Garuda - Garba Rujukan Digital

Complicated Benign Peptic Stricture of the Esophagus Mulia, Mulia; Tenggara, Jeffry Beta; Abdullah, Murdani; Simadibrata, Marcellus
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 11, NUMBER 2, August 2010
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Peptic esophageal stricture secondary to gastroesophageal reflux is an important cause of esophageal stenosis and dysphagia. Symptoms of peptic strictures are usually insidious but progressive beginning with dysphagia to solids followed by dysphagia to liquids. It was estimated to occur in up to 20% of untreated patients, which has decreased significantly since the era of proton pump inhibitor therapy. The presence of esophageal reflux stricture is typically diagnosed by means of a barium esophagogram, although endoscopy may have both diagnostic and therapeutic value. Treatment usually involves dilation combined with acid- suppressive therapy. We reported a 43-year-old patient with complicated benign peptic stricture of the esophagus that finally underwent esophageal resection, a rarely therapeutic option. Keywords: gastroesophageal reflux disease, benign peptic esophageal stricture, dysphagia, esophageal dilatation, surgical treatment

KAJIAN PEMANFAATAN SERAT BATANG PINANG RAJA (ROYSTONEA REGIA) SEBAGAI BAHAN SPESIMEN PEREDAM SUARA Mulia, Mulia; Gunawan, Safri; Supriadi, Supriadi; Lubis, Ria Dini Wanty; Susilo, Hendra
MEKANIK: Jurnal Ilmiah Teknik Mesin Vol 6 No 2 (2020): November 2020
Publisher : Jurusan Teknik Mesin, Fakultas Teknologi Industri, Institut Teknologi Medan (ITM)

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

Penelitian inimembahas pemanfaatan serat batang pinang raja (Roystonea Regia) sebagai spesimen peredam suara. Tujuan penelitian ini untuk mengetahui koofisien absorbsi suara menggunakan inpedence tube dan laju temperatur menggunakan DTA. Komposisi Material yang digunakan sebgai spesimen peredam suara yaitu 50% serat batang pinang raja dengan mesh 32, poli isosianat 22,23 %, gypsum 16,67 % dan poliol 11.11 %. Hasil yang diperoleh menunjukkan nilai absorbsi suara sebesar 0,6016 pada frekuensi 1500Hz. Hasil pengujian DTA dengan heating speed 10o C/menit diperoleh bahwa material peredam suara mulai terbakar pada temperatur 475oCdengan waktu 45,5 menit. Setelah dilakukan pengujian dengan variasi komposisi dan meshing diperoleh nilai koefisien absorbsi suara terbesar pada komposisi yang telah diuji, sehingga layak untuk dijadikan sebagai material peredam suara. Kata kunci: batang pinag raja, DTA, koefisien absorbsi suara, impedence tube

AN ENGLISH LEARNING: RURAL STUDENTS BELIEFS Mulia, Mulia; Amiruddin, Amiruddin; Manan, Abdul; Khairisman, Khairisman
Jurnal Pendidikan Bahasa Inggris undiksha Vol 9, No 1 (2021): May
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jpbi.v9i1.31669

This study departs from the researcher's experience as a volunteer teacher in a school where students face obstacles in learning English due to a lack of motivation and supporting facilities that impact their English performance. Therefore, the purpose of this study is to analyze beliefs in learning English. This study uses a quantitative method with a survey design using Horwitz's Beliefs About Language Learning Inventory questionnaire as a research instrument. The population in this study found 136 students. The instrument used to collect data is a questionnaire. The technique used to analyze the research data is qualitative and quantitative analysis. The findings show that students support various beliefs about learning English. The most common beliefs held by students are motivation and expectations. Students have reasonable confidence in motivation and hope (72.35%) because they have a better education, and a future career can be achieved through good English skills. It can be said that students have good motivation to learn English because they think it will be helpful for their dream job in the future.

