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Reicha Artha Maudia; Diana Juni Mulyati

Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat 2023 Asosiasi Riset Ilmu Pendidikan Indonesia

As the times evolve and consumption rates increase, waste management has become one of the primary challenges faced by communities, particularly in the Rw 02 Gunungsari Surabaya area. In an effort to address the negative impacts of production and waste disposal, the city government, especially the Dinas Lingkungan Hidup Surabaya, has initiated the MBKM KZW ( Zero Waste Village ) as an innovative and sustainable solution. Zero Waste is not just a slogan, it is a lifestyle that teaches us to change consumption paradigms and appreciate natural resource. One of the main pillars of the Zero Waste movement is waste reduction. This involves awareness of the sources of waste around us and concrete steps to minimize it. From reducing the use of single-use plastics to choosing products with eco-friendly packaging, every small action has positive impact on the environment. The key to the success of the KZW program is collaboration and active involvement of various stakeholders. This is includes the Dinas Lingkungan Hidup Surabaya, the community of Rw 02 Gunungsari Surabaya, and students from the Universitas 17 Agustus 1945 Surabaya, working together to reduce waste. Innovation in waste management needs to be encouraged. Adopting a Zero Waste lifestyle is not an easy task, but with awareness, education, and sustainable actions, we can collectively create positive change towards a more sustainable and environmentally friendly future. Zero Waste is not just about minimizing waste, it is also about maximizing our potential to live in harmony with nature.

Antony Sentoso; Nicholas Nicholas; Tan Phey Lien; Jesslyn Larissa; Selvia Eka Marliana +2 more

CiDEA Journal 2023 Universitas 17 Agustus 1945 Semarang

The plastic manufacturing industry in Indonesia has become a much needed industry because consumption power continues to rise. One company in Batam that produces plastic is PT Batam Plastik. As a plastic factory, PT Batam Plastik will add plastic waste that cannot be broken down in Batam City. This article was created to analyze the Corporate Social Responsibility (CSR) program and green human resource management at PT Batam Plastik. This type of qualitative research uses data collection techniques using interview and observation techniques. Based on the results of the analysis that has been carried out, PT Plastik Batam has implemented the Corporate Social Responsibility (CSR) program and environmentally friendly human resource management correctly. This is based on data from interviews conducted where PT Plastik Batam recycles plastic waste into recycled products and has trained its employees on how to recycle plastic and reuse plastic.

Achmad Sarwandianto; Lusi Ariyani

Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat 2023 Asosiasi Riset Ilmu Pendidikan Indonesia

Efforts to improve the management of the RW 05 Waste Bank in Kreo sub-district are carried out through community service activities. One form of waste management in society is by utilizing waste banks. This waste bank collects household waste, sorts it, and resells it to other parties. Through the use of waste banks, waste can be processed into something that has economic value. In its management, waste banks use principles similar to the banking system, but on a smaller scale and are easier to run. Residents who live around the waste bank send their waste and their balance is recorded based on the economic value of the waste. The RW 05 waste bank management environment still faces a number of obstacles in its implementation. To improve waste bank management, this service program is carried out with various activities that provide economic value to residents. Efforts to improve waste bank management are carried out by implementing smash.id, in addition to providing assistance and training on creative products that use plastic waste. The aim of this step is to increase efficiency and progress in waste bank operations in rw.05 Kreo sub-district.

Yulanda Rizqi Ramadhini; Hikmah Rahmah; Nur Aziezah; Walidatush Sholihah; Inna Novianty

Jurnal Kendali Teknik dan Sains 2023 International Forum of Researchers and Lecturers

The purpose of this research is to ascertain how satisfied users are with the functionality of the IoT-based “BottlePress” plastic bottle waste compression tool. This research uses a survey method with quantitative research with a sampling technique, namely distributing online questionnaires via Google Form. A simple regression test was used to analyze data obtained from filling out the questionnaire. According to the research findings, most users are satisfied with the performance of the IoT-based “BottlePress” plastic bottle waste compression tool.

