Analisis Image Noise dan Dosis pada Pemeriksaan MSCT dengan Menerapkan Aplikasi Piranti Lunak Care Dose Pesawat Siemens Somatom 6 Slice di RSUD Prof. Dr. Margono soekarjo purwokerto

2016 ◽  
Vol 2 (1) ◽  
pp. 114-118
Author(s):  
Lutfatul Fitriana ◽  
Gatot Murti Wibowo ◽  
Sudiono Sudiono
Keyword(s):  
Statistical Tests ◽  
Region Of Interest ◽  
Ct Images ◽  
Image Noise ◽  
The Body ◽  
Body Parts ◽  
Post Test ◽  
The Difference ◽  
Hospital Noise

Background: Multi-Slice Computed Tomography (MSCT) is diagnostic radiology examination that take an advantage of computer to acquire data and reconstructing an Image from number of detector rows. Noise is one of the tremendous factors that affect the quality of CT Images. Nowadays, CT mAs auto setting, an automatic exposure device, resolves such the Noise problems in which maintains the quality of diagnostic Images for all parts of the body with a lowest possible dose. Since working devices based on the size of the patient's body attenuation automatically, reduction of radiation dose by 40% to 50% would be achieved. Yet, the larger patient’s body parts, the higher patient’s CTDIvol occurrence, which in turn affects on the Noise produced.  The purpose of this research is to define the difference in the value of Image Noise and dose whenever the MSCT procedure is employed with and without the auto mAs selection with regards to maintaining CTDIvol and Image Noise.Methods: This research was an experimental quantitative study with one shot case study and post-test only approaches. Data were collected on July 2016 in Radiology Unit of Prof. Dr. Margono Soekarjo Purwokerto Hospital. Noise values was measured on 20 mm region of interest (ROI) and the dose was calculated by the CTDIvol on the workstation monitor were collecting data from the head, thorax and abdomen water phantom of CT Images. Data was analyzed by SPSS 16 software using statistical tests of the paired t-test.Results: The results of this study statistically deemed significant as there were differences in Image Noise values such as head, thorax and abdomen water phantoms (value ρ - value 0.05). Similarly, figures about the CTDIvol comparison also showed different dose levels received by the phantoms when apply the CT procedures with and without auto mAs selection to the head, thorax and abdomen water phantoms (the head phantom: 50.69 mGy Vs. 60.28 mGy; the thoracic phantom: 3.88 mGy Vs. 7,98 mGy; and the abdomen phantom: 8.38 mGy Vs. 20.83 mGy respectively). Conclusion: There was a difference in production of the Image Noise and dose when apply the CT procedures with and without auto mAs selection to the head, thorax, and abdomen water phantoms. Lower dose tended to induce more Noise than higher dose, meanwhile patient’s dose leads to increase as well.

Our Bodies, Whose Property?

2013 ◽  
Author(s):  
Anne Phillips
Keyword(s):  
Labor Markets ◽  
Personal Autonomy ◽  
The Body ◽  
Body Parts ◽  
Complex Issue ◽  
Human Organs ◽  
Property Owners ◽  
The Common ◽  
The Difference ◽  
The Right

No one wants to be treated like an object, regarded as an item of property, or put up for sale. Yet many people frame personal autonomy in terms of self-ownership, representing themselves as property owners with the right to do as they wish with their bodies. Others do not use the language of property, but are similarly insistent on the rights of free individuals to decide for themselves whether to engage in commercial transactions for sex, reproduction, or organ sales. Drawing on analyses of rape, surrogacy, and markets in human organs, this book challenges notions of freedom based on ownership of our bodies and argues against the normalization of markets in bodily services and parts. The book explores the risks associated with metaphors of property and the reasons why the commodification of the body remains problematic. The book asks what is wrong with thinking of oneself as the owner of one's body? What is wrong with making our bodies available for rent or sale? What, if anything, is the difference between markets in sex, reproduction, or human body parts, and the other markets we commonly applaud? The book contends that body markets occupy the outer edges of a continuum that is, in some way, a feature of all labor markets. But it also emphasizes that we all have bodies, and considers the implications of this otherwise banal fact for equality. Bodies remind us of shared vulnerability, alerting us to the common experience of living as embodied beings in the same world. Examining the complex issue of body exceptionalism, the book demonstrates that treating the body as property makes human equality harder to comprehend.

