46 research outputs found

    Ukuran Omfalokel: Apakah Berhubungan dengan Anomali Kongenital ?

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    ABSTRACT                                                                     Background: Omphalocele (also known as exomphalus) is a condition that is seen in newborn infants, and is thought to result from failure of the intestines to return to the abdomen after the migration into the umbilical cord. Omphalocele is often associated with the presence of other congenital anomalies. One study says that a small of defect omphalocele is often accompanied by intestinal disorders and have a better prognosis. Purpose(s): Based on this study the researcher wants to review the relationship between the size of  omphalocele defect and the presence of associated congenital anomaly in Hasan Sadikin Hospital. Methods: This is a retrospective cross-sectional study. All patient with omphalocele between February 2007 – March 2012 were included in this study. Data collected were patient demographics, size of omphalocele defect and congenital anomalies identified. In this study, patients were  designated as those with large (greater than 4 cm) or small (4 cm and less) defect omphaloceles. This study analyzed correlation between size of defect with associated anomaly using Fisher exact test  and  p < 0.05 is considered to be significant. Results: There were 52 omphalocele cases (24 girls, 28 boys), median birth weight 2710gr (range 1300gr–4000gr). Twenty seven patients were classified as small defect, with 25 classified as large defect. Anomaly found in the small defect groups consists of facial anomaly (7%); cardiac anomaly (7%); intestinal disorder (22%,P=0,02) include patent omphalomesentericus duct, anorectal malformation and cloaca extrophi; limb anomaly (7%). Meanwhile, anomalies identified in the large defect group consist of facial anomaly (8%); cardac defect (32%) include dextrocardi and tetralogi Fallot; limb anomaly (16%).In this study, cardiac defects was significantly higher in the large defect group, meanwhile intestinal diorder is statistically significant in small defect groups. Conclusion: Small defect omphalocele correlates with an increased prevalence of associated gastrointestinal anomalies and a lower prevalence of cardiac anomalies.Keyword: Omphalocele; Exomphalus; Associated congenital anomalies; Defect siz

    Numerical Investigation into Size Effect on Prestressed Concrete Beam Resistance to Shear Tension Cracking

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    In the past, many researches on the topic of size effect on concrete structures were mainly focused on the phenomenon of size effect in flexural cracking. The result of those studies can be found today in the concrete structure design specifications of well-known building codes, such as the Eurocode. Nevertheless, the inclusions of the results of those studies into the design specifications are still minimum and therefore, it is necessary to conduct more studies on size effect, especially on other types of cracking. In this thesis, an investigation focused on the size effect in shear tension cracking at prestressed concrete beams was conducted. The model used for investigating the size effect is a prediction that a shear tension crack will occur when the principal tensile stress at a certain location on the web of a beam is equal to the concrete mean uniaxial tensile strength (σ1 = fctm). The investigation was conducted by studying premature shear tension cracking on a group of several I-profile prestressed reinforced concrete beams, called the trusted specimens, which were experimented by Hanson (1964), Choulli (2005), and Elzanaty (1986) under four-point bending tests. These tested beams were numerically investigated using linear elastic finite element analysis (LEFEA) with an aim to find the nearly realistic principal tensile stresses that caused the shear tension crack to initiate below the designated tensile strength of the beams. To study the size effect, the obtained principal tensile stress distributions were analyzed using two new approaches proposed by the author, namely the σ1 area approach and the ratio-of-distances approach. The σ1 area method is a technique for detecting a structural size dependency of the uniaxial tensile strength by comparing rectangles which areas represents a group of σ1 values that have a higher likelihood in achieving the deviated values of fctm and initiate shear tension cracking on the web of the trusted specimens. In contrast, the ratio-of-distances approach investigates the size dependency of the uniaxial tensile strength by observing the locations of σ1max where a shear tension crack initiated in the web of each trusted specimen under an assumption that a shear tension crack is more likely to originate from near the beam neutral axis instead of near the web-flange junction due to the change of thickness at that interface. In conclusion, the result of the investigation was presented. The σ1 area approach confirmed the presence of size effect in shear tension cracking at the trusted specimens by giving a relation that showed a tendency for the smaller specimens to have a higher resistance towards principal tensile stresses compared to the larger specimens. The ratio-of-distances result, on the other hand, implied that the approach has failed to detect the presence of size effect. In that result, the shear cracks from the smaller specimens and the shear cracks from the larger specimens had similar starting points locations, at which the σ1max was located. In addition, several recommendations are provided for future studies on size effect in shear tension cracking. It was recommended to do research this topic on different physical problems and shear tension cracking with the presence of flexural cracks.Civil Engineering | Structural Engineerin

