Analisis Informasi Citra Anatomi Vaskular dengan Multi Planar Reformating (MPR) dan Maximum Intensity Projection (MIP) pada Fase Early Arteri Pemeriksaan MSCT Abdomen

2017 ◽  
Vol 3 (2) ◽  
pp. 240-244
Author(s):  
Ratna Istiningrum ◽  
Fatimah Fatimah ◽  
Tri Wulanhandarini

Background: The development in the field of image reconstruction is growing rapidly along with the development of  CT Scan. In  the early stages of  MSCT abdominal artery is usually found  various kinds of vascular abnormalities such as stenosis, aneurism and others. Post processing image techniques commonly used include MPR and MIP. The purpose of this study is to determine whether there is a difference between MPR and MIP techniques and to know which one is better between the two.Methods: This  research was  quantitative study with experimental approach. The study was conducted at Bhakti Dharma Husada Surabaya Hospital  with 15 samples by performing reconstruction on vascular anatomical image of coronal examination of  abdominal MSCT. Assessment of anatomical information data is done by 2 respondents. Data analysis was done by kappa test followed by Wilcoxon sign rank test.Result : The results showed the difference between the post-processing of MIP and MPR on the coronal stages of the early arterial phase of the abdominal MSCT examination, based on the results of  non-parametric statistical test analysis (Wilcoxon) showed  a significant value of p value = 0.001. The result of MIP mean rank value (8,46) is higher than the mean rank value of MPR (1,50), it can be known that post proceeding MIP technique on coronal phase cuts early arterial examination of abdominal MSCT produces better anatomical image information.Conclusion: On examination of abdominal MSCT in the early arterial phase should be at the time of processing the image is also done by using post-processing MIP because more clearly than the MPR.

2017 ◽  
Vol 3 (1) ◽  
pp. 213-219
Author(s):  
Bagus Abimanyu ◽  
Luthfi Rusyadi ◽  
Taufiq Taufiq

Background: MSCT Abdomen late arterial phase is a radiological examination to evaluated enhancement in hypervascular lesions, stomach, bowel, pancreas parenchyma, spleen and kidney outer cortex. All the structures get bloodsupply of the artery will show an optimal increase (Smithuis, 2014). Smithuis (2014) used time scan delay 15-20 seconds. However in the Abdomen MSCT examination in the late arterial phase of Radiology Hospital Dr. Kanujoso Djatiwibowo Balikpapan used  the different time scan delay. This study aimed to determine differences in contrast enhancement with time scan delay variation of contrast media and to determine the optimal time scan delay in the examination of the Abdomen  MSCT late arterial phase.Methods: The research type is quantitative experimental approach. Data are taken in October and November 2016. The research population of abdomen MSCT examination clinical intra-abdominal mass cases. Total sample are 18 people with a predetermined inclusion criteria. Time scan delay variation used  are 10 seconds, 15 seconds, 20 seconds. evaluated with  respondents the  data is processed with statistic analysis by using different test Kruskal-Wallis followed by post hock Mann-Whitney and to get the most optimal assessment visits of mean rank the Kruskal-Wallis test.Result: The results obtained p value 0,001 (p 0,05), there are  shown significant differences between time scan delay 10 seconds, 15 seconds, 20 seconds at Abdomen  MSCT examination in the late arterial phase of Radiology Dr. Kanujoso Djatiwibowo Balikpapan Hospital. An optimal time scan delay on Abdomen MSCT examination late arterial phase is 10 seconds premises ROI tracking on descenden aorta. From the results of tests conducted using the Kruskal-Wallis test values mean rank at the time scan delay of 10 seconds is 84,75.Conclusison: There is a difference significant anatomical image information between the time scan delay 10 seconds, 15 seconds, 20 seconds. on MSCT Abdomen examination artery in the late phase of Radiology  Dr. Kanujoso Djatiwibowo Balikpapan Hospital. assessment results are tested using the Kruskal-Wallis test followed Mann-Whitney post hock obtained p value 0.001 (p 0.05), meaning that there is a difference between the third anatomical image information  with time scan delay variations. Time delay optimal scan on  Abdomen MSCT examination late artery phase that time scan delay 10 seconds by tracking ROI on descenden aorta. From the results of tests conducted using the Kruskal-Wallis test values mean rank at the time scan delay of 10 seconds 84.75, 56.62 ie 15 seconds, 20 seconds, namely 22.12.


