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All Journal 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Best Journal (Biology Education, Sains and Technology) Jurkessutra/Jurnal Kesehatan Surya Nusantara Prosiding Seminar Kesehatan Nasional
Kustoyo, Bambang
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Nursing Public Health

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Intervensi Radiologis dalam Menegakkan Diagnosa Fraktur Ramus Superior dan Inferior Pubis Dextra di Rumah Sakit Efarina Etaham Berastagi Harahap, Veryyon; Kustoyo, Bambang; Pelawi, Awan; Purba, Marindah Yanti; Sidabutar, Sondang
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 4 (2023): November 2023
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik13402

Abstract

Fracture of the superior and inferior pubic ramus is a condition in which the patient's pubic bone is fractured, specifically in the superior and inferior ramus. In the world of radiology, pubic fractures are classified as pelvic fractures because the anatomy of the pelvis includes the sacrum, coccyx and hip bones. The causes of this fracture are injury, brittle bones, and high-intensity sports. Symptoms experienced by patients are pain, swelling of the pelvic area and difficulty moving. In making a diagnosis, intervention from a radiologist is needed to confirm the patient's diagnosis. The aim of this study was to display radiological imaging of a fractured pelvis and to determine the interventions carried out by radiologists. This research was a descriptive study, where patients who meet the inclusion criteria are used as the research sample. Patients were selected using an incidental sampling technique, so that 1 patient was obtained for the relevant radiological examination and then descriptive analysis was carried out. The results of the study showed that a fracture line appeared in the right superior and inferior pubic ramus area which caused an asymmetrical symphysis and a linear fracture of the left iliac os. The examination given was an AP projection pelvic photo with CP right in the middle of the patient's body. It was concluded that this occurred due to an injury and also a fracture of the left iliac, making it difficult for the patient to stand and difficult to move the pelvis.Keywords: fracture; pelvis; sacrum; radiological examination                                                                                     ABSTRAK Fraktur ramus superior dan inferior pubis adalah suatu kondisi di mana tulang kemaluan pasien mengalami fraktur, tepatnya di ramus superior dan inferior. Dalam dunia radiologi, fraktur pubis tergolong sebagai fraktur pelvis karena anatomi dari pelvis meliputi sakrum, tulang ekor dan tulang pinggul. Penyebab dari fraktur ini adalah cedera, tulang yang sudah rapuh, dan olahraga berintesitas tinggi. Gejala yang dialami oleh pasien adalah nyeri, pembengkakan area panggul dan kesulitan bergerak. Dalam penegakan diagnosis diperlukan intervensi dari radiolog untuk menegakkan diagnosa pasien. Tujuan dari penelitian ini adalah untuk menampilkan pencitraan radiologis dari pelvis yang mengalami fraktur dan untuk mengetahui intervensi yang dilakukan oleh radiolog. Penelitian ini merupakan studi deskriptif, di mana pasien yang sudah memenuhi kriteria inklusi digunakan sebagai sampel penelitian. Pasien dipilih dengan teknik incidental sampling, sehingga didapatkan 1 pasien untuk dilakukan pemeriksaan radiologis terkait dan selanjutnya dilakukan analisis secara deskriptif.  Hasil studi menunjukkan bahwa tampak garis fraktur pada daerah ramus superior dan inferior pubis kanan yang menyebabkan asimetris simphysis dan adanya fraktur linear os iliaka kiri. Pemeriksaan yang diberikan adalah foto pelvis proyeksi AP dengan CP tepat di mid tubuh pasien. Disimpulkan bahwa ini terjadi karena adanya cedera dan juga terjadi fraktur iliaka kiri, sehingga pasien sulit berdiri dan sulit menggerakkan bagian panggul.Kata kunci: fraktur; pelvis; sakrum; pemeriksaan radiologi                                    
Teknik Radiografi Knee Joint Dextra Dengan Sangkaan Fraktur Os Patella Di Instalasi Radiologi Rumah Sakit Efarina Pematang Siantar Tahun 2024 Basuki, Bayu; Damanik, Dasty Arni Krisdayanti; Kustoyo, Bambang
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 2 (2024): September 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i2.10643