scholarly journals PERBEDAAN SUHU TUBUH BAYI BARU LAHIR ANTARA BAYI YANG BERHASIL MELAKUKAN INISIASI MENYUSU DINI DAN BAYI YANG TIDAK BERHASIL MELAKUKAN INISIASI MENYUSU DINI

2019 ◽  
Vol 2 (2) ◽  
pp. 133
Author(s):  
Aprilia Aprisanti Reyani
Keyword(s):  
Body Temperature ◽  
Random Sampling ◽  
Statistical Tests ◽  
The Body ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Difference ◽  
Cross Sectional Design

Latar Belakang :Kehangatan dada ibu dapat menghangatkan bayi, sehingga apabila bayi diletakan di dada ibunya segera setelah melahirkan atau dilakukan Inisiasi Menyusu Dini, dapat menurunkan resiko hipotermia dan menurunkan kematian bayi baru lahir akibat kedinginan atau hipotermia. Tujuan : Tujuan dari penelitian ini adalah untuk mengetahui perbedaan suhu tubuh bayi baru lahir antara bayi yang berhasil melakukan IMD dan bayi yang tidak berhasil melakukan IMD Metode  :Analitik,desain cross sectional,populasi semua bayi baru lahir, sampel bayi barulahir, teknik Non Random Sampling, pengumpulan data dengan menggunakan Lembar Observasi dengan menggunakan uji Chi-Square dengan nilai signifikan α = 0.05 yaitu bila hasil uji statistik menunjukan p ≤ α maka H0 ditolak. Hasil      :Suhu tubuh bayi baru lahir yang berhasil melakukan IMD sebagianbesardengansuhutubuhtidakhipotermisebanyak 20 bayi (87%) Suhu tubuh bayi baru lahir yang tidak berhasil melakukan IMD sebagianbesardengansuhutubuhhipotermisebanyak 8 bayi (66,7%). Dari hasil uji statistik diperoleh hasil nilai p = 0,005 < α = 0.05 maka H1 diterima, artinya ada Perbedaan suhu tubuh bayi baru lahir yang berhasil melakukan IMD dan yang tidak berhasil melakukan IMD Kesimpulan :Terdapat perbedaan suhu tubuh bayi baru lahir antara bayi yang berhasil melakukan IMD dan bayi yang tidak berhasil melakukan IMD.   Kata kunci : Inisiasi Menyusu Dini, Suhu Tubuh Bayi Baru Lahir                                                                                               THE DIFFERENCE BODY TEMPERATURE BETWEEN BABIES WHO SUCCESSFULLY INITIATE BREASTFEEDING EARLY AND BABIESWHO FAIL TO INITIATE EARLY BREASTFEEDING AT RSIA KIRANA SIDOARJO 2019  Background : The warmth of the mother’s chest can warm the baby, so that when the baby is in the mother’s breast immediately after birth or initiated early breastfeeding can reduce the mortality rate of newborns due to hypotermia.Purpose :the purpose of this study was to determine the difference in body temperature of newborns between infants who successfully initiated early breastfeeding and infants who did not succeed in initiating early breastfeedingMethods : analytical, cross sectional design, population 40 newborns, samples 35 newborns, Non Random Sampling techniques, the data accumulation using observation sheets and using chi-square test, with significant value α = 0.05 is when the statistical test results show p ≤ α then Ho is rejected.Result : The body temperature of the newborn who succeeded in initiating early breastfeeding was 36.78ºC with 23 (65.7%) of infants none having hypothermia, the newborn baby's body temperature that did not succeed in doing this early breastfeeding was 35.78ºC With 8 infants experiencing hypothermia, while 4 babies with normal temperature. From the results of statistical tests obtained results with the value p = 0,000 <α = 0.05 then H1 accepted, meaning there is a difference in body temperature of a newborn who successfully initiated early breastfeeding and who did not succeed in Early Breastfeeding Initiation. Conclusion : There is a difference in the body temperature of a newborn between infants who successfully initiated breastfeeding and infants who are not successful in initiating early breastfeeding....Keywords : Early breastfeedinginitiation, newborns temperature

scholarly journals Assessment of Google Glass for Photographic Documentation in Veterinary Forensic Pathology: Usability Study