2019 ◽  
Vol 10 (1) ◽  
pp. 69
Author(s):  
Muhammad Arif ◽  
Yuli Permata Sari

ABSTRAKNyeri dapat  diatasi  dengan  berbagai  metode  yang  dapat  dilakukan  oleh  pasien dalam  membantu  mengurangi  dan  menghilangkan  nyeri  khususnya nyeri pasca operasi fraktur salah satunya adalah dengan terapi musik mozart. Studi  pendahuluan  di  Ruang  Bedah RS. Dr. Achmad  Mochtar Bukittinggi,  didapatkan  data  informasi  dari    perawat  ruangan  bahwa  dalam  mengatasi  nyeri  pasien  post  operasi  belum  ada  yang  menerapkan  tindakan  pemberian  terapi  musik  Mozart. Tujuan penelitian ini adalah Untuk  mengetahui  Efektifitas Terapi Musik Mozart Terhadap Penurunan Intensitas Nyeri Pasien Post Operasi Fraktur.Desain penelitian  ini  adalah Pre Experimental Design,dengan mengunakan One-grup pretest postest, sampel pada penelitian ini adalah pasien post operasi fraktur yang berjumlah15 orang yang diambil dengan tekhnik Accidental Sampling. Hasil analisis uji statistik non parametrik dengan menggunakan Wilcoxondengan tingkat kepercayaan 95% (α = 0,05) diperoleh nilai p value adalah 0,001, dengan demikian p value> α (0,001>0,05) sehingga dapat disimpulkan bahwa terapi mozart efektif dalam penurunan Intensitas Nyeri Pasien Post Operasi Fraktur. Disarankan kepada responden untuk dapat menerapkan terapi mozart sebagai alternatif untuk meminimalkan nyeri tidak hanya di rumah sakit melainkan di rumah saat sudah keluar dari rumah sakit.Kata Kunci: Terapi Musik Mozart, Intensitas Nyeri, Pasien Post Op Fraktur EFFECTIVENESS OF MOZART MUSIC THERAPY TOWARDS REDUCTION OF PATIENT INTENSITY POST OPERATION FRACTURESABSTRACTPain can be overcome by various methods that can be done by the patient in helping reduce and eliminate pain, especially post-fracture pain, one of which is Mozart's music therapy. Preliminary study in the Surgery Room. Dr. Achmad Mochtar Bukittinggi Hospital, obtained information data from room nurses that there was no one in overcoming the pain of postoperative patients applying Mozart's music therapy. The purpose of this study was to determine the effectiveness of Mozart's music therapy on the reduction of pain intensity in post patients fracture. The design of this study was Pre Experimental Design, using the One-group pretest posttest, the sample in this study were 15 postoperative fracture patients taken with the technique of Accidental Sampling. The results of non parametric statistical test analysis using Wilcoxon with a confidence level of 95% (α = 0.05) obtained p value is 0.001, thus p value> α (0.001> 0.05) so it can be concluded that mozart therapy is effective in decreasing Pain Intensity of Post Patients Fracture Surgery. It is recommended for respondents to be able to apply Mozart therapy as an alternative to minimize pain not only in the hospital but at home when they are discharged from the hospital.Key Words : Mozart Music Therapy, Pain Intensity, Patient Fracture Post Op


