Emi Murniati, Emi
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang

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The Analyzis Of Computed Radiography (CR) Utilization To The Patient Safety Effort In Radiographic Examination In Hospital Dartini, Dartini; Murniati, Emi; Indrati, Rini
Jurnal Riset Kesehatan Vol 2, No 2 (2013): Mei 2013
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

This research is a descriptive study with quantitative and qualitative approaches. Data were obtained from five Clinical Practice Hospitals with Focused Group Discussion. Data were analyzed with descriptif Method. The result shows that the radiographers tend to use higher Expossion Factor and Wider Collimation Field. because the Vendor and Aplicant has informed that CR operation need higher energy and the appearance of noise when the image being manipulated in CR will be lower if high mAs and kV are used. Another affecting factor is prefer images with high density. Radiographers tend to use wider Collimation Field to prevent image cut-off, resize-able image in CR, and availability of widest Imaging Plate size (35x43). Based on that results, optimal exposure factor and precise collimation field should be used in CR in order to minimize the patient dose.
MRI Of Brain Tumors: Comparison Of T1 Post Contrast Image Weighting Spin Echo And Fast Spin Echo Sequence Using The Modality Of MRI 0,3 Tesla Murniati, Emi; Sugiyanto, Sugiyanto; Ardiyanto, Jeffri
Jurnal Riset Kesehatan Vol 1, No 1 (2012): Januari 2012
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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The purpose of this research is to find out information differences in image between two techniques from MRI 0,3 . Hopefully, it will be useful for radiographers to produce high quality post contrast images. Samples of this research were 30 patients having MRI brain tumor examination then were set with 2 sequences (spin echo and fast spin echo). Result was analized by using questionnaire observed by 3 radiologist. Data were then analized with Mann-Whitney and description of images was given. Result indicated that There were statistically differences between spin echo and fast spin echo post contrast T1 weighting image. Result showed that there were differences in post contrast T1 weighting image quality between spin echo and fast spin echo sequence. Statistically, with mann whitney test the differences were significant, with p value 0,000 (p< 0,5).
INTERPROFESSIONAL COLLABORATION IMPROVING THE QUALITY OF HEALTH MOTHER AND CHILD ON EXTENSION WILL THE ROLE OF ULTRASOUND EXAMINATION (USG) PREGNANCY Mulyati, Sri; Katili, Muhammad Irwan; Murniati, Emi
Jurnal LINK Vol 12, No 2 (2016): November 2016
