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Factors Influencing Mortality of Thoracic Aortic Surgery in The Third World Country Diansari, Rienna; Aligheri, Dicky; Herlambang, Bagus; Wicaksono, Sony Hilal; Mendel, Brian; Yaniarti, Dian; Alkatiri, Amir Aziz; Andriantoro, Hananto; Adiarto, Suko
Jurnal Kardiologi Indonesia Vol 44 No 2 (2023): Indonesian Journal of Cardiology: April - June 2023
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1494

Abstract

Abstract Background: A prominent increase of overall global death rate of aortic disease is seen on developing country, with South-east Asia having the highest increase of 41%. Lack of identification and prompt management of the diseases in conjunction with lack of facilities in third world countries that could perform aortic surgery made the procedure more complex when the patients admitted to tertiary hospitals Methods: The data was obtained through medical record of patients underwent thoracic aortic surgery from 2018 to 2021 in National Cardiovascular Center Harapan Kita (NCCHK). One-year and 3-year survival analysis was obtained through phone calls and digital messages. Statistical analysis was done to investigate the impact of surgical complexity as the main predictor and other variables on primary (in-hospital mortality) and secondary (mid-term survival) outcome. Results: A total of 208 patients were included in the analysis; 157 (75,5%) underwent complex surgery, and 51 (24,5%) underwent non-complex surgery. In-hospital mortality was similar across 2 groups (23,6% vs 13,7%; p = 0,1240). On multivariable analysis, malperfusion syndrome (OR 3,560; p = 0,002), CPB duration > 180 minutes (OR 4,331; p = 0,001), and surgical priority (urgent OR 4,196; p = 0,003; emergency OR 10,879; p = 0,001) were identified as independent predictor of in-hospital mortality. Cox regression identified diabetes (HR 4,539; p = 0,025) and emergency procedure (HR 9,561; p = 0,015) as independent predictors for 1-year mortality, and diabetes (HR 3,609; p = 0,004), aortic dissection (HR 2,795; p = 0,029), and maximum aortic diameter (HR 1,034; p = 0,003) for 3-year mortality. Surgical complexity was not associated with early and mid-term mortality. Conclusions: In patients undergoing thoracic aortic surgery, surgical complexity was not associated with early and mid-term survival. Early and mid-term survival was largely determined by patient comorbidities and intra-surgery factors.
Perkembangan Peradaban Islam Pada Masa Bani Umayyah II Di Andalusia lubis, adjie umair harvis; HSB, maulana sutan; Herlambang, Bagus; Matullesy, Fikri Maulana; Alfahrizy, Abdilbar
Tabayyun : Journal Of Islamic Studies Vol. 1 No. 02 (2023)
Publisher : Tabayyun : Journal Of Islamic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study explains how Islam developed during the Umayyad II era in Andalusia. The aim of this research is to find out more about the origins of the Umayyad Dynasty, Islamic civilization during the Umayyad era, as well as the factors that caused the decline and eventual destruction of the Umayyad Bani. The end result was the Umayyad dynasty, named after Umayyad Ibn 'Abdi Shams Ibn 'Abdi Manaf. This dynasty was actually founded during the reign of Caliph Uthman bin Affan, but only after the caliph was killed and Hasan ibn Ali was elected by the people, Iraqi Muslims handed over their power to Muawiyah through discussion and agreement. the unity of the Islamic world under one ruler. The year 41 AH (661 AD) was called the year of congregation ('Am al Jama'ah) at that time. And a number of factors contributed to the decline and destruction of the Umayyad Dynasty, such as the struggle for power within the royal family, ongoing hostility with Shiite and Khawarij opposition groups, ethnic conflicts between tribes in North and South Arabia, the inability of the people's caliphs to carry out his government. leading the government, and the tendencies of the rich. Bani Abbas, who received full support from Bani Hashim, the Shia group, and the Mawali group, overthrew the government.
Permodelan Struktur dan Arsitektur Pekerjaan Gedung untuk Mendukung Pengaplikasian Building Information Modeling Herlambang, Bagus; Winanda, Lila Ayu Ratna; Sunarwadi, Hadi Surya Wibawanto
Jurnal Teknik Sipil MACCA Vol. 10 No. 1 (2025): Jurnal Teknik Sipil MACCA (FEBRUARI 2025)
Publisher : Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/ed1z6c91