Author(s):  
Dina Dewi Anggraini

ABSTRACT   The study aims todetermine the relationship between parenting style and the level of independence of Personal Hygiene Hand Wasting and Tooth Brush in Preschoolers in Kindergarten Negeri Pembina Blora in 2019. The study is a quantitative study, based on the research location including the type of field reseaerch, based on the ansence of the treatment of subjects including survey research, based on time is a cross sectional study, and based on objectives includin correlation analytics. The population in this study were all parents in Kindergarten Negeri Pembina Blora as many as 85 respondents. Based on the sample calculation, the sample obtained in this study that most parent in Kindergarten Negeri Pembina Blora amounted to 70 respondents. Srearmen’s rho test analysis results parenting parents with the level of independence of personal hygiene hand wasting result obtained p value = 0,000 < α (0,05), and parenting patters with the independence of personal hygiene tooth brush obtained results p value = 0,000 < α (0,05). So it can be concluded that were is a significant relationship between parenting parents with the level of independence of personal hygiene washing hands and brushing their tooth at preschoolers in Kindergarten Negeri Pembina Blora in 2019. Keywords: parenting; personal hygiene, preschool ABSTRAK   Penelitian ini bertujuan untuk mengetahui Hubungan Pola Asuh Orangtua Terhadap Tingkat Kemandirian Personal Hygiene Cuci Tangan dan Gogok Gigi pada Anak Prasekolah di TK Negeri Pembina Blora Tahun 2019. Penelitian ini adalah penelitian kuantitatif, berdasarkan tempat penelitian termasuk jenis penelitian lapangan, berdasarkan tidak adanya perlakuan terhadap subjek termasuk penelitian survey, berdasarkan waktu merupakan penelitian cross sectional, dan berdasarkan tujuan termasuk analitik korelasi. Populasi dalam penelitian ini adalah seluruh orangtua di TK Negeri Pembina Blora sebanyak 85 responden. Berdasarkan perhitungan sampel  maka diperoleh sampel pada penelitian ini adalah sebagian orangtua di TK Negeri Pembina Blora sebanyak 70 responden. Hasil analisis uji spearmen’s rho pola asuh orangtua dengan tingkat kemandirian personal hygiene cuci tangan didapatkan hasil p value = 0,000 < α (0,05), dan pola asuh orangtua dengan kemandirian personal hygiene gosok gigi didapatkan hasil p value = 0,000 < α (0,05). Sehingga dapat disimpulkan bahwa ada hubungan yang signifikan antara pola asuh orang tua dengan tingkat kemandirian personal hygiene cuci tangan dan gosok gigi pada anak prasekolah di TK Negeri Pembina Blora Tahun 2019. Kata kunci: pola asuh; personal hygiene; prasekolah


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
James W Evans ◽  
Sadanand Dey ◽  
Muneer Eesa ◽  
Prasanna Eswaradass ◽  
Ronda Lun ◽  
...  

Introduction: Assessing Alberta Stroke Program Early CT Score (ASPECTS) and identifying hyperdense arteries on non-contrast CT (NCCT) are important components of decision-making in acute stroke. Conventional practice uses 5mm averaged slice thickness NCCT for interpretation of these features. We have systematically evaluated several post processing techniques on NCCT to determine if there is improved reliability in identification of ASPECTS and hyperdense artery. Methodology: We assessed four post-processing techniques on NCCT namely (1) 5mm averaged thickness (2) Minimum Intensity Projection (mIP) - 5mm thickness (3) thin slices (0.625mm) and (4) Maximum Intensity Projection (MIP) - 5mm thickness (Figure 1). Three raters (student, fellow and expert) independently assessed 100 NCCT scans from the PRoveIT database. All scans were read at four different times 10-14 days apart. At each time-point the post processing modality was changed and the patient order randomized. Information on side of suspected infarction was provided. Raters were asked to score ASPECTS and identify presence of hyperdense artery at each reading. Inter-rater reliability was assessed using Intra-cluster correlation (ICC) for ASPECTS and weighted kappa (wKap) for hyperdense artery. Results: The highest inter-rater reliability was found with the MIP technique (ICC 0.42; p<0.001), followed by 5 mm average, mIP and thin slice respectively (ICC 0.33, 0.32, 0.20; all p<0.01). Highest agreement for hyperdense vessel detection was noted with thin slice (wKap 0.30; p<0.001) followed by Average, MIPs and mIPs respectively (wKap 0.25, 0.18, 0.13; all p <0.05). Conclusion: The use of MIP images for ASPECTS grading and thin images for hyperdense vessel detection improves reliability on NCCT. These simple processing steps are easily available on any modern scanner and may help improve patient care.


2017 ◽  
Vol 9 (02) ◽  
pp. 49
Author(s):  
Siti Harwanti ◽  
Nur Ulfah ◽  
Budi Aji

Batik maked process especially �mbironi�, is done in sit position. If this position maintained for a long period, that could be cause muscle strain which may lead into musculoskeletal disorders. The research was aim to know the effect of Workplace Stretching Exercise (WSE) to reduced MSDs in hand-made batik workers. The research was quasy experimental by non-equivalent control group design. Subjects were 37 female handmade batik workers used purposive sampling. Data analysis used Friedman test and Wilcoxon test, then for two independent sample used Independent t Test and Mann Whitney test with significancy level at 5% or a = 0,05. Analysis result show that there is no difference in MSDs on experiment and control group after pre-test which had p-value = 0,371 (>0,05). The result of middle-test and post-test p value = 0,000 (<0,05) that there is significant mean difference of MSDs between experiment and control group. Based on the middle-test and post-test analysis result, it could be conclude that there is an effect of WSE to reduce MSDs of handmade batik workers.


