scholarly journals ANALISIS INFORMASI CITRA ANATOMI MSCT THORAX DENGAN KASUS EFUSI PLEURA KANKER PARU PADA WINDOW MEDIASTINUM POST KONTRAS MENGGUNAKAN VARIASI NILAI WINDOW WIDTH

2020 ◽  
Vol 6 (1) ◽  
pp. 28-35
Author(s):  
Tri Puji Hastuti ◽  
Yeti Kartikasari ◽  
Bagus Abimanyu ◽  
Nanang Sulaksono

Background: Malignancy of lung cancer is the biggest cause of pleural effusion. To diagnose lung cancer pleural effusion, a thorax MSCT can be examined. The MSCT parameter that affects image contrast is window width. The purpose of this study was to determine the differences in the anatomical information of thorax MSCT images in the post contrast mediastinal window to the use of window width range 350-600 HU values in cases of lung cancer pleural effusion, and to determine the appropriate window width value to obtain optimal anatomic image information on Thorax MSCT in cases of lung cancer pleural effusion.Methods: This type of research is quasi experimental. The research was conducted at the Radiology Installation of the Dr. Moewardi Hospital. The data were 60 images of the post contrast mediastinal window thorax MSCT axial slice from 10 patients with 6 window width variations (350 HU, 400 HU, 450 HU, 500 HU, 550 HU, 600 HU). An image assessment was conducted by 3 respondents regarding the resulting of 5 anatomical information. Data analysis used Friedman statistical test.Results: The results showed that there was a difference in the anatomical information of the thorax MSCT in the post contrast mediastinal window to the window width variation in cases of lung cancer pleural effusion with a significance level of p value 0,000 (ρ 0.05). Differences in anatomical image information occur in the anatomy of the aorta, limits of pleural effusion with lesions and clarity of lesions, where as there is no difference in anatomy of the right and left primary bronchus. The optimal use of the window width value for thorax MSCT in the post contrast mediastinal window cases of lung cancer pleural effusion is WW 350 HU with a rank value of 4.61.Conclusions: This study shows that the use of 350 HU window width produces better anatomical image information than the use of other window widths in the case of pleural effusion of lung cancer.

2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Rapitos Sidiq

Kejadian Pneumonia pada balita masih menjadi permasalahan di dunia termasuk Indonesia. Banyak faktor yang melatarbelakangi kejadian penyakit ini, baik faktor lingkungan maupun perilaku manusia. Salah satu uapaya yang dilakukan untuk pencegahan penyakit ini adalah dengan peningkatan peran kader posyandu untuk kegiatan promotif dan preventif termasuk mempromosikan perilaku pencarian pertolongan kesehatan dan perawatan balita di rumah, sehingga setiap kader dituntut mengetahui tentang pencegahan pneumonia tersebut. Secara umu penelitian ini ingin melihat efektivitas penyuluhan kesehatan dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumonia pada balita di wilayah kerja Puskesmas Darul Kamal Tahun 2017. Penelitian menggunakan metode quasi eksperimental dengan rancangan one group pretest-postest design. Jumlah sampel penelitian 30 orang. Uji statistic yang digunakan paired t-tes tingkat kemaknaan (α) 0,05 (5%). Penelitian ini menghasilkan nilai pengetahuan kader sebelum dan sesudah intervensi adalah 27,17:29,00 dengan p-value 0,003 (< 0,05). Penyuluhan kesehatan efektif dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumoniaKata kunci:   Penyuluhan kesehatan, pengetahuan, kader posyandu, pneumonia, balita  ABSTRACTThe incidence of pneumonia in a toddler is still a problem in the world including Indonesia. Many factors caused the incidence of this disease, both environmental factors, and human behavior. One of the efforts undertaken for the prevention of this disease is by increasing the role of Health Post cadres for promotive and preventive activities including promoting health-seeking behavior and home toddler care so that each cadre is required to know about the prevention of pneumonia. In general, this research would like to see the effectiveness of health counseling in increasing the knowledge of health pos cadres on prevention of pneumonia disease in under-five children in the work area of Puskesmas Darul Kamal 2017. The study used quasi-experimental method with one group pretest-posttest design. The sample size is 30 people. Test statistic used paired t-test significance level (α) 0.05 (5%). This study yields cadre knowledge value before and after intervention is 27,17: 29,00 with p-value 0,003 (<0,05). Health counseling is effective in increasing knowledge of cadres about prevention of pneumonia disease.Keywords: Health counseling, knowledge, cadres, pneumonia, toddler