    Evaluating strut-and-tie models for concrete elements by nonlinear finite element analysis

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    The strut-and-tie method (STM) has been acknowledged as one of the most reliable tools for designing discontinuity regions in structural concrete. It is capable of producing safe designs consistently since it was developed as an extension of the lower-bound theorem of plasticity theory. However, to aptly address a physical problem of a concrete element, STM often relies heavily on engineering experience and intuition. It is because the current STM has an inability to be transparent in informing the nonlinear consequences of choosing a certain ST model design, which make the method to be troublesome in more complicated design tasks. In this thesis, a supplementary evaluation technique that employs nonlinear finite element analysis (NLFEA) is proposed as a solution. It is advantageous to incorporate NLFEA because it can provide nonlinear behavior of a structural concrete as objective insights for making a more informed decision in determining a suitable ST model. To incorporate NLFEA to STM, the concept of 'ties-as-extended-rebars' or TER model is introduced. A TER model is a numerical model used to assess the influence of a certain ST model design toward the nonlinear behavior of a concrete element. Through a TER model, an ST model is nonlinearly evaluated as a concrete element with embedded reinforcements. Additionally, to allow the TER model to generate a representative failure, the rebars in the TER model are extended with straight anchorage length. Then, the information generated by the model, i.e. failure mode and ultimate capacity, can be utilized as additional information to find a fitting ST model. To assess its ability, the proposed technique was implemented on six ST models generated for two complex concrete beam elements. The implementation provided the TER model versions of the ST models. At the same time, the experimental results of the ST models were also validated using NLFEA. The validation attempt generated six numerical validation (NV) results, which were then compared with the TER model results. The result of the comparison indicated that five out of six TER models were able to suggest failure mode and ultimate capacity (RTER) that are comparable with the failure mode and ultimate capacity (RNV) from the NV results. In more detail, RNV to RTER ratio of models with similar failure mode has an average of 1.04 and a coefficient of variation of 11.1%, which suggests that the proposed technique can provide representative ultimate capacity value with relatively low variability.Civil Engineering | Structural Engineerin

    Analisis Peranan Customer Service Terhadap Loyalitas Nasabah Menabung Di Bank Syariah Indonesia (Studi Kasus Bank Syariah KCP Binjai Jamin Ginting)

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    This is a new author's manual and a template for Jurnal Dirosah Islamiyah. Published every May and November since 2019. Articles must start with Article Title followed by Author Name and Affiliate Address and abstract. This part of the abstract must be typed in 150-250 word counts. Especially for the abstract, use the Cambria font, measuring 10 pt. Single space per line in this article. If the article is written in Indonesian, the abstract should be typed in English and Indonesian. Meanwhile, if the article is written in English, the abstract must be typed in English only. The abstract is typed as concisely as possible and consists of: research objectives, methods, results and discussion and brief conclusions. 250 words maximum. Abstract should only be typed in one paragraph and in one column format

    Hubungan dan Prevalensi Tingkat Depresi, Tingkat Kecemasan, dan Tingkat Stres dengan Irritable Bowel Syndrome Pada Siswa/I SMAN 1 Lenek Kabupaten Lombok Timur

