Publication Search

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.

This research aims to determine the clarity of influence, responsiveness and empathy on the quality of service at the Rezki Sinaga Midwife Clinic. Meanwhile, the research method used is a quantitative method. The population in this study were clinic patients. The number of samples known using the Slovin Formula is 99 respondents. Data collection techniques use questionnaires, documentation studies and observations. Data analysis techniques were analyzed using statistical tools using SPSS. The research results show that the Reliability Variable has a positive and significant effect on Service Quality with a sig value of 0.000 ˂ 0.05 and the t-count > t-table value, namely 19.999 ˃ 1.98525. The Responsiveness variable has a positive and significant effect on Service Quality with a sig value of 0.004 ˂ 0.05 and the t-count > t-table value, namely 2.922 ˃ 1.98525. The Empathy variable has a positive and significant effect on Service Quality with a sig value of 0.000 ˂ 0.05 and the t-count > t-table value, namely 2.254 ˃ 1.98525. The results simultaneously show that there is an influence of noise, responsiveness and empathy which together influence the quality of service, the calculated f value is 261.939 ˃ f-table 2.70 and the Sig value is 0.000 ˂ 0.05. It is recommended for future researchers to involve a larger sample, expand the scope of research, apart from the variables that have been studied, which can also influence service quality.

The development of home care in Indonesia has progressed to the point that many people use home care services. The epidemiological transition has resulted in an increase in the number of cases of chronic disease compared to acute disease, resulting in an increase in the number of cases of terminal disease that are not treated effectively and efficiently in hospitals. Bakti Timah Karimun Hospital has a home care service that provides several forms of services, namely wound care visits, elderly care services, baby care services, services for terminal patients, and other special needs. There are complaints from patients being managed regarding the responsiveness of the staff, friendliness and skills of the staff which are subject to evaluation. This study aims to determine the relationship between the quality of homecare services and patient satisfaction with wound care at Bakti Timah Karimun Hospital. This research is quantitative with a cross sectional study approach with a sample size of 80 people selected using total sampling techniques. The results of the study showed that the description of the quality of homecare services from the 5 components assessed (Reliability, responsiveness, assurance, empathy, and physical evidence) was in the sufficient category (73.8%), and the description of wound care patient satisfaction was in the very satisfied category. (62.5%). In this way, it is hoped that homecare nurses can improve the quality of services more optimally so that satisfaction can be achieved and maintained.

The Association of Indonesian Doctors has been formed and declared in a Decree of the Ministry of Law and Human Rights, Number AHU-003638.AH.01.07.2022. The Indonesian Doctors Association is no longer the sole forum for medical organizations in Indonesia. The study of the legality of this new association and the study of the organization of the Indonesian Doctors' Association have violated the right to associate and human rights because it is the sole forum for the medical professional organization which is the focus of the problem raised by the author. The study uses a normative juridical approach to seek answers with certainty and legal certainty through existing legal theories, norms and legislation. The conclusions obtained are that in order to protect patients, improve service quality, and ensure legal and statutory certainty, the medical professional association or organization must be one. Determination of quality and service, competency standards, and professional ethics must come from a professional organization. With a noble purpose, a single professional organization does not violate the law on association and human rights. The presence of a new medical society organization will not interfere with the position of the Indonesian Doctors Association as a professional organization. The suggestion from this study is that new organizations such as the Association of Indonesian Doctors must synergize and become the task force for the Indonesian Doctors Association in controlling the running of the organization while simultaneously providing a driving force for services to the Indonesian people.   Key words: Professional organizations; Constitution; Medical practice

According to The International Association for the Study of Pain, pain is an unpleasant sensory and emotional experience accompanied by potential and actual tissue damage. Pain is a condition that is more than just a single sensation caused by certain stimuli, including post-operative pain. One way to reduce post-operative pain in patients with diabetes mellitus (DM) gangrene is the music distraction technique which can produce endorphins to reduce pain. The aim of this research is to determine the effect of applying musical distraction techniques on post-op patients with diabetes mellitus (DM) gangrene during wound care at the Tanjungpinang City Regional Hospital. This research design is a pre-experimental design. The sample for this study was 30 respondents and analyzed using the Wilcoxon range test. The results show that there is a significant difference in influence between the pre-test and post-test after being given the musical distraction technique, so it can be concluded that there is an influence of applying the musical distraction technique on post-op gangrene diabetes mellitus (DM) patients during wound care at the Tanjungpinang City Hospital. Suggestions This research is one of the non-pharmacological therapy options for pain management. So it can be applied to post-op patients with diabetes mellitus (DM) gangrene during wound care.

