36 research outputs found
Validatie van TRISULA voor Intruderende dichtheidsstromen
No full textEen computerprogramma dat ontwikkeld is om er stromingen mee te berekenen die optreden in zeëen en estuaria, dient ook rekening te houden met de stromingen die veroorzaakt kunnen worden door de verschillen in dichtheid. Dit is het geval bij het programmapakket TRISULA. Echter, de bewegingsvergelijkingen ondergaan een aantal vereenvoudigingen. Zo wordt een hydrostatische drukverdeling verondersteld. Intrusies zijn een bepaalde klasse van dichtheidsstromen die een belangrijke rol kunnen spelen bij mengingsprocessen in zeëen en estuaria. Daarbij komt dat intrusies relatief gemakkelijk in een laboratorium te simuleren zijn. De vorm van een intrusie is echter zodanig dat, met name bij het front, niet geheel voldaan wordt aan deze voorwaarde die gesteld moeten worden om toepassing van de vergelijkingen die door TRISULA gebruikt worden aannemelijk te maken. Deze klasse van dichtheidsstromen vormt dus een interessante test voor de mogelijkheden van TRISULA. Om nu de mogelijkheden van TRISULA na te gaan is een aantal testgevallen met intrusies geformuleerd. De verificatie van de met TRISULA verkregen resultaten wordt uitgevoerd deels via zelf uitgevoerde experimenten, deels aan de literatuur ontleende waarden. Over het algemeen lijken de met TRISULA verkregen waarden goed op de experimenteel verkregen waarden. Er doen zich echter ook afwijkingen voor. Deze afwijkingen lijken deels aan meetfouten toegeschreven te moeten worden. In andere gevallen blijkt TRISULA echter fysisch onrealistische uitkomsten te geven, zoals een concentratie van de verticale snelheid in slechts enkele roosterpunten, of een artificiële opmenging van opgeloste stof in de verticaal. In TRISULA wordt in de verticaal de transformatie toegepast. Dit houdt in dat alle componenten van de basisvergelijkingen getransformeerd worden . In het geval van tweede-orde afgeleiden stuit dit echter op problemen bij het oplossen van de vergelijkingen door het optreden van kruistermen. Daarom worden de kruistermen verwaarloosd. Dit kan een kunstmatige, verticale stroming tot gevolg hebben. Er zijn bij de numerieke experimenten echter geen afwijkingen geconstateerd die toe te schrijven zouden zijn aan het onvolledig uitvoeren van de ~transformatie.(Bij het simuleren van de intrusies zijn echter de viscositeit en de diffusiviteit verwaarloosd).Environmental Fluid DynamicsHydraulic EngineeringCivil Engineering and Geoscience
Rancang Bangun Aplikasi Pembayaran SPP Di SMK Trisula Perwari
Get PDFEffective SPP payment system will trigger performance from institution to be better than before. For that required a system capable of handling the process of payment of SPP. In SMK Trisula Perwari, SPP payment system is still manually and often the occurrence of errors and not yet using a computerized system. SPP payment process will be easier, faster, accurate and reduce errors that may occur.
So one way that will be applied in providing solutions for SMK Trisula Perwari Palembang is with the construction of SPP payment application at SMK Trisula Perwari. System development method used is Waterfall method because the system to be created by the author is the result of the development of the existing system.
With the implementation of this system at SMK Trisula Perwari can reduce errors of payment that may occur. This system can also speed up the process of payment and reporting which ultimately can help SMK Trisula perwari
Perencanaan Ulang Jembatan Trisula Blitar dengan Struktur Asymmetric Cable Stayed
No full textJembatan Trisula merupakan jembatan yang penghubung di atas Sungai Brantas, memiliki panjang bentang 200 m dan lebar lantai kendaraan 12 meter. Kondisi eksisting jembatan adalah jembatan rangka baja dengan pembagian 3 bentang yang didukung dengan menggunakan 2 (dua) pilar dan 2 (dua) abutment, karena hal demikian lebar sungai menjadi kurang lebar dikarenakan kebutuhan pilar, sehingga tidak cocok untuk tipe jembatan bentang panjang karena berpengaruh pada kekuatan pondasi yang dibutuhkan. Pada tugas akhir ini penulis menarik kasus yang tersedia, untuk memberikan referensi permodelan ulang Jembatan Trisula dengan struktur asymmetric cable stayed untuk mengurangi jumlah pilar untuk memperlebar aliran sungai, dan sebagai icon baru di Kota Blitar. Tugas akhir ini membahas “Desain Jembatan Asymmetric Cable Stayed Trisula Blitar” yang berada di daerah Kademangan Kota Blitar. Desain jembatan asymmetric cable stayed berkonsep pada struktur yang dapat memikul elemen horizontal kaku oleh deretan kabel lurus yang dibentangkan miring dan dihubungkan ke menara sebagai penahan utama, dengan metode balanced cantilever. Program bantu berupa software MIDAS CIVIL pada struktur atas dan SAP 2000 pada struktur bawah, dan mengacu pada berbagai peraturan sesuai standar SNI 1725 2016, SNI 2833 2016, RSNI 2833 2016, RSNI T 02 2005, AISC 360 - 10, ACI 318 - 08. Hasil dari desain ini didapatkan struktur lantai kendaraan dengan tebal 250 mm dengan penebalan aspal 50 mm, gelagar jembatan menggunakan baja WF 800.300.26.18 pada gelagar melintang, WF 600.300.12.20 pada gelagar memanjang, WF 200.200.8.12 pada gelagar kantilever, gelagar memanjang utama sebagai batang tekan adalah box girder dengan dimensi 1,5 m x 0,9 m, pylon dengan dimensi 5 m x 3 m, dimensi kabel dan angkur menggunakan VSL2000 unit 6, dan jenis pondasi yang digunakan berupa bored pile dengan diameter 1 m. Komponen – komponen penyusun struktur jembatan kemudian dikontrol terhadap stabilitas, dengan mengacu pada peraturan yang ada.
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The Trisula Bridge is a connecting bridge over the Brantas River, has a span length of 200 m and a vehicle floor width of 12 meters. The existing condition of the bridge is a steel frame bridge with a division of 3 spans which is supported using 2 (two) pillars and 2 (two) abutments, because of this the river width becomes less wide due to the need for pillars, so it is not suitable for a long span bridge type because it affects the required foundation strength. In this final assignment the author draws on the available cases, to provide a reference for the remodeling of the Trisula Bridge with an asymmetric cable stayed structure to reduce the number of pillars to widen the river flow, and as a new icon in Blitar City. This final assignment discusses "Design of the Trisula Blitar Asymmetric Cable Stayed Bridge" which is in the Kademangan area of Blitar City. The asymmetric cable stayed bridge design has the concept of a structure that can support rigid horizontal elements by a row of straight cables stretched at an angle and connected to the tower as the main support, using the balanced cantilever method. The auxiliary program is MIDAS CIVIL software on the upper structure and SAP 2000 on the lower structure, and refers to various regulations according to the standards SNI 1725 2016, SNI 2833 2016, RSNI 2833 2016, RSNI T 02 2005, AISC 360 - 10, ACI 318 - 08. The results of this design obtained a vehicle floor structure with a thickness of 250 mm with an asphalt thickness of 50 mm, the bridge girder uses steel WF 800.300.26.18 on the transverse girder, WF 600.300.12.20 on the longitudinal girder, WF 200.200.8.12 on the cantilever girder, the main longitudinal girder as The compression member is a box girder with dimensions of 1.5 m x 0.9 m, a pylon with dimensions of 5 m x 3 m, cable and anchor dimensions using VSL2000 unit 6, and the type of foundation used is a bored pile with a diameter of 1 m. The components that make up the bridge structure are then controlled for stability, referring to existing regulations
PREOPERATIVE KETOROLAC EFFECT ON POSTOPERATIVE PAIN ON TURP PATIENTS
Get PDFObjective: The aim of this study is to study the effect of preoperative Ketorolac on postoperative pain after transurethral prostatectomy at Sardjito Hospital Yogyakarta. Material & Methods: This is a cross sectional, analytic, prospective study. We divided benign prostatic hyperplasia patients, from October 2011 until February 2012 into two groups. Group I was given Ketorolac 30 mg intravenously twice daily starting one day before operation and in the morning before procedure. Group II did not receive Ketorolac preoperatively. Patients underwent transurethral operation with spinal anesthesia. We assessed postoperative pain at 24 hours using Visual Analogue Scale (VAS). Results: Twenty four patients were included in this study with mean age 66 years old with the youngest 45 years old and the oldest 80 years old (SD 8,77744). Group I (17 patients), VAS score 1 to 7 with median 3 and mean 3,4118 (SD 1,66053). Group II (7 patients) VAS score 1 to 8 with median 3 and mean 3,8571 (SD 2,8357). We count it using Mann-Whitney U (p = 0,951). Conclusion: There is no significance difference in post-operative pain after transurethral prostatectomy with preoperative ketorolac administration.Keywords: Ketorolac, bupivacaine, visual analogue scale, transurethral prostatectomy
THE QUALITY OF SPERM AND FEMALE AGE AS FACTORS INFLUENCING PREGNANCY IN INTRACYTOPLASMIC SPERM INJECTION (ICSI)
No full textObjective: To evaluate the quality of sperm and the female age influence on fertilization and pregnancy rate after Intracytoplasmic Sperm Injection (ICSI) procedure. Material & Methods: This study was an observational analytic study with a retrospective cohort design. The data of infertile and subfertile male undergoing ICSI for five years were analyzed and evaluated to determine factors influencing pregnancy post-ICSI in Central General Hospital Dr. Sardjito. The Data were analyzed by using Chi-squared test, Kolmogorov-Smirnov test, and Mann-Whitney U test with the confidence level of p<0.05 and α=0.05. Results: There was 52 male included in this study. A total of 52 males were infertile, with azoospermia, oligozoospermia, and oligoasthenoteratozoospermia. 2 patients (3.8%) were patients with oligozoospermia, 32 patients (61.5%) were patients with azoospermia and 18 patients (34.6%) were patients with oligoasthenoteratozoospermia. We evaluated 52 ICSI cycle, the percentage of fertilization and pregnancy are 84.6% and 36.5%, respectively. Bivariate analysis showed a significant relationship between wife under 37 years old variable and pregnancy post ICSI procedure with p=0.021 and OR 9.0 (95% CI 1.05-76.4). There was no significant difference between azoospermia, oligozoospermia, and oligoasthenoteratozoospermia and the occurrence of pregnancy post ICSI procedure, p=0.986. Conclusion: The percentage of fertilization and pregnancy post ICSI procedure were 84.6% and 36.5%. Azoospermia, oligozoospermia, and oligoasthenoteratozoospermia variables were not significantly associated with pregnancy post ICSI procedure. ICSI procedure must be carried out immediately before the age of the wife 37 years because of the high success rate
CORRELATION OF FOLLICLE STIMULATING HORMONE AND LUTEINISING HORMONE WITH TESTICULAR SPERM BIOPSY RESULT
Get PDFObjective: To investigate the correlation of follicle stimulating hormone (FSH) and luteinising hormone (LH) with testicular sperm biopsy result in azoospermia patients. Material & methods: This is a cross sectional descriptive analytic study. Data were collected from medical record in Klinik Permata Hati Sardjito General Hospital Yogyakarta. We divided them into two groups, sperm group and non-sperm group of sperm biopsy result. We recorded the level of FSH and LH pre-operation. The results were expressed as mean ± standard deviation (SD). The correlation coefficient (r) between various parameters was determined by analysis for Spearman’s rank correlation test. Results: We found 35 patients who met the inclusion and exclusion criteria during 2010-2012, who performed testicular biopsy, age range between 28-44 yo. The mean of FSH on sperm group (12.75 mIU/mL) was higher than non-sperm group (7.26 mIU/mL). The mean of LH on sperm group (5.8 mIU/mL)was also slightly higher than non-sperm group (5.70 mIU/mL). We found weak correlation between FSH level and testicular biopsy (r = 0.095), while on LH level was found negative correlation with testicular biopsy (r = -0.053). There were 42.85% patients with negative sperm result within normal range of FSH and 100% with normal range of LH. The Level of FSH with positive result ranged between 1.94-19.7 mIU/mL and LH level with positive result were 1.38-17.69 mIU/mL. Conclusion: FSH and LH were important plasma hormones correlated with spermatogenesis. FSH level between 1.94-19.7 mIU/mL and LH level between 1.38-17.69 mIU/mL could be used as reliable criteria for testicular sperm biopsy.Keywords: Follicle stimulating hormone, luteinising hormone, testicular sperm biopsy, azoospermia
STUDI DERAJAT HUMIFIKASI BAHAN ORGANIK TANAH PADA KAWASAN MANGROVE DI DESA TAMBAK OSO, KECAMATAN WARU, SIDOARJO
No full textEkosistem mangrove memiliki peran penting dalam menjaga keseimbangan lingkungan pesisir, termasuk sebagai penyedia bahan organik yang mendukung kesuburan tanah. Penelitian ini bertujuan untuk menganalisis derajat humifikasi bahan organik tanah pada kawasan mangrove di Desa Tambak Oso, Kecamatan Waru, Sidoarjo. Penelitian dilakukan dengan metode survei lapangan dan analisis laboratorium menggunakan metode Stevenson (1994) yang dimodifikasi. Parameter yang diamati meliputi pH tanah, redoks, kandungan karbon organik, nitrogen total, serta fraksi asam humat dan fulvat. Hasil penelitian menunjukkan bahwa tingkat humifikasi dipengaruhi oleh jenis mangrove dan kerapatan vegetasi. Lahan dengan vegetasi Excoecaria agallocha pada kerapatan sedang memiliki kandungan humin tertinggi (92,67%), sedangkan lahan dengan vegetasi Avicennia marina pada kerapatan tinggi menghasilkan humus yang lebih matang secara kimia, ditandai dengan rasio E4/E6 terendah (5,71). Faktor lingkungan seperti pH tanah, tekstur tanah, kandungan bahan organik, dan kondisi redoks berpengaruh signifikan terhadap proses humifikasi. Penelitian ini memberikan informasi penting terkait pengelolaan ekosistem mangrove untuk mendukung keberlanjutan fungsi ekologisnya
COMPARISON OF SERUM SODIUM, SERUM POTASSIUM, AND BLOOD HEMOGLOBIN CHANGES AFTER TRANSURETHRAL RESECTION OF THE PROSTATE BETWEEN IRRIGATION WITH NORMAL SALINE AND STERILE WATER
Get PDFObjective: This study aims to know whether there are significant differences of blood sodium, potassium and hemoglobin level among patients post TURP who was irrigated by using normal saline and the sterile water. Material & Method: This is a single blind randomized clinical trial study performed from September 1, 2008 until August 31, 2009. Thirty-one subjects participated in this study. The subjects were divided into two groups, 14 subjects for normal saline (group I) irrigation and 17 subjects for sterilized water irrigation (group II). Results: There are statistically differences (p < 0,05) between hemoglobin concentrations changes in group I, and hemoglobin and sodium concentration changes in group II. There were no statistically differences (p > 0,05) in sodium and potassium changes in group I and potassium in group II. There are no statistically differences in hemoglobin, sodium, and potassium changes among two groups. Conclusion: Normal saline irrigant for irrigation after TURP give more stable post operative electrolyte profile compared to sterilized water. Keywords: TUR prostate, irrigation, serum sodium, potassium level differences