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Interprofessional Collaboration program is Community Service Health Polytechnic Semarang organized by collaboration between the Department /Major environment in Ministry of Health Polytechnic of Semarang. Indonesian society in order to achieve a healthy and prosperous required equitable national development efforts in all aspects of life including health.. Data 2014 of the Health Profile Semarang City Health Office showed the prevalence of maternal and infant mortality in the Region Health Center Bangetayu Genuk District of Semarang. Therefore, there should be collaborative efforts between the Department in order to take part in activities carried out in an integrated and sustainable. Thus, the Ministry of Health Polytechnic Semarang gait may be integrated through interprofessional collaboration activities to help solve health problems, especially in the area of urban village Puskesmas Bangetayu ie Bangetayu wetan Genuk districts of Semarang. With these activities, the public is expected to know the role of ultrasound examination and determine the usefulness of ultrasound examination, benefit of ultrasound examination in pregnancy (antenatal care) in efforts to reduce maternal and infant mortality. Ultrasound examination can be performed by medical indications to get the full data will be the condition of the fetus in the mothers womb. Usually done 3-4 times during pregnancy.
AKURASI PETANDA BIOKIMIA COMP DAN CTX-II SEBAGAI PREDIKTOR AWAL OSTEOARTRITIS GENU Fatimah, Fatimah; Sugiyanto, Sugiyanto; Murniati, Emi; Kurniawati, Ary
Jurnal Riset Kesehatan Vol 5, No 2 (2016): NOVEMBER 2016
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Petanda biokimia COMP dan CTX-II sensitif untuk mendeteksi awal terjadinya osteoartritis genu. Namun demikian, bila dilihat dari hasil penilaian citra digital radiografi genu menggunakan Kellgren-Lawrence (KL) grade, ternyata grading osteoartritis genu belum tentu sesuai dengan hasil pemeriksaan kadar COMP dan CTX-II. Jenis penelitian ini adalah cross-sectional dengan observasional analitik. Sebanyak 36 responden dipilih berdasarkan hasil citra digital radiografi genu proyeksi AP weight bearing kanan dan kiri dengan KL grade < 2. COMP diambil dari pembuluh darah vena perifer sebanyak 10 ml dan CTX-II diambil dari urin. Penentuan kadar COMP dan CTX-II menggunakan enzyme-linked immunosorbent assay (ELISA). Analisa data dilakukan dengan uji Receiver Operating Characteristic (ROC) dan uji Chi Square. Hasil penelitian menunjukkan tingkat akurasi kadar COMP terhadap osteoartritis genu; sensitifitas 96,30%, spesifisitas 33,33%, prediksi positif 81,25% dan prediksi negative 75% terhadap prevalensi OA 75%, serta terdapat hubungan yang signifikan (p = 0,041) dengan kekuatan hubungan kuat (0,778). Sedangkan tingkat akurasi kadar CTX-II terhadap osteoartritis genu; sensitifitas 59,26%, spesifisitas 77,78 %, prediksi positif 88.89% dan prediksi negative 38.89% terhadap prevalensi OA 75%, terdapat hubungan yang tidak signifikan (p = 0,121) dengan kekuatan hubungan lemah (0,305). Petanda biokimia COMP lebih akurat dalam menentukan diagnosa osteoartritis genu dibandingkan petanda biokimia CTX-II.
SERTIFIKASI KEAHLIAN PETUGAS PROTEKSI RADIASI (PPR) DAN CT SCAN DASAR TERHADAP PENYERAPAN LULUSAN DI DUNIA KERJA Susanto, Edy; Murniati, Emi; Setiawan, Agung Nugroho
Jurnal Riset Kesehatan Vol 5, No 1 (2016): Mei 2016
Publisher : Poltekkes Kemenkes Semarang