Abstract

Fraktur os patella adalah hilangnya kontinuitas tulang patela yang dapat terjadi akibat dari kontraksi yang hebat otot kuadriceps, misalnya menekuk secara keras dan tiba-tiba. Penyebab fraktur patella di sebabkan oleh trauma langsung maupun tidak langsung. Teknik pemeriksaan dengan menggunakan proyeksi AP dan Lateral bertujuan untuk mengetahui hasil gambar radiograf dengan jelas secara anatomi, dengan menggunakan kondisi penyinaran faktor ekposi kv,mA,S dan FFD. adapun tujuan penelitian ini mengetahui prosedur proteksi radiasi dan penatalaksanaan teknik pemeriksaan radiograf Knee Joint dextra dengan sangkaan fraktur Os Patella di instalasi radiologi rumah sakit efarina pematang siantar tahun 2024. Jenis penelitian ini adalah penelitian kualitatif dan deskriptif dengan teknik pengambilan data dengan cara observasi, studi dokumentasi, dan studi kepustakaan
Penyuluhan Upaya Pencegahan Penularan Penyakit Covid-19 pada Anak Sekolah Dasar di Perumnas Kabupaten Simalungun Kustoyo, Bambang; Taslima, Saufa; Purba, Yeni Trisna; Sihombing, Elida; Afrilia, Masraini
Prosiding Seminar Kesehatan Nasional Vol. 2 No. 1 (2023): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v2i1.61

Abstract

The increase in Covid-19 cases continues daily, making it a global pandemic problem. Besides health effects, this pandemic also affects education conducted online, declining economy, and public psychology due to activity restrictions. This community service program focuses on health sector, providing education on clean and healthy lifestyle (PHBS) with direct practice as Covid-19 transmission prevention efforts. Prevention of spread and transmission is crucial in community life and activities. This program is expected to help break the transmission chain, especially during the new normal period. The target is residents, particularly children in Perumnas area, Simalungun Regency. This location was chosen based on observation showing minimal knowledge of clean and healthy lifestyle, especially among children. Therefore, this socialization program was conducted using language easily understood by them. The program included handwashing station installation, education on proper handwashing techniques, mask usage education, and distribution of vitamins and masks to residents
Pengaruh Tegangan Tabung (Kv) pada Pemeriksaan Thorax terhadap Kualitas Citra Radiografi di RS Efarina Pangkalan Kerinci Kustoyo, Bambang; Saragih, Christine Dear Hara
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.101

Abstract

X-ray tube voltage is one of the exposure factors that significantly influence the quality of radiographic images. The use of standard versus high voltage can impact the contrast and sharpness of thoracic radiographic images. This study aims to determine the effect of variations in tube voltage in thoracic examinations on radiographic image quality. This experimental study was conducted at Efarina Hospital, Pangkalan Kerinci, using a Toshiba X-ray machine model DRX-1824B. Irradiation was carried out using standard voltage (50-70 kV) and high voltage (90-110 kV) with a distance of 100 cm and a time of 10 mAs. Image quality was analyzed using Image-J software with a histogram feature. Standard voltage (50 kV) produced good radiographic image quality with clear histogram readings, showing the black background position from 16 to 36 and the object position from 37 to 79, allowing clear differentiation between the object edge and the background. High voltage (90 kV) results in reduced contrast, with a dominant grayscale gradient from positions 10 to 132, making objects and background indistinguishable. Standard tube voltage provides better radiographic image quality than high voltage for thoraxt examinations.
Gambaran Noise pada Pemeriksaan CT-Scan Brain menggunakan Protokol Fast Stroke di Instalasi Radiologi Rumah Sakit Otak DR. DRS. M. Hatta Bukittinggi Zasneda, Sabriani Suci; Kustoyo, Bambang; Hulu, Yessi Vanni; Saragih, Febby Lolasari
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.111

Abstract

Stroke is one of the leading causes of death worldwide, with non-hemorrhagic stroke accounting for 85% of cases. CT-Scan examination is the primary modality for stroke diagnosis. This study aims to determine the examination technique and evaluate noise characteristics in CT-Scan brain examination using fast stroke protocol at Dr. Drs. M. Hatta Brain Hospital, Bukittinggi. This is a qualitative descriptive study conducted from June to July 2023 involving four informants consisting of one doctor and three radiographers. Data were collected through literature review, observation, in-depth interviews, and documentation. The fast stroke protocol uses parameters of 120 kVp, 210 mA, 1.25 mm slice thickness, DFOV 26.9 cm, and total exposure time 4.33 seconds. Results showed that the fast stroke protocol with 1.25 mm slice thickness produces higher noise compared to head routine protocol with 5 mm slice thickness. However, thinner slices provide better detail and can detect smaller lesions, which is crucial for early stroke detection. The head routine protocol produces smoother images with less noise but lower detail. For stroke cases, the fast stroke protocol is more optimal as it can detect smaller lesions in critical areas. Image quality is influenced by slice thickness, where thinner slices increase noise but improve spatial resolution and diagnostic accuracy. It is concluded that the fast stroke protocol is more suitable for stroke cases despite higher noise levels, as the benefits of improved lesion detection outweigh the disadvantages of increased noise
Optimasi Dosis Radiasi pada Pemeriksaan CT-Scan Brain dengan Klinis Stroke Non Hemoragik di Rumah Sakit Otak DR. DRS. M. Hatta Bukittinggi Zasneda, Sabriani Suci; Kustoyo, Bambang; Hulu, Yessi Vanni; Saragih, Febby Lolasari
Prosiding Seminar Kesehatan Nasional Vol. 2 No. 1 (2023): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v2i1.175

