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Loopography Examination For Colon Cancer Cases In Tangerang District Public Hospital Gando Sari; Triana Retno Putri; Samsun Samsun; Sriyatun Sriyatun; Nursama Heru Apriantoro
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 10 No 2 (2019): SANITAS Volume 10 Nomor 2 Tahun 2019
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2019.12

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Loopography examination technique is a radiological examination technique in lower digestive tract (colon) by inserting a positive contrast media into the colon through an artificial hole in abdominal area. This examination aims to evaluate the anatomy and physiology function from distal section of colon to anus with ca colon clinical. This research was conducted in radiology installation of Tangerang District General Hospital during November to December 2018, using a qualitative descriptive method with a literature study approach and interview. The results found that loopography examination in Tangerang District General Hospital did not require special preparation. The kind of contrast media used is a water-soluble contrast media such as iohexol with a ratio of 1: 3 mixed with NaCl. This loopography contrast media can be inserted through the clean stoma or anal. The routine projections performed for loopography examination in Tangerang District General Hospital are Plan photos of Abdomen, Antero Posterior (AP) and Lateral. But sometimes Oblique projection is also used as an addition if is less obvious anatomy due to overlap/superposition.
STUDI LITERATUR TEKNIK PEMERIKSAAN PEDIS PADA KASUS ULKUS DIABETIK Kurnia Moningka; Lailatul Badriyah; Nursama Heru Apriantoro
Jurnal Kesehatan Vol 13, No 1 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v13i1.278

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Diabetes melitus adalah epidemi global yang berkembang pada abad ke-21. Salah satu komplikasi utama yang melemahkan adalah kaki diabetik. Kaki diabetik adalah komplikasi serius dari diabetes melitus yang terjadi pada sekitar 3% sampai 4% pasien diabetes di seluruh dunia. Di Indonesia sendiri, penyebab terbesar dilakukannya perawatan di rumah sakit yaitu sebesar 80% adalah dengan ulkus kaki diabetik. Penelitian ini bertujuan untuk mengetahui teknik pemeriksaan pedis pada kasus ulkus diabetik dan untuk mengetahui kelebihan dan kekurangannya. Metode yang digunakan yaitu metode pendekatan study literature review. Hasil penelitian yang didapat dari tiga jurnal menunjukkan bahwa untuk pemeriksaan radiografi pada pedis dengan klinis ulkus diabetik dilakukan dengan radiografi polos, disarankan untuk pasien non kooperatif menggunakan proyeksi AP, Lateral supine sedangkan untuk pasien kooperatif menggunakan proyeksi AP Weight – Bearing dan Lateral Weight–Bearing karena posisinya paling ideal tetapi apabila masih tidak optimal gambarannya untuk melihat ulkus pada bagian sesamoid perlu ditambahkan proyeksi plantar axial view.Kata kunci: pedis; radiografi; diabetes melitusAbstractDiabetes mellitus is a global epidemic that develops in the 21st century. One of the major debilitating complications is diabetic foot. Diabetic foot is a serious complication of diabetes mellitus which occurs in about 3% to 4% of diabetes patients worldwide. In Indonesia alone, the biggest cause of hospitalization, which is 80%, is diabetic foot ulcers. Which aims to determine pedis examination techniques in cases of diabetic ulcers and to determine the advantages and disadvantages. The method used is a literature review study approach. The results of the study obtained from three journals showed that radiographic examination of the pedis with clinical diabetic ulcers was carried out with plain radiographs for non-cooperative patients using the AP projection, Lateral supine while for cooperative patients using the AP Weight-Bearing and Lateral Weight-Bearing projections because of their position in the most ideal but if the picture is still not optimal to see the ulcer on the sesamoid, it is necessary to add a plantar axial view projection.Keywords: pedis, radiography, diabetes mellitus 
TEKNIK PEMERIKSAAN USG GINJAL PADA KLINIS HYDRONEPHROSIS : STUDI KASUS Gando Sari; Nursama Heru; Darusalam
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 2 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.576 KB) | DOI: 10.55451/jri.v1i2.21

