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"ESWL telah berkembang menjadi pilihan pertama untuk terapi batu pielum ginjal dan kaliks superior atau media dengan ukuran le; 20 mm, dan pada batu ureter proksimal dengan ukuran < 10 mm. Meskipun begitu, terdapat banyak faktor yang sangat mempengaruhi keberhasilan dari pengguanaan ESWL, dimana salah satu parameter pentingnya adalah frekuensi gelombang kejut permenit. Peneilitian ini bersifat deskriptif retrospektif dengan pendekatan metoda cross-sectional. Sampel untuk diambil dengan total sampling, yaitu seluruh pasien yang dilakukan tindakan ESWL pada 1 Januari 2012- 31 Desember 2014 yang tidak memiliki batu multiple, tidak ada batu radiolsen, tidak ada kelainan anatomi traktus urinarius, dan usia diatas 17 tahun. Pasien dilakukan tindakan ESWL dengan menggunakan kombinasi gelombang kejut 60 gk.menit dan 120 gk/menit. Dari total 60 pasien, rata-rata usia adalah 45.61 14.54 tahun. Sebanyak 30 pasien 50 menderita batu ginjal non-kalik inferior, 26 pasien 43.4 menderita batu kalik inferior, dan 4 pasien 6.7 menderita batu ureter. Dari 60 pasien, 52 pasien 86.7 menderita batu dengan ukuran 10 ndash; 20 mm, empat pasien 6.7 dengan ukuran < 10 mm, dan empat pasien 6.7 dengan ukuran > 20 mm. Kejadian bebas batu 2 minggu post ESWL terjadi pada 46 pasien 76.7 , lalu 15 orang 25 mengeluhkan nyeri intensitas ringan VAS 1-3 , 5 orang 8.3 intensitas sedang 8.3 , dan 40 orang bebas nyeri 66.7 . Penggunaan DJ stent terjadi pada 7 pasien 11.7 dan hematuria terjadi pada 1 pasien 1.7 . Penelitian ini menunjukkan bahwa tata laksana batu saluran kemih menggunakan ESWL dengan kombinasi 60 gelombang kejut/menit dan 120 gelombang kejut/menit memiliki tingkat kejadian bebas batu yang lebih tinggi dan efek samping yang lebih rendah dibandingkan penelitian-penelitian serupa dengan menggunakan satu frekuensi gelombang kejut saja.

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ESWL has emerged as the main treatment option for kidney stone located in pyelum and superior calyces or middle calyses with size of le 20 mm, and in proximal ureter stone with size of 17 years old. Pasien underwent ESWL procedure with combination of 60 shockwave minutes and 120 shockwave minute. From total 60 patients, the mean age was 45.61 14.54 years old. 30 patients 50 diagnosed with non inferior calyces stone, 26 patients 43.4 with inferior calyses stone, and 4 patients 6.7 have ureteral stones. From 60 patients, 52 86.7 patients had stone with size of 10 20 mm, 4 6.7 patients had stone sized 10 mm. Stone free after 2 weeks happened in 46 patients 76.7 . 15 patients complained low intensity pain, 5 patients 8.3 complained mid intensity pain, and 40 patients 66.7 were pain free. The use of DJ stent happened in 7 patients 11.7 . This study showed that ESWL procedure with combination of 60 shockwave minutes and 120 shockwave minutes have a higher stone free rate and lower complication compared with single shockwave prcedure"