2018 ◽  
Vol 6 (9) ◽  
pp. e180 ◽  
Author(s):  
Giuseppe Piegari ◽  
Valentina Iovane ◽  
Vincenzo Carletti ◽  
Rosario Fico ◽  
Alessandro Costagliola ◽  
...  
Keyword(s):  
Forensic Pathology ◽  
Region Of Interest ◽  
Usability Study ◽  
Google Glass ◽  
Score System ◽  
External Appearance ◽  
Photographic Documentation ◽  
Single Lens ◽  
The Difference

Background Google Glass is a head-mounted device designed in the shape of a pair of eyeglasses equipped with a 5.0-megapixel integrated camera and capable of taking pictures with simple voice commands. Objective The objective of our study was to determine whether Google Glass is fit for veterinary forensic pathology purposes. Methods A total of 44 forensic necropsies of 2 different species (22 dogs and 22 cats) were performed by 2 pathologists; each pathologist conducted 11 necropsies of each species and, for each photographic acquisition, the images were taken with a Google Glass device and a Nikon D3200 digital single-lens reflex (DSLR) camera. The pictures were collected, divided into 3 groups (based on the external appearance of the animal, organs, and anatomical details), and evaluated by 5 forensic pathologists using a 5-point score system. The parameters assessed were overall color settings, region of interest, sharpness, and brightness. To evaluate the difference in mean duration between necropsies conduced with Google Glass and DSLR camera and to assess the battery consumption of the devices, an additional number of 16 necropsies were performed by the 2 pathologists. In these cases, Google Glass was used for photographic reports in 8 cases (4 dogs and 4 cats) and a Nikon D3200 reflex camera in the other 8 cases. Statistical evaluations were performed to assess the differences in ratings between the quality of the images taken with both devices. Results The images taken with Google Glass received significantly lower ratings than those acquired with reflex camera for all 4 assessed parameters (P<.001). In particular, for the pictures of Groups A and B taken with Google Glass, the sum of frequency of ratings 5 (very good) and 4 (good) was between 50% and 77% for all 4 assessed parameters. The lowest ratings were observed for the pictures of Group C, with a sum of frequency of ratings 5 and 4 of 21.1% (342/1602) for region of interest, 26% (421/1602) for sharpness, 35.5% (575/1602) for overall color settings, and 61.4% (995/1602) for brightness. Furthermore, we found a significant reduction in the mean execution time for necropsy conduced with the Google Glass with respect to the reflex group (P<.001). However, Google Glass drained the battery very quickly. Conclusions These findings suggest that Google Glass is usable in veterinary forensic pathology. In particular, the image quality of Groups A and B seemed adequate for forensic photographic documentation purposes, although the quality was lower than that with the reflex camera. However, in this step of development, the high frequency of poor ratings observed for the pictures of Group C suggest that the device is not suitable for taking pictures of small anatomical details or close-ups of the injuries.

scholarly journals Quality of Life in Patients with Psoriasis Seen in the Department of Dermatology, Antananarivo, Madagascar

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Fandresena Arilala Sendrasoa ◽  
Naina Harinjara Razanakoto ◽  
Volatantely Ratovonjanahary ◽  
Onivola Raharolahy ◽  
Irina Mamisoa Ranaivo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Young Patients ◽  
The Body ◽  
University Hospital ◽  
Medical Decision ◽  
Cross Sectional ◽  
The Difference ◽  
The Impact

