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All Journal Jurnal Kesehatan Tambusai Jurnal Talenta Sipil Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Ihsan, Rizki Muhammad
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Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Engineering Health Professions Industrial & Manufacturing Engineering Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Koordinasi Simpang APILL pada Simpang Sulfat dan Simpang Ciliwung Kecamatan Blimbing Kota Malang Ihsan, Rizki Muhammad; Supriyanto, Bambang
Jurnal Talenta Sipil Vol 8, No 1 (2025): Februari
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/talentasipil.v8i1.826

Abstract

Sulfat signalized intersection and Ciliwung signalized intersection is one of the road sections on Jalan Sunandar Priyo Sudarmo, Malang City. Sulfat signalized intersection and Ciliwung signalized intersection have a distance of 270 meters and are signalized intersections that have not been coordinated because they have different cycle times. The existing cycle time at Sulfat signalized intersection is 122 seconds and at Ciliwung signalized intersection is 83 seconds.  During peak hours, delays and vehicle queues occur at these two signalized intersections. The purpose of this study is to analyze the performance of the two signalized intersections in existing conditions, coordinate the two intersections so that there is an increase in performance and performance analysis in the coming year. The method used in this research is to use the form in the Indonesian Road Capacity Guidelines Year 2023. The results obtained show that Sulfat signalized intersection has a degree of saturation of 0.89 with level of service E and Ciliwung signalized intersection has a degree of saturation of 1.34. Alternative planning results show Sulfat signalized intersection produces a degree of saturation of 0.74 and a delay of 24.05 with level of service C and Ciliwung signalized intersection produces a degree of saturation of 0.8 and a delay of 23.83 with level of service C. A new cycle time was planned to coordinate the two intersections and the resulting cycle time was 68 seconds. The coordination of the signalized intersection resulted in a bandwidth of 23 seconds and 22 seconds. The performance of the coordinated signalized intersection in the next 5 years will decrease until it reaches level of service F.
Extracorporeal Shock Wave Lithotripsy (ESWL) for Kidney Stone Treatment in People with Hemophilia A Ihsan, Rizki Muhammad; Romadhon, Yusuf Alam; Widodo, Dhito Putranto Dwi
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5535

Abstract

Acquired hemophilia A is a rare bleeding disorder that presents as gross hematuria, with or without an initiating factor such as stone or cancer in urinary tract. People with hemophilia may require some surgical procedures in their live. Surgery in patients with congenital or acquired coagulation defects has always been challenging and requires special care with a multidisciplinary approach. Extracorporeal Shock Wave Lithotripsy (ESWL) is a standard procedure performed in patients with kidney stones.
Cost Analysis Application of Enhanced Recovery After Surgery (ERAS), is it Beneficial?: a Literature Review Ihsan, Rizki Muhammad; Romadhon, Yusuf Alam; Praswati, Aflit Nuryulia
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5536

Abstract

Background Enhanced Recovery After Surgery (ERAS) is a surgery protocol that focused on the patient. This protocol designed to reduce stress responses and promoting faster recovery to patient. ERAS protocols have been widely used and demonstrating better result in patient outcomes. There is limited information about its economic impact and cost analysis of ERAS. This review aims to analyze the existing literature on the application of ERAS protocol by comparing the cost of patient care with or without ERAS protocol. Methods This study conducted a literature search using electronic research databases over the past ten years. Data was taken from Scopus, analyzed 99 articles using various analysis techniques and supported by the VOS viewer application. The analysis includes observations of research developments, evaluating authors and research subject areas and than analyzed with descriptive statistics to describe the results. Results This study identified ninety nine potential studies published between 2014 and 2024, resulting ten studies for inclusion in the review. The studies identified from various types of surgeries. Nine from ten articles in this review show that application of ERAS protocol resulted in advantage in financial. The advantage of application ERAS protocol to reduce cost of hospitalization due to shorter Length of Stay (LOS), lower mortality and complication rate in patient. Conclusions Application of ERAS protocol provide benefits and efficiency across various types of surgical specialities. Hospitalization costs in ERAS group consistenly lower compared to non-ERAS group.
Orkidopeksi Sebagai Upaya Preservasi Fertilitas Pada Torsio Testis Kanan Presentasi Tertunda Dengan Kriptorkidismus Caesario, Alfinkar; Ihsan, Rizki Muhammad
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48081

Abstract

Pendahuluan: Torsio testis merupakan keadaan darurat urologi yang memerlukan intervensi segera untuk mempertahankan viabilitas testis. Presentasi yang terlambat sering kali membutuhkan orkiektomi. Namun, jika testis kontralateral tidak turun, pelestarian fertilitas menjadi pertimbangan utama, terutama pada pria usia reproduktif. Presentasi kasus: Seorang pria berusia 26 tahun datang dengan keluhan nyeri mendadak pada testis kanan dan pembengkakan skrotum yang berlangsung selama empat hari setelah mengangkat beban berat. Pemeriksaan fisik menunjukkan hemiskrotum kanan yang nyeri dan membesar, sementara testis kiri tidak teraba. Ultrasonografi skrotum menunjukkan infark iskemik parsial pada testis kanan dengan vaskularisasi minimal serta testis kiri yang tidak turun, terletak di kanalis inguinalis proksimal. Mengingat pasien baru menikah dan terdapat testis kontralateral yang tidak turun (UDT), dilakukan orkidopeksi kanan sebagai pengganti orkiektomi. Ultrasonografi pascaoperasi menunjukkan peningkatan vaskularisasi pada kutub inferior testis kanan dan indeks resistensi korda spermatika yang membaik. Diskusi klinis: Meskipun tingkat penyelamatan testis menurun drastis setelah 24 jam, beberapa kasus terpilih dapat memperoleh manfaat dari tindakan orkidopeksi di luar periode tersebut, terutama saat pelestarian fertilitas menjadi prioritas. Kehadiran UDT kontralateral secara signifikan mengubah prioritas penatalaksanaan. Kasus ini menekankan pendekatan yang berpusat pada pasien dan berorientasi pada pelestarian fertilitas pada torsio testis subakut dengan testis yang masih sebagian viabel. Simpulan: Sebagai kesimpulan, pada torsio testis subakut dengan UDT kontralateral, orkidopeksi dapat menjadi pilihan yang layak untuk mempertahankan potensi fertilitas, bahkan di luar periode emas detorsio yang konvensional.
Co-Authors Aflit Nuryulia Praswati Bambang Supriyanto Caesario, Alfinkar Widodo, Dhito Putranto Dwi Yusuf Alam Romadhon