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PERBANDINGAN PENGGUNAAN TEH KOTAK ORIGINAL DAN TEH KOTAK BLACKCURRANT SEBAGAI MEDIA KONTRAS ORAL NEGATIF TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN MRCP DI INSTALASI RADIOLOGI RSUP PROF. DR. R. D KANDOU MANADO Ema, Ema Grivid Kuntag; Wulandari, Putu Irma; Sukadana, Kadek
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): 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.v3i1.261

The principle of using contrast media is to influence the magnetic field and relaxation times of T1 and T2. Contrast media in MRCP consists of positive and negative contrast media. Gadolinium is a positive contrast medium with intravenous injection, while the negative contrast medium used must contain manganese (Mn) or iron (Fe) (Westbrook et al, 2016). Research conducted by Suhardi et al (2013) states that the use of positive contrast media is increasingly rarely used due to the high price and difficult to obtain, it also has side effects on patients, such as weakness, nausea and vomiting. According to Fatimah et al (2018), natural ingredients with relatively high manganese (Mn) content that can be used as negative oral contrast media, one of which is the manganese content in packaged oolong tea, which is 0.9 mg. At the Radiology Installation of Prof. RSUP. DR. R. D. Kandou Manado by using boxed tea as a substitute for positive contrast media which is expensive and has side effects on patients.This type of research is a qualitative research with interview, observation and experiment methods. This study used the original box tea and blackcurrant box tea as negative oral contrast media to 3 volunteers. The examination was carried out twice for each volunteer, using the original box tea in the first week and blackcurrant box tea in the second week. The results of the images obtained will be asked for opinions through interviews with respondents, namely 1 radiology doctor and 2 radiographers. Data is processed using a coding system. MRCP examination procedure at Prof. RSUP. DR. R. D Kandou Manado includes patient preparation with the patient fasting 6 hours before the examination with the aim of avoiding fluid in the duodenum which can interfere with the biliary tract and bile duct into the duodenum. Instructions for drinking boxed tea contrast media were carried out 10-15 minutes before the examination, followed by preparation of equipment, patient position, protocol and examination technique. The resulting image does not provide a difference between the use of the original box tea and blackcurrant box tea on the anatomical image information on MRCP. The advantages of using negative oral contrast media, Teh Kotak, is able to help reduce signals from CBD and Vater's ampulla, as well as being able to display MRCP images that are better than using other negative contrast media. Patients with diabetes are not recommended to use this contrast medium.

Service Quality Factors that Influence Patient Satisfaction at Buleleng Regional Hospital Dwijayanti, Kadek Alvina; Wirajaya, I Wayan Angga; Sukadana, Kadek; Kusuma, Nyoman Yudiana
Jurnal Ilmiah Manajemen Kesatuan Vol. 12 No. 4 (2024): JIMKES Edisi Juli 2024
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v12i4.2722

The quality of service in the Radiology Department of Buleleng Regional Hospital is determined by several service quality factors: tangible aspects, reliability, responsiveness, assurance, and empathy. This research aimed to observe the service quality factors that affect patient satisfaction and determine which factor is the most dominant and influential in the Radiology Department of Buleleng Regional Hospital. The research uses a quantitative system with a survey approach conducted in April 2024. The study population includes all outpatient patients receiving radiology services at Buleleng Regional Hospital, with a sample size of 30 cooperative outpatients or their families. The collected data were analyzed using SPSS, including validity tests, reliability tests, univariate analysis, and bivariate analysis using Spearman's correlation test. The results show that patient satisfaction in the Radiology Department of Buleleng Regional Hospital is determined by service quality factors: tangible aspects, reliability, responsiveness, assurance, and empathy. The most dominant factor affecting patient satisfaction is assurance, as indicated by a significant value (Sig. (2-tailed)) of 0.000. Since this value is less than 0.05, assurance has the most notable impact among the service quality variables influencing patient satisfaction.

