HUBUNGAN DIABETES MELITUS TIPE 2 DENGAN PENEBALAN LAPISAN INTIMA-MEDIA ARTERI KAROTIS KOMUNIS

Diabetes mellitus may lead to a macrovascular complication (eg. aterosclerosis). Aterosclerosis causes thickenning of tunica intima and media of common carotid artery due to hypertrophy. Measurement of tunica media of carotid artery using ultrasonography (US) has been established for assessing aterosclerosis and recommended by American Heart Association as a noninvasive assessment for cardiovascular risk. We tried to evaluate and analyze the correlation between type 2 diabetes mellitus and thickenning of tunica media and intima of common carotid artery. This was a crosss sectional analitic observational study. The study population consisted of 31 patients with type 2 diabetes mellitus and 31 subjects without diabetes mellitus who volunteered to be examined with high-resolution Bmode US for common carotid artery thickness in Radiology Department of Dr. Sardjito General Hospital between May and July 2011. Collected data were proccessed and statistically analyzed using single t test. Correlation between risk factors, other than diabetes mellitus, and thickenning of tunicas of common carotid artery were analyzed using linear regresion analysis. The results of this study showed that mean intimal medial thickness values of the diabetic subjects (0,9342 ± 0,172 mm) were significantly higher than those of the non-diabetic (0,6690 ± 0,083mm) subjects (p < 0.001). Multivariate linear regression analysis showed that age, smoking and diabetes were the major risk factors for intimal medial thickness. The Conclusion that diabetic subjects have higher intimal medial thickness values than non-diabetic subjects. Diabetes are the most important risk factors associated with increased intimal medial thickness in this study

PERBANDINGAN KUALITAS CITRA HARD COPY DENGAN HASIL DIGITIZER DAN KAMERA SAKU PADA FOTO POLOS FRAKTUR TULANG EKSTREMITAS ATAS DI BAGIAN RADIOLOGI RSUP DR. SARDJITO

Background : Fracture of upper extremity is an emergency situation which need a quick treatment. The diagnose could be done by running a supporting examination, which is radiology. Indonesia only have for about 700 radiologist which distributed unevenly, therefore teleradiology is needed. Teleradiology needs an imaging device which could produce a good quality image, so there will be no misinterpretation on the reading process. Objective : Understanding the quality differences and diagnose of hard copy film and soft copy file of digitizer and pocket camera of plain upper extremity fracture x-ray. Method and Material : This is an observational research, using 34 samples of plain upper extremity fracture x-ray. The digital data from work station is being printed using a laser printer into hard copy form, then the hard copy film is being digitalized using digitizer and pocket camera. The image quality of soft copy files of digitizer and pocket camera are being compared with the hard copy. Result : There were no significant differences of image quality among hard copy film and soft copy file of digitizer (p=1.000), buat there were significant differences among hard copy film and soft copy file of pocket camera (p=0.000). There were no significant differences of diagnose among hard copy film and soft copy file of digitizer and pocket camera (p=1.000). Conclusion : Image quality of soft copy file of digitizer is equal with hard copy film quality, and hard copy film image quality is better than soft copy file of pocket camera. The diagnose of the three sample groups have uniformity

PERBANDINGAN VOLUME PERDARAHAN INTRAKRANIAL PERHITUNGAN DIGITAL DAN MANUAL PADA MULTISLICE COMPUTED TOMOGRAPHY

There are varied methods to measure and calculate intracranial bleeding volume manually, e.g. Tada�s formula (�/6 ABC), ABC/2, ABC/3 and 2/3 Sh. ABC/2 have been proved as suitable and simple methods to estimate acute subdural, intracerebral, and epidural hemorrhage, but ABC/2 method underestimates chronic subdural hemorrhage and overestimates volume in intracerebral hemorrhage with irregular shape. 2/3 Sh method is considered more accurate in estimating intracranial bleeding volume from which ABC/2 method overestimates and underestimes. This research aimed to determine the existence of differences in estimating volume of intracranial bleeding manually (using Tada�s formula (�/6 ABC), ABC/2, ABC/3 and 2/3 Sh) as compared to volumetric-analysis-guided digital computerized examination in MSCT. This research was an observational analytic, cross-sectional one, with consecutive sampling method. Characteristics of research subjects based on sex, age, cause of bleeding, type of bleeding, and volume of bleeding, were descriptively analyzed, and presented in percentage. Comparison of bleeding volume was analysed using T test if data were evenly distributed, and value of p < 0.05 was considered as statistically significant. Results showed no significant difference between manual methods such as Tada�s formula, ABC/2, and 2/3 Sh method