"Pelican Crossing adalah penyeberangan dengan alat pemberi isyarat yang dioperasikan oleh pejalan kaki dan akan menghentikan arus lalu lintas kendaraan. Pejalan kaki harus menekan tombol untuk meminta waktu hijau pada pengendara kendaraan sehingga pengendara kendaraan berhenti dan pejalan kaki dapat menyeberang jalan. Sebagai kota metropolitan, Jakarta Pusat padat akan aktivitas. Peningkatan jumlah kendaraan bukanlah menjadi faktor utama penyebab terjadinya kemacetan. Ada faktor lain seperti pergerakan pejalan kaki yang menyeberang jalan menggunakan pelican crossing sehingga menyebabkan antrian dan tundaan. Penelitian ini bertujuan untuk menganalisis pengaruh pejalan kaki yang menyeberang pada pelican crossing terhadap panjang antrian kendaraan, menganalisis karakteristik arus lalu lintas dan pejalan kaki akibat adanya pelican crossing dan mengaplikasikan model yang menghubungkan antara karakteristik arus lalu lintas dan pejalan kaki pada pelican crossing. Penelitian dilakukan dengan melakukan survei kondisi eksisting lalu lintas. Analisis dilakukan dengan menggunakan aplikasi Vissim untuk membangun model simulasi mikro. Model dibuat berdasarkan data survei kemudian dilakukan kalibrasi dan validasi agar mendekati kondisi di lapangan. Hasil penelitian menunjukkan bahwa fasilitas pedestrian crossing berdasarkan perbandingan skenario penanganan dan kondisi eksisting, performa terbaik ditunjukkan oleh skenario ke 2 dengan menghilangkan pelican crossing pada wilayah studi, dengan rata-rata total panjang antrian adalah 164 meter dan rata-rata delay adalah 45,27 detik. Namun secara keseluruhan, total panjang antrian dan delay pada skenario 1 dan skenari 2 memberikan hasil yang baik. dan throughput yang dihasilkan meningkat dari kondisi eksisting, untuk arah utara ke selatan, skenario 2 menunjukkan volume kendaraan keluar yang tertinggi diantara lainnya yaitu 5552.05 smp/jam, naik   2655.92 smp/jam (47.83%). Lalu untuk arah selatan ke utara, skenario 2 menunjukkan volume kendaraan keluar tertinggi yaitu 6944.99 smp/jam, naik  2246.76 smp/jam (32.35%).

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Pelican Crossing is a crossing with a signaling device that is operated by pedestrians and will stop the flow of vehicle traffic. Pedestrians must press a button to ask vehicle drivers for green time so that vehicle drivers stop and pedestrians can cross the road. As a metropolitan city, Central Jakarta is busy with activity. The increase in the number of vehicles is not the main factor causing traffic jams. There are other factors such as the movement of pedestrians crossing the road using Pelican Crossing, causing queues and delays. This research aims to analyze the influence of pedestrians crossing at the pelican crossing on the length of the vehicle queue, analyze the characteristics of traffic and pedestrian flow due to the presence of the pelican crossing and apply a model that connects the characteristics of traffic flow and pedestrians at the pelican crossing. The research was carried out by surveying existing traffic conditions. The analysis was carried out using the Vissim application to build a micro simulation model. The model is created based on survey data and then calibrated and validated to approximate conditions in the field. The research results show that based on a comparison of handling scenarios and existing conditions, the best performance is shown by the second scenario by eliminating pelican crossings in the study area, with an average total queue length of 164 meters and an average delay of 45.27 seconds. . However, overall, the total queue length and delay in scenario 1 and scenario 2 provide good results. and the resulting throughput increases from existing conditions, for the north to south direction, scenario 2 shows the highest outgoing vehicle volume among the others, namely 5552.05 pcu/hour, an increase of 2655.92 pcu/hour (47.83%). Then for the south to north direction, scenario 2 shows the highest outbound vehicle volume, namely 6944.99 pcu/hour, an increase of 2246.76 pcu/hour (32.35%)."

"Tingkat keselamatan lalu lintas di jalan tol Indonesia masih dalam kondisi tidak memuaskan. Segmen Cikampek-Purwakarta-Padalarang (Cipularang) antara KM91 hingga KM 93 khusus dianggap sebagai lokasi kecelakaan lalu lintas tertinggi dijalan tol Indonesia. Penelitian ini menganalisis pengaruh climbing lane terhadapkinerja lalu lintas sebagai akibat dari desain geometris yang tidak tepat. Kondisi inidisebabkan karena desain yang tidak tepat dimana akhir lajur pendakian berakhirsebelum mencapai puncak pendakian tertinggi. Akibatnya, kendaraan berat yangberjalan dengan lambar di sisi kiri bergabung ke jalur dan menghasilkan kemacetanyang disebabkan oleh fenomena shockwave. Tujuan dari penelitian ini adalah untukmengamati dampak kinerja keselamatan dan lalu lintas dari climbing lane Jalan TolCipularang. Data kendaraan diperoleh dengan menghitung jumlah kendaraan yangmelewati segmen yang ditinjau dan menemukan bahwa gelombang kejut antarasegmen 1 hingga segmen 2 ketika jalur pendakian dimulai memiliki nilai positif29,4 km / jam, sedangkan antara segmen 2 hingga segmen 3, nilai ! memiliki nilainegatif -0,54 km / jam. Hal inimenunjukkan bahwa bottleneck pada akhir segmenke-3 memperlambat kecepatan kendaraan berada di belakangnya. Tiga pemodelanskenario menggunakan VISSIM dilakukan untuk memodelkan desain climbing laneyang optimal dengan skenario ketiga di mana perpanjangan jalur pendakianditempatkan di jalur kanan dengan memberikan rasio V / C terendah 0,544 secarakeseluruhan.

