Analisis Perbedaan Citra SPECT Non-AC dan CTAC pada Pemeriksaan Scintigrafi Perfusi Miokard

Background: Myocardial Perfusion Scan displays SPECT images, which is a non invasive imaging method for a quantitative view of myocardial ischemia which can’t be done with CT myocardial perfusion. The principle of myocardial perfusion scan is that the myocardial absorption of radiopharmaceuticals is proportional to coronary heart blood flow to the myocardium. The main problem with SPECT myocardial perfusion scan imaging is photon attenuation caused by soft tissue around the heart which causes inaccurate information and attenuation artifacts. One method to reduce attenuation artifacts is hybrid CT Scan imaging with SPECT tools. CT Scan images are used to correct attenuation in SPECT images. The purpose of this research is to analyze the differences between non-AC and CTAC SPECT images which will have an impact on myocardium perfusion values on myocardial perfusion scans.Methods: This research is a quantitative analysis with a direct observation approach. The research was undertaken at Nuclear Medicine and Molecular Theranostics Installation of Dr. Hasan Sadikin General Hospital in Bandung, starting November 2023 using a SPECT CT GE NM/CT 860 gamma camera. A total of 28 patients were examined for myocardial perfusion scans. Data processing is conducted by comparing the perfusion values of myocardium on non-AC and CTAC SPECT images for 28 samples by conducting hypothesis testing using paired test sample T-Test.Result: Based on the research results, non-AC, and CTAC SPECT image data showed a normal distribution using the Shapiro-Wilk test, allowing the analysis of differences using the Paired-Samples T-test. In general, the analysis results indicate a significant difference between non-AC and CTAC SPECT images, as the sig value is less than 0.05 in the RCA and LCx vascular segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no significant differences were found in the LAD vascular segment and the anterior wall segment, as the sig value is greater than 0.05.Conclusions: There are differences between non-AC and CTAC SPECT images in the RCA and LCx blood vessel segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no differences are observed in the LAD blood vessel segment and the anterior wall segment

EDUCATIONAL MEDIA JIGSAW PUZZLE GAMES AS AN EFFORT TO INCREASE DENTAL AND ORAL HEALTH KNOWLEDGE FOR GRADE I STUDENTS MI MIFTAHUL FALAH SINANGGUL IN THE WORKING AREA OF THE MLONGGO HEALTH CENTER, JEPARA REGENCY

Elementary school age children are classified as a group that is prone to dental and oral diseases, this is because in elementary school age children behavior in caring for dental and oral health is still lacking. The results of Basic Health Research (Riskesdas) in 2018 showed that 54.0% of dental and oral health problems were 5-9 years old in school. The dental and oral health of school-age children needs serious attention from health workers, both from dentists and dental and oral therapists. The most common disease suffered by elementary school-age children is caries. The main cause of caries is due to the continuous accumulation of plaque that is not cleaned. Dental health education needs to be instilled from an early age in children so that they know the right way to maintain the health and hygiene of their teeth and mouth. Efforts to prevent the occurrence of dental and oral diseases in elementary school children are by conducting a dental and oral health education program for students. The goal is to increase students' knowledge in maintaining and maintaining dental health. The methods used in this service are the method of playing, lecturing, and demonstrating to the respondents. Based on the results of the activities that have been carried out in the service, the respondents gave a positive response and there was an increase in knowledge and dental and oral hygiene

The Effectiveness of Using the Modern Reminder My Therapy Application on Fe Tablet Consumption Adherence

Background:Pregnant women have a low level of adherence to Fe tablet consumption, due to the factor of forgetting to take medicine and side effects. One of the efforts to improve adherence is to use a reminder application-based intervention, which can improve adherence in mothers who often forget to take Fe tablets.Objective:This study aimed to determine the effectiveness of using the My Therapy Modern Reminder Application on adherence to Fe Tablet Consumption in the Bangetayu Public Health Center Working Area, Semarang City.Methods:it was quasi-experimental with one group pretest, posttest design. Sampling in this study used a purposive sampling technique with a total sample of 45 respondents and data collection using the MMAS-8 questionnaire. The analysis method used the Wilcoxon test.Results:There was a significant difference between the results of the pre-test and post-test (p = 0.00). Wilxocon test results showed the effectiveness of using my therapy modern reminder application on Fe tablet consumption adherence (p = 0.00).Conclusion:The use of my modern therapy reminder application can improve the adherence of pregnant women to consuming Fe tablets