Shinta Arafah Hidayanti; Nur Aziezah; Hikmah Rahmah; Walidatush Sholihah; Inna Novianty

Jurnal Sistem Informasi dan Ilmu Komputer 2023 International Forum of Researchers and Lecturers

The purpose of this study was to determine the influence of users and the effectiveness of the Plastic Bottle Waste Compression Tool "Bottlepress" as an innovation in protecting the environment. The method used is a quantitative survey form using the Google Form platform in the form of a questionnaire to obtain a sample. Simple Linear Regression and Correlation methods were used as data analysis of this study.  The results of this study indicate that there is no influence between user convenience on compression tools with a greater significance α> 0.05, namely 0.373 and a regression coefficient of 0.167 units or 16.7% positive value.

Retno Putri; Dea Vilia Siswoyo; Nurshal Hasbi

Jurnal Riset Ilmu Farmasi dan Kesehatan 2023 Asosiasi Riset Ilmu Kesehatan Indonesia

Low back pain (LBP) is a non-specific condition of acute or chronic pain in or near the lumbosacral spines that can be caused by inflammatory, neoplastic, traumatic, or other disorders. Long standing can be caused discomfort for the worker’s body. A survey conducted by the Center for Disease Control and Prevention (CDC) in 2011, low back pain is found in the top 10 diseases in Indonesia. As for jobs that required on standing for long duration and correlation by increased risk for low back pain, one of which is in a cake company called Rotte Bakery in Pekanbaru. The production process at Rotte Bakery required a lot of human roles, especially in terms of physical aspects, allowing staffs to long standing while working which can cause ergonomic problems such as low back pain. The research conducted by observational analytic method, with a cross sectional study design. The sampling technique used accidental sampling which was statistically tested using the chi-square test. The research purposes to determine the correlation of the long standing with low back pain event on Rotte Bakery Pekanbaru city staffs 2020. The result showed that there was a relationship (p-value = 0,000) and a significant correlation (p-value < 0.05) long standing with lower back pain event on Rotte Bakery Pekanbaru city staffs. Rotte Bakery staffs advised to pay attention to standing time while working, adhere to the rules for using a complete PPE, and the company can provide education at the beginning before starting work.

Ika Wahyuningsihi; Putri Ahya Radhiya; Aminah Kurniati; Anugrah Rillo Pangestu; Endang Sulastri Dewi Atmojo +5 more

Jurnal Pengabdian Kepada Masyarakat 2023 Pusat Riset dan Inovasi Nasional

This service aims to introduce a hydroponic vegetable cultivation system using the wick method in Sungai Pagar Village. The environment in Sungai Pagar Village is characterized by sandy soil due to the accumulation of peat soil, so plant cultivation activities are still limited. In this context the wick method is adopted as a relevant solution. Training activities were carried out through several stages, including field surveys, delivery of materials, sowing seeds, making AB mix nutrition, making a hydroponic wick system from used plastic bottles, and monitoring and evaluation. The results of the training showed an increase in participants' knowledge about hydroponic cultivation and their abilities in caring for hydroponic plants. Each training participant succeeded in making a hydroponic wick system using used plastic bottles and was given a hydroponic cultivation package to continue cultivation at home. In order to improve food security and the community's economy, this training made a positive contribution by introducing an environmentally friendly and hydroponic vegetable cultivation system. efficient. In conclusion, this training was successful in introducing and training the public in hydroponic vegetable cultivation using the wick method.

Adnan Adnan

Globe: Publikasi Ilmu Teknik, Teknologi Kebumian, Ilmu Perkapalan 2023 Asosiasi Riset Ilmu Teknik Indonesia

The aim of this research is to analyze the effect of adding hyperplasticizer and retarder on the compressive strength of self-compacting concrete. Fine aggregate and coarse aggregate from the Jenneberang River, Kab. Gowa. The concrete mix design uses a trial and error mix design for self-compacting concrete by making visual observations, so that the physical conditions of the mixture appear to be sufficient to produce a good mix. The stages of this research, by finding a comparison of the slump flow values ​​of the self-compacting Concrete concrete, then making test objects, after that curing the test objects using the water curing method for 28 days, then testing the compressive strength of the self-compacting Concrete concrete to produce comparison to the compressive strength of normal(conventional) concrete. The results of this research show that self-compacting concrete has a compressive strength value of 46.25 Mpa compared to normal concrete of 45.02 Mpa, an increase of 2.73% compared to normal concrete. And the slump value of normal concrete is 8 - 13 cm, while the slump flow of self-compacting concrete is 63 - 84.9 cm, with a time range between 2.53 - 3.46 seconds, able to reach a diameter of 500 mm on the segregation board.  

Firra Rosariawari; Himmatul Aliyah Rosydi; Arini Sayyidah Achmad; Bagas Chrisma Pratama; Safitri Wahyu Pratiwi +1 more

Kegiatan Positif : Jurnal Hasil Karya Pengabdian Masyarakat 2023 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Plastic waste is one of the serious environmental problems in Indonesia. Plastic waste not only pollutes the environment, but also has a negative impact on human and animal health. One way to overcome this problem is by utilizing plastic waste into trash bins that can be reused. The purpose of this study is to conduct socialization on the utilization of plastic waste into trash bins to the community in one of the villages in Gresik Regency. This socialization was carried out with students as a form of community service. The method used in this socialization was lecture, discussion, and practice. The results of this socialization showed that the village community had a high interest and enthusiasm for utilizing plastic waste into trash bins. They also felt helped and inspired by this activity. This socialization ran smoothly and received a positive response from the community. This study contributes to the development of science, technology, and environment, as well as improving the skills and social awareness of students.

Mohd Alimin; Ni Putu Rita Jeniyanti; Leni Sri Wahyuni

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Management Of External Radiotherapy Irradiation In Vaginal Cancer Using Intensity Modulated Radiation Therapy (IMRT) Technique At The Cancer Center Radiotherapy Santosa Hospital Bandung Kopo. Vaginal carcinoma constitutes approximately 2% of all malignant neoplasms that occur in the female genital tract. Vaginal carcinoma can arise from various types of cells within the vaginal wall and is often associated with risk factors such as exposure to certain carcinogens (8). Cancer is one of the main causes of death throughout the world. Based on GLOBOCAN data, the International Agency for Research on Cancer (IARC) in 2018, deaths caused by cancer reached around 9.5 million people, with 60% of cancer deaths in Asia. (7) Radiotherapy is a cancer treatment approach that uses light. ionizer to damage tumor cells while maintaining the integrity of surrounding healthy tissue. The main focus is to eliminate as many cancer cells as possible while reducing the negative impact on normal tissue around the tumor area. (20) There are several treatments for patients suffering from vaginal cancer, namely surgery, radiation, brachytherapy, and  external radiation based on the size and stage of the tumor suffered by the patient. (3) Based on the book "Target Volume Dileniation And Filed Setup" (a practical guide for conformal and Intensity-Modulated Radioation Therapy), Arno.J, (2013: 201), all vaginal cancer patients who undergo radiation using the IMRT technique must simulated in a supine position and the patient's legs straight with a thermoplastic immobilization mask and adjusted immobilization of the upper and lower body (16).

Mohd Alimin; Ni Putu Rita Jeniyanti

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

The Effect Of Use Of Lung Mask Fixation On The Accuracy Of Targeted Irradiation In Lung Cancer Intensity Modulated Radiation Therapy (Imrt) Technique In The Department Of Radiation Oncology, Jakarta General Hospital. Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. While normal cells in the lungs usually develop and reproduce to form healthy lung tissue, these abnormal cells actually reproduce more quickly and are never able to become normal lung tissue. As a result, lumps of cancer cells are formed, which are often referred to as tumors. (4) Radiotherapy is a form of therapy that has been proven to be useful in treating cancer. The aim of radiotherapy is to provide safe, accurate and efficient radiation doses to treat various types of cancer and also non-malignant disorders (7). Carrying out radiotherapy for lung cancer involves the use of immobilization devices, one of which is a thermoplastic mask. This mask functions to reduce the patient's body movements, including movements caused by breathing (9). Verification is a critical stage in the radiotherapy process. The purpose of this verification is to ensure that there are no significant differences in the exposure carried out (14). Giving the right dose of radiotherapy radiation is very necessary to achieve successful therapeutic treatment. The accuracy of dosing and the accuracy of the patient's position influence the dose distribution that will be received by the patient. This verification is based on the International Atomic Energy Agency (IAEA) Human Health Series No. 31 of 2016 with a displacement value of 0.3cm (15). EPID (Electronic Portal Imaging Device) is an additional device connected to the LINAC (Linear Accelerator) radiotherapy device. EPID functions as a verification tool for radiation dose and geometry which is very important in the radiotherapy process (16). The accuracy of the patient's position during radiation treatment greatly influences the accuracy of the IMRT technique. Before irradiation, verification is carried out using an EPID (Electronic Portal Imaging Device) to ensure the correct target position on the tumor. This helps measure the x, y, and z axis coordinates along the radiation area before the radiation procedure begins.

