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Manajemen Anestesi pada Lansia dengan Peritonitis Sekunder: Sebuah Laporan Kasus: Indonesia Enggar B, Dimas Fikri; Habibi, Bahtiar Yusuf; Maulana, Dendy
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1062

Abstract

Peritonitis is inflammation of the peritoneum, which is the thin serous membrane that covers the abdominal cavity and the organs inside. The incidence of peritonitis is more common in men than women with a prevalence of 68.4% in men. The largest age group is 10-19 years old, followed by 56-70 years old. Peritonitis is an acute abdomen which is an emergency. Delay in surgical procedures can cause severe organ dysfunction and worsen the prognosis of peritonitis. The type of surgical procedure performed to treat peritonitis is laparotomy. Laparotomy is performed through an incision in the abdominal wall down to the abdominal cavity. In laparotomy surgery, the type of anesthesia used is general anesthesia. General anesthesia is a temporary state of unconsciousness followed by the loss of pain throughout the body due to the administration of anesthetic drugs. Elderly patients generally have several anatomical and physiological changes associated with the aging process. A high risk of death is found in patients over 60 years of age due to concurrent pathological processes and comorbid factors. Although age is not a contraindication to anesthesia and surgery, the rate of death and perioperative illness in elderly patients is relatively higher. This case report discusses a 66 year old man with secondary peritonitis who complained of continuous abdominal pain for 3 days. An exploratory laparotomy was performed under general anesthesia on the patient. Careful planning and proper implementation during pre-operative, perioperative, and post-operative periods are essential for patient safety.
ANALISA BESARAN FORCE TERHADAP KEKUATAN SHOCK ABSORBER KONVESIONAL DENGAN PENDEKATAN SIMULASI Maulana, Dendy; Adi Nugroho, Rizki; Safi'i, Muhamad; Idrokul Fahmi, Muhamad; Ramdhani, Ahmad; Maulana Rozaki, Syahrul; Ramadhan, Hamdan; Juli Saputra, Muhamad; Ashar, Ilham Ariawan
STORAGE: Jurnal Ilmiah Teknik dan Ilmu Komputer Vol. 3 No. 4 (2024): November
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/storage.v3i4.4318

Abstract

Penggunaan kendaraan bermotor khususnya sepeda motor setiap tahunnya mengalami peningkatan yang sangat pesat. Salah satu bagian terpenting dari sepeda motor adalah suspensi. Penelitian tentang sebuah alat mekanik yang didesain untuk meredam getaran dan merupakan bagian penting dalam suspensi kendaraan bermotor yang menjadi prhatian utama. penelitian tentang pengaruh besaran force yang bekerja pada shock absorber konvesional terhadap kekuatan shock absorber konvesional dengan metoda simulasi dengan menggunakan aplikasi komputer Solidworks simulation. Besaran force yang bekerja pada shock absorber konvesional sebesar 50 N, 75 N, dan 100 N. Hasil penelitian menunjukkan bahwa shock absorber konvesional memiliki nilai tegangan von Mises, displacemen, dan strain yang tinggi seiring ditingkatkannya force yang bekerja. Hasil ini diharapkan dapat digunakan untuk referensi perancangan shock absorber konvesional dan dapat diterapkan untuk mempertimbangkan faktor kemanan pada shock absorber konvesional di lapangan.