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ANTI RADIATION BUILDING DESIGN: LOCAL SAND TYPE ANALYSIS TO GET CONCRETE X-RADIATION RESISTANT X-RAY Muhammad Fakhrurreza; Fisnandya Meita Astari
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4001

Abstract

Background : There are three ways to protect yourself from the danger of radiation, namely by regulating the length of irradiation (the effect of time), the use of anti-radiation material (shielding), and adjusting the distance from the radiation source (distance). In order to be safe in carrying out x-ray irradiation, patients and operators must take three steps so that radiation hazards can be minimized (Nunung, 2004). One way to check the danger of external radiation is to use a radiation barrier. This method is generally preferred, because it creates safe working conditions. Besides that the time and distance factors can be monitored continuously at the time of work, so that radiation workers can be guaranteed safety.Methods: This research is quantitative research with an experimental approach. The method of data collection in this study is observation, direct experiments and documentation. The types of sand to be used in this study are south beach sand, opaque sand, progo sand, white mountain sand and volcanic sand.Result :  Concrete using sand material from South Beach has the lowest HVL value of 0.8644cm. Conclusion :The HVL value possessed by concrete with South Beach sand material is most effective in resisting x-ray radiation.
Community Economic Improvement Through Processing Cassava Into Mocaf Flour Widya Mufida; Muhammad Fakhrurreza; Fisnandya Meita Astari; Asih Puji Utami; Ahmad Faesol
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang Pengabdian Masyarakat
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Singkong yang memiliki nama latin Manihot Esculennta merupakantumbuhan jenis umbi akar atau akar pohon yang panjang fisik ratarata-rata bergaris tengah 2-3 cm dan panjang 50-8080 cm, tergantung darijenis s singkong yang ditanam. Dalam industri makanan, pengolahansingkong dapat digolongkan menjadi tiga yaitu hasil fermentasisingkong, singkong yang dikeringkan, dan tepung singkong atautepung tapiokatapioka. Di Yogyakartagyakarta terdapat suatu dusun yang memilikilahan perpertaniantanian singkong yang luas yaitu Dusun Muntuk. DusunMuntuk merupakan dusun yang sebagian besar penduduknya bekerjasebagai petani singkong, dan hasil panen para petani singkongsebagian digunakan untuk p pakanakan ternak pada musim panas dansebagian dijual dengdengan harga yang rendah. Potensiotensi budidaya danpengolahan singkong di desa Muntuk sangat besar dan hingga kinibelum dimanfaatkan secara maksimamaksimal. Melaluielalui program PengabdianMasyarakat di Dusun Muntuk dapat memberdayakan masyarakatdengan memanfaatkan hasil pepertanianrtanian berupa singkong menjadisebuah produk pangan yang bernilai jual tinggi yaitu MocafMocaf.
PERBEDAAN INFORMASI CITRA DIAGNOSTIK ANTARA SEKUEN T2 TSE STIR DAN T2 TSE DIXON PADA PEMERIKSAAN MRI LUMBAL POTONGAN SAGITAL DENGAN KASUS RADICULOPATHY Fisnandya Meita Astari; Rasyid; Fatimah
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 1 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (733.958 KB) | DOI: 10.55451/jri.v1i1.12