2021 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Novia Sari ◽  
Lucky Herawati ◽  
Agus K. Rubaya

Objective: To determine the effect of husband's support in the implementation of oxytocin massage by midwife on the production and time of colostrum secretion among post C-Section delivery women.Methods: A quasi-experimental study with a post-test only group design at hospital in DIY in April-June 2020. The samples consisted of 32 respondents, 16 post C-Section delivery women with oxytocin massage who received husband's support and 16 respondents with oxytocin massage without husband’s support. The preparation of husband’s support was conducted through training by midwife to the husbands using a booklet for 80 minutes. Data analysis in this study used univariate, Independent t-test, and MANOVA with a significance level of 95%.Results: Evaluation showed that 68.75% of post C-Section delivery women received good husband’s support. The mean colostrum production in the oxytocin massage group by midwife with husband's support was 3.61 cc and the mean time of colostrum secretion was 4.13 hours better than oxytocin massage without husband's support.Conclusion: Husband's support in the implementation of oxytocin massage by midwife had an effect on the production and time of colostrum secretion among post C-Section delivery women with p-value <0.0001.


2017 ◽  
Vol 3 (1) ◽  
pp. 189-193
Author(s):  
Sugiyanto Sugiyanto ◽  
Ardi Soesilo Wibowo ◽  
I.G. Agung Brihaspaty Bhuana

Background: The imaging for vein vessels or Magnetic Resonance Venography (MRV) has own role and advantages on MRI examinations, specifically for evaluating intracranial blood vein circulation. MRV generally uses Phase Contrast (PC) method and  PC-MRV imaging, there is an  important parameter to be considered, its velocity encoding or VENC. VENC is selected before the examination and has to be adjusted  the anticipated blood flow velocity in the examined organs. The right selection of VENC will result in optimum intracranial vessels images and accurate diagnose. The aim of this study is to figure out if there is significant effect of VENC on anatomical information of brain MRV and to find out which VENC the best  intracranial veins demonstrates.Methods: This research was a quantitative study with quasi – experimental approach. Data were obtained from five healthy volunteers who were scanned by using a 3 Tesla MRI device in Radiology Department Siloam Lippo Village Hospitals. Each volunteer was scanned with five VENC variations: 10 cm/s, 15 cm/s, 20 cm/s, 25 cm/s, and 30 cm/s. The MRV images were assessed by two radiologist as the respondent. The Data were analyzed by simple linear regression test and Friedman test.Result: The results showed that there was significant effect of VENC on anatomical information of brain MRV, with significant value below 0,001 (p value 0,05). Mean rank on Friedman test showed that the best VENC to demonstrate intracranial veins was 25 cm/s.Conclution: There was a significant effect of VENC on anatomical information of brain MRV with the VENC of 25 cm/s gave the best image of intracranial veins in general.


Author(s):  
Heni Nurhaeni ◽  
Dinarti Dinarti ◽  
Dwi Priharti

There are four types of parenting: democratic, authoritarian, permissive, and ignored, which would affect the character of the child. But family upbringing itself influenced education, norms/cultural, environmental, social, economic and belongs to the family members. quasi-experimental study through questionnaires, observation, deep interview, and interventions against high school Students, Peers, Teachers (BK), and their Parents/Family have been conducted through a random sampling of 108 respondents in four high school set. The result met the test paired T test statistical significance level 0 and T test result of 0.05 shows that the two variables p-value of p=0.00000. Correlation tests showed that there is a relationship between two variables at-0616. This sign (-) means that the test results are negative correlation. Can be seen if the correlation between the two variables is quite high between 0.50 to 1.0 can be concluded that the direction of the relationship between the two variables is negative. These results can be displayed from "if the family provides a strict upbringing will influence behavior in high school brawls in Adolescents will tend to be low and vice versa".


