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Efek Imunologi pada Penggunaan Opioid Akut dan Kronis Rahardjo, Sri; Widyastuti, Yunita; Rumpoko, Triaji Mudo
Jurnal Komplikasi Anestesi Vol 7 No 3 (2020): Volume 7 Number 3 (2020)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v7i3.7479

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Opioids have become the flagship agents of modern perioperative care and pain management. The word opium comes from the Greek opion (“juice poppy”) or opium poppy (Papaver somniferum) is the source of 20 different alkaloids. Recent studies have shown that the role of opioid receptors on immune function is complicated, but they work through a variety of different mechanisms. Administration of various opioids shows different effects on the immune system: immunosuppressive, immunostimulatory, or both. Previously it was believed that most opioids suppress the immune system, but recent research suggests they may have a dual effect. However, the mechanism by which opioids and opioid receptors work in the immune system is still not clearly understood.
Seksio Sesarea pada Wanita G3P2A0 Hamil 34 minggu dengan Preeklamsia Berat dan Perdarahan Intraserebral Spontan Apsari, Ratih Kumala Fajar; Rahardjo, Sri; Gunawan, Fanny
Jurnal Komplikasi Anestesi Vol 8 No 1 (2021): Volume 8 Number 1 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v8i1.7492

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A 32-year-old woman, G3P2A0, at 34 weeks of gestation came to Sardjito hospital emergency department with complaints of not being able to speak and right limb weakness since 8 hours before entering the hospital. Patient have hypertension since before pregnancy. CT-scan result obtain bleeding in the parietal lobes sinistra and basal nuclei with a bleeding volume 60 cc accompanied by midline shifting. Patient was diagnosed with superimposed severe preeklamsia, coma cum dekstra lateralization, and spontaneous intracerebral hemmorhage. Section cesarean and craniectomy hematoma evacuation then was performed. Postoperatively, patient was treated in the ICU and then transferred to the stroke unit.
Weaning Ventilator pada Pasien Tetraparese Neglecteed Cervical Spondiloptosis dengan Dislokasi Faset Bilateral Cervical 5-6 dan Spinal Cord Injury Inkomplet Level Cervical 6 Sudadi; Rahardjo, Sri; Suharso, Pamungkas Hary
Jurnal Komplikasi Anestesi Vol 9 No 2 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v9i2.8340

Abstract

The patient is a 16 year old male who suffered a cervical injury due to a slipping fall. Pain was felt in the neck, followed by weakness in the limbs, but did not immediately go to the hospital. The patient was referred to Sardjito Hospital about 1 month after the incident, with examination at the previous hospital the patient had a cervical injury with tetraparesis.The patient underwent corpectomy, decompression, and stabilization surgery on the second day. Postoperatively the patient was admitted to the ICU. On the second day of treatment, extubation was carried out, but was later re-intubated because the patient had respiratory distress. The next therapy was physiotherapy, nebulizer and mucolytic, ventilator weaning with pressure support mode and progressive ventilator free breathing (PVFB), Percutaneous Dilatation Tracheostomy (PDT), nutritional therapy, analgesics and antibiotics. On the way, the patient experienced pulmonary atelectasis, sepsis, and several failures in the ventilator weaning trial, so PDT was performed. The patient then experienced an improvement in his condition which was characterized by an increase in lung capacity, extremity muscle strength, and improvement in the condition of sepsis. Until finally the patient was able to be released from the use of the ventilator on the 15th day of treatment by using a T-piece through atracheostomy tube.
Vendor Seleection in E-Commerce Using the Analytical Hierarchy Process Method Yosiyanto, Robi; Handayani, Sri; Rahardjo, Sri; Ricardianto, Prasadja; Indrawan, Rully; Fachrial, Peppy
Jurnal Manajemen Transportasi & Logistik (JMTRANSLOG) Vol. 11 No. 3 (2024): NOVEMBER
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/j.mtl.v11i3.1322

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The development of the e-commerce business is an opportunity for logistics service providers as third parties who deliver goods sold by the seller to the location intended by the buyer. This study aims to analyze the behavior of fashion e-commerce customers in choosing the best vendor. Data were collected by in-depth interviews with five selected informants for vendor criteria and sub-criteria, then a survey was conducted on 100 respondents. The data were analyzed using the Analytical Hierarchy Process method to determine criteria and sub-criteria in selecting the preferred vendor. The first criterion was reliability of delivery, with the sub-criteria of timeliness, accuracy of delivery destination, and security of the condition of the goods. The second criterion was price. The next criterion was products with regular delivery, express, and same-day sub-criteria. The last criterion was shipping features with its sub-criteria shipping tracking, wide delivery area, and customer service. For the case of Indonesia in this study, the best vendor in delivering products from e-commerce to customers is obtained by Si Cepat in the first place, followed by J&T and JNE in second and third places.
Penanganan Impor Suku Cadang pada Perusahaan Perdagangan Alat Berat di Indonesia Kadarisman, Muh; Bestari, Viqy Esha; Setiawan, Edhie Budi; Rahardjo, Sri; Handayani, Sri
Jurnal Manajemen Transportasi & Logistik (JMTRANSLOG) Vol. 12 No. 1 (2025): Maret
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/j.mtl.v12i1.1566