Abednego Dwi Septiadi; Eka Trupustikasari; Arif Amrulloh

Jurnal Hasil Kegiatan Bersama Masyarakat 2023 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

The problem that must be overcome by all parties is garbage. Society must take an active role to solve this problem. In an effort to safeguard the environment, the Maju Jaya Waste Bank has a role in sorting and processing waste. Organic waste will become fertilizer. Plastic or non-organic waste will be the raw material for the Paving Blok Prima Lestari Bumi Group. Paving Block Prima Lestari Bumi Group will process plastic waste into paving blocks. However, there are several problems faced. The problem faced by Prima Lestari partner Bumi Paving Blok, such as the lack of supply of raw materials for plastic waste, lack of operational equipment, which causes the production of paving blocks cannot maximize. The level of sales still cannot meet the target per month. Current marketing aspects are carried out by word of mouth and take part in exhibitions carried out by the local government or using social media. For Maju Jaya Garbage Bank, the problem is a large amount of operational costs to sort waste based on the type of waste. This is inversely proportional to income from processed products that are less than optimal. Some of the solutions offered to partners are several parts of training for the sale of goods, procurement of operational goods such as production machinery for paving blocks and machines that can sort waste by type to reduce operating costs.

I Made Lana Prasetya; Retno Laksmi Faraningrum; Santo Aloya Dearta Saragih

Jurnal Riset Rumpun Ilmu Kedokteran 2023 Pusat riset dan Inovasi Nasional

Latar Belakang: Lymph node cancer in the case of Hodkin's Lymphoma is a type of cancer. Lymphoma is a solid tumor of the immune system. Hodgkin lymphoma (HL) accounts for about 10% of all lymphomas. The Intensity Modulated Radiation Therapy (IMRT) technique is one of the cancer treatment techniques in Hodgkin's Lymphoma cases. The aim of this research is to determine the procedure and reasons for using the IMRT technique in lymph node cancer in Hodkin's Lymphoma cases.Metode: This research is qualitative research with a case study approach using retrospective data. The research time is from 24 to 30 May 2023 and the research location is in the Department of Radiation Oncology, RSUP Dr. Hasan Sadikin Bandung. The research subjects consisted of Radiation Oncologists, Medical Physics, Radiotherapists. Researchers collected data from patient medical records, made interview transcripts and carried out data reduction and processed it using open coding, and provided it in the form of quotations and then drew conclusions.Hasil: The procedure for irradiating Hodgkin's Lymphoma using the IMRT technique at the RSHS Department of Radiation Oncology begins with positioning the patient on the examination table with a fixation device and arranging the patient according to the reference point of the CT Simulator and making a thermoplastic mask then carrying out verification and irradiation. The IMRT technique has the advantage of using MLC so that the radiation is modulated according to the contour of the target and the disadvantage of precise dose distribution in limiting the radiation dose to organs at risk.Kesimpulan: In the case of the Department of Radiation Oncology, Dr. Hasan Sadikin Hospital, Bandung, the IMRT technique was used with consideration, namely that the IMRT technique already uses MLC which creates individual blocks automatically according to the projections depicted on the TPS.  

vadesma, iwanda; Rajagukguk, Aranssa Dwiveronikca; Aprilia, Nadia; Setiawan, Irvan; Setyomurti, Mikha Anggitama +1 more

Adi Widya: Jurnal Pengabdian Masyarakat 2023 Lembaga Penelitian dan Pengabdian Masyarakat