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Abstract

This research aims to analyze the skills certification in Radiation Protection Officer (PPR) and Basic CT Scan for graduates in relation with the absorption of graduates employment. The type of research is descriptive qualitative study approach. Subjects were graduates from Diploma program of TRR Semarang and Purwokerto, specialist doctors and radiographers as users of graduates. Data taken from observation and check list/survey of alumni, interviews and focus group discussions. The results of this research are skills certification of Radiation Protection Officer (PPR) provides benefits in terms of radiation protection skills and provide more value when applying on the job. In addition, the ability in the field of radiation protection will ensure radiation safety for patients, radiation workers and community/environment. Basic CT Scan skills certification provides benefits in operating aircraft proficiency CT scans, particularly on the basis of the examination, as add value of graduates and make graduates quickly adjust to working conditions.
IMAGE INFORMATION VALUE OF VARIATION ANALYSIS VALUE SENSITIVIY ENCHODING (SENSE) USING T2 WEIGHTED TURBO BALANCE FIELD ECHO (BTFE) SEQUENCE IN THE MRCP IN RADIOLOGICAL INSTALLATION SILOAM HOSPITAL SURABAYA Wicaksono, Ary Indra; Murniati, Emi; Masrochah, Siti
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2 (2018): Juli, 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3994

Abstract

Background : MRCP is an examination used to evaluate the system billiary, pancreas and gall bladder with channel because of the possible presence of stones, tumors and other diseases. To diagnose the MRCP examination,one sequence in use is T2 weighted Turbo Field Echo Balance (T2W BTFE) which in its parameters No Sensitivity Enchoding (SENSE). The purpose of this study was to determine the Information analysis Anatomical differences with variation of Sensitivity Encoding (SENSE) on T2-weighted sequences BTFE the MRCP examination, And to investigate value Sensitivity Encoding (SENSE) optimal T2-weighted sequences BTFE the MRCP examination.Methods : The method of this research is experimental with approach quasi-experimental design with control. This research is done in Siloam Hospital Surabaya. MRCP image data in the form of axial 40 of the 10 patients with 4 variation of Sensitivity Encoding (SENSE), which are 1.4, 1.6, 1.8, and 2. Assessment of information image data done by 3 respondents. Analysing process done with Friedman test.Results : The results showed that there MRCP image information differences with variation in sensitivity encoding (SENSE) on T2-weighted sequences BTFE with a significance level of p value <0.001. Differences in image information occurs in liver, Gall Blader, Pancreas and CBD (Common Bile Duct). The use value Sensitivity Encoding (SENSE) on T2-weighted sequences for optimal BTFE MRCP is a 1.8 with a mean rank 3.85.Conclusion : The optimal use value Sensitivity Encoding (SENSE) on T2-weighted sequences for optimal BTFE MRCP is a 1.8.
TREATMENT OF RADIOTHERAPHY MONOISOCENTRIC TECHNIQUE IN CASES OF NASHOPHARANGEAL CANCER AT UNIT RADIOTHERAPHY INSTALLATION RADIOLOGY RSUP DR. SARDJITO YOGYAKARTA Khatamsi, Hafsi Afrizun; Indrati, Rini; Murniati, Emi
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1 (2018): Januari, 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3973

Abstract

Background: Monoisocentric technique is a recomended technique for examination of nasopharangeal cancer radiotheraphy, but most hospital has not applied this technique, while in Dr. Sardjito Yogyakarta Hospita use this technique has not been done consistently because technique monoisocentric need high-precision tool and techniques monoisocentric of nasopharangeal cancer and why monoisocentric technique used in nasopharangeal cancer in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital.Methods: This type of research is qualitative with case study approach. the data was collected in November-December 2017 at radiotherapy Installation of Dr. Sardjito Yogyakarta Hospital by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: Base of the results of reserch in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital, includes patient examination and staging, CT Simulator, TPS planning, geometry verification and radiotheraphy radiation process. Monoisocentric techniquebare used because  irradiation time getting faster, minimize the accurrence of hot spots and cold spot, dose distribution homogeneousConclusion: Administration of mono-centric technique of Nasopharyngeal cancer in Dr. Sardjito Yogyakarta, conducted in several stages: staging, CT simulator, TPS planning (field calculation, isocenter location, beam direction and dosage per fraction), geometry verification (comparing DRR and actual irradiation and values should not be > 0.2 mm) and continued with radiotherapy radiation in LINAC treatment room. The aim of using monoisocentric technique in case of nasopharyngeal carcinoma at Radiotherapy Unit of Radiology Installation of Sardjito Yogyakarta was obtained by shorter real time irradiation time, the happening of hot spot and cold spot in the field of radiation between local field of nasopharynx and locoregional become smaller, homogeneous dose distribution. 
DIFFERENCES OF ACCELERATION FACTOR APPLICATION TOWARD CHARACTERISTICS OF DIAGNOSTIC IMAGE T2WI FSE IN MRI LUMBAL HERNIATED NUCLEUS PULOSUS (HNP)CASE Maulidya, Ildsa; Wibowo, Gatot Murti; Murniati, Emi
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2 (2018): Juli, 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.4005

Abstract

Background : Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods : This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult : The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion : Based on the result there was differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). Optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.
PENGEMBANGAN METODE KUADRAN UNTUK PENENTUAN KEDALAMAN BENDA ASING DENGAN MENGGUNAKAN MODALITAS KOMPUTER RADIOGRAFI Murniati, Emi; Masrochah, Siti; Kurniawati, Ary
Jurnal Imejing Diagnostik Vol 5, No 2 (2019): Juli, 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4463

