Buckling Electrothermal NEMS Actuators: Analytic Design for Very Slender Beams

Analytic approximations are presented for the response of buckling-mode electrothermal actuators with very slender beams with a width-to-length ratio of W/L≤0.001 of the type found in nanoelectromechanical systems (NEMS). The results are found as closed-form solutions to the Euler beam bending theory rather than by an iterative numerical solution or a time-consuming finite element analysis. Expressions for transverse deflections and stiffness are presented for actuators with the common raised cosine and chevron pre-buckled shapes. The approximations are valid when the effects of bending dominate over those of axial compression. A few higher-order approximations are also presented for less slender beams with 0.001≤W/L≤0.01.

Comparison of The Effects of General and Spinal on Apgar Scores of Babies Born Through Caesarean Section in RSUP Haji Adam Malik Medan from 2018 to 2019

Background. General anesthesia and spinal anesthesia in cesarean section both have advantages and disadvantages. The scoring system of APGAR is a standardized tool that can inform the condition of newborn infants, which might be influenced by gestational age, medication, resuscitation, cardiorespiratory and neurological conditions of the mother. This study aimed to compare the effect of general and spinal anesthesia usage to the APGAR score of newborn infants at Haji Adam Malik General Hospital Medan. Methode. This study uses an observational-analytic design with a cross-sectional approach, conducted using secondary data through the medical records of mothers who gave birth through cesarean section and obtained at the Medical Record Installation at the Haji Adam Malik Hospital Medan from 2018 to 2019. Result. In spinal anesthesia, there are 52 samples for a score of 8-10. Whereas in general anesthesia, there are 52 samples to score 8-10. The APGAR score of 1 minute in infants born through cesarean section under spinal anesthesia had an average of 8.63, with general anesthesia of 8.00 (p=0.001). The 5-minute APGAR score in infants born through cesarean section under spinal anesthesia had an average of 9.85, and with general anesthesia of 8.67 (p=1.000). Conclusion: The 1-minute APGAR score for infants using spinal anesthesia showed a statistically better effect than the 1-minute APGAR score for infants using general anesthesia.

Relationship Of Competence (Knowledge, Attitude And Behavior) With Readiness To Apply Evidence-Based Practice In Nurse Profession Students

Indonesia is currently in the 21st century where the learning process is developing, education is expected to be able to produce human resources capable of implementing programs and solving problems together in a wise, peaceful, and intelligent way. ). This research is a type of quantitative research with a correlational analytic design and uses a cross-sectional design where in this design the researcher wants to reveal the relationship between readiness to apply Evidence-Based Practice with knowledge, attitudes, and behavior in Nursing Professional Students, Muhammadiyah University of East Kalimantan. The population in this study is all students who will complete the academic program of S1 Nursing Science at the University of Muhammadiyah East Kalimantan and who will continue the profession of Ners at the University of Muhammadiyah East Kalimantan, and the number of samples in this researcher as many as 115, using the Non Probability Sampling method with sampling techniques used total sampling. This research will be carried out by the UMKT campus and Wahana learning of Ners professional practice. The conclusion of this study is the characteristics of respondents based on semester i.e. students are undergoing semester I education (one), the majority of respondents aged 17-25 years as many as 92 respondents, gender is mostly female as many as 76 respondents.

THE RELATIONSHIP BETWEEN THE LONG IN HEMODIALIZATION WITH STATUS OF EXCESS VOLUME OF LIQUID IN CHRONIC KIDNEY FAILURE PATIENTS

Chronic kidney disease is a chronic disease that progresses damage to the kidneys which disrupts the body’s fluid and electrolyte balance which affects all body systems. PGK is currently it is one of the many diseases that have become a concern in the world including in Indonesia. One phenomenon that often occurs is an increase in fluid volume between two times of dialysis. The purpose of this study was to find out the long relationship between hemodialysis and excess fluid volume status in patients with chronic renal failure in the Hemodialysis room at Ibnu Sina Gresik Hospital. This was an analytical study with a correlative analytic design. Data were collected by using the contingency coefficient. The result of this study shows that older respondents underwent <1 year of hemodialysis with excess fluid status >2,5 BB post HD as much 81,2%, which is more dominant than patients who undergo > 1-year hemodialysis with excess fluid status >2,5 BB post HD as much 58% of the total resulting in p-value 0,103 where p>0,05 so it can be concluded that there is no long relationship to undergo hemodialysis with excess fluid volume status in patients with chronic kidney disease. It is expected that patients undergoing hemodialysis can be more obedient to the recommended diet so that it does not cause other complications and can improve the quality of life patients

