Asri Indah Aryani, Asri Indah
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang

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Radiation Dose In Non Conventional Contrast Radiography Examination Darmini, Darmini; J. Dahjono, J. Dahjono; Aryani, Asri Indah
Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

This study aims to determine the radiation dose to the acceptance of conventional non- contrast radiographs and the dose received by the patient on a non contrast radiographs compared Perka BAPETEN According Reference No 8 of 2011.Quantitative research approach was applied in this research for the measurement of radiation using TLD chips. Furthermore, measurement results are sent to Batan. We analize the data by calculating the average radiation dose received at each examination on the TLD reader, and then compared them with the reference dose by Bapetten. Results indicate acceptance of the radiation dose on conventional radiographs thoracic lowest dose 0.262 mGy and the highest 0.41 mGy. Abdominal were 0.924 mGy and 1,913 mGy, AP lumbo sacral spine were 1.504 mGy and 1.965 mGy, and the lateral lumbo sacral were 2.522 mGy and 3.231 mGy. Comparation between the data and the Perka BAPETEN: the value of ESD on thoracic radiographs was 0.41 mGy (exceeding 0.4 mGy), abdominal radiographs was 1,913 mGy (less than 10 mGy) , lumbo sacral spine AP was 1,965 mGy, and lumbo sacral spine radiographs laterally was 3.231 mGy (less than 30 mGy).
The Opacity of Kidney in Nephrogram Phase with Different Urea and Creatinine levels in Patients Who Undergoing Intravenous Pyelography Examination Sudiyono, Sudiyono; Rochmayanti, Dwi; Aryani, Asri Indah
Jurnal LINK Vol 10, No 2 (2014): Mei 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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The examination of intravenous pyelography (IVP) is one of the tests carried out with the aim to examine abnormalities of urinary tract anatomy and physiology. The opacity of urinary tract anatomy and function of the kidney, especially on an X-ray, is influenced by serum urea and creatinine levels of the patients prior to conducting the IVP examination. The study was an observational survey with retrospective approach. Purpose of this study was to describe the opacity of kidney picture in Nephrogram phase with different urea and creatinine levels. Urea and creatinine data were obtained from medical records of patients who underwent radiological examinations in Dr. Moewardi Hospital in 2013. The nephrogram phase imaging picture was taken from the document of Computed Radiography. The study sample was 41 patients. Data of overview kidney opacity in nephrogram phase were analyzed with Matlab software to get the value at the point calyces Pixel kidney (ROI). Research results revealed that 32 p atients (78%) of 41 patients had laboratory results of urea levels higher than normal (8-25 mg/100 ml) and 34 patients (83%) had normal creatinine levels (0.6 to 1.2 mg/ 100 ml). The results of test matlab found that opacity kidney picture nephrogram phase in patients with urea level higher than normal had a decrease of Pixel value (65220 pix.value) when compared to patients with normal urea levels (65231 pix. values ). Patients with creatinine above 1.2 mg/ 100 ml had a higher Pixel value (65239 pix.value), comparing to patients with normal creatinine levels (65219 pix.value). Further research is expected to gain more understanding. It is recommended that patients levels of urea and creatinine should be checked in 48-72 hours before the time of IVP test, and interventions to decrease these levels should be implemented before conducting the test.
Analisis Penyusunan Draf Panduan Praktik Klinis Pelayanan Radiologi di RRSUD Ajibarang Kabupaten Banyumas Aryani, Asri Indah; Jati, Sutopo Patria; Kuntjoro, Tjahjono
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Prodi Magister Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat Undip

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.79 KB) | DOI: 10.14710/jmki.4.1.2016.1-10