Hypertension or high blood pressure is a disease that is often suffered by many people, hypertension itself sometimes has symptoms that the sufferer does not know about. A condition that causes about half of all deaths from stroke and heart disease. The aim of this study aims to determine the effect of classical music therapy on changes in blood pressure in hypertensive patients at the Ambalat SESKO TNI Bandung Clinic. This research uses a quantitative questionnaire method with a pre-post test research design (Quasy experiment), the data analysis used is the Wicoxon test. The respondents were 25 TNI members at the Ambalat SESKO TNI Bandung Clinic. The instruments in this study used a sphygmomanometer and classical music.    

Hypertension as silent disease or silent killer i.e. escalation of systolic blood pressure is higher or equal to 140mmHg, and escalation of diastolic pressure is higher or equal to 90 mmHg. High prevalence of hypertension need to get the right treatment. The situation analyst at Dr. R. Koesma Tuban Hospital, obtained two from five patient have not complied with instructions by local doctor. This Study intend : (1) acknowledge relationship level of knowledge toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital, (2) acknowledge relationship family support toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital. This Study uses correlation, using a cross sectional approach. This study held in Dr. R. Koesma Tuban Hospital and several respondent houses. Sample of this study come to 22 respondent using total sampling technique. Data retrieval by  test and questionnaires. Then, the data were analyzed by frequency distribution and Chi-square Test. Based on the results of this research were obtained respondents have good knowledge (27,3%) Family support with a good values (50%). Result of bivarate analysis knowledge p value>0,05, so then there is uncorelattion between knowledge with diet obedience. Whereas, result of family support p value <0,05, so then there is a relationship between family support with diet obedience. Conclusion from the data show, that the variable level of knowledge has no relationship diet obedience in outpatients at Dr. R. Koesma Tuban, while family support be found relationship,  toward diet obedience outpatient at Dr. R. Koesma Tuban Hospital.  

Control efforts with the DOTS (Directly Observed Treatment Short-course) strategy have been implemented. The side effects of this drug will continue as long as the sufferer takes it, furthermore anti-TB drugs (OAT) will change the metabolism in the sufferer's body. Chronic effects that arise from OAT treatment include increased levels of uric acid, glucose and hemoglobin in the blood. From the results of a preliminary study, data collection was carried out on the number of pulmonary TB sufferers in Kupang City in 2021, amounting to 385. Of this number, 72 cases were found at the Oesapa Community Health Center who were smear positive for pulmonary TB and had recovered and were still undergoing treatment. For this reason, it is necessary to carry out research to determine blood glucose, uric acid and hemoglobin levels in pulmonary tuberculosis (TB) patients who take OAT (anti-TB drugs) before taking, after taking 2 months and 6 months of treatment. This research method is descriptive and statistical. Statistical analysis using One Way Anova and Linear Regression tests was used to determine the effect of length of treatment on blood profiles in pulmonary tuberculosis sufferers. TB sufferers with anti-tuberculosis drug therapy at the Oesapa Community Health Center based on the age of the patient, there were 11 sufferers aged <30 years (55%), 9 sufferers aged >30 years (45%). Based on gender, 13 sufferers were female (65%), 7 sufferers were male (35%). Hemoglobin levels checked before treatment showed a mean of 13.015 g/dL, during 2 months of treatment 13.185 g/dL, and after 6 months of treatment the mean was 11.94 g/dL. The current blood sugar levels from table 1.3 above which were checked before treatment showed an average of 137.7 g/dL, during 2 months of treatment 145.15 g/dL, and after 6 months of treatment the average was 144.15 g/dL. Uric acid levels were based on the respondent's length of treatment with an average uric acid level before treatment of 6.16 mg/dL, 2 months of treatment 5.92 mg/dL and 6 months of treatment 6.43 mg/dL. Hemoglobin levels, instant blood sugar and uric acid before, 2 months and 6 months of treatment showed a p value <0.05, meaning the data was not normally distributed. The results of the analysis using the Friedman anova test showed a p value (0.137) > 0.05. This means there is no difference in uric acid measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.142) > 0.05. This means that there is no difference in blood sugar measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.378) > 0.05. This means there is no difference in Hb measurement values ??before, 2 months and 6 months of treatment

Patient satisfaction is a factor that can be used as a reference in determining the success of a service program. Patient satisfaction will arise when it is supported by good quality service. There are five dimensional aspects known as service quality (SERVQUAL), reliability, responsiveness, assurance, empathy, and tangible. These five dimensions influence patient satisfaction. This research aims to provide an overview of the level of satisfaction of outpatient BPJS patients at Hermina Bitung Hospital, Tanggerang Regency in 2023. This research uses a descriptive method with a quantitative approach with the data that has been collected being processed using SPSS (statistical packagen for the social sciences) then the results analyzed by measuring the average percentage for each patient criterion and a sample size of 76 respondents, from this research it can be concluded that patient satisfaction through the reliability dimension is 56.58%, the responsiveness dimension is 55.26%, the assurance dimension was 53.95%, the empathy dimension was 56.58%, while the direct evidence (tangible) was 51.32%. Thus, the researchers concluded that the number of BPJS patients in outpatient registration services was 52.63%. This result still does not reach the minimum service standard set by the Indonesian Ministry of Health in 2008, which is ≥90%.