Abstract

Backgroud: T2 Weighted Image Turbo Spin Echo Short Tau Inversion Recovery (T2 TSE STIR) is a sequence to get the image pathologic which can reveal of tissue along surrounding pathology with fat suppresion technique. T2 Weighted Image Turbo Spin Echo Dixon is a sequence to get the image pathologic whic can reveal of tissue along surrounding pathology with fat and water suppresion technique. Based on observations at Dr. Hasan Sadikin Bandung Hospital, in the examination of MRI Lumbal using T2 TSE sequence with Dixon fat suppresion technique, while according to The American College of Radiology (2012), using STIR fat suppresion technique. The purpose of this research was to know the difference of information diagnostic image that is produced between T2 TSE STIR and T2 TSE Dixon sequences on the examination of MRI lumbal sagittal slice with Radiculopathy case. Methods: This research of type is experiment. The study was conducted with a 1,5 Tesla MRI at Installation Radiology of General Hospital Dr. Hasan Sadikin Bandung. The research took from of the 22 images of MRI lumbal sagittal slice from T2 TSE STIR and T2 TSE Dixon sequences with Radiculopathy cases. Assesment of the image was done by two respondents and Kappa test was conducted. Furthermore, the results of respondents assessment was analyzed by Wilcoxon different test. Results: The results showed that the research result Ho rejected and Ha accepted which mean there is a differences of information diagnostic image between T2 TSE STIR and T2 TSE Dixon sequences on the examination of MRI lumbal sagittal slices with Radiculopathy case with p value = 0,001 (p <0,05). Conclusion: T2 Sequence TSE Dixon can produce MRI images with more specific and homogeneous fat suppresion, thus providing more informative diagnostic information than T2 TSE STIR sequences.
Healthy family education for members of the Nasyiatul Aisyiyah Branch of Gamping Fisnandya Meita Astari; Alfisna Fajru Rohmah; Ahmad Faesol; Widia Solissa; Shofiyyah Aprianingsih; Henny Halimatul Ulya; Dilfa Sandradilla
Community Empowerment Vol 8 No 8 (2023)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.9021

Abstract

The family is the smallest unit of society, so the health status of the household or family determines the health status of the community. Families will be categorized as healthy families as assessed by 12 healthy family indicators. Based on observation at the Nasyiatul Aisyiyah Branch of Gamping, almost all members are aged 20-18 years and have never received health education regarding indicators of a healthy family. This community service aims to increase knowledge about healthy family indicators. The implementation method uses the target group survey method, outreach, and evaluation. The result of this community service was an increase in the knowledge of ‘Aisyiyah members regarding healthy family indicators by 87.5%.
Studi Kasus Tata Letak Ruang Radiologi terhadap Kinerja Pegawai di Instalasi Radologi RSI Siti Aisyah Madiun Tasya Tasya; Fisnandya Meita Astari; Retno Wati
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 4 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i4.2511

Abstract

Tata letak adalah elemen penting dalam perancangan fasilitas yang mendukung kelancaran proses pelayanan, termasuk di Instalasi Radiologi Siti Aisyah Madiun, yang menurut Permenkes Nomor 24 Tahun 2020 seharusnya memenuhi standar tertentu. Namun, tata letak ruang radiologi di tempat tersebut belum sesuai dengan ketentuan, seperti jaraknya yang jauh dari IGD, ICU, dan IBS, tidak adanya ruangan khusus untuk dokter dan radiografer, serta ukuran ruangan yang sempit yang mengganggu kinerja. Penelitian ini bertujuan untuk mengevaluasi pengaruh tata letak terhadap kinerja pegawai di instalasi tersebut, menggunakan metode kualitatif dan pendekatan studi kasus dari Mei hingga Agustus 2024, dengan melibatkan satu dokter spesialis dan tiga radiografer. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis melalui reduksi data dan transkrip. Hasil penelitian menunjukkan bahwa kinerja pegawai dipengaruhi oleh empat faktor: struktur organisasi, kurangnya sumber daya manusia, kondisi lingkungan kerja, dan komunikasi internal. Untuk meningkatkan kinerja, disarankan agar tata letak ruang radiologi diperbaiki dengan mendekatkannya ke layanan lain, memperluas ukuran ruangan, dan menyediakan ruang khusus untuk dokter serta radiografer.
STUDI KASUS PROSEDUR PEMERIKSAAN HYSTEROSALPINGOGRAPHY DENGAN KLINIS INFERTILITAS PRIMER DI INSTALASI RADIOLOGI RSUD TIDAR KOTA MAGELANG Fifi Fitriana Bahi; Fisnandya Meita Astari; Retno Wati
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Abstract