Abstract

Panduan Praktik Klinis adalah prosedur yang dilaksanakan oleh sekelompok profesi yang mengacu pada Pedoman Nasional Pelayanan Kedokteran yang dibuat oleh organisasi profesi dan disyahkan oleh Pimpinan Rumah Sakit.Dalam memberikan pelayanan kesehatan kepada pasien maka pelayanan radiologi harus berdasarkan pada Panduan Praktik Klinis yang ada pada pelayanan tersebut. Tujuan dari penelitian ini yaitu menjelaskan proses penyusunan draf Panduan Praktik Klinis Pelayanan Radiologi di RSUD Ajibarang Kabupaten Banyumas. Metode penelitian yang digunakan adalah penelitian kualitatif dengan tujuan ingin menggali lebih dalam dari berbagai sumber dan informan mengenai proses penyusunan panduan praktik klinik pelayanan radiologi di RSUD Ajibarang Kabupaten Banyumas. Pengumpulan data dengan menggunakan metode wawancara mendalam, observasi dan telaah dokumen. Metode pengolahan data dengan contens analisys (analisis isi ) . Data dalam penelitian ini disajikan dalam bentuk narasi dan dilengkapi dengan matriks hasil wawancara.Penyajian data didukung dengan hasil observasi lapangan dan telaah dokumen. Hasil penelitian menunjukan bahwa dari aspek sumber daya terdapat hambatan, yaitu dokter spesialis radiologi belum berperan dalam proses penyusunan,dan kurang terjalinnya komunikasi antara pelaksana radiologii dengan tim penyusun panduan praktik klinis rumah sakit. Aspek pola tarif tidak terdapat hambatan, tarif INA-CBGs sudah digunakan pada program Jaminan Kesehatan Nasional (JKN) dan diberlakukan per 1 Januari 2014. Pada aspek ketersediaan bukti, panduan praktik klinis yang tersusun sudah berdasarkan literature dan textbook. Format draf panduan praktik klinis yang tersusun meliputi, judul prosedur tindakan, pengertian, indikasi, kontra indikasi, persiapan, prosedur tindakan , pasca prosedur tindakan, tingkat evidens, tingkat rekomendasi, penelaah kritis, indikator prosedur tidakan penata radiologi, kepustakaan Kesimpulan bahwa proses penyusunan panduan praktik klinis sudah berjalan dengan baik, tetapi dokter spesialis radiologi belum berperan. Direkomendasikan agar surat keputusan direktur tentang Tim Penyusun Panduan Praktik Klinis RSUD Ajibarang direvisi. Pelayanan radiologi untuk menyelesaikan dan menetapkan draf panduan praktik Panduan Praktik Klinis yang sudah final.A clinical practice guideline is a procedure implemented by group of a profession referred to National Guideline of Medical Service made by organisation of profession and approved by Director of a hospital. In providing health services to patients, radiology service must refer to the clinical practice guideline that is available in its service. The aim of this study was to explain the process of draft arrangement of the clinical practice guideline of radiology service at Ajibarang Public Hospital in Banyumas District. This was qualitative research aimed at investigating the arrangement process of the clinical practice guideline of radiology service collected from various sources and informants at Ajibarang Public Hospital in Banyumas District. Data were collected using methods of indepth interview, observation, and literature review, analysed using content analysis, and presented descriptively combined with matrix of interview results. In addition, data presentation was supported by results of field observation and literature review. The results of this research showed that viewed from aspects of resources, there were any barriers as follows: radiologist did not involve in the arrangement process and there was lack of communication between radiographer and an arrangement team of the clinical practice guideline of hospital. On the other hand, there was no barrier in the aspect of tariff pattern. Tariff of INA- CBGs have been used in a program of National Health Insurance and implemented since 1 January 2014. In the aspect of evidence availability, arranged clinical practice guideline was based on literature and textbook. A format of arranged clinical practice guideline draft consisted of title of action procedure, definition, indication, contra-indication, preparation, action procedure, post action procedure, levels of evidence, levels of recommendation, reviewers, indicators of action procedure of radiographer, and references. In conclusion, the arrangement process of the clinical practice guideline had been well implemented. However, radiologist had not involved. Director’s decree about arrangement team of the clinical practice guideline at Ajibarang Public Hospital needs to be revised. Radiology service needs to accomplish and determine final draft of the clinical practice guideline.