JKEP ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. 104-113
Author(s):  
Ririn Nur Indah sari ◽  
Sari Windyastuti ◽  
Tri Sakti Widyaningsih

Nurse workload is very influential on child play therapy assistance caused by workload excessive workload, lack of facilities and infrastructure, nothing schedule for play therapy and the number of nurses  only 18 nurses, According to theory Gilles with the number of beds 34 needed 29 nurses. The purpose of this research is to know the Relationship of Nurse Workload with The Role of Child’s Nurse in Mentoring Play Therapy in Room Dahlia RSUD Dr. H Sewondo Kendal. This type of research is descriptive correlation with cross sectional. The sampling technique with total sampling, a sample is 18 respondents. Retrieval data using questionnaires and then tested into Spearman Rank test statistic. Based on research found 10 respondents (55,6%) have hard workload and 8 respondents (44,4%) have a light workload. The role of nurses in good categories 5 respondents (27,8%) and categories less is 13 respondents (72,2%). From result of Spearman Rank test analysis, get result of coefficient correlation value -868 in category very strong and obtained p value = 0,000 < 0,05 it’s mean Ha accepted and H0 rejected. There is a relantionship between the nurses workload with the role of child nurses in mentoring play therapy.


Author(s):  
Devika V. Desai ◽  
Nigamananda Mishra ◽  
Gayatri V. Savani

Background: It has been since antiquity that the importance of amniotic fluid and fetal growth with perinatal outcome is being documented. But the lacunae lies in studying the relationship between borderline amniotic fluid and perinatal outcome. The following study was undertaken to provide recent data that would help predict perinatal outcome in borderline AFI pregnancies.Methods: About 144 patients were considered in the study OPD/IPD patients in obstetrics and gynecology department in Bhabha Atomic Research Centre and Hospital, with about 72 cases with borderline amniotic fluid index (5-8 cm) and controls with amniotic fluid index ≥9-25 cm. Patients were selected and subjected to history taking, examination, ultrasound test with doppler studies and perinatal outcome documented over a period of one year.Results: The incidence of borderline AFI in my study was 16%. 58% were primigravidas. Meconium stained liquor was found in 18% cases compared to 7% controls. Low birth weight was found in 12.5% cases and 2.7% in controls. On applying statistical test analysis chi square test, it was found that borderline amniotic fluid index in relation to presence of meconium stained amniotic fluid and low birth weight, p value was found to be statistically significant (<0.05).Conclusions: Borderline amniotic fluid and perinatal outcome had significant relationship in terms of meconium stained liquor and birth weight while rest had no significance. Thus, borderline amniotic fluid patients require vigilant fetal surveillance.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Mareta Dea Rosaline ◽  
Santi Herlina