Abstract

The main problem of this research is that there was an import customs settlement process that still requires the results of a surveyor company certified by the government to be attached to the Bonded Logistics Center warehouse outside the port, increasing the waiting time.This research analyzes the import handling process, government policies, and customs compliance in handling heavy equipment spare parts.This research used a qualitative analysis approach with purposive sampling with 10 informants from various companies.The research findings are that there was still a lack of government role in increasing the effectiveness of handling the import process of heavy equipment spare parts at the heavy equipment trading company, due to weaknesses in determining import restrictions.Steel heavy equipment spare parts were invalid because heavy equipment spare parts were made in factories in the home country of the heavy equipment maker. It is difficult to transfer technology to domestic production because the price of fabrication machines requires quite a high investment and high technical specifications. The company also experienced losses in terms of transportation costs
Keunggulan Bersaing dan Loyalitas Pelanggan pada Distribusi Impor Beras Khusus di Indonesia Ayu, Rifana; Rahardjo, Sri; Tantri, Francis; Adi, Erman Noor; Kania, Dinar Dewi
Jurnal Manajemen Transportasi & Logistik (JMTRANSLOG) Vol. 10 No. 2 (2023): Juli
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/j.mtl.v10i2.1163

Abstract

Importing the specific rice could only be done by BUMN (Badan Usaha Milik Negara) which in this article represented by PT DFG. The company is still lack of supervision of the customer relationship management implementation due to the absence of the special department and also lack of supervision of distribution. The study used Path Analysis with 35 distributor companies as sample. The purpose of the research is to analyze, directly and indirectly, the variables of customer relationship management and supply chain management on customers’ loyalty of imported specific rice intervened by competitive advantage variables. The results of the study show that the competitive advantage cannot act as an intervening variable and has an indirect effect on customer relationship management of the rice commodity customers’ loyalty. On the other hand, the competitive advantage can act as an intervening variable and has an indirect effect on supply chain management of the specific rice customers’ loyalty. Thus, the changes of the supply chain management implementation in PT DFG can affect customers’ loyalty indirectly through competitive advantage.
Tatalaksana Anestesi pada Pasien Anak dengan Cystic Craniopharyngioma yang Menjalani Gamma Knife Radiosurgery Widiastuti, Monika -; Halimi, Radian Ahmad; Fuadi, Iwan; Rahardjo, Sri; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 10, No 2 (2021)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3082.611 KB) | DOI: 10.24244/jni.v10i2.353