Sensitive Interventions in Overcoming Chronic Energy Deficiency of Pregnant Women in A Northern Coastal City of Central Java

Pregnant women with Chronic Energy Deficiency (CED) can cause health problems for both mother and baby. Among them are babies with low birth weight (LBW), who are at risk of stunting. The Pekalongan City Government issued Mayor Regulation Number 11 of 2023 concerning the Acceleration of Integrated Stunting Reduction, where the group of CED pregnant women is one of the targets of Stunting-prone Families who need specific and sensitive interventions. This study aimed to analyze implementation of the policy, especially sensitive interventions of CED pregnant women in Pekalongan City. This study used a descriptive qualitative method. The research was conducted from August to September 2024. The object of the study was the implementation of sensitive interventions of CED pregnant women which was analyzed with Van Metter-Van Horn policy implementation model. The research was conducted through in-depth interviews, observation and documentation. The determination of informants used a non-probability technique with a purposive method, and 11 informants were obtained. The stages in data analysis were data collection, reduction, presentation, data verification and conclusion drawn. The results of the study found that sensitive interventions in form of access to clean drinking water and sanitation, housing improvement programs, social assistance recipient programs and training facilitation for families of CED pregnant women are still not optimal. Pregnant women in CED had not been considered as a priority in obtaining the benefits of assistance programs. It needed to be improved again in policy socialization, quality and quantity of resources, coordination and communication, and improvement of the environmental situation

PENGUATAN DAN PENDAMPINGAN WIRAUSAHA MAHASISWA SEBAGAI UPAYA MENDORONG TUMBUHNYA PENGUSAHA MUDA DI LINGKUNGAN PERGURUAN TINGGI

Entrepreneurship education is realized through carefully designed and structured hands-on entrepreneurial practices. This practice can be in the form of product manufacturing or service provision. This program aims to create young entrepreneurs from among students who are able to create jobs for many people. The entrepreneurial strengthening and mentoring program is carried out using the method of empowering students as young business actors. The program is carried out through three stages, namely the preparation, implementation and evaluation stages. The activity begins with coordination with related parties, implementation of strengthening and mentoring by lecturers and the Office of Cooperatives and MSMEs. Entrepreneurship assistance for students is able to encourage the growth of young entrepreneurs in the Poltekkes Kemenkes Semarang environment and increase the activities of the honesty canteen to become a Multipurpose Cooperative Kopma "Hygienic Snacks"

RADIATION DOSE EVALUATION IN THORAX RADIOGRAPHY EXAMINATION EVALUASI DOSIS RADIASI PADA PEMERIKSAAN RADIOGRAFI THORAX

ABSTRACTThe radiation dose received by patients during Thorax examination can vary from one hospital to another. For this reason, the Indonesian government through BAPETEN has set the Indonesian Diagnostic Reference Levels in 2021 as a reference for radiation doses in medical imaging. This study aims to determine whether there is a comparison of these doses with the IDRL 2021 reference. This study is a quantitative study with an experimental and survey approach conducted at Tlogorejo Hospital, Semarang. The radiation dose value in the form of Entrance Surface Air Kerma (ESAK) was collected at Tlogorejo Hospital, Semarang. The ESAK value was obtained through simulation or measurement using a digital dosimeter placed on the surface of the water phantom for Thorax examination. The examination parameters used are standard parameters for adult Thorax examination in patients weighing 50-70 kg. Overall, 87 ESAK values were collected from Tlogorejo Hospital, Semarang. The results showed significant variations in the radiation dose of Thorax examination in hospitals with an average dose of 0.145 mGy. While the median ESAK value is 0.095 mGy. However, the study showed that the median ESAK value of Thorax examination at the hospital where the study was conducted was still within the IDRL 2021 recommendation limit, which was below 0.4 mGy. This study shows the importance of continuous optimization efforts to ensure radiation safety in patients undergoing diagnostic radiology examinations