2021 ◽  
Vol 7 (1) ◽  
pp. 41-47
Author(s):  
Fatimah Fatimah ◽  
Dwi Rochmayanti ◽  
Fina Kristianti

Background : Magnetic Resonance Angiography is a diagnostic imaging method that can display images of blood vessels. MRA imaging on MRI 3 Tesla provides high spatial resolution making blood vessel contrast increased so that the intracranial vessels are clearer. The efficient technique that does not use contrast media in MRA is Time of Flight. 3D TOF imaging is good for visualizing intracranial vessels. In this method the appropriate flip angle will produce a hyperintense picture of the blood vessels. This study aims to determine the effect of flip angle on anatomical image information on 3D TOF MRA Brain.Methods : This type of research is a quantitative experimental approach, conducted in February 2020 in Pertamina Central Hospital, South Jakarta. Research by conducting flip angle variations of 15°, 20°, 25°, 30° in the 3D TOF sequence of the Brain against 10 volunteers. Criteria for volunteers are healthy people aged 18-25 years. The results of the images were assessed by 3 respondent, including Internal Carotid Artery, Vertebral Artery, Basilar Artery, Anterior Cerebral Artery, Posterior Cerebral Artery, Middle Cerebral Artery, Anterior Communicating Artery, Posterior Communicating Artery. Then the Kappa test was carried out followed by the Friedman test to find the highest mean rank and comparison of flip angle in anatomical information of 3D TOF MRA Brain.Results : The results showed that there was an effect of changes in the values of the flip angle to the anatomical information on 3D TOF MRA Brain with p 0,05. The optimal Flip angle value is obtained based on the highest mean rank value which is flip angle 25° with a value of 3,22. The higher the value of flip angle, the greater the signal and contrast, but many slow flowing blood vessels will hypointens.Conclussion : There are difference in anatomical image information of 3D TOF sequence among 4 variation flip angle on examination MRA Brain. Flip angle 25° is better than 15°, 20° and 30° at anatomy information on 3D TOF sequences to show intracranial artery because it has a higher mean rank value. 


2016 ◽  
Vol 2 (1) ◽  
pp. 97-102
Author(s):  
Slamet Fujianto ◽  
Sugiyanto Sugiyanto ◽  
Mohamad Irwan Katili

Backgroud: The Turbo Inversion Recovery Magnitude (TIRM) pulse sequence is used to examine wrist joint, especially in the coronal plane. Main parameters of inversion recovery pulse sequence are time repetition (TR), time echo (TE) and time inversion (TI). This study aims to analyze the variation of time repetition (TR) and time inversion (TI) on anatomical information using TIRM pulse sequence on wrist joint MR imaging with 0,3 tesla.Methods: This study was a quantitave experimental study with a linear regression test. This study was conducted in Radiology Department of Banyumas hospital using twenty serial images from only one patient with 10 variation of TR (3000 ms, 3200ms, 3400 ms, 3600 ms, 3800 ms, 4000 ms, 4200 ms, 4400 ms, 4600 ms, 4800 ms) and 10 variation of TI (70 ms, 75 ms, 80 ms, 85 ms, 90 ms, 95 ms, 100 ms, 105 ms, 110 ms, 115 ms). Image assessed by only one respondent.Results: There was no significant influence of variation of TR and TI on anatomical information. Significant number was 0,240 which is bigger than p value (0,05). TR and TI variation affected just only 15,5% to anatomical information, 84,5% was influenced by other variables that unconfirmed in this study.Conclusion: There was differences of anatomical information in MRI wrist joint sequence coronal T2WI-FSE fat suppression between SPIR and SPAIR with a significance level of p value 0.001 (p 0.05). SPAIR is the method which is clearer to show the anatomical information of wrist joint.