Abstract

Pembangunan proyek konstruksi merupakan proses yang kompleks dengan berbagai tahapan yang harus direncanakan secara matang agar mencapai target biaya, waktu, dan kualitas yang diharapkan. Perencanaan proyek berperan penting dalam mengestimasi biaya serta menyusun Rencana Anggaran Biaya (RAB) guna memastikan pengeluaran tetap terkontrol. Kompleksitas pembangunan melibatkan banyak aspek, termasuk struktur dan arsitektur yang harus diterapkan secara presisi dan terstruktur. Kesalahan dalam perencanaan dapat menyebabkan keterlambatan, pembengkakan biaya, serta potensi kegagalan konstruksi. Oleh karena itu, pemanfaatan teknologi dalam perencanaan, seperti Building Information Modeling (BIM), menjadi solusi inovatif dalam meningkatkan efisiensi dan efektivitas proyek. Tujuan penelitian ini dilakukan untuk memodelkan sistem struktur dan arsitektur gedung dalam 3D dengan menggunakan Revit versi 2024 yang merupakan salah satu aplikasi untuk penerapan BIM. Tahapan analisis dilakukan dengan memodelkan pekerjaan struktur meliputi pondasi borepile, pilecap, sloof, kolom, balok, rabat beton, plat lantai, dan sturktur tangga, dan untuk permodelan pekerjaan arsitektur meliputi pasangan dinding, partisi, permodelan granit, permodelan plafond gypsum, permodelan jendela, dan pintu. Hasil permodelan menunjukkan seluruh pekerjaan struktur dan arsitektur yang ditinjau dapat digambarkan secara 3D secara detail pada masing-masing bagian pekerjaan. Hasil ini mendukung untuk analisis volume pekerjaan yang bisa digunakan untuk menyusun Rencana Anggaran Biaya (RAB).
Efektivitas Pemberian Deksametason dalam Memengaruhi Durasi Perawatan di Rumah Sakit Pada Operasi Bedah Pintas Arteri Koroner Off Pump Putra, Rally Galang Pratama; Hanafy, Dudy Arman; Wartono, Dicky Aligheri; Busro, Pribadi Wiranda; Herlambang, Bagus
Majalah Kedokteran Indonesia Vol 71 No 6 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.6-2021-746

Abstract

Introduction: The off pump coronary artery bypass surgery (OPCAB) technique is expected to be able to eliminate the side effects and complications caused by the use of a cardiopulmonary bypass (CPB) machine. However, this technique is not completely free from side effects or complications. One of the effects that can be caused is an increase in the systemic inflammatory response, so that the duration of hospitalization becomes longer. This is aim of this study to conduct a study of the administration of dexamethasone for reduced the length of hospital stay in patients undergoing OPCAB surgery. Methods: This was an analytic observational study with sixty patients who underwent OPCAB surgery and were randomized to either dexamethasone or placebo groups of 30 people each. Clinical results were analyzed. Results: The length of stay in the dexamethasone group compared to the placebo group was consecutive (5 (5-8) days vs 6.5 (5-30) days; p=0.04) so that there was a significant difference. Other clinical outcomes in the dexamethasone group were better than the placebo group, in terms of duration of mechanical ventilation (p=0.03) and intensive care unit stay (p=0.03). There were significant differences in inflammatory markers between the two groups: interleukin-6 (p=0.0001), procalcitonin (p=0.0001), and C-reactive protein (p=0.0001) were lower in the dexamethasone group. Conclusion: Preoperative dexamethasone in patients undergoing off-pump coronary artery bypass is effective in reducing the length of hospital stay and controlling postoperative inflammatory reactions.