PEMBERDAYAAN REMAJA DALAM UPAYA PENCEGAHAN PENYALAHGUNAAN NARKOBA DI KELURAHAN DEBONG KULON KOTA TEGAL

 Penyalahgunaan obat terlarang merupakan masalah yang kompleks yang terjadi pada semua kalangan termasuk remaja/pelajar, yang disebabkandan dicetuskan oelh banyak hal. Data BNN menunjukkan banyaknya penyalahgunaan narkoba pada generasi milenial atau generasi muda yang angkanya terus meningkat. Kota Tegal merupakan salah satu wilayah di Jawa Tengah yang memiliki jumlah penduduk dengan rentang usia remaja yang cukup besar, yang sangat potensial untuk dapat dijadikan sebagai tempat peredaran narkoba. Badan Narkotika Nasional (BNN) menyatakan penyalahgunaan dan peredaran narkotika di masyarakat menunjukkan peningkatan dengan meluasnya korban akibat narkoba. Tingginya paparan narkotika pada remaja perlu mendapatkan perhatian adalah bahwa target utama pasar narkotika ini adalah para remaja. Kalangan remaja yang terpapar narkotika lebih rentan sebagai pengguna jangka panjang, karena mereka memiliki waktu yang cukup panjang dalam mengkonsumsi narkoba. Dampak penggunaan narkoba ternyata dapat menimbulkan masalah lain yang tidak kalah mengerikan, sehingga penanganan penyalahgunaan narkoba perlu mendapatkan pehatian yang serius. Penanganan yang bersifat promotif dan preventif perlu dikedepankan sebelum dilakukan tindakan represif. Melibatkan secara aktif remaja dalam upaya penanganan yang bersifat promotif dan preventif merupakan salah satu solusi untuk mengurangi penyebaran Narkoba di kalangan remaja.Tujuan dari dilaksanakannya pengabdian masyarakat di Kelurahan Debong Kulon ini adalah untuk meningkatkan peran dan partisipasi mitra (remaja) dalam kegiatan P4GN, meningkatkan pengetahuan remaja terkait kegiatan P4GN dan meningkatkan motivasi remaja dalam kegiatan P4GN. Sedangkan manfaat yang ingin dicapai dari kegiatan ini adalah mitra (remaja) dapat berpartisipasi aktif dalam kegiatan P4GN dan dapat termotivasi untuk teribat dalam kegiatan P4GN. Untuk mencapai tujuan kegiatan pengabdian masyarakat di Kelurahan Debong Kulon Kota Tegal, dilakukan melalui beberapa pendekatan, antara lain dengan Model Participatory Rural Appraisal (PRA), Model Community development, Persuasif dan Edukatif. Hasil yag dicapai dari pengabdian masyarakat ini adalah tersedianya boklet atau modul tentang P4GN yang dibuat oleh mitra sebagai media edukasi yang interaktif sehingga terjadi peningkatan pengetahuan dan motivasi dari mitra untuk membentuk konsep diri yang positi

Terapi Radiasi Eksternal dengan Metode Hypofractionated pada Kanker payudara Post Breast Conserving Surgery di Instalasi Onkologi Radiasi Rumah Sakit Indriati Solo Baru: Studi Kasus