Estimasi Nilai Dosis Radiasi Yang Diterima Pasien Selama Pemeriksaan Angiografi Koroner Di RSUD DR Doris Sylvanus Palangka Raya Charlos, Jackson; Wulandari, Putu Irma; Sukadana, Kadek
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 1 No. 12 (2023): Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/nautical.v1i12.476

Penerimaan dosis radiasi pada pasien Penggunaan media kontras menjadi kunci utama dalam pemeriksaan PCI (Percutaneous Coronary Intervention). Ada berbagai macam jenis media kontras salah satunya media kontras berbahan iodine. Penggunaan jumlah volume media kontras yang terlalu banyak dapat menyebabkan gangguan fungsi ginjal. Maka dari itu, jumlah volume media kontras perlu diperhatikan dalam penggunaannya untuk menghindari efek samping yang tidak diharapkan. Penelitian ini menggunakan penelitian kuantitatif deskriptif, Pengumpulan data dilakukan pada bulan juni - Juli 2022 di RSUD dr Doris Sylvanus Palangkaraya dengan dua cara yaitu, melakukan observasi dan dengan 10 tenaga kesehatan mengenai prosedur penggunaan media kontras pada pemeriksaan (PCI) pada bulan Oktober-Desember 2021 dan mendokumentasikan data 25 pasien yang mendapat media di buku register pasien RSUD Ulin Banjarmasin. Hasil dari penelitian ini yaitu 10 tenaga kesehatan yang diwawancara didapatkan hasil 1 topik yaitu prosedur penggunaan media kontras di RSUD Ulin Banjarmasin, meliputi beberapa sub topik. Dari 25 pasien yang diberikan media kontras pada pemeriksaan PCI didapatkan jumlah volume media kontras tertinggi yaitu 270mL dan jumlah media kontras terendah yaitu 70mL.

PERBANDINGAN PENGGUNAAN TEH KOTAK ORIGINAL DAN TEH KOTAK BLACKCURRANT SEBAGAI MEDIA KONTRAS ORAL NEGATIF TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN MRCP DI INSTALASI RADIOLOGI RSUP PROF. DR. R. D KANDOU MANADO Ema, Ema Grivid Kuntag; Wulandari, Putu Irma; Sukadana, Kadek
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): 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.v3i1.261

The principle of using contrast media is to influence the magnetic field and relaxation times of T1 and T2. Contrast media in MRCP consists of positive and negative contrast media. Gadolinium is a positive contrast medium with intravenous injection, while the negative contrast medium used must contain manganese (Mn) or iron (Fe) (Westbrook et al, 2016). Research conducted by Suhardi et al (2013) states that the use of positive contrast media is increasingly rarely used due to the high price and difficult to obtain, it also has side effects on patients, such as weakness, nausea and vomiting. According to Fatimah et al (2018), natural ingredients with relatively high manganese (Mn) content that can be used as negative oral contrast media, one of which is the manganese content in packaged oolong tea, which is 0.9 mg. At the Radiology Installation of Prof. RSUP. DR. R. D. Kandou Manado by using boxed tea as a substitute for positive contrast media which is expensive and has side effects on patients.This type of research is a qualitative research with interview, observation and experiment methods. This study used the original box tea and blackcurrant box tea as negative oral contrast media to 3 volunteers. The examination was carried out twice for each volunteer, using the original box tea in the first week and blackcurrant box tea in the second week. The results of the images obtained will be asked for opinions through interviews with respondents, namely 1 radiology doctor and 2 radiographers. Data is processed using a coding system. MRCP examination procedure at Prof. RSUP. DR. R. D Kandou Manado includes patient preparation with the patient fasting 6 hours before the examination with the aim of avoiding fluid in the duodenum which can interfere with the biliary tract and bile duct into the duodenum. Instructions for drinking boxed tea contrast media were carried out 10-15 minutes before the examination, followed by preparation of equipment, patient position, protocol and examination technique. The resulting image does not provide a difference between the use of the original box tea and blackcurrant box tea on the anatomical image information on MRCP. The advantages of using negative oral contrast media, Teh Kotak, is able to help reduce signals from CBD and Vater's ampulla, as well as being able to display MRCP images that are better than using other negative contrast media. Patients with diabetes are not recommended to use this contrast medium.

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