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Kraniofaringioma merupakan tumor otak jinak dengan karakteristik kistik dan kalsifikasi, yang letaknya dikeliingi oleh stuktur vital sehingga sulit untuk dilakukan reseksi total. Terapi kombinasi dengan Gamma knife radiosurgery (GKRS) merupakan pilihan terapi paling tepat. Prosedur GKRS yang kompleks meliputi banyak tahap dengan durasi 6-10 jam, memerlukan pemberian anestesi pada pasien yang tidak kooperatif. Kasus ini mengenai pasien anak perempuan berusia 4 tahun dengan cystic craniopharyngioma. Pasien dengan keluhan pandangan mata buram, dari pemeriksaan fisik didapatkan papil atrofi bilateral. Hasil magnetic resonance imaging (MRI) menunjukkan massa tumor yang menekan kelenjar hipofise inferior. Pasien menjalani prosedur GKRS selama 6 jam dengan anestesi sedasi sedang menggunakan Propofol 75 mcg/kg/menit. Hemodinamika selama prosedur stabil, tidak terjadi komplikasi. Pemilihan teknik anestesi dapat berupa anestesi umum atau sedasi, tergantung pada kondisi pasien, dokter anestesi, operator, dan fasilitas. Pertimbangan anestesi pada GKRS antara lain prosedur dilakukan di luar kamar operasi, durasi panjang, transportasi ke beberapa tempat seperti radiologi dan cathlab, imobilisasi kepala untuk mencegah pergeseran frame stereotaktik, pasien sendiri di dalam ruang radiasi, prinsip neuroanestesi pediatrik.Anesthetic Management of Pediatric Patient with Cystic Craniopharyngioma Underwent Gamma Knife RadiosurgeryAbstractCraniopharyngioma is a benign tumor characterized by cystic and calcification, surrounded by vital structures therefor it is difficult to perform total tumor resection. Combination with Gamma knife radiosurgery (GKRS) is the best treatment option. The complexities of GKRS consisting of several phases lasts for 6-10 hours. Anesthesia is needed for uncooperative patients. This is a case of a 4-year-old girl with cystic craniopharyngioma. The patient had chief complaint of blurry vision, physical examinations revealed bilateral papil atrophy. Result of MRI showed tumor mass compressing inferior hypophyse. Patient underwent the procedure under moderate sedation with Propofol at 75 mcg/kg/min for 6 hours. Intraoperative hemodynamic condition was stable without adverse events. Choice of anesthesia either general anesthesia or sedation, depends on the condition of patient, considerations from anesthesiologist dan neurosurgeon, dan availability of facilities. Unique considerations for GKRS are; a non-operating room anesthesia, long duration, transportation to other units such as radiology and cathlab, head of the patients need to be immobilized to prevent frame displacement, the patient will be alone in the treatment room, and principles of pediatric anesthesia and neuroanesthesia.
KAJIAN PENGEMBANGAN PELABUHAN DALAM MENDUKUNG IBU KOTA BARU BERDASARKAN KONSEP SMART CITY, SMART MOBILITY Malisan, Johny; Sujarwanto, Sujarwanto; Arief, Budi; Fadhil, Dimas Nu’man; Rahardjo, Sri
Jurnal Sistem Transportasi & Logistik Vol. 1 No. 1 (2021): Agustus
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/jstl.v1i1.628

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The government has officially announced that the new capital city will be located in the province of East Kalimantan and will have a different infrastructure from the rest of Indonesia. This new region will apply digital technology that triggers the maritime industry to switch from traditional to digital processes as a consequence of development with the concept of smart city and smart mobility. This study aims to select and determine existing ports that meet the requirements to be developed to support development in the national capital region based on the concept of a smart city, smart mobility, as well as innovations that can be made to accelerate its development. In the conditions of the COVID-19 pandemic, the research was conducted online, using descriptive and qualitative methods. The results showed that the Semayang port and the Kaltim Kariangau Terminal (KKT) port were the selected ports, as well as other potential ports such as the Kampung Baru Tengah port and the Penajam Passer port. The two ports need to be developed towards a smart port that prioritizes efficiency and utilization of digital-based information system technology.
Analisis Pengaruh Kompetensi dan Kesejahteraan Karyawan Operasional Terhadap Utilisasi Fasilitas Bongkar Muat dan Dampaknya terhadap Produktivitas Terminal Peti Kemas Koja, Pelabuhan Tanjung Priok Parhusip, Veronica; Bimarso, Wahyono; Sulam, Munyati; Rahardjo, Sri; Afra, Syeda Maria Ahmad
Jurnal Sistem Transportasi & Logistik Vol. 2 No. 1 (2022): Agustus
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/jstl.v2i1.1033

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The purpose of this research is to analyze the effect of competency and prosperity of employees on facility utilization and the impact on terminal productivity. Container terminal is the means of trade for in and out of goods at the port. provision of terminal facilities such as docks, stacking yards, pools for docking and also goods handling equipment for loading and unloading. KSO container terminal Koja is a subsidiary of PT. Pelabuhan Indonesia II and cooperation with PT Hutchison Port Indonesia. Koja terminal serves loading and unloading of goods both nationally and internationally and has a strategically important role in the growth of industry and trade as well as a business sector that contributes to national development. The research was conducted on operational employees by using quantitative methods technical path analysis. The result concluded that there is a direct influence on the utilization of facilities, the effect is significant. There is a direct influence of competence on terminal productivity, the effect is significant. There is a direct influence of facility utilization on terminal productivity, the effect is significant. There is a direct effect of welfare on terminal productivity, the effect is significant. There is an effect of total competence on the productivity of the terminal through the utilization of facilities and there is the effect of total welfare on the productivity of the terminal through the utilization of facilities.
Efektivitas dan Efisiensi e-Procurement Pengadaan Barang Konstruksi Chamsudi, Danie Hayam Mada; Setyarto, Aries; Rahardjo, Sri; Sectio, Devin Igel; Bijaksana, Gena; Faturachman, Muhammad Rafli
Jurnal Sistem Transportasi & Logistik Vol. 1 No. 2 (2021): Desember
Publisher : Institut Transportasi dan Logistik Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54324/jstl.v1i2.1054

