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"ABSTRAK Fistula perianal merupakan salah satu penyakit yang cukup banyak di divisi bedah digestif RSCM Namun sampai saat ini belum tersedia karakteristik pasien sehingga penatalaksanaan sampai saat ini fistel perianal tidak banyak berubah dalam dua dekade terakhir Dilakukan penelitian deskriptif retrospektif menggunakan data rekam medis pasien fistula perianal yang dilakukan pembedahan periode Januari 2009 sampai Desember 2012 di RSCM JakartaTerdapat 26 orang laki laki 74 3 dan 9 orang perempuan 25 7 penderita fistula perianal dengan usia rerata 37 03 tahun rentang 10 61 tahun median 35 tahun Pasien dirawat di bangsal bedah pasca operasi rerata 9 17 hari rentang 2 26 hari Tindakan tersering dilakukan adalah fistulektomi 60 pasien dengan dengan letak tersering pada fistula di arah jam 6 29 3 pasien yang kembali dilakukan operasi karena rekurensi 8 6 dengan waktu kembali pasca operasi pertama rerata 3 bulan pasca operasi pertama Fistula perianal merupakan salah satu penyakit tersering di divisi bedah digestif Karakteristik pasien perianal fistula terbanyak adalah laki laki dengan tindakan yang tersering dilakukannya fistulektomi Penatalaksanaan pasien dengan fistel perianal bertujuan menghilangkan fistel dengan mempertahankan fungsi dari sfingter Perlunya data yang lengkap dan terperinci didalam status dan laporan operasi dapat membantu terbentuknya penelitian yang lengkap Kata kunci fistula perianal fistulektomi karakteristik pasien lama rawat usia penatalaksanaan.ABSTRACT Perianal fistula is one of the most frequently disease in RSCM digestive surgery Nevertheless until now there is no data about the patient so there is no different treatment of this disease for the last two decade Have been done the retrospective descriptive research in Ciptomangunkusumo Hospital by using medical record of patient with diagnosis perianal fistula from January 2009 till December 2012 There is 26 male 74 3 and 9 female 25 7 patient with perianal fistula and with the average age was 37 03 years old range from 10 61years median 35 years old Patient was admitted in the ward with length of stay average 9 17 days range 2 26 days Fistulektomy 60 is the most frequently treatment with the location of fistula at 6 o rsquo clock 29 There is 3 patient with recurrent fistula perianal 8 6 with average time the patient was came after 3 months after the first surgeryThe treatment it self is to remove the fistula and preserve the function of sphincter The key to help the good research is to collect and write the good medical recordKey word perianal fistula fistulektomy patient characteristic length of stay age treatment."

"This study explores the effect of increased concrete strength on the behavior of concrete failure. Experimental testing using a three-point bend (TPB) test proposed by RILEM was carried out to calculate the value of fracture energy (GF), stress intensity factor (KIC), and characteristic length (lch) of the concrete. The values of GF and lch, which are proportional to the fracture process zone based on the fictitious crack model, were employed to determine the effect of concrete strength on the concrete’s fracture characteristic. KIC was engaged to describe the initial crack in the concrete. Four different concrete strengths of 40, 47, 53, and 100 MPa—were manufactured to produce notched beam specimens with single-sized notches 25 mm deep. Results revealed that the values of GF and KIC increased in the stronger concretes. However, the value of lch decreased significantly as concrete strength increased."