Hasil Pencarian  ::  Simpan CSV :: Kembali

"Written as a concise, clinical guide to major interventional procedures impacting upon women’s health, Women’s health in interventional radiology focuses on a wide range of vascular and non-vascular interventions commonly performed in daily practice, including those related to the pelvis, fallopian tube, spine, and lower extremities. Chapters provide key clinical background information on each intervention, including pathophysiology, clinical manifestations, basic anatomy, and imaging features, before moving on to step-by-step explanations of the techniques. Accompanied by high-quality illustrations and images throughout, chapters also include technical hints, pearls, and pitfalls, postoperative care guidelines, outcomes data, and complications."

"Tujuan: menilai prevalensi katarak terinduksi radiasi, serta menghubungkannyadengan dosis paparan radiasi dan penggunaan perlengkapan proteksi radiasi.Metode: Studi potong lintang dan studi kasus-kontrol. Seratus delapan puluh subyekberpartisipasi dalam penelitian. Prevalensi katarak terinduksi radiasi dinilaimenggunakan analisis Scheimpflug pada alat Pentacam®-Oculus. Dosis paparanradiasi kumulatif dan penggunaan perlengkapan proteksi radiasi pada subyekdiidentifikasi melalui kuesioner dan personal dosimeter.Hasil: Prevalensi katarak terinduksi radiasi sebanyak 16.7%. Median dosis radiasikumulatif berdasarkan kuesioner menunjukkan median 0,8 (0.1- 35.6) Gy. Hubungankorelasi positif didapatkan antara dosis radiasi kumulatif dengan densitas lensa (RSpearman= 0.64). Sebanyak 83.9% subyek menggunakan tabir pada 71-100% masakerjanya, tetapi mayoritas subyek penelitian (40.6%), tidak menggunakan kacamatapelindung. Peningkatan risiko katarak terinduksi radiasi meningkat secara bermaknaseiring dengan kepatuhan penggunaan proteksi radiasi yang kurang. Subyek denganproteksi tabir radiasi 31-50% dari masa kerjanya meningkatkan risiko katarak 10.80kali lipat (IK 95% 1.05-111.49, p=0.044). Sementara itu, kelompok proteksi tabirradiasi 51-70% meningkatkan risiko katarak 8.64 kali lipat (p=0.001). Subyek yangtidak memakai kacamata pelindung memiliki OR 164.3 (IK 95% 19.81-1363)dibandingkan dengan kelompok pengguna kacamata pelindung.Kesimpulan: Katarak terinduksi radiasi pada pekerja radiasi bidang kardiologiintervensi tergantung pada dosis paparan radiasi dan penggunaan proteksi radiasi.Oleh karena itu, kepatuhan pekerja radiasi perlu ditingkatkan sesuai ketentuanproteksi radiasi.

---

Objectives: to determine the prevalence of radiation-induced cataract and correlatewith radiation exposure dose and radiation protection use among radiation workers ofinterventional cardiology.Methods: A cross-sectional and retrospective case-control study. One hundred andeighty subjects were included. Prevalence of radiation-induced cataract was assessedusing Scheimpflug analysis on the Pentacam®-Oculus. Individual cumulativeradiation exposure dose and radiation protection use of subjects were identified fromquestionnaire and personal dosimeter.Results: The prevalence of radiation-induced cataract was 16.7%. Median cumulativeradiation dose was 0.8 (0.1-35.6) Gy. A positive correlation was found betweencumulative radiation dose and lens density (RSpearman=0.64). This study showed that83.9% of subjects used ceiling-suspended shield in 71-100% of their working period,however the majority of subjects (40.6%) did not wear protective eyewear.Statistically significant increasing risk of cataract was found along with unresponsiveuse of radiation protection. The subjects using ceiling-suspended shield in 31-50% oftheir working period were increasing their cataract risk by 10.80 times (95% CI 1.05-111.49, p=0.044). Meanwhile, the subjects using protective eyewear in 51-70% oftheir working period were increasing their cataract risk by 8.64 times (p=0.001).Subjects who did not wear protective eyewear had an OR 164.3 (95% CI 19.81-1363)compared to those who wore protective eyewear.Conclusion: Radiation-induced cataract among radiation workers of interventionalcardiology was depend on radiation exposure dose and radiation protection.Therefore, the compliance of radiation safety recommendation should be improved."