Background: Hysterosalpingography is an important examination in diagnosing infertility, aimed at assessing the patency of the fallopian tubes and identifying causes of obstruction or abnormalities in the uterine cavity. The hysterosalpingography examination for primary infertility at the Radiology Installation of RSUD (Regional General Hspital) Tidar, Magelang City, utilizes plain AP pelvis projection, AP, and RPO post-contrast projections with a two-stage contrast media introduction. However, there are differences in projections and contrast media introduction compared to previous studies. This research aims to understand the procedure and the reasons for using AP and RPO projections without LPO, as well as the rationale for introducing 15 ml of contrast media in two stages: 10 ml for AP and 5 ml for RPO. Methods: This study employed a qualitative case study approach. The research was conducted at the Radiology Installation of RSUD Tidar, Magelang City, from August 2024 to January 2025. The subjects of the study included three radiographers and one radiology specialist. The object of the research was the hysterosalpingography examination. Data were collected through observations, interviews, literature studies, and documentation. Data analysis involved data reduction, data presentation, discussion, and conclusion drawing. Results: The hysterosalpingography examination procedure for primary infertility at the Radiology Installation of RSUD Tidar, Magelang City, included patient preparation, equipment and material preparation, contrast media introduction, and examination techniques. The reason for including only the RPO projection without LPO was that the right fallopian tube spill was not yet visible, while the left fallopian tube spill was already visible in the AP projection. The first stage of contrast media introduction involved 10 ml for the AP projection to visualize the uterine cavity and fallopian tubes, while the second stage involved 5 ml for the RPO projection to visualize the right fallopian tube and spill into the peritoneal cavity that was not yet visible in the first stage. Conclusions: The hysterosalpingography examination for primary infertility at the Radiology Installation of RSUD Tidar, Magelang City, was performed using AP and RPO post-contrast projections without LPO, as the left fallopian tube spill was already visible in the AP projection. The rationale for the two-stage contrast media introduction was to optimize the visualization of anatomy and the spill from the fallopian tubes into the peritoneal cavity
Studi Kasus Prosedur Pemeriksaan Ct Scan Urografi Klinis Batu Ginjal di Instalasi Radiologi RSUD Brebes Yuti Meriani; Fisnandya Meita Astari; Amril Mukmin
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i2.6416