Background. Psoriasis is a chronic, inflammatory, and multifactorial dermatosis that impairs quality of life (QoL). Health-related QoL has become an important element in medical decision-making along with the effectiveness and the harmlessness of the treatments. Objective. To assess the impact of psoriasis in the QoL of patients with psoriasis by using the DLQI scales. Methods. A cross-sectional study from January to June 2018 was conducted in the Department of Dermatology of the University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar, including patients more than 18 years old with mild to severe psoriasis. The severity of psoriasis was assessed using the “Psoriasis Area and Severity Index (PASI)”. QoL of patients with psoriasis was evaluated by using the DLQI scales. Results. 80 patients were included, their mean age was 36.5 years, and the male to female was 1.5 : 1. The mean DLQI score was 13.8. Symptoms, feelings, and psychic were the most altered dimensions. QoL was impaired in young patients, single, having medium level education. Even though patients with disease duration more than 5 years had higher DLQI score than other patients, the difference was not statistically significant (p=0.36). Furthermore, the clinical presentation of psoriasis did not influence the patient’s QoL (p=0.73). Patients with nail involvement had QoL impaired but the difference with another localization was not statistically significant (p=0.2). The quality of life was influenced by body area involved. The higher the body surface area involved, the more QoL is impaired (p=0.002). Furthermore, the higher the PASI, the more QoL is altered (p=0.002). Conclusion. Psoriasis has a negative impact in the quality of life in Malagasy patients with psoriasis, especially in younger and single patients. Worse quality of life is correlated to severity of psoriasis.

scholarly journals The Quality of E-Learning Based on Learning Media Using Moodle LMS on Text of Observation Reports of Grade 10th Students of Vocational School Telkom Shandy Putra Medan

2020 ◽  
Vol 2 (2) ◽  
pp. 688-699
Author(s):  
Sukma Adelina Ray ◽  
Abdurahman Adisaputera ◽  
Isda Pramuniati
Keyword(s):  
Learning Outcomes ◽  
Vocational School ◽  
Development Research ◽  
Average Value ◽  
Significant Difference ◽  
Post Test ◽  
E Learning ◽  
The Difference ◽  
Media Learning

The aims of this study to find out the quality of E-learning based on learning media using Moodle LMS on text of observation. This type of research is development research in the field of education known as Research and Development (R&D). Development research (development research) is research that is used to produce certain products and test the effectiveness of these products (Tegeh and I.M, 2013). The result of this study show that The quality of e-learning based learning media using LMS Moodle which was developed as a learning media on the observation report text material is stated to be a useful and effective contribution in improving the quality of learning outcomes of 10th grade TJA1 Vocational School Telkom Shandy Putra Medan. This is because there is a significant difference in the learning outcomes of the average value of students before using e-learning based learning media (pre-test) ie 57.0 or only about 52% are able to exceed KKM and after using e-based learning media learning using LMS Moodle (post-test) the average value of students increased to 77.0% or can be interpreted as 100% of students able to exceed the KKM. Based on these data the difference is increased by 20% or can be interpreted student learning outcomes increased by 58%.

scholarly journals Comparisons of Body Image Perceptions of a Sample of Black and White Women with Rheumatoid Arthritis and Fibromyalgia in the US

2015 ◽  
Vol 9 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Josephine E.A Boyington ◽  
Britta Schoster ◽  
Leigh F Callahan
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Health Care ◽  
Body Image ◽  
White Women ◽  
The Body ◽  
Activity Limitations ◽  
Body Parts ◽  
Mental Function

Objective : To explore the disease-related, body image (BI) perceptions of women diagnosed with, rheumatoid arthritis (RA) and fibromyalgia (FM). Methods : A purposive sample of twenty-seven females participated in individual semi-structured phone interviews to elicit BI perceptions relative to pain, activity limitations and coping measures. Sessions were digitally recorded, transcribed verbatim, and content analyzed. Results : Body image perceptions relative to 5 major themes emerged in the analysis. They focused on Pain, Disease Impact on Physical and Mental Function, Weight, Diseased-Induced Fears and, Coping measures. Pain was a common experience of all participants. Other troubling factors verbalized by participants included dislike and shame of visibly affected body parts, and disease-induced social, psychological and physical limitations. RA participants thought that manifested joint changes, such as swelling and redness, undergirded their prompt diagnosis and receipt of health care. Contrarily, women with fibromyalgia perceived that the lack of visible, disease-related, physical signs led to a discounting of their disease, which led to delayed health care and subsequent frustrations and anger. All but one participant used prayer and meditation as a coping measure. Conclusion : The body image perceptions evidenced by the majority of participants were generally negative and included specific focus on their disease-affected body parts (e.g. joints), mental function, self-identity, health care experiences, activity limitations and overall quality of life. Given the global effect of RA and FM, assessment and integration of findings about the BI perceptions of individuals with FM and RA may help define suitable interdisciplinary strategies for managing these conditions and improving participants’ quality of life.