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in Cikampek-Purwakarta-Padalarang (Cipularang) segment where between KM 91

to KM 93 regards as the highest traffic accidents location on Indonesia toll roads.

This study is analyzed the effect of climbing lane to the traffic performance as a

result of improper geometric design. The inappropriate conditions are the auxiliary

lane on the nearside of the road instead on farside of the road and the end of

climbing lane/merge lane located before the crest instead of after the crest of

vertical alignment. As a result, very slow heavy vehicles merged to the normal lane

and resulting bottleneck caused by shockwave phenomenon. The aim of this study

is to observe traffic and safety performance impact from Cipularang Toll Road

climbing lane. Vehicle data is obtained by calculating the number of vehicles that

pass through the segment being reviewed and found that shockwaves between

segment 1 to segment 2 when climbing lane is started has a positive value of 29.4

km / hour, meanwhile between segment 2 to segment 3, the ! value has negative

value of -0.54 km / hour. This indicates that the bottleneck at the end of the 3rd

segment slows the speed of the vehicle following behind. Three scenario modelling

using VISSIM was conducted to model the optimum climbing lane design with the

third scenario where extended climbing lane placed on the right lane with provides

the lowest V/C ratio of 0,544 overall"

"Pendahuluan: Meskipun penghambat enzim fosfodiesterase tipe-5 (PDE5i) memilikiefek yang baik sebagai terapi lini pertama pada pasien dengan disfungsi ereksi (DE),masih terdapat tingkat kegagalan sebesar 30-40%. Extracorporeal shockwave therapy(ESWT) menjadi pilihan alternatif non-invasif yang berpotensi memberikan benefitpada pasien yang tidak bisa mengkonsumsi PDE5i. Studi ini bertujuan untukmembandingkan efikasi dari ESWT dengan PDE5i dalam menangani pasien DE yangmasih sensitif pengobatan, dengan menggunakan kuisioner IIEF-5 sebagai parameterhasilnya.Metode: Desain studi ini adalah kohort prospektif dengan sampel yaitu pasien DE yangberkunjung ke Rumah Sakit Muhammad Diamil, Padang pada bulan Februari hinggaApril 2018 yang memenuhi kriteria inklusi dan eksklusi yang telah ditentukansebelumnya. Pasien yang masuk ke dalam studi ini dibagi ke dua kelompok yaituESWT dan PDE5i. Terapi ESWT diberikan sesuai protokol standar satu kali per minggudengan interval 4 minggu dan PDE5i diberikan Tadalafil 10 mg satu kali sehari selama4 minggu. Hasil primer yang diukur adalah perubahan skor IIEF-5 dari sebelum dansesudah terapi. Perubahan dari derajat keparahan DE juga diukur dalam studi ini.Hasil: Terdapat 40 pasien yang termasuk dalam studi dari Februari hingga April 2018yang kemudian dialokasikan ke kelompok ESWT (n=20) dan PDE5i (n=20). Usia rataratapasien adalah 61.7±11.8, dengan waktu median sejak keluhan dirasakan yaitu 12(2-180) bulan. Parameter laboratorium menunjukan adanya perbedaan yang signifikandari kedua kelompok. Secara umum, terdapat peningkatan skor IIEF-5 sebesar 15% darisemua pasien, dengan median skor 3 (-12-16) (p 0.003). Peningkatan skor IIEF-5terjadi pada kedua kelompok, dengan kelompok ESWT yaitu 45% mengalamipeningkatan skor sebesar 4 (-12-16) (p 0.040); dan kelompok PDE5i yaitu 30%dengan peningkatan skor 0 (-4-7) (p 0.049). Akan tetapi, tidak terdapat perbedaansignifikan dalam hal peningkatan skor IIEF-5 antara kelompok ESWT dan PDE5i (p0.084).Kesimpulan: Kedua modalitas terapi yaitu ESWT dan PDE5i merupakan terapiindependen yang efektif dalam meningkatkan skor IIEF-5 pada pasien DE. TerapiESWT dapat menjadi terapi alternatif yang baik pada pasien yang tidak mampumengkonsumsi PDE5i, dengan memberikan hasil yang serupa dengan PDE5i.

