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Journal : Jurnal Cahaya Mandalika

STUDI KASUS PROSEDUR PEMERIKSAAN LOPOGRAFI PADA KASUS CA RECTUM DI INSTALASI RADIOLOGI RSPAU dr. S. HARDJOLUKITO Wati, Retno; Gemilang , Anjas Fitria; Mukmin, Amril; MN, Ildsa Maulidya
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 3 (2023): Jurnal Cahaya Mandalika
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i3.1984

Abstract

The lopographic examination procedure according to Bontrager, et al., (2014), Ballinger (2012), and Mulyati and Walidaeni (2019) uses Antero Posterior (AP), Lateral, Right Posterior Oblique (RPO), and Left Posterior Oblique (LPO) projections. Contrast media according to Bontrager, et al., (2014) and Kundagluwar, et al., (2016) barium sulfate, while at RSPAU dr. S. Hardjolukito AP and lateral projection, water soluble contrast media. This study aims to determine the procedure for lopographic examination in cases of rectal ca, the reasons for using water soluble contrast media and the reasons for using AP and lateral projections. This research is a qualitative descriptive case study approach at the Radiology Installation of RSPAU dr. S. Hardjolukito. Data collection starts from December 2022 to July 2023. Data collection is carried out by observation, documentation, interviews and literature. The research subjects were three radiographers and one radiologist. Data analysis namely data reduction, data presentation and drawing conclusions. The results of the study showed that the lopographic examination procedure for cases of rectal cavities began with special preparations the day before the examination on a low-fiber diet, administration and fasting. Preparation of non-sterile and sterile materials, water soluble contrast media. Insert contrast media through the anus and stoma. The examination technique is BNO plain photo, AP post-contrast and Lateral post-contrast. The reason is that water soluble contrast media is easily absorbed by the body, easily excreted, and safe to use. The reason why the AP projection can see the entire colon is so that it can measure the distance from the tip of the rectum to the stoma. Lateral projection looks at the distance between the superior and inferior colon ends to be connected. It is recommended that a lopographic examination use a two-day low-fiber diet preparation, use fluoroscopy, colostomy equipment, and add RPO and LPO projections to see the flexures in order to increase the diagnostic value.
STUDI KASUS PEMELIHARAAN DAN KELAYAKAN ALAT PELINDUNG RADIASI LEAD APRON Wati, Retno; Agus, Mohammad Bimo Alfarel; Zen, Taufiq Fachruddin
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 5 No. 2 (2024): Jurnal Cahaya Mandalika
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v5i2.2116

Abstract

Lead apron is one of the most important things as an individual radiation protection device in a Radiology Installation. At the Central Radiology Installation of the Orthopedic Hospital of Prof. Dr. R. Soeharso Surakarta, the last leak test was carried out in 2018 which was then carried out a feasibility test on the lead apron which was suspected of being damaged but still in use. This study aimed to determine the procedure for testing the suitability of lead apron, the results of testing the feasibility of lead apron, and the maintenance of lead apron. This research method applied a case study approach. This research was conducted at the Central Radiology Installation of Orthopedic Hospital of Prof. Dr. R. Soeharso Surakarta from April 2022 to July 2022. The subjects of this study were 2 radiation protection officers and 1 medical physicist. Data collection was carried out by means of observation, interviews and documentation. Data analysis was carried out by data reduction, data presentation, and drawing conclusions. The result of the research was that the maintenance of lead apron at the Central Radiology Installation of Orthopedic Hospital of Prof. Dr. R. Soeharso Surakarta can be in the form of storage and cleaning. In storage it was placed horizontally in a special lead apron rack, and several lead aprons are stacked, and cleaning was done by cleaning Pb with alcohol and wet tissue when visibly dirty. The results of the lead apron leak test showed that the lead apron 1,2,3,5,6,7 had unfit conditions. The author's suggestion is that lead aprons that are damaged and do not meet eligibility standards are immediately rejected or not used for the safety of staff or patient families and replaced with new lead aprons. To maintain the function and durability of the lead apron, more attention should be performed to maintenance methods.