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Fisnandya Meita Astari
Universitas ‘Aisyiyah Yogyakarta
Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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PROSEDUR PEMERIKSAAN OS FEMUR BILATERAL MENGGUNAKAN PROYEKSI AP PELVIS PADA KASUS FRACTURE COLLUM FEMUR Thasyar, Thasyar; Fisnandya Meita Astari; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Latar Belakang: Tulang proksimal femur merupakan bagian penting dari sistem muskuloskeletal, terdiri dari Caput femur, neck, trochanter mayor, dan trochanter minor. Salah satu kelainan yang sering terjadi pada bagian ini adalah patah tulang atau fraktur, khususnya pada collum femur. Dalam pemeriksaan radiografi femur umumnya pemeriksaan menggunakan proyeksi Antero-Posterior (AP) dan Lateral. Pemeriksaan radiogafi femur pada kasus fracture collum femur di RS PKU Muhammadiyah Karanganyar menggunakan proyeksi AP Pelvis. Tujuannya adalah untuk mengetahui prosedur pelaksanaan, alasan penggunaan proyeksi tersebut, serta peran radiografi dalam mendukung diagnosis klinis. Metode: Penelitian ini bersifat kualitatif deskriptif dengan pendekatan studi kasus yang dilakukan di Instalasi Radiologi RS PKU Muhammadiyah Karanganyar pada Juni hingga Agustus 2025. Subjek penelitian meliputi lima informan, terdiri dari tiga radiografer, satu dokter spesialis radiologi, dan satu dokter pengirim. Data dikumpulkan melalui observasi, wawancara, dokumentasi, dan studi literatur. Analisis dilakukan untuk menggali secara rinci proses dan pertimbangan klinis dalam pemeriksaan ini. Hasil: Persiapan alat dan bahan pada pemeriksaan radiografi femur dengan klinis fracture collum femur yaitu teridiri dari pesawat x-ray konvensional, kaset 35 x 43 cm, reader, printer, alat fiksasi. Tidak memiliki persiapan khusus, pasien melepaskan benda-benda yang dapat menyebabkan artefak. teknik pemeriksaannya menggunakan proyeksi AP Pelvis posisi supine dengan sinar vertikal tegak lurus, CP berada pada 3 Jari di bawah simpisis pubis. Alasan sudah dapat menegakkan diagnosa dan meminimalisir radiasi terhadap pasien dan menggunakan lateral femur tidak memungkinkan. Peran untuk melihat hasil radiografinya memastikan adanya fraktur dan faktor resiko lain pada pasien, menggunakan proyeksi AP Pelvis. Kesimpulan: Pemeriksaan radiografi fraktur collum femur secara klinis dapat ditegakkan dengan persiapan minimal dan fokus pada proyeksi AP Pelvis, terutama jika proyeksi AP dan lateral femur tidak memungkinkan. Gambaran dapat untuk mengonfirmasi fraktur
RANCANG BANGUN ALAT BANTU FIKSASI PADA PEMERIKSAAN WEIGHT BEARING BILATERAL KNEE JOINT DI INSTALASI RADIOLOGI RSU MUHAMMADIYAH SITI AMINAH BUMIAYU Muhamad Ari Gufron; Fisnandya Meita Astari; Djoko Sukwono
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: The knee joint is part of the lower extremity that connects the upper leg to the lower leg. It is the largest and most complex joint in the body. Osteoarthritis (OA) is a slow progressive disease characterized by metabolic, biochemical, and structural changes in the joint cartilage and surrounding tissues, leading to joint dysfunction. Radiographic examination of the knee joint using weight-bearing techniques provides more accurate information for diagnosing osteoarthritis compared to non-weight-bearing techniques. However, at Muhammadiyah Siti Aminah Hospital Bumiayu, this examination was still performed in a supine position due to limitations in bucky stands and the absence of appropriate fixation devices. This study is aimed to design a fixation device for weight-bearing bilateral knee joint examination and to evaluate the performance of the developed fixation device. Method: This research was a quantitative study with an experimental approach. The researcher designed and built a 4-in-1 fixation assistance device that can support the patient, hold the cassette, provide a platform for lateral projection support, and offer handles for patient safety and comfort. Functionality and performance tests were conducted through questionnaires distributed to 6 radiographers at the Radiology Installation of Muhammadiyah Siti Aminah Hospital Bumiayu. The data were processed and analyzed using the Guttman scale and calculated using appropriate formulas. Results: The functionality test results showed a success rate of 93%, while the performance test achieved 86%. The fixation device could support a load of up to 132 kg and was reported to facilitate the examination process by the majority of respondents. Conclusion: The developed fixation assistance device is deemed suitable for use in weight-bearing bilateral knee joint examinations. It effectively supports the efficiency of radiographers' work and enhances patient comfort, although it is recommended that future developments focus on making the device lighter and incorporating adjustable platforms
Teknik Pemeriksaan Shoulder Joint dengan Klinis Trauma di RS PKU Muhammadiyah Karanganyar Ririn Tri Suharti; Ildsa Maulidya Mar’atus Nasokha; Fisnandya Meita Astari
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8272

