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All Journal Medical Imaging and Radiation Protection Research (MIROR) Journal Awal Bros Journal of Community Development
Darmawan Fitriansyah
Universitas Awal Bros
Humanities Computer Science & IT Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Physics Public Health Social Sciences

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PENYULUHAN ALUR PELAYANAN RADIOLOGI DI PUSKESMAS REJOSARI KOTA PEKANBARU Aulia Annisa; R. Sri Ayu Indrapuri; Asshy Artata; Aylsa Salsabilla; Darmawan Fitriansyah
Awal Bros Journal of Community Development Vol 7 No 1 (2026): Awal Bros Journal of Community Development
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/abjcd.v7i1.841

Abstract

Radiolog also known as x-rays, is a crucial supporting medical procedure in the diagnostic process, producing images of internal organs. Radiology examinations utilize X-rays to detect abnormalities and help doctors determine the appropriate medical treatment. In Indonesia, radiology services can only be provided in hospital-level health facilities because they require standardized equipment and medical personnel. Meanwhile, community health centers (Puskesmas), as primary health care facilities, play a role in providing promotive and preventive services and referring patients to advanced health care facilities, including for radiology examinations. Puskesmas patients who utilize referral services often encounter difficulties understanding the radiology service process, particularly regarding differences in administrative procedures based on the type of financing, such as BPJS Kesehatan (Healthcare Social Security), private insurance, and general insurance. This often leads to confusion and delays in service delivery. To address these challenges, direct counseling for Puskesmas patients is a strategic step. Through face-to-face counseling, both individually and in groups, patients can receive detailed information about procedures, required documents, and service stages according to their chosen financing type.This counseling aims to improve public understanding of the radiology service process, reduce administrative errors, and expedite the service process. Through interactive, direct delivery, patients can obtain solutions to specific challenges they face. It is hoped that this education will create more efficient, transparent radiology services and facilitate patient access to the healthcare they need.
MANAGEMENT OF X-RAY EXAMINATION OF COLON IN LOOP WITH CLINICAL COLITIS AT THE RSUD ARIFIN ACHMAD PEKANBARU Alif Ainus Ibnu Saputra; Darmawan Fitriansyah; Deka Fadhil; Zalia fitri
Medical Imaging and Radiation Protection Research Journal Vol 6 No 1 (2026): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v6i1.1002

Abstract

Background: Colon in Loop examination is a lower gastrointestinal radiographic procedure using contrast media to evaluate various colonic abnormalities, including colitis. In clinical practice, the examination protocol may be modified according to the patient's condition and technical challenges encountered during the procedure. One rarely reported situation is the replacement of barium sulfate with a water-soluble contrast medium to obtain optimal visualization of the colon. This study aimed to describe the management of the Colon in Loop radiographic examination in a patient with clinically diagnosed colitis and to explain the rationale for using a water-soluble contrast medium as an alternative when barium sulfate failed to provide adequate diagnostic visualization. Methods: This study employed a case study approach conducted at the Radiology Department of Arifin Achmad Regional General Hospital, Pekanbaru. Data were collected through direct observation, documentation, and interviews with radiographers during the examination procedure. Results: The examination began with a plain anteroposterior (AP) abdominal radiograph, followed by the administration of barium sulfate contrast medium through a catheter and radiographic acquisitions in the left lateral, post-contrast AP, and right posterior oblique (RPO) projections. During the post-contrast AP examination, obstruction of barium sulfate flow was observed in the rectosigmoid region, resulting in suboptimal visualization of the colon. Based on the evaluation by the radiologist and radiographers, the contrast medium was replaced with a water-soluble agent diluted with normal saline (NaCl), allowing the contrast to pass through the obstructed segment and providing improved visualization of the colon.
Co-Authors Alif Ainus Ibnu Saputra Asshy Artata Aulia Annisa Aylsa Salsabilla Deka Fadhil R. Sri Ayu Indrapuri Zalia fitri