Author(s):  
Muhammad Azwar Assiddiq

The study was aimed to finding out (1) Whether or not the use of authentic materials is effective to develop the reading comprehension achievement of Indonesian EFL Students, (2) Whether or not the use of authentic materials is effective to develop reading motivation of Indonesian EFL Students. The study was carried out under the quantitative paradigm with quasi experimental design. The participants were selected by using cluster sampling technique and divided into two groups, namely authentic group and pedagogic group. Each of groups consisted of 39 participants. All participants were first grade students of high school in Bone, Indonesia. The data of the students’ reading comprehension achievement were collected by using reading comprehension test, while the data about the students’ reading motivation were taken from Motivation for Reading Questionnaire (MRQ) containing 32 items on seven domains of motivation. The data collected were then analyzed through descriptive and inferential statistics through SPSS 20 program. The result showed that (1) the use of authentic materials was effective than pedagogic materials to develop reading comprehension achievement of the first year students. It was seen from the significance t-test result that reveals the significance value was lower than the significance level; (0.00 < 0.05). Furthermore, in relation to the reading motivation of students, (2) it was found that authentic materials was effective to develop students’ reading motivation. The result showed that the p-value of students’ reading motivation before and after treatments was greater than the level of significance (0.00 < 0.05).


Biosfer ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 39-45
Author(s):  
Indah Dwiphayanti ◽  
Reduk Nilawarni ◽  
Erna Heryanti

Analytical thinking is the ability to specify a state according to the parts that are smaller and able to understand the relationship between the factors of the other factors. Learning to develop students’ analytical thinking skills include learning model ARIAS and STAD. The purpose of this study to determine differences in students’ analytical thinking skills through learning models ARIAS with STAD on environmental pollution. This research was conducted at SMAN 31 Jakarta in May 2014. The method used is the method of quasi-experimental research design Post-test only design group. The research sample in each group are 32 students selected by simple random sampling. The analysis prerequisite test is a test for normality with the Kolmogorov-Smirnov test and test to test homogentias F. Based on the data obtained by the calculation of normal and homogeneous. Hypothesis testing using t-test with a significance level α = 0.05 shows the p-value is 0.000, it can be concluded there are differences in students’ analytical thinking skills through learning models Assurance, Relevance, Interest, Assessment, Satisfaction (ARIAS) with Student Teams-Achievement Divisions (STAD) on environmental pollution.


2015 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Patricia Diana Prasetiyo ◽  
Ika Pawitra ◽  
Indra Wijaya

Background : Lung cancer is the mayor disease that cause death worldwide including Indonesia especially Nonsmall cell lung cancer (NSCLC) consisting of adenocarcinoma, squamus carcinoma (SqCCA) and large cell carcinoma. Incidency of lung adenocarcinoma continues to rise recently about 40% of all NSCLC.Methods : Descriptive observational study design. The study population included the patients who were hospitalized at Kariadi central hospital in Semarang and had thorax X-ray or CT scan of thorax with a diagnosis of suspected lung malignancy, at the period of January 2012 – 2013. The variables assessed are expression of TTF-1 and CK-7.Result : A total of 20 samples subjected to Pearson correlation test with result of p value = < 0,001 and r = 0,867. Presentation of the highest expression TTF-1 in the all study sample is Adenocarcinoma 73,3% and highest expression CK-7 is also Adenocarcinoma 68,6%.Conclusion : Immunocytochemistry of TTF-1 and CK-7 can be used to determine Adenocarcinoma malignancy on cytological sample of suspected malignant pleural effusion


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.


Sign in / Sign up

Export Citation Format

Share Document