Elderly is an age group that is susceptible to disease due to decreased function in the body due to the aging process. Uric acid is produced by every living thing as a result of the main metabolic process, namely a chemical process in the cell nucleus that functions to support survival. To overcome complaints of pain that appear in patients with gout, there are various pharmacological and non-pharmacological therapies. The usual pharmacological therapy is taking painkillers, namely the Nonstereoidal Antiinflammatory Drugs (NSAID) group. Complementary therapy is a natural therapy including herbal therapy in the form of bay leaves. The aim of the study was to describe a decrease in uric acid levels by giving bay leaf boiled water to the elderly at the Cilacap Dewanata Institution. The results of this study were obtained after therapy by giving boiled bay leaf water, the patient was more comfortable, the pain was reduced, the last day's observations of vital signs (TTV) showed Td: 110/80 mmHg, Respiration: 20 x/minute, Pulse: 96 x /minute pain scale 2. In conclusion, the application of giving bay leaf boiled water is proven to be able to overcome the problem of diagnosing acute pain associated with physical injury agents, the implementation of self-invasion care was carried out for 3 days, with extraction the results of reduced pain.

The purpose of this research is to know the inspection procedureMRCP and the role of giving bitter tea before examination asnegative oral contrast media. This research is a descriptive qualitative with a case study approach. Subjects consisted of 3 patients with clinicalCholelithiasis. Examination using MRI 1.5 Tesla to find out the procedure and the role of giving bitter tea asnegative oral contrast media. From the results obtained according to the theory of using 400 ml of black tea, 300 ml of jasmine tea and 300 ml of black tea with 40 grams of sugar. While in the field using a different type of tea with an amount of 100 ml before the inspection. Checks are carried out usingbody coil patient position iesupine,  feet first. Sequence used in inspectionPlain localizer axial, sagittal andcoronal, Calibration, Axial Dual Echo FSPGR BH, Axial 2D Fiesta, Axial T2 FRFSE BH FatSat  Asset, Coronal T2 Fiesta andThick slab MRCP Asset. The use of bitter tea before the examination aims to reduce the presence of artefacts in the stomach, small intestine, large intestine and can help the gallbladder organ to tend to enlarge.

B value is a factor that reflects the strength and timing of the gradient that will be used to generate a diffusion-weighted image. The higher the b value, the stronger the effect on diffusion. B value can be expressed in units of s/mm2 with a b value range of 500 s/mm2 to 1500 s/mm2. The use of b value in Diffusion Weighted Imaging (DWI) sequences is very important in detecting prostate cancer to distinguish malignant and benign cancer tissue because b value determines the amount of diffusion weighting and shows the sensitivity of the sequence to diffusion. The purpose of this study is to determine the difference in the quality of SNR and CNR images with b value variations in Pelvic MRI examination in prostate cancer cases. This study uses quantitative research methods with an experimental approach. The study population and samples were 4 Pelvic MRI patients with prostate cancer cases who underwent examination in July-August 2023 at the Radiology Installation of Prof.Dr.I.G.N.G Ngoerah Hospital, and each sample was subjected to b value variations of 800, 1000, 1400 and 2000 on the Diffusion Weighted Imaging (DWI) sequence. Data were processed using radiant DICOM and then analyzed using normality test and repeated anova test on SPSS 25 software. The results showed a significance value (p-value) > than 0.05, it can be concluded that H0 is accepted and Ha is rejected, which means that there is no difference in Pelvic MRI image quality in Prostate Cancer Cases with b value variations. The b value variation of 800 on Pelvic MRI examination on Diffusion Weighted Imaging (DWI) sequences with prostate cancer cases can produce more optimal image quality compared to b value variations of 1000, 1400 and 2000.