Complicated Benign Peptic Stricture of the Esophagus Mulia Mulia; Jeffry Beta Tenggara; Murdani Abdullah; Marcellus Simadibrata
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 11, NUMBER 2, August 2010
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/1122010100-105

Peptic esophageal stricture secondary to gastroesophageal reflux is an important cause of esophageal stenosis and dysphagia. Symptoms of peptic strictures are usually insidious but progressive beginning with dysphagia to solids followed by dysphagia to liquids. It was estimated to occur in up to 20% of untreated patients, which has decreased significantly since the era of proton pump inhibitor therapy. The presence of esophageal reflux stricture is typically diagnosed by means of a barium esophagogram, although endoscopy may have both diagnostic and therapeutic value. Treatment usually involves dilation combined with acid- suppressive therapy. We reported a 43-year-old patient with complicated benign peptic stricture of the esophagus that finally underwent esophageal resection, a rarely therapeutic option. Keywords: gastroesophageal reflux disease, benign peptic esophageal stricture, dysphagia, esophageal dilatation, surgical treatment

Faktor-faktor Risiko Terjadinya Proktitis Radiasi Kronik pada Pasien Kanker Leher Rahim yang Mendapatkan Terapi Radiasi Mulia, Mulia; Makmun, Dadang; Abdullah, Murdani; Supriana, Nana
Jurnal Penyakit Dalam Indonesia Vol. 2, No. 3
Publisher : UI Scholars Hub

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

Pendahuluan. Proktitis radiasi merupakan komplikasi yang sering dijumpai akibat terapi radiasi pada pasien keganasan pelvis. Berbeda dengan proktitis radiasi akut yang umumnya self-limiting, proktitis radiasi kronik (PRK) dapat berdampak pada menurunnya kualitas hidup dan meningkatnya biaya kesehatan, morbiditas, dan bahkan mortalitas pasien. Penelitian ini bertujuan mengevaluasi insidens dan faktor-faktor risiko terjadinya PRK pada pasien kanker leher rahim (KLR) yang mendapatkan terapi radiasi. Metode. Dilakukan analisis retrospektif pada pasien-pasien KLR yang mendapatkan terapi radiasi di Departemen Radioterapi Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Cipto Mangunkusumo, Jakarta selama kurun waktu 1 Januari 2010 sampai dengan 31 Desember 2010. Data mengenai pasien, faktor yang berhubungan dengan terapi radiasi, dan PRK akibat komplikasi lanjut dari terapi radiasi dikumpulkan dari catatan medik pasien. Hasil. Selama periode tersebut, terdapat 234 pasien yang memenuhi kriteria penelitian. Dengan median follow-up selama 30 bulan, didapatkan 12 pasien [5,1% (IK 95% 2,28-7,92%)] mengalami PRK (6 proktitis, 6 proktosigmoiditis). PRK terjadi pada 7-29 bulan setelah terapi radiasi selesai (median 14,5 bulan) dan 87% dari seluruh PRK terjadi dalam 24 bulan pertama setelah terapi radiasi. Dengan analisis multivariat Cox regresi, didapatkan hubungan bermakna antara dosis total radiasi yang diterima rektum >65 Gy (HR 7,96; IK 95% 2,30-27,50; p=0,001) dan usia ≥60 tahun (HR 5,42; IK 95% 1,65-17,86; p=0,005) dengan terjadinya PRK. Tidak didapatkan hubungan bermakna antara teknik radiasi 2 dimensional external radiation therapy (2D-XRT) (HR 1,36; IK 95% 0,41-4,51; p=0,616), riwayat histerektomi (HR 1,14; IK 95% 0,34-3,79; p=0,83), dan indeks massa tubuh (IMT) Simpulan. Insidens kumulatif PRK selama 3 tahun pada pasien KLR yang mendapatkan terapi radiasi adalah 5,1% (IK 95% 2,28-7,92%). Dosis total radiasi yang diterima rektum >65 Gy dan usia ≥60 tahun merupakan faktor risiko potensial terjadinya PRK pada pasien KLR yang mendapatkan terapi radiasi. Teknik radiasi 2D-XRT, riwayat histerektomi, dan IMT

Title

Found 5 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 5 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 5 Documents
Search