Background: Radiotherapy is one method of cancer treatment that uses radiation to destroy cancer cells. Radiation dose delivery is done gradually through a process called fractionation, which is divided into conventional and hypofractionated fractions. In the radiation oncology installation of the new Indriati Solo Hospital, some breast cancer patients have received treatment with the hypofractionated method, while the majority still use the conventional fraction method. The hypofractionated method aims to reduce the number of treatment sessions by increasing the dose in each fraction with outcomes comparable to conventional fractions.Methods: This research method is descriptive qualitative with a case study approach. The study involves breast cancer patients post-Breast Conserving Surgery (BCS), Data were gathered through interviews with radiation oncologists, radiotherapists, and medical physicists, along with direct observations and patient record analysis The collected data were analyzed descriptively to evaluate the application and effectiveness of the hypofractionated method.Results: The results showed that the use of hypofractionated can shorten OTT (Overall Treatment Time), as well as better side effects than conventional fractions, and effectively reduce the number of queues of radiotherapy patients. In conclusion, the use of the hypofractionated method is very effective and recommended for radiotherapy treatment in breast cancer.Conclusions: Hypofractionated radiotherapy for breast cancer patients at Indriati Solo Baru has proven effective in reducing OTT and patient queues, with outcomes comparable to conventional fractionation. Further research is needed to assess long-term benefits, including quality of life, recurrence rates, cost-effectiveness, and dose distribution, particularly in high-volume healthcare settings. Hypofractionated radiotherapy is a promising alternative

PENINGKATAN PENGETAHUAN DAN KETRAMPILAN MENGGOSOK GIGI PADA ANAK SEKOLAH DASAR DALAM RANGKA PENCEGAHAN PENYAKIT TIDAK MENULAR (PTM) MELALUI TELEPROMOSI VIDEO ANIMASI KESEHATAN GIGI

The success of dental health counseling for school children cannot be separated from the educationalmethod and the importance of the role of media because the role of media makes it easier for students tounderstand learning materials. Through media, the message delivered is more interesting and easy tounderstand (1). In determining the media, it must be adjusted to the characteristics and targets of thecounseling so that the message delivered can be received effectively. Animation media is a media withmoving images in its learning (2). The purpose of the community service activity is to find out knowledgeabout dental and oral health and the ability of respondents to brush their teeth properly and correctly whichis carried out on elementary school-aged children in the RT 05 RW 16 area, Padangsari Village,Banyumanik District, Semarang City. The method used in the community service is observation ofknowledge and skills in brushing teeth before and after being given an intervention, namely counselingwith animated videos on how to brush teeth properly and correctly in elementary school-aged children. Theresults of knowledge about dental health are good criteria 16% (8 respondents), sufficient criteria 30% (15respondents), and lacking criteria 54% (27 respondents). The results of observations on the ability to brushteeth in the form of a checklist of brushing teeth skills in the target group obtained the following results: atotal of 35 respondents (70%) of the skill of brushing teeth criteria are not yet skilled, while 15 (30%)respondents are categorized as skilled in brushing teeth. After 2 weeks, a re-evaluation was carried out. Theresults of observations on knowledge about maintaining dental health increased from 16% (8 respondents)to 30 respondents (60%) good criteria, sufficient criteria from 30% (15 respondents) to 40% (20respondents) for knowledge of poor criteria there is none. The results of brushing teeth skills have increasedquite well, a total of 46 respondents have the ability to brush their teeth with the criteria of being skilled92% and only 8% (4 respondents who are not yet optimal in their ability to brush their teeth.Keywords: Telepromotion, animated video, Dental healt

USE OF POCKETBOOKS AS PARENTS' GUIDELINES IN MAINTAINING THE DENTAL AND MOUTH CLEANLINESS OF CEREBRAL PALSY CHILDREN

Dental and oral health problems are often experienced by children with special needs. Limitations in physical and mental development can affect the process of maintaining dental and oral health. Children with special needs in the disabled group have disorders where their body parts are not perfect because they experience disabilities caused by damage to the bones, muscles, and joints so that they do not function normally. The shortcomings of children with physical impairments require parental assistance in maintaining dental and oral health. Providing counseling and giving pocketbooks to parents is an alternative to strengthening the maintenance of dental and oral health for children with physical impairments. This community service activity was carried out at SLB Jepara on a sample of children with physical impairments. The method used in this activity is the Health system approach, namely: Input – Process – Output. The results of the service carried out showed a decrease in the debris index value in children. The good debris index category after implementation was obtained by all respondents. The dental and oral hygiene pocketbook for parents of physically disabled children is used as a tool to increase parents' knowledge about dental and oral health and hygiene