Anxiety is a mistake, doubt in something that will happen with an unclear cause or object related to feelings of uncertainty such as worry about facing surgery. To overcome anxiety, there are types of therapy that can be applied by nurses, namely pharmacological therapy and non-pharmacological therapy. One type of non-pharmacological therapy that can be used is the Benson relaxation technique. This study aims to determine the effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. The design of this research is a pre-experiment with one group pretest posttest type. The number of samples in this study was 21 preoperative patients using the Accidental Sampling technique. The instrument used was the Amsterdam Preoperative Anxiety And Information Scale (APAIS) questionnaire. Then analyzed using the non-parametric Wilcoxon test. Univariate results before being given Benson relaxation showed that 33.3% had mild anxiety, 66.7% had moderate anxiety, and after Benson relaxation 85.7% had mild anxiety, 14.3% had moderate anxiety. Bivariate results show that the hypothesis is accepted with a p-value of 0.000. It was concluded that there was an effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. From this research, it is hoped that the Benson relaxation technique can be used as an alternative therapy to reduce patient anxiety levels that does not have harmful side effects for patients.

Magnetic Resonance Imaging (MRI) is a medical diagnostic imaging technique that works on the principle of nuclear magnetic resonance. MRI aircraft can produce diagnostic images of the inside of the human body in both sagittal, coronal, and transverse cuts, Magnetic resonance imaging (MRI) is a widely accepted non-invasive technique for the evaluation of cartilage lesions. The femur, tibia, fibula, and patella are united into one complex group by ligaments. According to Moeller, Genu Examination uses STIR Sequence, Sagital T2 Weighted Fat saturated, Sagittal 3D GRE, Proton Density weighted fat saturated T1 Coronal. The author's purpose in conducting this study is because Genu Examination at one of the Jakarta Hospital in the Case of Soft Tissue Tumor, Meniscus Tear and Oesteoarthritis added the Axial 3D SPGR sequence. The research method used is descriptive research with an observational approach. Data collection was carried out on June 5 to August 31 using Mri GE aircraft with a power of 1.5 Tesla. The patient samples used in this study were three patients with clinical Soft Tissue Tumor, Meniscus Tear, and Osteoarthritis. Data collection was carried out through observation, interviews and Genu Examination Documentation with the addition of Axial 3D SPGR. The examination is carried out using Quad Knee Coil, the patient's position is supine, feet first. The sequences used in the examination at one of the Jakarta hospitals are Axial Proton Density Fat saturated, Sagital Proton Density Fat saturated, Sagital T2, Coronal Proton Density Fat saturated, Coronal STIR. The role of the Axial 3D SPGR sequence is to evaluate articular cartilage due to its clear depiction of cartilage morphology and high signal to noise ratio (SNR) images.

Hypertension is the medical definition of high blood pressure. This condition can cause various complications and even death. There are several risk factors that can cause hypertension such as stress levels and poor dietary habits. Objective: to determine the relationship between stress and diet with the incidence of hypertension at the bakti tin hospital in karimun. Methods: This study used a quantitative design with a cross-sectional approach in 92 hypertensive patients using Chi-Square analysis techniques. Results: It is known that respondents who have mild stress are 34 patients (37%) more than patients with moderate and severe stress. Patients who have a good diet as many as 57 patients (62%) are greater than patients who have a poor diet. In this study, patients who had normal blood pressure were 31 patients (33.%), while first-degree hypertension was 27 patients (29.3%), second-degree hypertension was 32 patients (34.8%), third-degree hypertension was 2 patients (2.2%). The results of the analysis show that stress and diet have a relationship with the incidence of hypertension with p value (stress = 0.015, diet = 0.001). Conclusion: there is a relationship between stress and diet with the incidence of hypertension in the bakti tin hospital in karimun. Suggestion: In this case the nurse should be able to provide education to patients so that they can control their minds to avoid stress and regulate their diet to avoid the risk of increasing blood pressure.

Comparison Of Metabolic Value On MR-Spectroscopy With and Without Contrast Media at Persahabatan Hospital, East Jakarta. Magnetic Resonance Spectroscopy is a non-invasive technique that can be used to measure the metabolism of several biochemical components in body tissue, especially the brain. Based on observations made by the author at Persahabatan Hospital, the spectroscopy technique used at Persahabatan Hospital is a multi-voxle technique, with sequences selction namely s2D_PRESS_144, where the spectroscopy images are taken after administering contrast and prevalence for tumor cases in the Radiology Installation at Persahabatan Hospital, with 5 data from the month May-August 2023. To determine the validity of this opinion, the authors performed pre and post- contrast MR-Spectroscopy on patients with contrast and compared the results with patients without contrast. In this study the author used a quantitative analysis type of research with an experimental approach aimed at whether the administration of contrast material affects the results of MR-Spectroscopy in patients with brain tumor cases. Where the research data comes from primary data in the Radiology installation at Persahabatan Hospital from May - August 2023 using 5 patient data. Results: Based on an observational study carried out on primary data from 5 patients, there were differences in metabolic values with and without contrast media in brain tumor cases. And MR-Spectroscopy examination without contrast is better to use than with contrast, although from the overall data it turns out there are some data that say post- contrast is higher.

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than α (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence.  due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae