Hasil Pencarian  ::  Simpan CSV :: Kembali

"Dalam analisis ketahanan masalah dasar yang timbul ialah bagaimana menaksir ketahanan berdasarkan data sampel. Ketahanan antara lain dapat dinyatakan dengan tingkat ketahanan hidup, probabilitas densitas kematian, dan hazard (resiko kematian). Untuk itu dapat digunakan metode-metode tertentu misalnya metode life table yang dapat digunakan apabila ukuran sampel cukup besar. Metode ini dapat menangani data lengkap maupun data tersensor yang seringkali ditemukan dalam pengamatan klinis. Tugas akhir ini membahas penaksiran tingkat ketahanan hidup, probabilitas densitas kematian, dan hazard dengan menggunakan metode life table, yang difokuskan pada pengamatan klinis. Sebagai contoh, aplikasi metode ini pada pengamatan terhadap pasien penyakit hipertensi krisis di Rumah Sakit Jantung Harapan Kita, tahun 1986 - 1991, menghasilkan taksiran-taksiran ketahanan pasien untuk setiap interval waktu."

"Latar belakang: Kejadian pada manajemen jalan napas yang sulit sebesar 0,86%. Sebesar 0,07% kejadian membutuhkan tindakan bedah darurat, sebesar 0,04% merupakan kejadian ‘tidak bisa intubasi tidak bisa ventilasi’. Faktor yang mempengaruhi hal tersebut diantaranya skor LEMON, ketinggian meja operasi, posisi kepala pasien, pemilihan bilah laringoskop dan teknik serta pengalaman pelaku intubasi. Pada penelitian ini. ketinggian meja operasi yang digunakan adalah setinggi umbilikus dan xyphoid pelaku intubasi. Kebiasaan residen pemula di RSCM adalah mengambil posisi awal dan melakukan intubasi dengan posisi meja setinggi umbilikus dan hal ini kadang memberikan kesulitan visualisasi dan intubasi. Sedangkan ketinggian meja operasi yang dapat menghasilkan kualitas visualisasi laring yang baik adalah mendekati setinggi xyphoid pelaku intubasi.Metode: Penelitian ini merupakan penelitian pendahuluan (preliminary study) dengan uji klinis randomized clinical trial dengan Open Trial. Pengambilan data penelitian dilakukan di Instalasi Bedah Pusat, CCC, dan Kirana RSUPN Cipto Mangunkusumo pada bulan Oktober sampai Desember 2021. Intubasi dilakukan oleh residen Anestesiologi dan Terapi Intensif minimal tahap III. Populasi subjek adalah pasien yang akan menjalani pembedahan elektif dengan pembiusan total dan menggunakan ETT.Hasil: Visualisasi laring cenderung lebih baik pada kelompok ketinggian meja operasi xyphoid. Perbandingan waktu intubasi antara ketinggian meja operasi umbilikus dan xyphoid memiliki perbedaan yang signifikan. Pelaku intubasi pada studi ini menilai ketinggian meja operasi xyphoid memiliki kenyamanan yang lebih baik dalam melakukan tindakan intubasi.Kesimpulan: Ketinggian meja operasi xyphoid memberikan visualisasi laring, waktu intubasi dan kenyamanan yang lebih baik dibandingkan ketinggian meja operasi umbilikus.......Background: The incidence of difficult airway management was 0,86%. The 0,07% need surgical emergencies, 0,04% were ‘can’t intubate can’t ventilate’ incidence. Factors that influence this include LEMON score, the height of the operating table, patients head position, selection of the laryngoscope blade and technique and experience of the intubation operator. From this study, the height of the operating table used was at the level of umbilicus and xyphoid of the operator. The resident habit at RSCM was to take the initial position and intubate at the level of the umbilicus, this sometimes makes difficulty in visualization and intubation. Meanwhile, the height of the operating table that can help good visualization quality was close to the xyphoid position of the operator.Methods: This study was a preliminary study with open trial randomized clinical trial. research data collection was carried out at the Central Surgical Installation, CCC and Kirana RSUPN Cipto Mangunkusumo from October to December 2021. Intubation was carried out by an Anesthesiology and Intensive Therapy resident at least stage III. The subject population was patients who undergo elective surgery under general anesthesia and using ETT.Results: Laryngeal visualization tends to be better in the xyphoid operating table height group. Comparison of intubation time between the height level of umbilical and xyphoid operating table has a significant difference. Intubation operator in this study assessed that the height of the xyphoid operating table had better comfort in performing intubation procedures.Conclusion: The xyphoid level of operating table height has better laryngeal visualization, intubation time and comfort than the umbilicus level of operating table height."

"ABSTRACTInterconnection among systems requires the interaction between different technologies, such as radio frequency identifier, sensors, processing in the cloud and cyber physical systems. The use of these technologies entails transforming the way operations management is carried out within companies, with potential for application in several helds of activity. This article aims to identify the contribution of the adoption of Industry 4.0 technologies for companies operation management (OM). Based on a survey with 38 successful cases of Industry 4.0 implementation, the results achieved the main benefits of the use of these technologies for OM. These results indicate that Industry 4.0s contributions are more concentrated in areas such as Technology management and Just in time manufacturing. Further, the maturity level of the successful cases analyzed is still incipient, indicating a potential for increasing productivity after the application of these technologies."

"The role of contraceptive use dynamics in shaping the contraceptiveprevalence structure and ht determining its impact on fertility becomesincreasingly important for family planning program, policy mailers andprogram managers. Relatively few analyses of contraceptive use dynamicsexist for developing countries. The lack of _ such studies is that the datarequired are not often collected. This article is intended to _,fill in the gaps byanalyzing the five-year calendar data derived from the I994 IndonesiaDemographic and Health Survey (1994 DHS). The five year calendar data oncontraceptive use, pregnancy, termination and reason for discontinuation ofcontraceptive use analyzed using the life table methodologies providemeaningful insight on the quality of contraceptive use in Indonesia. It is foundthat the median duration of use is longest for the IUD and implant, whileshortest lor condom/intravag. About 27 percent of all Indonesia contraceptiveusers discontinue the use of their chosen method within a year. The reasonsfor discontinuation vary across subgroups of women. Method failure isassociated more with discontinuation of traditional method, while method-related reasons such as health concern or inconvenience of use are morelikely to be associated with discontinuation of modern method mainly lUDs,injectables and implants. There are more important factors that differentiatewomen on discontinuation qt' contraception e.g., area of residence, regioneducation, age, and contraceptive intent. These findings on discontinuationenabled the family planning program to provide more realistic and focusedservices to their clients. In conclusion, this analysis emphasizes theimportance of examining the quality of contraceptive use in Indonesia toachieve greater appreciation of the factors that affect contraceptivediscontinuation, switching behavior, and use:;i:i'lure. Special attention shouldhe addressed to health concerns as an important issue for the most popularmodern methods and to the minority of women who discontinue use within ayear and do not switch to another method."

"This book contains steam tables for practical industrial use calculated by using the international standard IAPWS-IF97 for the thermodynamic properties of water and steam and the IAPWS industrial standards for transport and other properties. The complete set of equations of IAPWS-IF97 is presented including all supplementary backward equations adopted by IAPWS for fast calculations of heat cycles, boilers, and steam turbines. The calculation of the properties is not only shown for the usual input parameter pairs pressure and temperature, but also for the parameters pressure and enthalpy, pressure and entropy, enthalpy and entropy. It is for the first time that such a description is given. For designing advanced energy conversion processes, tables and property calculation algorithms of steam up to 2000 °C are given.In addition, these steam tables contain the following features: - Formulas to calculate arbitrary partial derivatives of the eight most important properties from IAPWS-IF97, which are very helpful in non-stationary process modelling, are shown.- The uncertainty values of IAPWS-IF97 regarding the most important properties are included.- Pressure-temperature diagrams with isolines of 26 thermodynamic, transport and other properties are added."