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Introduction: Though phosphodiesterase type 5 inhibitors(PDE5i) is a beneficial firstlinetherapy for Erectile dysfunction (ED), failures were reported in 30-40% patients.Extracorporeal shock wave therapy (ESWT) became a potential non-invasive option forpatients who cannot tolerate PDE5i. This study would like to compare the efficacy ofESWT with PDE5i in treating treatment naïve ED, using IIEF-5 as an outcomeparameter.Methods: This prospective cohort study recruited patients with ED from MuhammadDjamil Hospital Padang within the period of February-April 2018, using predeterminedinclusion and exclusion criteria. Included patients were assigned for ESWT and PDE5iintervention groups. ESWT were given using standardized protocol once a weekinterval for 4 weeks and PDE5i were given using Tadalafil 10 mg once daily for 4weeks. Primary outcome measure was changes in IIEF-5 score between pre and posttreatment, and improved in severity condition for each patient were reported.Results:Forty patients treated for ED were included in the study from the period ofFebruary-April 2018 allocated to ESWT treatment group (n=20) and PDE5i treatmentgroup (n=20). Patients were at mean age of 61.7±11.8, with complaints persisting for amedian time of 12(2-180) months. Laboratory parameters showed a comparable levelbetween two treatment groups. Overall IIEF-5 Score response of the patients wasreported to improve in 15% of the patients, with a median score improvement of 3(-12-16) (p 0.003). Similar improvements were reported in each treatment group; ESWT in45% of the patients with score improvement of 4(-12-16) (p 0.040); PDE5i in 30% ofthe patients with score improvement of 0(-4-7) (p 0.049).However, difference in scoreimprovements between the ESWT group and PDE5i group were not statisticallysignificant (p 0.084).Conclusion: Both ESWT and PDE5i are beneficial as independent therapy for ED inimproving IIEF-5 score of the patients. ESWT may become a treatment of choice whenpatients cannot tolerate PDE5i, providing comparable outcome with PDE5i."

"This is the first volume of a two volume set which presents the results of the 31st International Symposium on Shock Waves (ISSW31), held in Nagoya, Japan in 2017. It was organized with support from the International Shock Wave Institute (ISWI), Shock Wave Research Society of Japan, School of Engineering of Nagoya University, and other societies, organizations, governments and industry. The ISSW31 focused on the following areas: Blast waves, chemical reacting flows, chemical kinetics, detonation and combustion, ignition, facilities, diagnostics, flow visualization, spectroscopy, numerical methods, shock waves in rarefied flows, shock waves in dense gases, shock waves in liquids, shock waves in solids, impact and compaction, supersonic jet, multiphase flow, plasmas, magnetohyrdrodynamics, propulsion, shock waves in internal flows, pseudo-shock wave and shock train, nozzle flow, re-entry gasdynamics, shock waves in space, Richtmyer-Meshkov instability, shock/boundary layer interaction, shock/vortex interaction, shock wave reflection/interaction, shock wave interaction with dusty media, shock wave interaction with granular media, shock wave interaction with porous media, shock wave interaction with obstacles, supersonic and hypersonic flows, sonic boom, shock wave focusing, safety against shock loading, shock waves for material processing, shock-like phenomena, and shock wave education. These proceedings contain the papers presented at the symposium and serve as a reference for the participants of the ISSW 31 and individuals interested in these fields."