Tuberculosis control in Indonesia is still not optimal. The problem of MDR TB (Multidrug-Resistant Tuberculosis) is an obstacle to controlling TB in Indonesia. MDR TB is caused by no response from TB germs to treatment isoniazid and rifampicin, anti-tuberculosis drugs. TB incidence rate in Serang district ranks second in Banten Province after Tangerang. The number of pulmonary TB cases is due to the lack of public knowledge and awareness about pulmonary TB disease. To reduce the adverse effects of MDR TB requires the involvement of cadres or family members who controlling drug ingestion (PMO). The form of activities carried out through the formation of cadres to care for TB through the KAMI-PMO TB (Education and Assistance for TB Medication Supervisors) in Desa Baros, Kabupaten Serang. The purpose is to increase the commitment, ability, and knowledge of cadres as coordinator of PMO (Drug Swallow Supervisor) to control MDR TB. The method of implementing activities is counseling, demonstrations, and assistance to cadres. The media used were PPT, WE-PMO TB Booklet, and educational videos. The result of the training was an increase in the ability of cadres in providing PMO counseling by 87%. The Paired T-Test analysis results showed a p-value of 0.000, which means that the training conducted affected cadres' knowledge of PMO TB. In conclusion, education and assistance to cadres have a good influence in increasing knowledge and abilities. The expected result is TB care cadres can provide aid and become the coordinator of TB PMO (Drug Ingestion Supervisor).  ABSTRAK:Pengendalian Tuberculosi di Indonesia masih belum optimal.Permasalahan MDR TB (Multidrug Resistant Tuberculosis) merupakan hambatan pengendalian TB di Indonesia. MDR TB disebabkan tidak ada respon kuman TB terhadap pengobatan isoniazid dan rifampizin yang merupakan obat anti tuberculosis. Angka kejadian TB di kabupaten Serang menempati urutan kedua di Provinsi Banten setelah Tangerang, dan banyaknya kasus TB Paru dikarenakan pengetahuan dan kesadaran masyarakat tentang penyakit TB Paru masih kurang. Untuk mengurangi dampak buruk MDR TB dibutuhkan keterlibatan peran serta kader peduli TB atau anggota keluarga yang berperan dalam pengawasan menelan obat (PMO). Bentuk kegiatan yang dilakukan sebagai bentuk pemberdayaan masyarakat melalui pembentukan kader peduli TB  melalui KAMI-PMO TB (Edukasi dan Pendampinga Pengawas Menelan Obat TB) di Desa Baros Kabupaten Serang. Tujuan dari pengabdian masyarakat adalah meningkatkan komitmen, kemampuan dan pengetahuan kader sebagai koordinator PMO (Pengawas Menelan Obat) dalam upaya pengendalian MDR TB. Metode pelaksanaan kegiatan adalah penyuluhan, demontrasi, dan pendampingan kader. Media yang digunakan yaitu PPT, Booklet KAMI-PMO TB , dan video edukasi. Hasil dari kegiatan adalah meningkatnya kemampuan kader dalam memberikan penyuluhan PMO cukup tinggi sebesar 87%. Hasil analisis uji Paired T- Test didapatkan nilai p value 0,000 yang artinya ada pengaruh pelatihan yang dilakukan terhadap pengetahuan kader tentang PMO TB. Kesimpulannya edukasi dan pendampingan kepada kader memiliki pengaruh yang baik  dalam meningkatkan pengetahuan dan kemampuan, sehingga hasil yang diharapkan kader peduli TB dapat melakukan pendampingan pada pasien TB dan menjadi koordinator PMO (Pengawas Menelan Obat) TB dalam upaya pengendalian MDR TB


2019 ◽  
Vol 829 ◽  
pp. 93-99
Author(s):  
Nina Djustiana ◽  
Yanwar Faza ◽  
Elin Karlina ◽  
Zulia Hasratiningsih ◽  
Muhammad Miftahul Munir ◽  
...  

Composite fiber were already developed and looked promising in dentistry. PMMA, optically clear polymer, was combined with high mechanically properties ZrO2-Al2O3-SiO2 (ZAS) ceramic powder to improve the flexural strength value of dental post prototype. ZAS powder, with ratio 60:20:20, were first prepared via sol-gel technique. Afterwards, PMMA was dissolved in acetone then incorporate with ZAS powder 1% wt to gain ZAS-PMMA composite fiber via electrospinning method. Dental post prototype were fabricated into two groups, one group contain ZAS-PMMA composite fibers and one group contain neat BisGMA, as control, with amount of each groups samples was 10. As-prepared samples were tested by Universal Testing Machine (UTM) to evaluate the flexural strength values. Based on unpaired T-test analysis (p value < 0.05), the composite fiber post is significantly higher (48.17 %) than the neat BisGMA post. ZAS-PMMA composite fiber post was potential to be used as dental endodontic post in anterior.


2013 ◽  
Vol 33 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Carla D. Marassi ◽  
Luciana Medeiros ◽  
Eduardo Figueiredo ◽  
Leila S. Fonseca ◽  
Rafael Duarte ◽  
...  

A herd infected naturally with tuberculosis was investigated by different diagnostic methods. Ninety days after a screening test that identified 21 cows as skin test positive, a Comparative Intradermal Tuberculin Test (CITT) was performed in those 21 cows and in 29 other randomly selected skin test negative cows. Milk samples and nasal swabs were collected prior to the CITT for bacteriological culture and PCR, while blood samples were collected for IFN release and antibody responses to MPB70 and MPB83, at three time points post tuberculin injection. Animals positive by CITT were slaughtered and disease confirmation undertaken. Based on the Kappa test, IFN was comparable to the standard tests (culture, PCR and CITT) at all three sampling points. Results from both antibody ELISAs were similar but were not comparable to the standard tests. T-test analysis of the CITT, IFN and ELISAs demonstrated that their performances were not correlated. There is increasing recognition that individually, available diagnostic tests do not detect all infected cattle. Therefore, a comprehensive strategy for the diagnosis of bovine TB should include test results for the detection of both cellular and humoral immune responses where there may be animals at different stages of infection.


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