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Prevalence and Demographic of Spontaneous Intracerebral Hemorrhage Cases In Haji Adam Malik Hospital From 2018-2019 Irsyad, Muhammad Ari; Hutagalung, Tommy Rizky; Farhan, luthfi; Tala, Muhammad Ihsan Zulkarnain
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.5003

Abstract

Introduction: Spontaneous intracerebral hemorrhage (ICH) represents as cerebral parenchymal bleeding that may also extend into ventricular (IVH). ICH, as a stroke subtype, is associated with poor neurological outcome as well as high mortality in 40% cases. Hypertension is the main and the most common risk factor in the development of ICH, particularly in the basal ganglia, thalamus, pons and deep cerebellar white matter. Hypertensive ICH in these localizations are particularly common in patients with chronic hypertension and they are not in compliance with blood pressure management. Other risk factor such as smoking and diabetes meilitus. Case Report: This retrospective study reviewed patient who were diagnosed with spontaneous intracerebral hemorrhage from January 2018 until December 2019 at the Haji Adam Malik General Hospital Medan,Indonesia. The patient’s demographic data and number of cases are collected. There were 163 cases of pure spontaneous ICH and 159 cases of Spontaneous ICH with IVH were among the total cases of ICH from 2018 to 2019. Discussion: Based on data at the Haji Adam Malik General Hospital Medan from 2018 to 2019,there are differences in the number of men and women proportion in the incident of pure ICH , for men who are 110 people around 67% while in women it is 53 people or about 32%. The incidence also higher in diabetes meilitus and smoking patient. Conclusion: We reported 163 cases of pure ICH and 159 cases of ICH with IVH. Based on demographic examination, male are dominant about 67% of total cases. Based on the biggest risk factors in patients with spontaneous ICH are hypertension, in the case of spontaneous ICH with IVH the biggest risk factor was smoking.
Optimizing Transportation Costs for Distribution of Food Products Using the Modified Distribution (Modi) Method in Medan City (Case Study: Pt. Indomarco Adi Prima) Farhan, Luthfi; Rakhmawati, Fibri
Journal of Computer Networks, Architecture and High Performance Computing Vol. 6 No. 4 (2024): Articles Research October 2024
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/cnahpc.v6i4.4836

Abstract

Every company in the world always hopes for the maximum possible profit so that the company's life cycle runs well. For this reason, the company must be able to manage the costs used in such a way so that there is a gap between the company's expenses and income. PT. Indomarco Adi Prima is one of the companies operating in the food products sector which still finds it difficult to determine the right method for optimizing transportation costs. Therefore, this research aims to obtain optimal transportation costs at PT. Indomarco Adi Prima in the city of Palu using the Modified Distribution (MODI) method. The results of this research show that before implementing the Modified Distribution (MODI) method the transportation costs incurred by PT. Indomarco Adi Prima, which is IDR. 61,510,000 and the resulting transportation costs after using the Modified Distribution (MODI) method are IDR. 55,565,000. This shows that PT. Indomarco Adi Prima can optimize transportation costs for the distribution of food products in December 2023 with distribution cost savings of IDR. 5,945,000 or around 10.7%.