Elderly people are those who have reached the age of 60 years or more who need activities to avoid experiencing dementia, the elderly have socio-psychological problems related to stress, loneliness and mental problems. So the PKM-PM team at Slamet Riyadi University, Surakarta, provided an activity to make the elderly productive through skills activities at the Widhi Asih Nursing Home, Surakarta. The methods applied in this activity include: (1) providing information related to the skills activities carried out (2) preparing the main materials and skills framework, (3) making craft skills from plastic spoons, used cardboard and flannel, (4) process final completion of skills and monitoring with the elderly. The result of the service is that seniors are able to participate in craft skills activities from start to finish with enthusiasm. Skills activities can fill the elderly's free time thereby suppressing dementia. Activities can be developed with creativity, new skills according to the abilities and desires of the elderly. This service has achieved the expected results and the sustainability of this program continues to be carried out through monitoring pattern.  

Rifai, Dian; Kristiana Seftianingsih, Dina; Syahnas Paradita, Dea; Tri Hastiuti , Henny

Adi Widya: Jurnal Pengabdian Masyarakat 2023 Lembaga Penelitian dan Pengabdian Masyarakat

This dedication is motivated by the abundance of used plastic waste packaging for jam bread in the RW IX area of Banyuanyar Village which has accumulated and is not utilized so that it becomes a problem for the local residents. The increase in plastic waste used for bread jam is due to the fact that bread jam is also used as an ingredient for toast that is sold. This ceremony aims to, in addition to reducing the accumulation of used solid waste packaging for jam bread, to increase the economic value of becoming cross-legged chairs that have artistic value and have a selling value. This service activity also intends to instill a creative spirit in the youth of RW IX, Banyuanyar Village in creating used plastic jam packaging by arranging used plastic cans in such a way as to form a cross-legged chair which is then decorated using knick-knacks that can cover the cans and become a chair that has artistic and economic value

Murdyansyah Herman; Maliki Aji Prakoso; Bambang Agus Windusancono; Muhammad Daennie

Jurnal MIMBAR ADMINISTRASI 2023 Universitas 17 Agustus 1945

The purpose of this study was to investigate the execution of measures aimed at lowering the utilization of plastic bags within the retail market of Jepara Regency. The research employs a qualitative methodology, utilizing descriptive analytic techniques. The data-gathering process involved conducting an interview with the Head of Hygiene and Waste Management at the Jepara Regency Environment Office, who served as a key informant. In order to gather comprehensive data, interviews were conducted with both sellers and buyers at retail stores in Welahan, Mayong, and Pecangaan sub-districts. The findings of the study indicate that the implementation of the policy is facilitated by socializing activities, particularly in the context of communication and transmission. The Jepara regency government has conducted socialization efforts throughout nearly all marketplaces, demonstrating a clear and consistent approach. The implementation of policies involves the participation of human resources, namely the Environment Office, as the responsible entity. The necessary financial resources for policy implementation are also obtained through the Regional Revenue and Expenditure Budget. Regarding disposition, policy implementers have a preexisting commitment to effectively executing their responsibilities and exhibit a democratic mindset. In relation to bureaucratic organization, the execution of government policies is already directed by the established Standard Operating Procedure. However, there are still challenges for the government in terms of public response and low understanding of the dangers of using plastic bags.

Sanita Sihotang; Anak Agung Aris Diartama; Retno Laksmi Faraningrum

Jurnal Riset Rumpun Ilmu Kedokteran 2023 Pusat riset dan Inovasi Nasional

Breast cancer is a type of cancer that often occurs in women, in the treatment of breast cancer is radiotherapy and fixation tools used, namely breast boards and thermoplastic masks which are aids for patients not to move during radiation therapy. The purpose of the study was to determine the procedure and reasons for using thermoplastic mask fixation devices in radiation therapy cases of breast cancer. This research is qualitative with a case study approach, the research time is from June 7 to July 15, 2023 and the research location at the Radiotherapy Installation of Dr. Hasan Sadikin Hospital Bandung. The subjects of the study were Radiation Oncology Doctors, Medical Physicists, Radiotherapists and Patients. By collecting data, making interview transcripts and reducing data and processed with open coding, given in the form of quotations and then drawing conclusions.The results showed that the procedure for using a thermoplastic mask fixation device was inserted into a waterbath with a temperature of 65.50C until the thermoplastic mask became flexible, the reason for using fixation was a shift in smaller objects at the time of irradiation, and better aesthetic value, because concentration marks and field boundaries did not need to be drawn directly on the patient's body but were drawn on the thermoplastic mask. Using a mask does not need to be marked on the patient's chest so that by using a thermoplastic mask the shift towards the target object is smaller during irradiation.