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ABSTRACT Hydronephrosis is a renal swelling due to urine buildup. Symptom of hydronephrosis is according to acute or chronis blockage, partly or all of renal, happened unilateral or bilateral. Blockage happened on urethra causes of illness from uretha distention. Urine can not flow by normally as usually as make new infection which could be stone renal and bleeding on urine. If blockage happened, it causes of failure renal. To evalution hydronephrosis can do by ultrasonografi examination. Keywords : Hydronephrosis, ultrasonografi (USG), renal, uretha.
Penatalaksanaan Radioterapi Kanker Ovarium Dengan Teknik IMRT Di Rumah Sakit X Diah Novita; Nursama Heru Apriantoro
Jurnal Ilmu Kesehatan MAKIA Vol 11 No 2 (2021): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.495 KB) | DOI: 10.37413/jmakia.v11i2.169

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ABSTRAK Penelitian ini di latar belakangi oleh penyakit keganasan yaitu kanker ovarium yang merupakan kanker ginekologis terbanyak kedua yang diderita dan seringkali baru ditemukan ketika sudah stadium lanjut. Tujuan penelitian ini adalah untuk mengetahui dan mendeskripsikan prosedur penyinaran radioterapi menggunakan teknik IMRT (Intensity Modulated Radiation Therapy) di Instalasi Radioterapi Rumah Sakit X yang merupakan salah satu modalitas pengobatan kanker ovarium. Metode yang digunakan pada penelitian ini adalah kualitatif deskriptif dengan menggunakan satu sampel primer pada kasus kanker ovarium yang menggunakan teknik IMRT (Intensity Modulated Radiation Therapy), sampel ini diambil dari seluruh populasi kanker ovarium di Instalasi Radioterapi Rumah Sakit X. Instrumen penelitian yang digunakan berupa studi kepustakaan, observasi langsung, wawancara serta dokumentasi. Penelitian ini dilakukan pada bulan Mei 2021 di Instalasi Radioterapi Rumah Sakit X. Hasil yang dapat disimpulkan pada penelitian ini adalah prosedur penatalaksanaan radioterapi untuk kasus kanker ovarium menggunakan teknik IMRT (Intensity Modulated Radiation Therapy) di Instalasi Radioterapi Rumah Sakit X meliputi beberapa prosedur yaitu: administrasi dengan membawa dokumen penunjang seperti hasil CT Scan/MRI/Bone Scan/USG, kemudian pasien melakukan konsultasi dengan dokter onkologi radiasi, melakukan persiapan-persiapan pasien, persiapan alat dan bahan, scanning di CT Simulator, proses perencanaan radiasi yang dilakukan di Treatment Planning System (TPS), proses verifikasi menggunakan alat verifikasi yaitu Electronic Portal Imaging Device (EPID) dan yang terakhir adalah penyinaran radiasi di ruang penyinaran dengan menggunakan pesawat radioterapi Linear Accelerator (LINAC) Elekta Synergy Platform.
Teknik Radioterapi Kanker Payudara Post Mastektomi dengan Teknik Intensity Modulated Radiation Therapy Nursama Heru Apriantoro; Yudha Kartika
Indonesian Journal for Health Sciences Vol 7, No 1 (2023): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v7i1.5178