Abstract

Urinary tract examination with the CT-Scan modality is considered superior to other imaging modalities because it produces better image resolution, clear anatomical details, and is able to accurately detect abnormalities. At the Radiology Installation of Brebes Hospital, the CT-Scan Urography examination is carried out without fasting requirements. Patients are only asked to remove metal objects from the abdominal area and hold urination before the examination begins. This aims to keep the urinary bladder (VU) fully filled so that it facilitates the evaluation of the anatomy of the urinary system, especially in detecting kidney stones which are the main complaints of patients. This study aims to find out in detail the procedure for CT-Scan Urography clinical urography of kidney stones, as well as the reasons why patients are asked to hold urination and are not asked to fast before the procedure is performed. The research method used is a mix method, which is a combination of qualitative and quantitative, with data collection through observation, interviews, and documentation. The research sample consisted of 3 patients who underwent CT-Scan Urography clinical examination of kidney stones at the Radiology Installation of Brebes Hospital. The results of the study showed that the procedure started from the patient's preparation, such as removing metal objects, drinking mineral water, and holding urination so that the VU was fully filled, thus helping the visualization of organs and urinary tract. This examination does not require fasting because the CT-Scan modality is able to provide a clear picture of the anatomy of the urinary tract without interference from the digestive system. These findings confirm that the CT-Scan Urography procedure at Brebes Hospital is simple, effective, practical, and provides optimal diagnostic results for patients.
PENGUJIAN KEBOCORAN LEAD APRON MENGGUNAKAN DIGITAL RADIOGRAPHY DI INSTALASI RADIOLOGI RSUD dr SOEHADI PRIJONEGORO SRAGEN Sri Andriani Savitri H. Pakaya; Fisnandya Meita Astari; Muhammad Fakhrurreza
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Latar Belakang: Lead Apron merupakan salah satu alat pelindung diri berbahan timbal yang dirancang untuk melindungi tubuh dari bahaya radiasi. Untuk memastikan lead apron dapat memberikan perlindungan yang optimal, maka perlu dilakukan pengujian lead apron secara berkala yaitu 12-18 bulan sekali atau saat dibutuhkan. Di Instalasi Radiologi RSUD dr. Soehadi Prijonegoro Sragen, pengujian terakhir dilakukan pada tahun 2022 sehingga menimbulkan kekhawatiran akan adanya kerusakan namun lead apron tersebut masih tetap digunakan. Penelitian ini bertujuan untuk mengetahui prosedur pengujian, hasil pengujian lead apron di Instalasi Radiologi RSUD dr Soehadi Prijonegoro Sragen.Metode: Pengumpulan data pada penelitian ini dilakukan dengan melakukan pengujian lead apron untuk mengetahui adanya lekukan, lipatan, retakan, sobekan atau ruang. Pengumpulan data dilakukan pada bulan Oktober 2024-April 2025. Hasil penyinaran diolah menggunakan computed radiography (CR) untuk mengukur tingkat kerusakan pada lead apron kemudian dibandingkan dengan teori Lambert 2001. Hasil: Prosedur uji kebocoran apron timbal dilakukan dengan metode radiografi dengan cara meregangkan apron timbal di atas meja pemeriksaan dan membagi apron timbal menjadi empat kuadran serta memaparkan masing-masing kuadran apron yang telah diberi lapisan. Hasil pengujian ketiga apron timbal tidak mengalami kebocoran, hanya menunjukkan adanya gelombang atau lekukan dan lipatan pada apron timbal sehingga masih aman dan layak digunakan sebagai peralatan proteksi radiasi. Kesimpulan: Pengujian ketiga apron timbal dilakukan dengan metode radiografi, untuk hasil pengujian tidak terjadi kebocoran atau masih dalam kondisi baik dan masih layak pakai. Namun demikian, pengujian apron timbal di Instalasi Radiologi RSUD Dr. Soehadi Prijonegoro Sragen masih perlu ditingkatkan untuk frekuensi pengujian pada masing-masing apron timbal. Dimana rentang pengujian dilakukan secara rutin setiap 12-18 bulan sekali untuk memantau kondisi apron timbal.
STUDI KASUS PROSEDUR PEMERIKSAAN COLON IN LOOP DENGAN KLINIS DIARE KRONIS DI INSTALASI RADIOLOGI RSUD PANEMBAHAN SENOPATI BANTUL Khalifah Evitaria1; Fisnandya Meita Astari; Ildsa Maulidya Mar’atus Nasokha