ENVIRONMENTAL IMPACT ASSESSMENT, PERSONAL HYGIENE, AND OCCUPATIONAL HISTORY ON THE INCIDENCE OF DERMATITIS

The environment is a very influential factor in the incidence of dermatitis. Dermatitis is a skin disease that is acute, sub-acute/ or chronic caused by inflammation of the skin that occurs due to exogenous and endogenous factors. The problem in this study is the high prevalence of dermatitis in the community, reaching 623 cases. The purpose of this study is to analyze the analysis of the impact of environmental studies, personal hygiene, and work history on the incidence of dermatitis in the community in the Darul prosperous sub-district, Nagan Raya district. This research method is an analytic design with a Cross-sectional design. This research was carried out in December 2020 which became the population of people with Dermatitis with a sample of 86 respondents. This study was analyzed using univariate and bivariate, then tested by Chi-Square test. The results of the study after being tested stated that there was an influence of environment, personal hygiene, and work history on the incidence of dermatitis as evidenced by the P.value 0.05. The conclusion after analyzing the effect of the model on the impact of work history, personal hygiene, and the environment there is an influence on the incidence of dermatitis. Among all these variables the most powerful influence is the environmental variable. Suggestions to the Puskesmas to further improve policies in dealing with the incidence of dermatitis by approaching and empowering the community so that a dermatitis-free society is achieved.

Outcome management of Fournier’s gangrene cases at tertiary hospital: 7 Years experience

Objective: This study aims to describe the condition of Fournier’s gangrene in Dr. Soetomo General Hospital from January 2014 to December 2020. Material and methods: This study used a retrospective analytic design, by taking data through medical records at Dr. Soetomo General Hospital from January 2014 to December 2020. This study used total sampling with recorded data: age, gender, length of stay, outcome, location, comorbidities, causes, management, culture results, and Fournier’s gangrene severity index (FGSI) score. Result: Of the 135 subjects collected, it was found that 55.56% were individuals over 50 years of age. About 91.11% were male patients, with some sites being in the scrotum 50.37%. Only 25.19% of patients had no comorbids, while the rest had a history of CKD, hypertension, diabetes, or a combination of these diseases. Bacterial cultures obtained were mostly caused by the Enterobacteriaceae bacteria group (32.59%). Of the subjects we studied who experienced mortality, it was found that all were from the group with FGSI >9. Conclusion: From the results of our descriptive study, at a glance, it appears that there is a tendency for the incidence of Fournier’s gangrene in the elderly and individuals with comorbidities. And the mortality rate increases with a high FGSI value. So that FGSI could be used as a predictor of mortality in patients with FG.

Angka Kejadian Pasien Tumor Tulang yang Telah Melakukan Pemeriksaan Foto X-Rays di Instalasi Radiologi RSUD Dr. H. Abdul Moeloek Periode Tahun 2013 – 2018

ABSTRACT: NUMBER OF EVENTS OF BONE TUMOR PATIENTS THAT HAVE BEEN CONDUCTING X-RAYS PHOTO EXAMINATION IN RADIOLOGICAL INSTALLATIONS IN RSUD Dr. H. ABDUL MOELOEK PERIOD 2013 - 2018 Background: Bone tumor is a relatively rare disease, in which cells will continue to grow in bone tissue. According to WHO, the incidence of bone tumors is around 4-5 people per 1,000,000 population. The estimated incidence of tumors increases to 8-11 per 1,000,000 population per year at 15-19 years of age. Primary bone tumors are more common in men than in women with a ratio of 3: 2. This could be because the bone growth period in men is longer than in womenThe research objective: to know the incidence rate in bone tumor patients who have undergone X-Rays examination at the Radiology Installation of the Regional General Hospital Dr. H. Abdul Moeloek Period 2013 - 2018.Methods: This type of research is quantitative, descriptive analytic design with cross sectional approach. The population in this study were patients who were clinically diagnosed with Bone Tumors who came to Dr. H. Abdul Moeloek Bandar Lampung January 2013 - December 2018. The sample size of the population taken is at least 30 samples according to the inclusion criteria. Retrieval of data using the observation sheet.Results: Distribution of the frequency of respondents in Dr. Hi. Abdul Moeloek, Lampung Province in 2013-2018 based on the location of the tumor, mostly on the long bones, as many as 26 patients (81.3%). adult age (> 18 years), namely 23 patients (71.9%), female, namely 18 patients (56.3%), treated in 2018 as many as 9 patients (28.1%), long history of diagnosis> 3 months, namely 17 patients (53.1%), the location of the metaphysical bone was 19 patients (59.4%), the tumors were malignant as many as 30 patients (93.8%), there was no congenital history, namely 32 patients (100.0%). Keywords: X-Rays, Bone Tumor INTISARI: ANGKA KEJADIAN PASIEN TUMOR TULANG YANG TELAH MELAKUKAN PEMERIKSAAN FOTO X-RAYS DI INSTALASI RADIOLOGI DI RSUD Dr. H. ABDUL MOELOEK PERIODE TAHUN 2013 – 2018 Latar Belakang : Tumor tulang merupakan penyakit yang relatif langka, dimana sel-sel akan terus tumbuh pada jaringan tulang. Menurut WHO insiden terjadinya tumor tulang sekitar 4-5 orang per 1.000.000 penduduk. Perkiraan insiden tumor meningkat menjadi 8-11 per 1.000.000 penduduk per tahun pada usia 15-19 tahun. Tumor tulang primer lebih sering terjadi pada pria dari pada wanita dengan perbandingan 3:2. Hal ini bisa disebabkan karena masa pertumbuhan tulang pada pria lebih lama dari pada wanitaTujuan penelitian: Diketahui Angka Kejadian pada pasien Tumor Tulang yang Telah Melakukan Pemeriksaan Foto X-Rays di Instalasi Radiologi Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Periode Tahun 2013 - 2018.Metode Penelitian : Jenis penelitian kuantitatif, rancangan deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien yang terdiagnosis secara klinis Tumor Tulang yang datang ke RSUD Dr. H. Abdul Moeloek Bandar Lampung Januari 2013 - Desember 2018. Besar sample terhadap populasi yang diambil minimal 30 sample sesuai dengan kriteria inklusi. Pengambilan data menggunakan lembar observasi.Hasil penelitian : Distribusi frekuensi responden di RSUD Dr. Hi. Abdul Moeloek Provinsi Lampung Tahun 2013-2018 berdasarkan lokasi tumor, sebagian besar pada tulang panjang yaitu sebanyak 26 pasien (81,3%). berusia dewasa (> 18 tahun) yaitu 23 pasien (71.9%), berjenis kelamin perempuan yaitu sebanyak 18 pasien (56.3%), dirawat pada tahun 2018 yaitu sebanyak 9 pasien (28.1%), riwayat lama diagnosa > 3 bulan yaitu sebanyak 17 pasien (53,1%), lokasi tulang metafisis yaitu sebanyak 19 pasien (59,4%), tumor bersifat malignan yaitu sebanyak 30 pasien (93,8%), tidak ada riwayat kongenital yaitu sebanyak 32 pasien (100,0%). Kata Kunci : Foto X-rays, Tumor Tulang