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Purpose of this study is to analyze the effectiveness and efficiency of PT Metal Bakrie Industries after implementing E-Procurement to its whole procurement activities. To achieve the right and targeted research objectives, the authors formulate a problem regarding whether there are differences in effectiveness and efficiency before and after using E-Procurement at PT Metal Bakrie Industries with effectiveness and efficiency as the independent variable and E-Procurement as the dependent variable. The total population of PT Bakrie Metal Industries staff itself is 38, but only 30 people are taken as samples in this study. The software used by researchers in processing this data is SPSS version 25. This study uses a quantitative approach with data analysis techniques including instrument testing (validity and reliability) and paired t test. Based on the results of this study, after implementing E-Procurement, effectiveness and efficiency were considered better than before implementing E-Procurement. In addition, based on the paired t test, it is said that there is a difference between effectiveness and efficiency before and after using E-Procurement.
Co-Authors A Himendra Wargahadibrata Adi Hidayat Adi, Erman Noor Adriman, Silmi Adriman, Silmi Afra, Syeda Maria Ahmad Agnesha, Fahmi Ambarini, Ronia Anindita, Triatma Arief, Budi Arshad, Muhammad Aulyan Syah, Bau Indah Aulyan Syah, Bau Indah Ayu, Rifana Bambang Suryono, Bambang Bestari, Viqy Esha Bhirowo Yudo Pratomo Bijaksana, Gena Bimarso, Wahyono Budianti, Nugrahaeni Calcarina Fitriani Retno Wisudarti Chamsudi, Danie Hayam Mada Christanto, Sandhi Christanto, Sandhi Dewi Yulianti Bisri Dian Artanti Arubusman, Dian Artanti Diana Lalenoh Dinar Dewi Kania Edhie Budi Setiawan, Edhie Budi Fachrial, Peppy Fadhil, Dimas Nu’man Faturachman, Muhammad Rafli Firdaus, Riyadh Firdaus, Riyadh Fithrah, Bona Akhmad Fithrah, Bona Akhmad Fitri Sepviyanti Sumardi Francis Tantri, Francis Fuadi, I Fuadi, I Gunawan, Fanny Hamzah, Hanzah Handayani, Sri Hartono, Pinter Herlambang, Panji Hisam, Muhammad Yusuf Ida Bagus Krisna Jaya Sutawan Ikhwandi, Arif Indrawan, Rully Isngadi Iwan Abdul Rachman Jasa, Zafrullah Kany Jasa, Zafrullah Kany Kadarisman, Muh Laksono, Buyung Hartiyo Lalenh, Diana C. Larasati, Kinanthi Lisda Amalia Liza, Helda Luky Adrianto Mahmud Mahmud Malisan, Johny Mangastuti, Rebecca Sidhapramudita Manurung, Laurensius Muhammad Thamrin Mulyono Narohito, Yosapat Parningotan Nasution, Syahrial Nur, Muhammad Ikhwan Nuryawan, Iwan Oetoro, Bambang J. Oetoro, Bambang J. P, Inggita Dyah Parhusip, Veronica Permatasari, Endah Permatasari, Endah Prasadja Ricardianto, Prasadja Prasetya, Sandie Prayunanto A.N, Eko Purbanuara Parlindungan Sitorus Purwa Saputra, Datep Purwanto, Erfien Puspita, Amelia Tri Putra, Bina Putri, Dini Handayani Putu Pramana Suarjaya Radian Ahmad Halimi Ratih Kumala Fajar Apsari Restu S, Meta Rini, Isworo Ruddy Suwandi Rudita, Muhammad Rumpoko, Triaji Mudo Saleh, Siti Chasnak Saleh, Siti Chasnak Santoso, Arief Hariyadi Sectio, Devin Igel Septika, Rafidya Indah Setiandari, Kristina Setyarto, Aries Siti Helmyati Siti Maemunah Soeboer, Deni Achmad Solihah Sari Rahayu Subekti, Bambang Eko Subekti, Bambang Eko Sudadi Sudadi Sudadi Suhalis, Adenan Suharso, Pamungkas Hary Sujarwanto Sujarwanto, Sujarwanto Sulam, Munyati Sunartejo, Bayu Suyasa, Agus Baratha Suyasa, Agus Baratha Syafruddin Gaus Tatang Bisri Taufik Perdana Budiman, Bambang Tjahya Aryasa Widiastuti, Monika - Winarso, Achmad Wahib Wahju Winarso, Achmad Wahib Wahju Wrgahadibrata, A Himendra Yana Tatiana, Yana Yosiyanto, Robi Yunita Widyastuti Yusmein Uyun Zaki, Wildan Arsyad