scholarly journals A Clinical Study Investigating Whether the Tongue-Out Position Improves the Quality of the Anatomical Appearance of the Pharynx on CT Imaging

2021 ◽  
Vol 8 ◽  
Author(s):  
Jin-Long Wu ◽  
Rui-Gang Ge ◽  
Guang-Jian Tang
Keyword(s):  
Normal Distribution ◽  
Soft Palate ◽  
Ct Images ◽  
Chi Square ◽  
Pyriform Fossa ◽  
Kappa Test ◽  
A Value ◽  
Chi Square Test ◽  
The Difference

Objective: To evaluate the effect of using the tongue-out position on the quality of the anatomical appearance of the pharynx on computed tomography (CT) images.Methods: The data from enhanced CT thin-section images of the head and neck in 119 cases scanned were retrospectively analyzed. The cases were divided into two groups based on the position of the tip of the tongue on the images: the tongue-out group (63 cases) and non-tongue-out group (56 cases). Two observers separately evaluated the anatomy of the soft palate, uvula, palatine tonsils, epiglottis, epiglottic fossa, pyriform fossa, arytenoid folds, and tongue on all images. The Kappa test was applied to assess the consistency of scores between the two observers. In the case of data that satisfied the normal distribution, the significance of the difference in the average scores between the two groups was tested using an independent samples t-test with a value of p &gt; 0.05. In the case of data that did not satisfy the normal distribution, the Mann–Whitney U test was adopted to test the significance of the difference in the average scores between the two groups using a value of p &lt; 0.05. The number of cases with swallowing artifacts on the CT images in both groups was statistically analyzed and the chi-square test was used to determine whether the difference in the incidence of artifacts between the two groups was significant.Results: The Kappa test showed good consistency between the two observers scoring of the soft palate, uvula, epiglottis, epiglottic fossa, pyriform fossa, aryepiglottic folds, and tongue. The image scores of the soft palate, uvula, epiglottis, epiglottic fossa, and tongue in the tongue-out group vs. the non-tongue-out group did not satisfy the normal distribution. The Mann–Whitney U test showed that the differences in the image scores between the two groups were statistically significant in all cases (p &lt; 0.05). The incidence of swallowing artifacts in the tongue-out group and the non-tongue-out group was 15 and 32%, respectively. The result of the chi-square test showed that the difference in the incidence of swallowing artifacts between the two groups was statistically significant (p = 0.037).Conclusion: The tongue-out position facilitated an improvement in the CT appearance of pharyngeal anatomy and was associated with a reduction in the incidence of swallowing artifacts.

scholarly journals PERBEDAAN TEKNIK RELAKSASI NAFAS DALAM DAN TERAPI MUSIK TERHADAP KECEMASAN PASIEN OPERASI SECTIO CAESAREA DENGAN SPINAL ANESTESI

2018 ◽  
Vol 7 (1) ◽  
pp. 33-39
Author(s):  
Rida Amini ◽  
Jenita Doli Tine Donsu ◽  
Agus Sarwo Prayogi
Keyword(s):  
Music Therapy ◽  
Emotional Reactions ◽  
The Body ◽  
Sectio Caesarea ◽  
Relaxation Techniques ◽  
Deep Breathing ◽  
Patient Anxiety ◽  
Post Test ◽  
Quasi Experimental ◽  
The Difference