Abstract

This study aims to examine the technique of Shoulder Joint radiographic examination in trauma cases carried out at PKU Muhammadiyah Hospital Karanganyar. The method used is qualitative descriptive with a case study approach through direct observation, interviews with radiographers, and documentation of examination procedures. The results showed that the radiographic examination was carried out using Posterior Antero Thorax (AP) projection without special preparation, except for the removal of metal objects around the examination area. This projection was chosen because it was able to assess the condition of the shoulder and thorax simultaneously, allowing comparisons between the healthy side and the traumatized side, as well as detecting abnormalities in the costae and lungs with minimal radiation exposure. Although the AP projections provide an overview, this study highlights the importance of developing a specific Standard Operating Procedure (SPO) for the examination of the Shoulder Joint in trauma cases to improve diagnostic consistency and accuracy. The study also recommends the use of additional projections such as the Scapula Y view and Transthoracic Lateral as a complement to obtain a more detailed visualization of the structure of the shoulder joint and surrounding tissues. These findings are expected to be a reference in the development of radiography protocols for shoulder trauma in health care facilities, as well as improve the quality of radiology diagnostic services as a whole.
Studi Kasus Pemeriksaan Lopography dengan Klinis Post Colostomy di Instalasi Radiologi RSUD Caruban Kabupaten Madiun Zhafirah Egina Salsabila; Ayu Mahanani; Fisnandya Meita Astari
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6367

Abstract

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy
Studi Kasus Sistem Pengarsipan Hasil Dokumen Radiograf Dan Hasil Ekspertise Di Instalasi Radiologi Rs TK III Dr. Soetarto Dea G. Taha; Ike Ade Nur Liscyaningsih; Fisnandya Meita Astari
Catha : Jurnal Penelitian Kreatif dan Inovatif Vol. 2 No. 4 (2025): Oktober
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/catha.v2i4.150

Abstract

Pengelolaan rekam medis harus memenuhi prinsip ketersediaan, keakuratan, keamanan, dan kemudahan akses sebagaimana diatur dalam Permenkes RI No. 24 Tahun 2022 tentang Rekam Medis. Namun, sistem pengarsipan hasil radiografi di Instalasi Radiologi RS TK III dr.Soetarto masih dilakukan secara manual. Hasil cetak radiograf disimpan dalam kardus tanpa pengelompokan yang jelas dan dimusnahkan secara cepat karena keterbatasan ruang.  Penelitian ini bertujuan untuk mengetahui sistem pengarsipan hasil dokumen dan alasan penyimpanan hasil dokumen hanya 3 bulan di instalasi radiologi RS TK III dr.Soetarto. Metode: Penelitian yang digunakan adalah kualitatif dengan pendekatan studi kasus. Penelitian dilaksanakan di Instalasi Radiologi RS TK III dr.Soetarto pada Oktober 2024 hingga Maret 2025. Informan terdiri dari kepala ruangan, staf tata usaha, dan radiografer. Teknik pengumpulan data meliputi observasi, wawancara mendalam, dokumentasi, dan studi pustaka. Analisis data dilakukan melalui tahapan reduksi data, penyajian data, dan penarikan kesimpulan. Hasil: Penelitian menunjukkan bahwa sistem pengarsipan manual tidak terstruktur dan tidak efisien. Pemusnahan rutin arsip menyebabkan potensi kehilangan data medis penting. Digitalisasi dinilai dapat mengatasi kendala tersebut. Kesimpulan: Sistem pengarsipan di instalasi radiologi RS TK III dr.Soetarto masih kurang optimal. Digitalisasi arsip hasil radiograf dapat menjadi Solusi untuk meningkatkan efisiensi dan keamanan penyimpanan data medis.
Co-Authors Alfisna Fajru Rohmah Amril Mukmin Asih Puji Utami Ayu Mahanani Dea G. Taha Dilfa Sandradilla Djoko Sukwono Faesol, Ahmad Fakhrurreza, Muhammad Fasya Fouris Falentin Fatimah Fifi Fitriana Bahi Henny Halimatul Ulya Ildsa Maulidya Mar’atus Nasokha Khalifah Evitaria1 Muhamad Ari Gufron Muhammad Fakhrurreza Muhammad Za’im Rasyid Retno Wati Retno Wati Ririn Tri Suharti Shofiyyah Aprianingsih Sri Andriani Savitri H. Pakaya Tasya Tasya Thasyar, Thasyar Widia Solissa Widya Mufida Yuti Meriani Zhafirah Egina Salsabila