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Breast cancer is one of the most common types of cancer in Indonesia, and is a malignancy in breast tissue that can originate from the ductal epithelium and its lobules. In cases after surgery (post mastectomy) it is necessary to carry out radiotherapy irradiation to clear the remnants of tumor cells on the chest wall and in the local lymph nodes, namely the axillary, supraclavicular, and some argue the internal mammary chain. The purpose of this study was to provide a description of the curative procedure and radiation dose for radiotherapy performed post mastectomy using the IMRT (Intensity Modulated Radiation Therapy) technique. The research method is descriptive qualitative with a participatory observation approach in post-mastectomy breast cancer patients. The modalities used are LINAC and CT Simulator, as a fixation tool a thermoplastic breast mask is used, with the patient in a supine position. The procedure was carried out in accordance with irradiation standards in general, in the irradiation plan a total external radiation dose of 5000 cGy and a fractional dose of 200 cGy were carried out for a total of 25 times of irradiation. In the fifth irradiation or multiples of the patient being controlled for Hb, the Hb level is 10, so the irradiation must be temporarily stopped until the Hb returns to normal.
PENATALAKSANAAN RADIOTERAPI KANKER PAYUDARA TEKNIK IMRT Ira Wulandari; Nursama Heru Apriantoro; Sriyatun Sriyatun; Moh Haris
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT Background: Radioteraphy is one of treatment theraphy to cancer. Radiation techniques in the breast cancer at Cancer Dharmais Hospital can be done with several techniques such as 3 Dimensional Conformal Radiotherapy (3DCRT), Intensity Modulated Radiotherapy (IMRT), Volumetric Modulated Arch Therapy (VMAT) depending on the planning by the radiation oncologist based on the stage and purpose of radiation. The purpose this research is to evaluation the treatment of radiotherapy using the IMRT breast cancer at Cancer Dharmais Hospital. Methods: The type of the research is used qualitative with a case study approarch of breast cancer using IMRT technique in a 47 years old female with IIa stage, curative therapy with fraksination 25x2 Gray (Gy). Results: The treatment of radioteraphy to breast cancer with the IMRT technique was chosen taking into account the low stage of the cancer, the location of the cancer that is difficult to reach when using the 3DCRT technique, the purpose of giving radiation that is curative, and the large number of Organ At Risk (OARs) must be protected. Conclusions: The treatment of radiotherapy to breast cancer using the IMRT tecnique at Cancer Dharmais Hospital is done through in several stages, such as : consulting a Radiation Oncologist at the Radiotherapy Polyclinic, do a simulation on the Computer Tomograpy (CT) simulator, calculated dose at Treatment Planning System (TPS), Process of geometry verification is done before the treatment and then continued with the process of treatment in the linac room.
PENATALAKSANAAN RADIOGRAFI THORAX PEDIATRIK INDIKASI DENGUE HAEMORRHAGIC FEVER DI RS GRAHA JUANDA Dea Fadila; Nursama Heru Apriantoro; Ekaputra Syarif Hidayat
Husada Mahakam Vol 12 No 2 (2022): November 2022
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v12i2.314

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Thorax examination with Dengue Haemorrhagic Fever (DHF) in pediatrics generally indicates Pleural Effusion in the lungs. In the Radiology Installation of Graha Juanda Hospital, Bekasi, this case only uses AP and RLD projections. This study's purpose is to explain the thorax examination procedure in cases of Dengue Haemorrhagic Fever, the reason for using AP and RLD projections, and when the patient is tilted to the right for 5 minutes. This research is a case study with a qualitative description through direct observation in the field. The data collection method uses primary data with cases of dengue hemorrhagic fever in pediatrics. The author took subjects three years old with a thorax examination in cases of Dengue Haemorrhagic Fever with AP and RLD projections. The results of the study seen in the sample are the presence of Pleural Effusion which is one of the most frequent indications found in cases of Dengue Haemorrhagic Fever. The experiment's results on the radiographic examination appeared to be visible fluid and air boundaries in the patient's lung area.
Ultrasound of Abdomen in Dengue Hemorrhagic Fever: Case Study Nursama Heru; Puji Supriyono; Halimatus Sa’diah; Ade Rochimat
Poltekita : Jurnal Ilmu Kesehatan Vol. 16 No. 4 (2023): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v16i4.2391