"Latar Belakang: Plantar fasciitis merupakan penyebab tersering dari nyeri tumit inferior. Nyeri dapat menjadi kronik walaupun sudah mendapatkan terapi konservatif yang optimal. Perbandingan efektivitas antara ESWT dan terapi Ultrasound masih belum diketahui dengan jelas.Metode: Penelitian ini merupakan studi eksperimental. Sebanyak 24 subjek plantar fasciitis dengan rentang usia 26-43 tahun yang telah terdiagnosis melalui USG mengikuti penelitian ini. Subjek dikelompokkan secara konsekutif ke dalam grup ESWT GE, n=13 dan grup Ultrasound UG, n=11 dengan durasi intervensi tiga minggu. Keluaran primer yang dinilai adalah nyeri palpasi dan nyeri pagi hari pada area medial tuberositas calcaneus. Keluaran sekundernya adalah waktu tempuh uji jalan 15 meter.Hasil: Masing-masing grup menunjukkan perbaikan nyeri yang signifikan secara statistik tanpa adanya perbedaan bermakna antargrup. Waktu tempuh uji jalan 15 meter mengalami perbaikan yang tidak signifikan secara statistik pada kedua grup dan tidak terdapat perbedaan signifikan antargrup.Kesimpulan: ESWT sama efektifnya dengan terapi Ultrasound dalam memberikan perbaikan nyeri pada plantar fasciitis.

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Background: Plantar fasciitis is the most common cause of inferior heel pain. It may become chronic pain despite optimal conservative treatment. Comparison of effectiveness between ESWT an Ultrasound still unclear.

Methods: Experimental study on plantar fasciitis patient that diagnosed using Ultrasonography with range of age 26 63 years divided consecutively into ESWT group EG ESWT and stretching fascia plantaris gastrocnemius and Ultrasound group UG US and stretching fascia plantaris gastrocnemius for 3 weeks intervention. The primary outcomes were pain on palpation and morning pain on medial of calcaneal tuberosity. The secondary outcome was duration in performing 15 meters walk test.

Results: 24 participants EG n 13, UG n 11 enrolled in this study. Mean age of EG 46.5 years and CG 43 years. Each group showed statistically significant improvement of pain reduction with no significant different between group. The duration of 15 meters walk test improved nonsignificant in each group dan did not show significant difference between group.

Conclusions: ESWT was no more effective than Ultrasound in reducing pain in patient with plantar fasciitis."

"ABSTRAKThe physiotherapy statistics from the Saraburi Hospital in Thailand show that patients with chronic lower back pain from muscle tearing have a higher tendency toward chronic pain, requiring continuous treatment. Most physiotherapists use radial shockwave therapy (RSWT) or radial pulse therapy to treat patients with chronic muscle tears. The aim of this study was to determine the immediate efficacy of RSWT on patients with lower back pain caused by chronic muscle strain. The purpose of this work is to assess the effectiveness of RSWT in the treatment of chronic back muscle pain. The type of this research is quasi-experimental research study. The location is this study is Physical Therapy Clinic at the Saraburi Hospital in Thailand. The study participants had pain intensities of greater than 5 out of 10. The experimental group (30 patients) received RSWT to the lower back for 10-15 minutes once a week for 6 weeks. The control group (30 patients) received ultrasound (US) treatments to the lower back using the semi-static technique with gel, but without turning the machine on, for 15 minutes once a week for 6 weeks. Both groups were taught to avoid bending and carrying heavy loads, as well as the correct way to lift heavy objects. None of the patients received medications, injections, massages, or acupuncture. The pain levels in both groups at work and at rest were measured using a visual analog scale. The treatment results were evaluated and compared at the 1st, 4th, and 6th treatments. The patient satisfaction was assessed at the 6 treatments as follows: 1 = most, 2 = high, 3 = moderate, 4 = low, and 5 = minimum. The effects on daily life and career performance were measured before the study and at the end as follows: 1 = most, 2 = high, 3 = moderate, 4 = low, 5 = minimum, and 6 = no effect. A statistical analysis was performed on the demographic data as well as on the pain level comparisons. The results of the RSWT and US treatments were measured while the patients were resting and working at 1, 4, and 6 months. Twelve and 18 of the patients were cured, respectively. In the US groups, 6 patients were statistically significantly better at the , , and treatments (but no cures). The post-treatment satisfaction was not significantly different between the RSWT and US groups. Consequently, the use of RSWT to treat chronic muscle strain can reduce pain immediately, and it can cure pain completely in some cases. Therefore, it should be used to treat more patients with chronic muscle strain. It should also be considered for use in chronic pain cases in which the patient does not respond to other conservative treatments."