Nova Ria Sar; Romoldus W. Samiu; Randi Tangdialla

Publikasi Hasil Pengabdian dan Kegiatan Masyarakat 2023 Asosiasi Periset Bahasa Sastra Indonesia

This service aims to develop and monitor hydroponic plants in an effort to increase agricultural efficiency in Lembang Randan Batu. The hydroponic farming method was chosen as a solution to increase agricultural efficiency by utilizing water optimally and reducing land use. Apart from that, cleaning of rice field irrigation channels is carried out to reduce environmental pollution due to plastic waste. This research uses the method of selecting plants, creating a hydroponic system, planting and maintaining plants, collecting plastic waste, sorting and processing plastic waste. The research results show that hydroponic plants can grow well and provide satisfactory results, while cleaning rice field irrigation channels can reduce environmental pollution due to plastic waste. This service contributes to the development of sustainable agriculture and plastic waste management in Lembang Randan Batu.

Syah Awaluddin; Andi Masniati; Rahmat Rahmat; M Zarsadin; Salsabilah Azzahra Tuasikal +2 more

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2023 Fakultas Teknik Universitas Maritim AMNI Semarang

This community service activity aims to increase the awareness of the community around the IAIN Ambon campus regarding the importance of plastic waste management and maintaining environmental cleanliness. Through the Participatory Action Research (PAR) method, students of the Islamic Criminal Law Study Program at the Faculty of Sharia IAIN Ambon acted as facilitators in the socialization and implementation of plastic waste recycling activities. This activity included education on the negative impacts of plastic waste, waste sorting practices, recycled product creation, and waste cleanup actions. The results showed positive changes in community behavior towards the environment and improved students' skills in applying the amar ma'ruf nahi munkar principle. This activity not only had a tangible social impact but also strengthened the application of Islamic values in the context of environmental preservation.

Rahmah Rahmah; Kadek Yuda Astina; I Bagus Gede Dharmawan

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Background: Thyroid tumors are abnormal growths of the thyroid gland, which can be benign or malignant tumors such as papillary, follicular, medullary or anaplastic types (Aldino, 2018). CT scan of the neck according to (Lee at al, 2016) The contrast media used consists of 80 ml of non-ionic contrast media followed by 20 ml of saline given through the antecubital vein using a power injector and a 20 gauge intravenous catheter at a speed of 2.5- 3.0 ml/sec. According to (Yang et al., 2016) 80-100 ml of 300 mg/L omnipaque contrast media is injected through the cubital vein at a rate of 2.7-3.0 mL/s. And according to (Deng et al., 2019), 80 ml of iopromide (300 mgl/mL) contrast media is injected intravenously at a rate of 3 ml/sec. The aim of this research is to determine the procedure for a CT scan of the neck with contrast in cases of thyroid tumors in the radiology installation at the NTB Provincial Regional Hospital. Method: The type of research carried out is qualitative research with a case study approach. Data were collected by observation, interviews with one radiologist and three radiographers and documentation. Data collection was carried out from June to July 2023. Data analysis was carried out using an interactive model system. Results: This study shows that the contrast media used in CT scans of the neck uses 50 ml contrast media on the grounds that 50 ml contrast media can confirm the diagnosis because in the case of tumors in the thyroid you only want to see whether there is enhancement of the tumor. And the contrast media injection is carried out manually by a radiology nurse on the grounds that it is sufficient to confirm the diagnosis if it is carried out with proper control so that the examination is simpler and the processing time is faster. Conclusion: There is a difference in the CT scan of the neck between theory and the NTB provincial hospital where in theory Lee et al (2016) explains that 80 ml of contrast media is used and an injector is used at a speed of 2.5-3.0 ml/s while the provincial hospital NTB uses 50 ml contrast media and is injected manually by a radiology nurse on the grounds that this can confirm the diagnosis.