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The objective of study to evaluate technical scanning and Image result of dengue haemorragic fever (DHF) on abdominal ultrasound examination. The Methods was a case study Presentation from 3 patients, and observations were taken from March 2022 to July 2022 at the RSUD Cengkareng Jakarta. Using a 3.5 MHz frequency convex transducer, take longitudinal and transverse shots with the supine patient position. Scanning focuses on the peritoneal cavity to evaluate the presence of plasma fluid that fills the peritoneal cavities. The results showed that the abdominal ultrasound examination procedure with clinical DHF was well done with patient preparation not eating fibrous at least 4 hours, drinking 3-4 glasses of water and holding urination about 2 hours to fill the bladder. The results show that there is fluid in the peritoneal cavity
Sosialisasi Peralatan Elektromedik untuk Deteksi Dini di Masa Pandemi COVID-19 di Kelurahan Cipete Utara, Jakarta Selatan Ma'murotun Ma'murotun; Nur Hasanah Ahniar; Indah Nursyamsi Handayani; Rinda Nur Hidayati; Nursama Heru Apriantoro
JPP IPTEK (Jurnal Pengabdian dan Penerapan IPTEK) Vol 7, No 1 (2023)
Publisher : LPPM ITATS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31284/j.jpp-iptek.2023.v7i1.2319

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Pada awal Desember 2019, wabah penyakit COVID-19 yang disebabkan oleh sindrom pernapasan akut parah Coronavirus 2 (SARS-CoV-2) terjadi di Kota Wuhan, Provinsi Hubei, Cina. Indonesia kali pertama mendapati kasus pada tanggal 2 Maret 2020 dan DKI Jakarta merupakan provinsi dengan jumlah tertinggi kasus COVID-19. Untuk itu, dibutuhkan satu sistem yang mampu mendukung dan saling bekerja sama gua menghadapi wabah pandemi COVID. Oleh karenanya, Tim PKM, selaku dosen yang memiliki kewajiban melaksanakan Pengabdian Kepada Masyarakat, pada kesempatan ini berupaya memberikan sosialisasi, edukasi, dan informasi terkini mengenai COVID-19 serta pencegahan dini dan kaitannya terhadap penggunaan alat elektromedik (termometer, tensimeter, tes gula darah, nebulizer dan oximeter) untuk pemantauan kesehatan dan perawatan sederhana di rumah di masa pandemi. Kegiatan ini dilaksanakan secara luring dengan mengundang perwakilan kecamatan Kebayoran Baru, kelurahan Cipete Utara, Ketua RW, Ketua RT, dan Satgas COVID-19 di wilayah tersebut. Turut hadir juga kader di setiap RT yang berhubungan langsung dengan masyarakat sehingga bisa memberikan edukasi setelah sosialisasi ini diberikan. Berdasarkan hasil survei, terdapat 20–25% peserta belum memahami fungsi alat elektromedik dan sekitar 57,5% peserta belum memahami penggunaan, penyimpanan, serta pemeliharaan alat elektromedik dengan baik dan benar. Selanjutnya, setelah sosialisasi diberikan, terlihat adanya peningkatan pemahaman peserta lebih dari 60% mengenai fungsi alat nebulizer dan oximeter. Kegiatan selanjutnya yaitu monitoring kader untuk menyampaikan serta memberikan edukasi ke masyarakat sekitar.
Peranan Magnetic Resonance Imaging (MRI) Lumbal dalam Penegakan Diagnosis Kasus Low Back Pain: Studi Kasus di Instalasi Radiologi Rumah Sakit Satya Negara Jakarta Utara Wahyu Setiyoningsih; Nursama Heru Apriantoro
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.9990