Abstract

Background: The existence of a foreign object in the body generally can interfere with the metabolism of the body, so it can be life-threatening. Therefore it is necessary to take medical action in the form of surgery as soon as possible and precisely with x-ray examination as the guiding. With the development of the use of CR modalities, the method of determining foreign objects with the tools in the CR is considered, which is then called the quadrant method. And this study aims to explain the procedure and then the results are compared with the triangulation method which is a method of determining the depth of foreign objects previously used.Methods: The type of research carried out is exploratory description research with an experimental approach. Where the radiograph was made in cases of foreign objects with 2 methods, namely the triangulation method and quadrant method using CR. First made phantom organ femur, humerus, and thorax in which a foreign object is placed in it. The position of a foreign object is actually measured first and then the results of measuring the depth of a foreign object using the quadrant and triangulation method are compared with the results of the measurement of the actual foreign object.Results: The results showed that the making of radiographs with quadrant methods as well as triangulation methods both used 2 exposures with an x-ray so that the radiation exposure factor obtained by patients in both methods was not much different. Whereas from the comparison of the results of the measurements of the two methods it was found that the triangulation method was better than the quadrant method with smaller measurement differences when compared with the actual measurement of foreign objects. This is because the triangulation method has displayed measurement results based on a formula that uses mathematical calculations by calculating the distance and magnification of objects. And this is not obtained in the quadrant method where measurements are based on the data presented on the CR monitor screen without calculating the distance and magnification of the object first.Conclusion: Radiographic examination procedure determines the depth of foreign matter quadrant method using a computer Radiography is carried out with two projections namely anteroposterior and lateral. While the difference in the depth of the foreign body quadrant method with the depth of the foreign body is actually found that the accuracy of the measurements carried out by the triangulation method is better than the measurements carried out by the quadrant method
PENDAMPINGAN PEMBENTUKAN BANK SAMPAH DI KELURAHAN METESEH KECAMATAN TEMBALANG SEMARANG Mulyati, Sri; Murniati, Emi; Ardiyanto, Jeffri; Wibowo, Gatot Murti
Jurnal LINK Vol 15, No 1 (2019): MEI 2019
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v15i1.4109

Abstract

Kelurahan Meteseh adalah salah satu Kelurahan yang berada di wilayah Kecamatan Tembalang Semarang. Secara demografis memiliki banyak potensi, diantaranya bidang peternakan sapi, perikanan, pertanian dan kewirausahaan yang dapat dioptimalkan dalam usaha untuk pembangunan Kelurahan untuk meningkatkan perekonomian masyarakat Kelurahan tersebut. Masyarakat memandang masalah sampah menjadi hal yang patut diprioritaskan mengingat pengelolaan sampah melalui bank sampah dapat berimbas baik secara ekonomi, kesehatan maupun lingkungan pada masyarakat sekitar. Salah satunya adalah Prodi D-IV Teknik Radiologi Jurusan Teknik Radiodiagnostik Dan Radioterapi Politeknik Kesehatan Kemenkes Semarang yang memiliki tanggung jawab dalam pelaksanaan tri Dharma Perguruan Tinggi dalam wujud pengabdian kepada masyarakat.Kegiatan ini merupakan stimulan yang dilakukan melalui pemberdayaan kepada masyarakat melalui pembentukan dan pendampingan pentingnya Bank Sampah sebagai salah satu wadah untuk pengelolaan sampah yaitu dengan terbentuknya Bank Sampah Mulia sejahtera di Kelurahan Meteseh Kecamatan Tembalang Kota Semarang. Dengan slogan mengubah sampah menjadi Berkah. Harapan kami, nantinya kegiatan ini dapat ditindaklanjuti oleh warga untuk pemilahan dan pengolahan sampah. Sehingga, dapat terwujud masyarakat yang bersih, sehat dan sejahtera.