Hubungan Jumlah Kadar Limfosit dan Neutrofil Segmen Pada Apendisitis Akut

Appendicitis is one of the most common cases in the field of abdominal surgery which causes acute abdominal pain and requires immediate surgery to prevent complications that are generally dangerous, such as gangrenous, perforation, and even generalized peritonitis. Appendicitis can be found in both men and women with a risk of suffering from appendicitis in their lifetime reaching 7-8%. The highest incidence is reported in the age range of 20 to 30 years. Methodology: The type of research used in this study is an observational analytic study with a cross-sectional study design using medical records as data. The population in this study were all patients with appendicitis recorded in medical records. The data were analyzed using the Spearman test. Results: In this study, 26 people with a percentage of 65% had abnormal lymphocyte counts. as many as 31 people with a percentage of 77.5% who had abnormal neutrophils. For the neutrophil variable with the incidence of appendicitis using the Spearman test, the p-value = 0.005 (p <0.05). In the lymphocyte variable with the incidence of appendicitis using the Spearman test, the p-value = 0.058 (p <0.05) was obtained. Conclusion: There is a significant relationship between neutrophil and appendicitis. Meanwhile, the lymphocyte variable with the incidence of appendicitis had no significant relationship.Appendisitis merupakan salah satu kasus tersering dalam bidang bedah abdomen yang menyebabkan nyeri abdomen akut dan memerlukan tindakan bedah segera untuk mencegah komplikasi yang umumnya berbahaya seperti gangrenosa, perforasi bahkan dapat terjadi peritonitis generalisata. Apendisitis dapat ditemukan pada laki-laki maupun perempuan dengan risiko menderita apendisitis selama hidupnya mencapai 7-8%. Insiden tertinggi dilaporkan pada rentang usia 20-30 tahun. Metodologi: Jenis penelitian yang digunakan dalam penelitian ini adalah analitik observasional dengan desain studi cross sectional menggunakan rekam medik sebagai data Populasi pada penelitian ini adalah seluruh penderita Apendisitis yang tercatat dalam rekam medis. Data analisis menggunakan uji spearman. Hasil: Pada penelitian ini didapatkan sebanyak 26 orang dengan presentase 65% yang memiliki angka limfosit yang abnormal. sebanyak 31 orang dengan presentase 77,5% yang memiliki angka netrofil yang abnormal. Pada variabel netrofil dengan kejadian appendisitis dengan mengunakan uji Spearman diperoleh nilai p value = 0,005 (p < 0,05). Pada variabel limfosit dengan kejadian appendisitis dengan menggunakan uji spearman diperoleh nilai p value = 0,058 (p < 0,05). Kesimpulan: Pada variabel netrofil dengan appendisitis terdapat hubungan yang signifikan. Sedangkan pada variabel limfosit dengan kejadian apppendisitis tidak terdapat hubungan yang signifikan

PENGARUH PENGGUNAAN VLAN PADA SOFTWARE DEFINED NETWORK BERBASIS RYU CONTROLLER

Software Defined Network (SDN) is a network architecture that separates the control plane and data plane in networking devices, which then makes the control plane independent and programmable. The control plane task is taken by the controller, where the controller can manage all the rules in all networking devices, one type of controller is the Ryu controller. VLAN is a network configuration that distributes several different segments to devices connected to the network that can improve network performance. This study aims to determine the performance of VLAN on Software Defined Network using Ryu Controller using a simulation method with 2 scenarios, namely linear topology 3 OpenFlow Switch 30 hosts and linear topology 3 OpenFlow Switch 60 hosts with traffic of 100, 200, 300, and 400 Mb. Testing is carried out using the rest_router app on the Ryu controller which can run static routing without VLAN and with VLAN so that the difference between using VLAN and not can be seen. The test results show that the linear topology of 3 switches, whether 30 hosts or 60 hosts, can work well. Based on the test of QoS parameters Throughput, Packet Loss, and Jitter, the overall of VLAN is less good than without VLAN, with values of 222.9 Mbps, 0%, 0.0000636 s, and 0.0000675 ms, respectively. However, as the number of hosts increases, VLAN is more reliable