"Dengan meningkatnya pembangunan pada Universitas Indonesia maka akan banyak bahaya dan risiko yang ditimbulkan dari pekerjaan yang berasal dari pembangunan yang menyebabkan kerugian secara financial dan citra bagi Universitas Indonesia selaku owner dan kontraktor konstruksinya bila terjadi sebuah kecelakaan. Oleh karena itu, diperlukannya sebuah sistem keselamatan dan kesehatan kerja untuk menaungi para pekerja dan juga sivitas Universitas Indonesia agar terhindar dari kecelakaan yang berasal dari pembangunan yang ada. Penelitian ini adalah penelitian kualitatif menggunakan manajemen risiko deskriptif analitik non eksperimental. Hasil dari penelitian ini akan mengetahui penerapan sistem manajemen keselamatan dan kesehatan kerja pada kontraktor dan pengembangan manajemen keselamatan kerja kontraktor konstruksi yang mengacu pada standar CSMS BP MIGAS.

---

With the increasing development of the University of Indonesia, many dangers and risks arising from the construction work emanating from that caused financial loss and image for the University of Indonesia as the owner and construction contractor in the event of an accident. Therefore, the need for a system of occupational health and safety for workers and also shade the civitas University of Indonesia in order to avoid accident that come from existing development.

The study is qualitative, using risk management non experimental descriptive analytic. The result of this study will find the application of health and safety management system contractor working on the development and construction contactor safety management refers to the standard BP MIGAS CSMS."

"Radiologi gigi dan mulut tidak lepas dari efek paparan radiasi sehingga diperlukan kebijakan untuk mengatur pemanfaatan peralatan radiasi dalam pelayanan kesehatan. Pemerintah mengatur pelayanan radiologi di Indonesia melalui Permenkes No.24 /2020 untuk meningkatkan mutu pelayanan kesehatan dengan memperhatikan aspek keselamatan dan keamanan yang diselenggarakan berdasarkan kemampuan fasilitas kesehatan meliputi sumber daya manusia dan peralatannya. Penelitian ini bertujuan untuk menganalisis implementasi Permenkes No.24/2020 dalam pelayanan gigi dan mulut, serta untuk mengetahui apakah kebijakan ini dapat terlaksana di RS Umum dan Khusus. Penelitian ini merupakan penelitian analisis kebijakan dengan pendekatan kualitatif melalui wawancara mendalam dan telaah dokumen. Kerangka konsep yang digunakan didasarkan pada berbagai teori top down dengan variabel yang diteliti berupa output, sumber daya manusia, sarana prasarana, pendanaan, dukungan organisasi, perhatian pers, budaya kerja, komunikasi dan struktur birokrasi. Hasil penelitian menunjukkan bahwa secara umum Permenkes No.24/2020 tidak dapat dilaksanakan di RS Khusus karena adanya perbedaan kebutuhan dengan RS Umum sehingga tidak sejalan dengan terminologi dan persyaratan yang disebutkan dalam Permenkes No.24/2020. Permenkes No.24/2020 tidak memfasilitasi tenaga spesialis radiologi dan peralatan seperti CBCT. sehingga menimbulkan ketidakpastian hukum. Budaya kerja, komunikasi dan struktur birokrasi tidak berfungsi sebagaimana mestinya karena tidak tersampaikannya isi peraturan kepada pelaksana pelayanan. Organisasi profesi dan perhatian pers tidak secara langsung mempengaruhi pelaksanaan kebijakan tetapi penting dalam tahap perumusan kebijakan. Perlu adanya koreksi dan tinjauan ulang terhadap muatan Permenkes No.24/2020 terkait dari  aspek efektivitas kebijakan, kejelasan rumusan, dan keterbukaan.

