Fatimah, Fatimah
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang

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The Examination Technique of Genu in Case of Ligament Cruciatum Anterior (ACL) Rupture by Open MRI In Jogja International Hospital Arifah, Istatik; Fatimah, Fatimah; Susilowati, Sri
Jurnal LINK Vol 9, No 3 (2013): September 2013
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

The technique of MRI Genu examination technique in case of Ligament Cruciatum Anterior (ACL) Ruptur by open MRI was conducted in 3 (three) steps, i.e. full extension SE T1 Coronal Genu, 30 degree SE T1 sagital Genu Flexi, and 90 degree SE T1 sagital genu flexi. The research aimed to find out the examination technique of MRI Genu in Ligament Cruciatum Anterior (ACL) rupture by open MRI in Jogja International Hospital, in which comprised of preparation, examination technique, informative level of sequence parameter selection and reason of using sequences and optimization of MRI Genu examination in case of Ligament Cruciatum Anterior (ACL) rupture by open MRI. T he research was conducted by observation method to the implementation of examination and in depth interview with five respondents wherein the data was used as primary data; meanwhile documentation and literature were used as secondary data. The data analysis was conducted by using descriptive analysis. The result of research showed that examination technique of MRI Genu in the case of Ligament Cruciatum Anterior (ACL) rupture by open MRI was conducted in three steps, i.e. full extension SE T1 coronal genu, 30 degree SE T1 sagital genu flexi, and 90 degree SE T1 sagital genu flexi. Each of them was conducted scannogram initially by reason patient’s position had been altered. From these three sequences, according to the clinicians, SE T1 sagital sequence of 30 degree Genu flexi ACL is the clearest position to see the ACL; however according to the executors sequence of 90 degree SE T1 sagital genu flexi is the easiest to reconstruct on the ground the position of patient’s leg is more fix and it is seldom to happen alteration than the position of full extension SE T1 coronal genu and 30 degree SE T1 sagital genu flexi. The examination of MRI genu in Jogja International Hospital uses open MRI and multi-purpose coil/flexible coil thus it is possible to make variation of flexi genu, and merely taken SE T1 sequence. Some respondents have a notion that using eximation technique by sequence selection has been informative, however it still needs to add axial, sagital and coronal slice of which comprises of T1, T2 and PD in order the diagnostic information gained is more accurate by reason the excellent diagnostic enforcement will be the path of a physician in providing treatment by shape medication therapy and appropriate handling to the patient.
PENDAMPINGAN PENINGKATAN OPTIMISASI CITRA MRCP DENGAN PENGGUNAAN TEH OOLONG DAN SUSU SOYA HERBAL SEBAGAI ALTERNATIF MEDIA KONTRAS NEGATIF ORAL DI RS KANKER KEN SARAS UNGARAN KABUPATEN SEMARANG Fatimah, Fatimah; Sugiyanto, Sugiyanto; Wibowo, Gatot Murti
Jurnal LINK Vol 12, No 1 (2016): Mei 2016
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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High intensities of gastrointestinal tract may interfere to image quality of pancreatobilliary system that affects MRCP image degradation. The method of implementation of community service activities are divided into two activities : dissemination of material about improving the image optimization deployment training MRCP and use of oolong tea and herbal soy milk as an alternative oral negative contrast agent. Frameworks consist of input, process and output. Input as a potential target groups knowledge on the operation modalities of MRI and MRCP examination procedures. The process is in the form of training activities and the implementation of the use of oolong tea and herbal soy milk as an alternative to oral negative contrast agent on MRCP examination in hopes of generating output in the form of an increase in MRCP image optimization. Framework of solving problems through training implemented in the form of learning and mentoring using oolong tea and herbal soy milk as an alternative oral negative contrast agent MRCP, can produce contrast effect and image effect on the image enhancement MRCP optimization.
MENTORING AND TRAINING FISH BREEDING Fatimah, Fatimah; Sugiyanto, Sugiyanto; Kurniati, Ary
Jurnal LINK Vol 12, No 2 (2016): November 2016
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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The purpose of these activities improve the knowledge and skills of people, especially the breeding of livestock and fish breeding to increase the quality and increase production and be able to compete in the market as well as a means of education. Realization implementation activities in the form of learning, training and mentoring. Stages are conducting learning activities lectures giving the material, strengthening the material with a demonstration and simulation as well as good guidance for implementation in the form of monitoring and evaluation. The target audience of the event is the productive economic business group consists of 25-30 people, which the people of residents who have been focusing on small and independent businesses have both individually and in groups. Delivery of materials, simulations and discussions, delivered with total training hours to 50 hours. Revitalization of land is done by fixing the pool walls were eroded and landslides. Installation waring on pond breeding and nursery grounds. The addition of adequate water filter, the drain water pump to the pool with a filter system, after going through the water inlet filter back to pool. Training and Mentoring fish farming, in the form of breeding carp, catfish and fish, made with fish polyculture system is selected are kept together with other fish, so that the effective time and the results can be harvested alternately.
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.