EFFICACY OF INTRAVESICAL INSTILLATION OF NETILMICIN ON MANAGING UTI
No full textINTRODUCTION Urinary tract infections (UTIs) are common, affect men and women of all ages, and vary dramatically in their presentation and sequelae. They are a common cause of morbidity and can lead to significant mortality. New antimicrobial agents that achieve high urinary and tissue levels, that can be administered orally, and that are not nephrotoxic have significantly reduced the need for hospitalization for severe infection. Shorter-course therapy and prophylactic antimicrobial agents have reduced the morbidity and cost associated with recurrent cystitis in women. Intravesical instillation of aminoglycoside has been used empirically as prophylaxis and to treat bacilluria in spinal-cord-injured patients undergoing clean intermittent catheterization.METHODS In a prospective clinical trial performed in the urologic ward of Dr. Sardjito Hospital, yogyakarta, Indonesia, we studied 56 patients who has indwelling urethral catheter more than 4 days. Patients were divided into two groups. In group 1 (28 patients) one-time intravesical instillation of Netilmicin 25 mg was administred, and in group 2 (28 patients) none were given any treatment. Urinalysis was evaluated before and after instillation of Netilmicin. Statistical data and results were studied using descriptive statistics as median (minimum and maximum). To compare the response to treatment, Chi-Square test was used in two groups. Consequently, the data were analyzed using the SPSS 17 software.RESULTS Urinalysis were evaluated in two groups 4 days after intravesical instillation of 50 mg netilmicin. The patients we studied, the median age 59 years old (min. 29; max. 81). In the first group we found 22 (78,5 %) patients still without UTI, 6 (21,5 %) patients with UTI, in the second group we found 4 (14,3 %) still without UTI, 24 (85,7 %) patients with UTI. The difference was statistically significant (p=0.0001)CONCLUSIONS Intravesical instillation of netilmicin on patients with indwelliing urethral catheter were effective on preventing catheter-related UTI.Keywords : UTI, indwelling catheter, netilmicin, intravesical antibiotic instillation
FACTORS ASSOCIATED WITH TUMOR RECURRENCE IN STAGE 1 BLADDER TRANSITIONAL CELL CARCINOMA IN SARDJITO HOSPITAL YOGYAKARTA
No full textObjective: This study is assigned to evaluate factors associated with tumor recurrence in patients with superficial transitional cell carcinoma (TCC) of bladder in Sardjito General Hospital Yogyakarta. Material & methods:A prospective observational study design is conducted to evaluate patients with T1 TCC of bladder between 2011 and 2012. Inclusion criteria was patients with T1 TCC of bladder from pathological report. The independent variables are ages, hemoglobin, albumin, creatinine level, urine cytology, tumor grade, tumor diameter, number of tumor, and intravesical chemotherapy. The outcome measure is tumor recurrence during cystoscopy at 3, 6, 9, and 12 month after first resection. This study used chi-square and logistic regression analysis as statistical methods with p < 0.05 and a = 5% are considered significant. All analyses were performed with SPSS statistical software, version 20.0. Result: Sixty-two patients were participated in this study with mean age 60.62 ± 12.15 years. There were 32 patients (51.6%) who had tumour recurrence during first year that need to be resected. Of these patients, 9 patients (14.5%) had tumour recurrence more than one time during first year. In multivariate analysis, factors associated with tumour recurrence were tumour grade (p = 0.041, CI = 0.008-0.908), number of tumor (p = 0.003, CI = 0.003-0.293), and intravesical chemotherapy (p = 0.022, CI = 0.015-0.719). Conclusion: Degree of tumor differentiation, number of tumor and intravesical chemotherapy are factors affecting recurrence of stage 1 transitional cell carcinoma of the bladder