---

Dental radiology cannot be separated from the effects of radiation exposure. Radiology policies are needed to regulate the use of radiation equipment in health services. The government regulates radiology services in Indonesia through Regulation of Minister of Health Number 24 of 2020 to improve the quality of health services by paying attention to safety and security aspects which are organized based on the capabilities of health facilities including human resources and equipment. This study aims to analyze the implementation of Regulation of Minister of Health Number 24 of 2020 in dental care services, and to find out whether the policy can be implemented in General and Dental Hospitals. This research is a policy analysis with a qualitative approach through in-depth interviews and document review. The conceptual framework is based on various top down theories with the variables studied in the form of output, human resources, infrastructure, funding, organizational support, press attention, work culture, communication and bureaucratic structure. The results show that Regulation of Minister of Health Number 24 of 2020 cannot be implemented in Dental Hospitals because there are differences in needs with General Hospitals so that they are out of sync with the terminology and requirements stated in Regulation of Minister of Health Number 24 of 2020. Regulation of Minister of Health Number 24 of 2020 does not facilitate dental radiology specialists and equipment such as CBCT thus creating legal uncertainty. Work culture, communication and bureaucratic structure are not functioning as they should because the contents of the regulations are not conveyed to service providers. Support from organizations and press attention do not directly affect service delivery but are important in policy process. Review of the contents of Regulation of Minister of Health Number 24 of 2020 is needed, especially related to the aspects of policy effectiveness, clarity of policy formulation, and transparency."

"Paparan radiasi pengion dosis rendah (<0,5 Gy) dapat menyebabkan gangguan sirkulasi. Namun, belum diketahui apakah paparan radiasi pengion dosis rendah dapat menyebabkan hipertensi. Seorang petugas radiologi berjenis kelamin laki-laki yang berusia 27 tahun menanyakan tentang hasil pemeriksaan berkalanya dimana hasilnya menyatakan ia mengidap hipertensi. Dia juga menyebutkan bahwa pada tahun sebelumnya, hasil pemeriksaan EKG-nya tidak baik, tetapi dia tidak dapat mengingat apa yang dikatakan oleh dokter spesialis jantung. Apakah hipertensi pada pekerja radiologi disebabkan oleh paparan radiasi pengion di tempat kerja? Pencarian literatur dilakukan melalui PubMed, Scopus dan Cochrane. Didapatkan sebuah artikel yang relevan, yang memenuhi kriteria inklusi. Sebuah studi kohort oleh Preetha R, et al (2015) menunjukkan bahwa terdapat hubungan antara risiko hipertensi dan paparan FGIP. Penelitian ini valid dan dapat diterapkan pada pasien saya karena metodenya sesuai dan cukup baik. Selain itu, populasi dalam penelitian ini memiliki kemiripan dengan pasien saya. Namun, hanya ada satu artikel yang ditemukan. Hal ini mungkin dikarenakan kurangnya penelitian mengenai hal ini. Oleh karena itu, hubungan sebab akibat masih belum dapat dibuktikan. Dianjurkan untuk melakukan penelitian lebih lanjut dengan menggunakan pengukuran paparan dan hasil yang lebih baik.

---

Exposure to low dose ionising radiation (<0.5 Gy) can cause circulation disorders. It is not yet known whether exposure to low dose ionising radiation can cause hypertension. A 27-year-old male radiologist asked about the result of his periodic examinations in which written hypertension. He also said that in the previous year, his ECG examination resulted in no good, but he couldn’t remember what the cardiologist said. Does hypertension in radiology workers due to exposure to ionising radiation at work? The literature searches were conducted through PubMed, Scopus and Cochrane. A relevant article, which fitted the inclusion criteria, was found. A cohort study by Preetha R, et al (2015) suggested that there is a relationship between the risk of hypertension and FGIP exposure. This study is valid and applicable to my patient because the method is quite good and suitable. Also, the population in the study is similar to my patient. However, there was only one article found which might be due to the lack of research on this subject. Hence, the causal relationship still cannot be proven. Further research is recommended with a better measurement of exposure and outcome."