Analysis of Needs For Using Android-Based KPSP Applications In Monitoring The Growth of Together

Background: The development process occurs simultaneously with growth, so that every growth is accompanied by a change in function. Development is the result of the interaction of the maturity of the central nervous system with the organs it affects. The development of the early phase in the form of cognitive, motor, emotional, social, and language functional abilities, is a determinant of the development of the next phase. If there is a deficiency in one aspect of development, it can affect other aspects, so there is a need for early detection of toddler growth and development.Purpose: This study aimed to find out the need for KPSP applications in monitoring the growth and development of toddlers.Methods: This research uses a descriptive-analytic design, cross-sectional approach. The population of this study amounted to 36 respondents, with a purposive sampling technique. The research site is in the Surabaya area by distributing questionnaires in the form of Google Form. Analyze data with Descriptive Analysis.Results: The results of this study stated that before the pandemic monitoring of toddler growth and development was carried out at the Posyandu using the KIA Handbook Instrument/Tool, while during the pandemic monitoring of toddler growth and development could not be carried out directly because of a policy. In this regard, respondents need an instrument/tool that can be used for independent monitoring of growth and development.Conclusion: Monitoring the growth and development of toddlers during the pandemic by utilizing technological advances and being up to date

Optimization and Form-finding of the Heavy Cable Suspending a Deck

The heavy spanning cable supporting a uniform deck is important in the design of suspension bridges. The analytic design method is presented in this paper. The problem depends on three non-dimensional parameters: the ratio of cable length to the horizontal spanning distance, the ratio of vertical to horizontal distance, and the ratio of deck density to cable density. Given these parameters, useful tables of maximum tension and sag are determined. There exists an optimum cable length for which the maximum tension is minimized. In addition, it is shown that continuous loads and discrete loads are equivalent if the number of evenly-spaced discrete loads are more than 10.

Hubungan Umur Dan Jenis Kelamin Terhadap Myofascial Trigger point Syndrome (MTPS) Pada Guru SMP Ar Rahman

A person's age and gender will be related to physical capacity to some extent. As a person ages, muscle strength, sensory and motor abilities will also decrease. Thus age will be related to the work of a person. In general, women only have physical strength 2/3 of the physical ability or muscle strength of men, but in certain cases women are more careful than men. To get high work power, it is necessary to try to divide the tasks between men and women according to their respective abilities, skill and limitations. MTPS complaints often occur in teacher workers related to age, resulting in complaints of muscle pain. This study aims to determine the relationship between Age and Gender with Myofascial Trigger Point Syndrome (MTPS) against teachers at Ar Rahman School Medan. This type of research uses an analytic design with a cross sectional design. The population and sample were 32 people. The results showed that there was a relationship between age (p value = <0.005) and there was no relationship between sex (p value = >0.05) with Myofascial Trigger Point Syndrome (MTPS). It is recommended for teachers to take advantage of the rest time to relax muscles in order to improve and improve physiological function.