anisotropy values. Purpose:This study has aim to analyze the Apparent Diffusion Coefficient values and Fractional Anisotropy values in Stroke Ischemic disease. Methods: Total samples used are 14 samples, consist of 7 (50%) man and 7 (50%) woman with ischemic stroke disease. Each sample deals by Diffusion Weighted Imaging and Diffusion Tensor Imaging sequences. The Region of Interest (ROI) is placed in ischemic stroke lesions and contra lateral side of lesions. Results: The result shows that 9 samples of brain tissue lesions located in the right side and 5 samples in the left side. Right lesions have the average ADC stroke: 0.001748; normal ADC: 0.000954; FA stroke: 0.144522; and normal FA: 0.426111. While, left lesions have the average ADC strokes 0.000979; normal ADC: 0.000835; FA stroke: 0.2556; and normal FA 0.4324. Conclusion: So, the conclusion of this study is Apparent Diffusion Coefficient (ADC) values in case of ischemic stroke can decreases or increases depend on the age of stroke. While, the Fractional Anisotropy (FA) values will decrease without being affected by age of stroke.

MEASUREMENT OF STUDENT SATISFACTION INDEX VALUE TO IMPROVE EDUCATION QUALITY OF RADIOLOGY IMAGING TECHNOLOGY STUDY PROGRAM UNIVERSITAS AIRLANGGA Rana Ayuning Tyas; Amilia Kartika Sari; Budi Priyo Witjaksono; Anggraini Dwi Sensusiati; Soegardo Indra Praptono
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Measurement of student satisfaction index is part of internal quality assurance in education, which is nowdays becoming a main topic in higher education. At Radiologic Imaging Technology, there has been no research or data about student satisfaction index of education quality. Purpose: Therefore, this research objective was to establish student satisfaction index and analyze the factors. Method: This research was conducted with interviewing 129 student using questionnaire. Each questionnaire contains three indicators with twenty variables in total. Collected data will be counted to establish satisfaction index per indicator and in total. Result: The result of student satisfaction index per indicator were 2.93, 3.08, 3.26, which means neutral. Student satisfaction index in total was 61.65%, which means student is satisfied. Conclusion: The main factors of student satisfaction was relevance level of lesson given with the needed in internship.

COMPARATIVE ANALYSIS IMAGE RESULTS OF PANCREAS IN PORTAL VEIN PHASE ON CT SCAN ABDOMEN CONTRAST WITHOUT AND WITH MINIMUM INTENSITY PROJECTION IN CT SCAN 64 SLICE Maria Ramandita; Lailatul Muqmiroh; Pramono Pramono
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Minimum Intensity Projection is a post-proccesing technique on CT Scan that useful for showing structures with low Hounsfiled Unit (HU) values such as pancreas. To demonstrate the anatomy and pathology of the pancreatic organs, a contrast CT scan was performed on pancreatic phase but pancreatic phase was rarely used, so it was replaced by the portal venous phase, but this technique is still rarely used among the radiographers. Objective: This study aimed to prove the image of the portal venous pancreatic vein on contrast contrast CT scan by using minimum intensity projection (MinIP) on CT scan 64 slices will produce a more optimal image than without the minimum intensity projection (MinIP). Methods: This study is a retrospective study with an observational analytic method to assess differences of pancreatic image in contrasting contrast CT scans with and with MinIP reforms on CT 64 slice modalities Philips Briliance. 30 images as samples, with the criteria set by the researchers. The image will be post proccesing without and by using MinIP reformat. Image results will be evaluated by two radiologist, then the data obtained will be tabulated and processed using SPSS software version 17. Result: From this research obtained the result that MinIP reformat able to produce pancreas image more optimal than image without MinIP reformat on CT scan 64 slice and shows a significant difference. Overall assessment of the image has an improvement with the MinIP but for the homogeneity of pancreatic images decreased. Conclusions: There was a significant difference between pancreatic venous porta port results in contrasting CT scans of the abdomen without and with MinIP reformat.

SCORING ANALYSIS OF THE RELATIONSHIP BETWEEN MAGNETIC RESONANCE IMAGING- ANXIETY QUESTIONNAIRE (MRI-AQ) WITH HEART RATE TO PATIENTS ANXIETY LEVEL AT LUMBOSACRAL MRI EXAMINATION Mirza Isna Amaliya; Rosy Setiawati; Amillia Kartika Sari; Lailatul Muqmiroh; Muhaimin Muhaimin
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Anxiety during MRI examination becomes a common constraint and can have a negative effect that is the quality of the resulting image due to the existence of motion artifacts until the failure of the examination. Purpose: One of the signs of anxiety can be seen an increase in heart rate, in addition there is one questionnaire specifically aimed to determine the level of anxiety in patients with MRI examination, namely Magnetic Resonance Immunization-Anxiety Quistionnaire (MRI-AQ). Method: This research used correlational method with cross-sectional approach. The sampling technique used is purposive sampling. In this research, there were 30 samples. Each sample will be measured heart rate before, during, and after Lumbosacral MRI examination. A Magnetic Resonance Imaging Anxiety Questionnaire (MRI-AQ) was then completed at the time of examination. Collected data were then tested for differences using paired-t test and pearson correlation test. Result: The result of paired-t test shows that there was difference of heart rate during and after examination with p-value 0,036 <α. The patient’s heart rate during Lumbosacral MRI was higher than the patient’s heart rate after Lumbosacral MRI at 85.63 bpm ± 14.709. Conclusion: Pearson correlation test results showed a correlation between Magnetic Resonance Imaging- Anxiety Questionnaire (MRI-AQ) with heart rate to patient anxiety level at Lumbosacral MRI Examination, this is reinforced by correlation value r = 0.636.

OBTURATOR FABRICATION WITH MAGNET ATTACHMENT Mia Laksmi Lita Rosa
Journal of Vocational Health Studies Vol. 3 No. 1 (2019): July 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: Development of science and technology led to people having birth defects (congenital), trauma or because of there sected tumor can be made of a prosthesis. Purpose: To learn the technique of making obturator with magnet attachment. Review: Assembly of magnet in obturator can improve the stability and retention of the prosthesis. Conclusion: The techniques of making obturator with magnetic attachment begins with making the double impression. The part defect is waxed on a master cast, and the contoured wax lid was fabricated on the master cast to close the hollow obturator. The lid along with the magnetic assembly was attached to the obturator with auto polymerizing resin. Obturator is inserted in the patient and created a master cast for the fabrication of denture. Wax of master cast of denture is assembled magnet for attachment to the obturator, then flasking, wax boil-out of master cast, acrylic processing, deflasking, finishing, and polishing.

VARIOUS LABIAL BOW MODIFICATION IN REMOVABLE ORTHODONTIC APPLIANCE Ajeng Firliana Dewi; Elly Rusdiana; Sianiwati Goenharto
Journal of Vocational Health Studies Vol. 3 No. 1 (2019): July 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Background: In several dental malposition cases, removable orthodontic component modifications are needed in order to obtain maximum end result, and comfortable to use. One of the active components which can be modified is the labial arch. Objective: To identify various labial bow modifications in the removable orthodontic appliance. Review: Labial bow can be modified according to patient need. The modification can be used to correct dental arches, canine retraction, and correcting teeth extrusion. The variations include labial arch with M-loop, labial arch with canine retraction loop, labial arch with loop on canine, and labial arch with Andresen loop. Another modification is a labial bow with the addition of soldered hook and coil to put an elastic. Conclusion: Labial bow has various modifications in a removable orthodontic appliance according to the function required.

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