"International Atomic Energy Agency (IAEA) mengeluarkan rekomendasi kepada badan pengawas untuk menunjuk Petugas Proteksi Radiasi (PPR) yang berkompeten di radiologi diagnostik dan intervensional (RDI). Penelitian bertujuan mengetahui kompetensi (pengetahuan, keterampilan dan sikap) PPR, faktor yang berpengaruh, indikator pengetahuan, keterampilan dan sikap yang signifikan serta hubungan antar variabel pengetahuan, keterampilan dan sikap. Rancangan penelitian rancangan cross sectional bersifat deskriptif kuantitatif. Hasil penelitian menunjukkan 41,6 % PPR memiliki tingkat kompetensi rata rata 69,0 dengan kategori sedang. Faktor mempengaruhi pengetahuan adalah latar belakang pendidikan, pekerjaan selain sebagai PPR di RS, perlengkapan keselamatan radiasi, paparan informasi, frekuensi rekualifikasi, pelatihan serta komitmen pemegang izin. Faktor mempengaruhi keterampilan adalah peminatan studi/jurusan, pekerjaan selain sebagai PPR di RS, perlengkapan keselamatan radiasi, sumber informasi, frekuensi rekualifikasi, pelatihan serta komitmen pemegang izin. Faktor yang mempengaruhi sikap adalah tingkat pendidikan, peminatan studi/jurusan, umur, seberapa sering bekerja dengan radiasi, perlengkapan dan komitmen pemegang izin. Hasil uji multivariat diperoleh indikator pengetahuan yang signifikan adalah pengetahuan tentang konsep verifikasi kesesuaian dan kepatuhan persyaratan dan standar proteksi dan keselamatan radiasi. Indikator keterampilan yang signifikan adalah keterampilan menyusun dokumen program proteksi dan keselamatan radiasi dan Indikator sikap signifikan adalah pro aktif mendorong dokter radiologi untuk menetapkan kriteria pemeriksaan yang boleh, yang dilarang dan yang perlu konsultasi dokter. Pengetahuan berpengaruh signifikan terhadap keterampilan, pengetahuan berpengaruh signifikan terhadap sikap dan keterampilan berpengaruh signifikan terhadap sikap. Hasil penelitian menyarankan adanya perbaikan pada unit kompetensi, persyaratan sertifikasi, mekanisme penyegaran, pembuatan SKKNI PPR dan pelatihan berkelanjutan bagi PPR di fasilitas RDI.

---

The International Atomic Energy Agency (IAEA) urges regulatory organizations to hire a radiation protection officer (PPR) who is proficient in both diagnostic and interventional radiology (RDI). This research aimed to determine the competency (knowledge, skills and attitudes) of PPR, influencing factors, significant indicators of knowledge, skills and attitudes and the relationship between knowledge, skills and attitudes variables. The research employed descriptive quantitative method with a cross sectional design. The findings revealed that average competency score is 69,0 had moderate levels. Knowledge is influenced by educational background, occupation other than PPR in hospitals, radiation safety equipment, exposure to information, frequency of requalification, training and commitment of permit holders. Meanwhile, skills are influenced by study/departmental specialization, work other than PPR in hospitals, radiation safety equipment, sources of information, frequency of requalification, training and commitment of permit holders. In addition, attitudes influenced by education level, study/department interest, age, how often to work with radiation, equipment and permit holder commitment. The multivariate test results revealed that comprehending the idea of validating conformity and compliance with radiation protection and safety criteria and standards was a significant indicator of knowledge. A significant skill indication is the skill to compile radiation protection and safety program documentation. Significant attitude indication is actively encouraging radiology doctors to establish standards for examinations that are allowed, prohibited, and require medical consultation. Knowledge has a significant effect on skills, skills have a significant effect on attitudes, and attitudes have a significant effect on knowledge. The research suggest improvements to competency units, certification requirements, refresher mechanisms, making SKKNI PPR and ongoing training for PPR at RDI facilities."

"This book provides a thorough yet succinct and accessible review of the latest knowledge in the field of endovascular surgery. All chapters have been updated to reflect the advances that have occurred during the past five years, and new chapters are included on carotid artery stenting and day case intervention. The chapter on lower limb veno-occlusive disease has been expanded to include management of deep venous thrombosis. Among the other topics considered are the endovascular treatment options in different arterial territories, aneurysm repair techniques, and the management of venous stenosis and venous insufficiency. The aim throughout is to tackle issues of evidence-based practice in order to assist trainees and experienced practitioners in making and implementing treatment decisions. "