Abstract

Stroke non-hemorrhagic requires rapid and accurate diagnostic imaging using CT-Scan examination. However, CT-Scan is associated with relatively high radiation exposure. This study aims to evaluate radiation dose in CT-Scan brain examination with non-hemorrhagic stroke clinical indication and identify optimization strategies based on ALARA principles. This descriptive research with quantitative approach was conducted at Radiology Installation of RS Otak DR. Drs. M. HATTA Bukittinggi from June to August 2023. Data were collected from 50 CT-Scan brain examinations with stroke clinical indication, including CTDIvol, DLP, and effective dose measurements. Technical parameters analyzed include kVp, mAs, slice thickness, and scan length. Results showed mean CTDIvol of 52.3±8.7 mGy, mean DLP of 1024.5±156.2 mGy.cm, and mean effective dose of 2.05±0.31 mSv. These values are within acceptable diagnostic reference levels (DRL) but can still be optimized. Factors affecting radiation dose include patient body habitus (r=0.68, p<0.001), scan length (r=0.72, p<0.001), and tube current selection (r=0.81, p<0.001). Optimization strategies identified include implementation of automatic tube current modulation (ATCM), scan length limitation to necessary areas only, and use of iterative reconstruction techniques. Implementation of these optimization strategies can reduce radiation dose by 30-40% without compromising diagnostic image quality. Conclusion: Radiation dose in CT-Scan brain examination for stroke cases at RS Otak DR. Drs. M. HATTA Bukittinggi is within acceptable limits but requires continuous optimization through implementation of dose reduction techniques while maintaining diagnostic quality according to ALARA principles
ANALISA PEMERIKSAAN OS PEDIS PROYEKSI ANTEROPOSTERIOR DENGAN VARIASI PENYUDUTAN CENTRAL RAY TERHADAP HASIL RADIOGRAF OSSA PHALANG DI RUMAH SAKIT EFARINA PEMATANG SIANTAR TAHUN 2023 Harahap, Verryon; Kustoyo, Bambang; Pelawi, Awan; Purba, Marindah Yanti
Jurkessutra : Jurnal Kesehatan Surya Nusantara Vol 11, No 2 (2023): Edisi Juli
Publisher : Jurkessutra : Jurnal Kesehatan Surya Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48134/jurkessutra.v11i2.156

Abstract

Pemeriksaan pedis yang dievaluasi adalah tulang tarsal dan paling utama adalah celah sendi. Teknik radiografi os pedis dilakukan untuk pasien dengan indikasi fraktur dan dislokasi. Di beberapa rumah sakit biasanya menggunakan central ray tegak lurus 0°namun di teori pemeriksaan pedis menggunakan arah sinar 10°. Tujuan penelitian ini adalah untuk mengetahui perbedaan informasi celah sendi yang telah terbuka paling besar dengan variasi penyudutan central ray pada pemeriksaan ossa pedis.Variabel bebas yaitu variasi penyudutan central ray sedangkan variabel terikat adalah hasil radiograf ossa phalang. Desain penelitian ini adalah penelitian eksperimen yang menggunakan sampel dengan klinis suspect fraktur.Hasil penelitian menunjukkan bahwa gambaran celah sendi yang terbuka paling besar pada ossa pedis proyeksi anterposterior adalah dengan penyudutan sinar 10° cephalad.Kata Kunci : pedis,tarsal,central ray,anteroposterior
Co-Authors Afrilia, Masraini Basuki, Bayu Damanik, Dasty Arni Krisdayanti Harahap, Verryon Harahap, Veryyon Hulu, Yessi Vanni Pelawi, Awan Purba, Marindah Yanti Purba, Yeni Trisna Saragih, Christine Dear Hara Saragih, Febby Lolasari Sihombing, Elida Sondang Sidabutar, Sondang Taslima, Saufa Zasneda, Sabriani Suci