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Background: Colon in loop (CIL) examination is a radiographic examination with positive or negative retrograde contrast media, which plays an important role in assessing colon disorders, such as chronic diarrhea. According to (Hadjarati et al. 2024), patient preparation is carried out for 48 hours, while in the Radiology Installation of RSUD (Regional General Hospital) Panembahan Senopati Bantul, patient preparation is carried out for 24 hours. According to (Lampignano & Kendrick, 2018), the projections used include AP plan, RPO, RAO, LAO, LLD, RLD, and AP post-evacuation. Meanwhile, the projections used at Senopati Regional Hospital include FPA (plain abdominal radiograph), Lateral, AP post-contrast or lower AP, AP full filling, AP post-contrast negative projections. Method: This research applied a qualitative study with a case study approach. The data collection was conducted at RSUD Panembahan Senopati Bantul. The subjects were one radiologist and three radiographers. The object of the study was a colon in loop examination with clinical chronic diarrhea. Data collection methods used observation, interviews, documentation, and literature. Data analysis used data reduction, data presentation, and conclusion drawing. Results: The results of the study indicated that a colonoscopy in a loop with clinical evidence of chronic diarrhea was performed to confirm the diagnosis of narrowing, mass, or inflammation in the colon. Patient preparation was carried out 24 hours or one day before the examination, then the examination technique was performed using two AP and lateral projections without post-evacuation. Conclusion: A colonoscopy in loop in patients with chronic diarrhea was performed to confirm a diagnosis or assess for colon abnormalities. This examination was performed with 24 hours of patient preparation. The methods included single contrast (200 g barium sulfate/1000 ml water) and double contrast (approximately 300 cc air). The projections used FPA, left lateral, AP with positive contrast, AP with full filling, and AP with negative contrast. These projections were selected to save time, reduce radiation dose, and provide optimal diagnostic capabilities. Informed consent should be obtained before the examination to ensure the patient understands the procedure, benefits, and potential risks. Additionally, the addition of a post-evacuation AP projection is recommended to evaluate residual contrast in the colon and assess intestinal peristalsis
IDENTIFIKASI FAKTOR PENYEBAB PENGULANGAN CITRA RADIOGRAFI SEBAGAI UPAYA MENJAGA KESELAMATAN PASIEN DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM AISYIYAH PONOROGO Fasya Fouris Falentin; Fisnandya Meita Astari; Muhammad Za’im
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Latar Belakang: Pengulangan citra radiografi (repeat) merupakan pengambilan ulang gambar karena hasil radiograf tidak optimal. Hal ini dapat meningkatkan dosis radiasi yang diterima pasien dan menurunkan mutu layanan radiologi. Menurut Permenkes No.129/Menkes/SK/II/2008, standar pengulangan citra radiografi ≤ 2%. Dari hasil observasi yang telah dilakukan, menunjukan bahwa masih banyak terjadi pengulangan citra dan tidak ada perhitungan yang sistematis. Tujuan penelitian ini untuk mengetahui sistem perhitungan pengulangan citra radiografi, dampak keselamatan pasien, serta upaya untuk mengurangi terjadinya repeat. Metode: Penelitian dilaksanakan pada bulan November 2024 hingga Januari 2025 dengan pendekatan metode campuran (mix-method) yang menggabungkan data kuantitatif dan kualitatif. Jenis penelitian kuantitatif menggunakan analisis data. Data kualitatif didapatkan dari data primer yaitu informan, wawancara, observasi dan data sekunder diperoleh dari sumber lain yaitu dari, peraturan mentri kesehatan, artikel, buku, naskah publikasi, dan catatan mandiri. Hasil: Hasil penelitian menunjukkan bahwa tidak dilakukan perhitungan serta pencatatan pengulangan citra radiografi di setiap bulannya. Terdapat 460 kali repeat citra radiografi dari bulan November 2024 hingga Januari 2025 dari total 6.892 pemeriksaan. Faktor-faktor yang menyebabkan repeat yaitu posisi pasien 73,36%, artefak sebesar 14,13%, pergerakan sebesar 9,56%, faktor eksposi sebesar 1,95%, dan faktor peralatan sebesar 1%. Sehingga dosis yang diterima pasien menjadi lebih besar dan dapat menimbulkan efek samping terhadap kesehatan serta keselamatan pasien. Solusi untuk mengurangi repeat yaitu lebih berhati-hati, teliti saat pemeriksaan agar tidak terjadi pengulangan citra di masa mendatang. Kesimpulan: Sistem perhitungan serta pencatatan pengulangan citra radiografi tidak dilakukan setiap bulannya. Dampak pengulangan dosis yang diterima oleh pasien menjadi lebih besar. Solusi untuk mengurangi terjadinya repeat yaitu lebih berhati-hati dan teliti dalam melakukan pemeriksaan. Sebaiknya instalasi radiologi melakukan pencatatan pengulangan di setiap bulan guna mengontrol jumlah pengulangan citra radiografi tidak mengalami kenaikan dari standar yang telah ditentukan untuk menjaga kualitas layanan radiologi dan keselamatan pasien