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    ABSTRACT Irritable bowel syndrome (IBS) is a chronic and recurrent functional intestinal disorder, in the form of abdominal pain or discomfort and defecation pattern disorders that occur 1 time per week for at least 3 months, without any underlying structural abnormalities. Irritable bowel syndrome is a multifactoral disease that has several pathogenesis. Psychological factors such as stress, anxiety and depression can strongly affect the work of the colon. The colon has many neurons associated with the cerebrum. Part of the colon is controlled by the CNS, which responds to stress. This study aims to determine the prevalence of stress, anxiety, depression and the incidence of irritable bowel syndrome, as well as determine the relationship between stress, anxiety, depression and the incidence of irritable bowel syndrome in students of SMA N 1 Lenek East Lombok Regency. Analytical quantitative research with cross sectional research design. The sampling technique uses stratified random sampling. The research was conducted at SMA N 1 Lenek, East Lombok Regency. The study sample was 96 people. The data obtained were analyzed by the Chi-Square correlation test. The prevalence of irritable bowel syndrome in respondents was 40 people (41.7%), the prevalence of normal stress levels in respondents amounted to 36 people (37.5%), the prevalence of normal anxiety levels in respondents amounted to 17 people (17.7%), the prevalence of normal depression levels in respondents amounted to 45 people (46.9%). There is a significant relationship between stress and the incidence of irritable bowel syndrome. The p-value is 0.005 (p-value 0.05). There is a significant relationship between depression and the incidence of irritable bowel syndrome. The p-value is 0.014 (p-value 0,05). Terdapat hubungan yang signifikan antara depresi dengan kejadian irritable bowel syndrome. Nilai p-value 0,014 (p-value < 0,05). Terdapat hubungan antara stres dan depresi dengan kejadian irritable bowel syndrome, Namun tidak terdapat hubungan kecemasan dengan kejadian irritable bowel syndrome pada siswa/i SMA N 1 Lenek Kabupaten Lombok Timur. Kata Kunci: Irritable Bowel Syndrome, Stres, Kecemasan, Depres

    PELAKSANAAN PERHITUNGAN, PEMOTONGAN, PENYETORAN, DAN PELAPORAN PAJAK PENGHASILAN PASAL 4 AYAT 2/FINAL ATAS TRANSAKSI PENJUALAN SAHAM DI BEI PADA PT. BOSOWA SEKURITAS ATAS NAMASIERLY SUGIANTO MASA PAJAK JULI SAMPAI DENGAN SEPTEMBER 2015

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    This study discusses the 4 paragraph 2 / final income tax in the capital market sector, the implementation of the calculation, deduction, depositing and reporting of final PPh on the sale transaction of shares on the Indonesia Stock Exchange at PT.Bosowa Sekuritas on behalf of sierly sugianto. The author collects data by conducting interviews with the employees and customers concerned for stock sales transactions carried out every day during the exchange working hours and comparing them with regulations and laws that discuss the implementation. It turns out that the process of calculating, deducting, depositing and reporting the final PPh on the share sale transaction has been carried out by the Indonesia Stock Exchange, assisted by PT. Bosowa Securities, which runs well and in accordance with established regulations. Overall the process of implementing the calculation, deduction, depositing and reporting of final PPh on the sale of shares in the Indonesia Stock Exchange at PT.Bosowa Sekuritas is in accordance with applicable standards and laws in Indonesia, except that there is little negligence when storing data concerning stock sale transactions

    Prevalensi Kematian Neonatal dengan Berat Badan Lahir Rendah (BBLR) di RSUD Praya Lombok Tengah