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Background: Magnetic resonance imaging (MRI) is considered the best imaging for chronic low back pain because of high tissue contrast and no effect of ionizing radiation. The purpose of this study was to determine the management of Lumbar MRI examination with Low Back Pain Cases.Methods: The research used was a qualitative descriptive research method by collecting data by direct observation which was conducted in December 2022 at Satya Negara Hospital, North Jakarta. The research was conducted using direct observation methods, documentation and decision studies. The sample used was 1 patient.Results: The image results are strengthened by the expertise of a radiologist. The results of the study were obtained from the beginning of the patient's process of coming to radiology to perform a Lumbar MRI examination in the administration section until the examination was completed. Using a GE 1.5 T MRI machine and a whole spine coil. The sequences used are 3-plane location, calibration scan lumbar, Coronal T2, Sagittal T2, Sagittal T1, Sagittal T2 + FATSAT, Axial T2, Sagittal Myelography, Coronal Myelography.Conclusions:  This study shows that Lumbar MRI image results and the doctor's expertise show that there is grade I spondylolithesis and L4-L5 spondyloarthrosis with disc protrusion. It’s mean that MRI can provide information for making a diagnosis.
Co-Authors Abraham Panjaitan Ade Rochimat Agnes Dwika Septiti Ahniar, Nur Hasanah Aldri Frinaldi Ambarsari, Laily Izzati Arif Jauhari Arif Rohman Saleh Azizah, Mujahidah Bambang Sutrisno Wibowo Buaja, Happy Kurnia Utami Budi Santoso Budi Setiawan Cahya, Intan Christianni Christianni Christianni Christianni, Christianni Corazon Hana Dumaris Darusalam Dea Fadila Diah Novita Dimas Maulana Anshori Dody Haikal Edy, Mahfud Eka Putra Syarif Hidayat Ekaputra Syarif Hidayat Epit Rahmayati Evanty, Ayi Yulia Fachry Abda El Rahman Fathoni, Imam Muhamad Febria Anita Febria Anita Febria Anita, Febria Fiddinillah Fiddinillah Fitriani Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gibral Ulhaq Gunawati S., Shinta Gunawati, Shinta Halimatus Sa’diah Hamdi Rubiyanto Handayani, Indah Nursyamsi Handayani, Indah Nursyamsi Happy Kurnia Utami Buaja Helwini Istiqomah Hendra Budiawan, Hendra Hermawan, Dudung Heru Prasetio Indira Mega Wahyuningtiyas Indradewa, Rhian Ira Wulandari Ita Astit Karmawati Astit Karmawati Kasman, Muh. Khairil Anwar Koesrizdiharti, Azzahra Krisna Adriyanto Kurnia Moningka Kurnia, Try Wulan Lailatul Badriyah Legia Prananto Lesmana, Hadi Ma'murotun Ma'murotun Ma'murotun, Ma'murotun Mahfud Edy Widiatmoko Mayarani Mayarani Mayarani Mayarani Milla Jatiwinayu Moh Haris Muh. Saqri Al Faruq Muhamamd Rizqi Muhammad Irsal Murdaka, Egi Kamal Novianty sutrisno NURBAITI NURBAITI Nurbaiti Nurbaiti Nuryadin, Ridwan P.I Patra Pipik Nur Aprirahanto Prabaningtyas Widya Dewi Pramudya ade Kusuma Putra Prananto, Legia Prima Chintya Delsi Kasih Puji Supriyoni Puji Supriyono Puji Supriyono Purwantiningsih Purwantiningsih Putra Syarif Hidayat , Eka Retno Prawestri Rinda Nur Hidayati Riyangga, Dea Robert Kristian Rudi Kurniawan Sahal Fahmi Abdul Aziz Saleh, Arif Rohman Samsun Samsun Samsun Samsun Samsun, Samsun Sari, Gando Sasongko, Ary Shinta Gunawati Sutoro Sinaga, Citra Elisabet Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Supriyono, Puji Susy Suswaty Suwendra Iwen Syamsiar, Syamsiar Syarif Hidayat, Eka Putra Tri Ambarsari Tri Ambarsari Tri Susanto Triana Retno Putri Tsabitah, Assyifa Farras Untung Dimas Prayogi Veasna, Bun Wahyu Hidayat Wahyu Setiyoningsih Wahyudiarti, Endah Wellyam, Petra Pratama Wicaksono, Clinton Johan Ade Widiatmoko , Mahfud Edy Widiatmoko, Mahfud Edy Winarno, Guntur Winarno, Guntur Wiryanto Wiryanto WULANDARI, IRA Yudha Kartika