Surgery or surgery is a stressor for patients because it can bring potential and actual threats to the body, integrity, and soul of a person, causing emotional reactions such as fear, anger, anxiety, and anxiety with symptoms such as frequent asking questions, anxiety, rapid pulse, increased tension 20 % to 30%. The cause of anxiety in patients with preoperative section Caesarea is more specific, namely the concern for self and the baby to be born. Preoperative patient anxiety is very important, one of the nursing actions to overcome anxiety problems in patients can be independent actions by nurses such as relaxation and distraction techniques. This study aims to determine the difference between giving deep breathing relaxation techniques and music therapy to the anxiety of patients with cesarean section surgery with spinal anesthesia. This research method is quasi-experimental with pre-test and post-test design. Sampling by purposive sampling with the treatment of deep breathing relaxation techniques as many as 37 respondents and 37 respondents with music therapy controls, according to the inclusion and exclusion criteria. Breath relaxation in effectively reducing the anxiety of patients with section cesarean surgery with significance (p = 0,000). Music therapy is also effective in reducing the anxiety of patients with section cesarean surgery with significance (p = 0,000). But there was no difference in the decrease in anxiety after administration of deep breathing relaxation techniques and music therapy with significance (p) 0.317. Conclusion Deep breathing and music therapy together can reduce the anxiety of patients undergoing section cesarean surgery. Both actions can be used to complement nursing interventions that are already in the hospital.

scholarly journals The Effect of The Body Composition to Prognosis in Young Breast Cancer Patients

2020 ◽  
Author(s):  
Ismail Beypinar ◽  
Furkan Kaya ◽  
Hacer Demir
Keyword(s):  
Breast Cancer ◽  
Body Composition ◽  
Adipose Tissue ◽  
Cancer Patients ◽  
Ct Images ◽  
The Body ◽  
Erector Spinae ◽  
Area Of Interest ◽  
Axial Ct ◽  
The Difference

Abstract Background In cancer patients, the effect of the body composition on prognosis is a new clinical area of interest. In patients with class 2 or 3 obesity (BMI > 35), survival found to be worse control groups in a pooled analysis. BMI category is not truly representing body composition and hard to use to determine the true muscle and fat quantity. Computed tomography (CT) is a frequent method to determine body composition precisely.Methods Axial CT images, including all abdominal muscles (psoas, erector spinae, quadratus lumborum) external and internal oblique and rectus abdominis) total skeletal muscle area (SMA), was calculated. Besides, axial CT images of the body fat subcutaneous adipose and visceral adipose tissue distribution (VAT, SAT) areas were calculated in cm2 using threshold values ​​of -30 to -190 for adipose tissue.Results Eighty-four women included in the study. Most of the patients were normal or over-weighted. Invasive ductal carcinoma was the dominant histological subtypes, with 94% of the study population. The count of the sarcopenic and non-sarcopenic patients was 11 and 68 respectively. Although the median OS cannot be reached at the end of the follow-up period for both sarcopenic and non-sarcopenic patients, the difference between groups statistically insignificant. The median OS was not reached for both groups, the difference between low and high VAT groups was statistically significant.Conclusion In this study, we demonstrate sarcopenia may be seen in patients with breast cancer under 40 years old, and it may not have a prognostic effect.

scholarly journals Oral Rehabilitation Using the Lip Muscle Trainer: A Narrative Review

2021 ◽  
Vol 11 (3) ◽  
pp. 139-144
Author(s):  
Ali Mohamed Ali Ismail ◽  
Keyword(s):  
Defense Mechanism ◽  
The Elderly ◽  
The Body ◽  
Narrative Review ◽  
Body Parts ◽  
First Line ◽  
Oral Rehabilitation ◽  
Future Studies ◽  
Instructions For Use

A lot of time is spent on exercising the body parts while the lips are neglected, despite the evidence on the wide-ranging effects of lips on overall health and quality of life. Oral rehabilitation by Patakara lip muscle trainer leads to a strong lip closure which can stand as the first-line defense mechanism against many oral dysfunctions related to aging. In the absence of a narrative review presented on this trainer, this paper focuses on the components, instructions for use, and oral health indications of the Patakara lip muscle trainer. This trainer could enhance many oral dysfunctions in the elderly as oral breathing, snoring, halitosis, dry mouth, and oral/gastrointestinal dysfunction, but future studies are needed in this field.

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