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    ABSTRACT LBW is a baby born weighing  ≤ 2500 grams. Babies with LBW have a greater risk of experiencing morbidity and mortality. LBW is one of the main causes of neonatal death. Neonatal conditions are conditions that are most vulnerable to death because the baby's immune system is still low. Neonatal death is death that can occur in babies aged 0-28 days but is not caused by an accident, disaster, injury or suicide. To determine the prevalence of LBW with neonatal deaths at Praya Regional Hospital, Central Lombok in 2020. This research is an observational quantitative analytic study with a cross sectional research design. The sampling technique used is purposive sampling technique with a total sample of 219 respondents. The data studied were analyzed using the SPSS program. The results of the analysis show that the data obtained from 219 respondents showed that the number of males was 89 (40.6%) and 130 (59.4%) females. For the number of LBW classifications, there are 124 (56.6%) BBLR, 86 (39.3%) BBLSR and 9 (4.1%) BBLER. The number of neonates who died was 48 (21.9%) and 171 (78.1%) who did not die. The causes of LBW were asphyxia as many as 42 (19.18%), hypothermia 63 (28.77%), sepsis 79 (36.07%) and prematurity 35 (15.98). Conclusion: Data obtained from 219 respondents showed that the largest number of genders were women with 130 (59.4%) respondents, the highest number of respondents who gave birth to low birth weight babies were in the LBW category at 124 (56.6%), the number 48 respondents died (21.9%) and the most common cause of LBW was sepsis/infection, 79 (36.07%). Keywords: Neonatal Death, LBW  ABSTRAK BBLR adalah bayi yang lahir dengan berat ≤ 2500 gram. Bayi dengan BBLR mempunyai risiko lebih besar untuk mengalami morbiditas dan mortalitas. BBLR menjadi salah satu penyebab utama terjadinya kematian neonatal. Kondisi neonatal merupakan kondisi yang paling rentan terhadap kematian karena daya tahan tubuh bayi yang masih rendah. Kematian neonatal adalah kematian yang dapat terjadi pada bayi usia 0-28 hari namun bukan disebabkan oleh suatu kecelakaan, bencana, cedera ataupun bunuh diri. Untuk mengetahui prevalensi kematian neonatal dengan BBLR di RSUD Praya Lombok Tengah Tahun 2020. Penelitian ini merupakan penelitian jenis kuantitatif analitik observasional dengan rancangan penelitian cross sectional. Teknik pengambilan sampel yang digunakan adalah teknik purposive sampling dengan jumlah sampel sebanyak  219 responden. Data yang diteliti dianalisis menggunakan program SPSS. Hasil analisis menunjukan bahwa data yang diperoleh dari 219 responden didapatkan jumlah jenis kelamin laki-laki sebanyak 89 (40,6%) dan perempuan sebanyak 130 (59,4%). Untuk jumlah dari klasifikasi BBLR terdapat kategori BBLR 124 (56,6%), BBLSR 86 (39,3%) dan BBLER 9 (4,1%). Untuk jumlah neonatal yang meninggal sebanyak 48 (21,9%) dan tidak meninggal sebanyak 171 (78,1%). Untuk penyebab BBLR karena asfiksia sebanyak 42 (19,18%), hipotermi 63 (28,77%), sepsis 79 (36,07%) dan prematuritas 35 (15,98). Data yang diperoleh dari 219 responden didapatkan bahwa jumlah jenis kelamin yang terbanyak yaitu perempuan dengan jumlah 130 (59,4%) responden, jumlah responden yang melahirkan bayi berat lahir rendah paling banyak terdapat pada kategori BBLR sebanyak 124 (56,6%), jumlah responden yang meninggal sebanyak 48 (21,9%) dan penyebab BBLR paling banyak terjadi karena sepsis/infeksi sebanyak 79 (36,07%).  Kata Kunci: Kematian Neonatal, BBL

    Kualitas Pelayanan Penerbitan Kartu Tanda Penduduk Elektronik Pada Dinas Kependudukan Dan Catatan Sipil Kabupaten Rokan Hilir

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    This study aims to determine and explain the quality of electronic ID card issuance services at the Population and Civil Registry Office of Rokan Hilir Regency, while the indicators that the author uses in this study are 5 (five), namely; Reliability, Responsiveness (Responsiveness), Assurance (Guarantee), Tangible (tangible), and Empathy (Empathy) and the place of this research is located in Disdukcapil Rokan Hilir Regency and this research uses a descriptive survey method where the author conducts research directly to Disdukcapil Regency Rokan Hilir in order to get a phenomenon that comes from actual facts, if the researcher uses the type of research with interviews, observations and documentation of the theory used in this study, namely the theory of Zeithaml (1990:25). The results of the study concluded that in providing services to the community there was still a lack of good access to the Disdukcapil office in the downstream Rokan district such as network access, waiting rooms and lack of availability of blanks as well as lack of employee awareness such as because they still left their duties during working hours in providing services to the community. on the issuer of the electronic ID card of the Population and Civil Registry Office of Rokan Hilir Regency. Based on various meetings obtained by the author in the field and from the conclusions of this researcher, it is necessary to increase employee discipline so as not to leave his job during working hours. It is advisable to provide an explanation of the requirements set by the Disdukcapil of Rokan Hilir Regency. Employees need to be responsive and responsive to people doing this. in every business, especially in the issuance of Electronic Identity Cards
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