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ARIANTO, EKO
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Inovasi Elektrostimulator Berbasis Arduino: Solusi Sederhana untuk Eksperimen dan Aplikasi Medis Arianto, Eko; Dwi Susanto
J-Innovation Vol. 13 No. 2 (2024): Jurnal J-Innovation
Publisher : Politeknik Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55600/jipa.v13i2.288

Abstract

Electrostimulation has become a widely utilized method in various fields, such as medicine, sports, and research, to stimulate biological tissues using electrical currents of specific frequencies. However, commercially available electrostimulation devices are often expensive and complex, making them less accessible for educational purposes or researchers with limited budgets. This study aims to develop a simple Arduino-based electrostimulator capable of generating sinusoidal waves with adjustable frequency and amplitude. The device was designed using PWM signals from Arduino filtered through an RC circuit to produce smooth sinusoidal waves, which were then amplified using transistors and stepped up in voltage through a step-up transformer. Testing demonstrated that the device could generate stable sinusoidal waves with frequencies of up to 600 Hz. Trials on human skin revealed varying sensations, ranging from mild vibrations to muscle contractions, depending on the frequency applied. This research highlights the potential of an Arduino-based electrostimulator as a cost-effective and flexible alternative for educational and research purposes, as well as for exploring the effects of electrostimulation. With its simple design, the device can be further developed for various medical and scientific applications in the future.
Penelitian dan Pengembangan Smart Patient Bed dengan Sistem Pemantauan Berat Badan Pasien Berbasis IoT Arianto, Eko
Jurnal Teknologi Vol. 14 No. 1 (2024): Jurnal Teknologi
Publisher : Universitas Putra Indonesia YPTK Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35134/jitekin.v14i1.117

Abstract

Patient beds are crucial medical equipment in healthcare facilities, and this study aims to enhance the functionality of conventional patient beds by transforming them into electric beds equipped with a patient weight monitoring system. Against the backdrop of a shortage of beds meeting standards, this development is anticipated to improve patient care efficiency and fulfill healthcare standards. The research methodology involves analyzing the crank drive system of patient beds, replacing manual cranks with electric motors, and implementing a patient weight monitoring system using load cells. Testing is conducted to validate the reliability of the new system in bed movement and patient weight measurement. The results indicate the successful conversion of beds into electric ones, with electric motors capable of lifting headrests up to a load of 150 kg. The patient weight monitoring system also proves accurate, with an average error of approximately 1.1% across a test load range of 10-150 kg. Additionally, the IoT communication system successfully stores and displays data in a database, accessible via an Android application. Thus, this development contributes positively to healthcare services by enhancing efficiency and accuracy in patient care. The implementation of electric motors and patient weight monitoring systems is expected to meet national healthcare standards and pave the way for further developments in smart bed patient implementation. Overall, this research underscores the importance of integrating technology to enhance the quality of healthcare services.
MEMBANGUN MINAT STEM MELALUI PELATIHAN ROBOTIKA SEDERHANA DI SD KANISIUS BEJI, PLAYEN GUNUNG KIDUL Siswoyo, Agus; Arianto, Eko; Novyanto, Antonius Hendro
Jurnal Abdimas Bina Bangsa Vol. 5 No. 2 (2024): Jurnal Abdimas Bina Bangsa
Publisher : LPPM Universitas Bina Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46306/jabb.v5i2.1324

Abstract

Simple robotics training at SD Kanisius Beji, Playen, Gunung Kidul, was carried out as an effort to build students' interest in STEM (Science, Technology, Engineering, and Mathematics) learning. The lack of exposure of students to technology and engineering is the background to the importance of this activity. The community service method used includes direct training in assembling and programming simple robots, involving students in grades IV to VI. The results of the training showed an increase in students' interest and understanding of STEM concepts, with 85% of students successfully completing the task of assembling the robot independently. This activity also improved students' critical and collaborative thinking skills. In conclusion, this simple robotics training is effective in introducing students to the basics of STEM and has the potential to be applied more widely in the elementary education curriculum
Perbandingan Sistem Skoring Guy’s Stone Score dan S.T.O.N.E. Nephrolithometry Score dalam Memrediksi Stone Free Rate Lumangkun, Ridel M.; Arianto, Eko; Kambey, Stefan A. G. P.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55367

Abstract

Abstract: Percutaneous nephrolithotomy (PCNL) is the primary surgical management for kidney stones larger than >20mm. The success of this procedure is assessed by monitoring the stone free rate (SFR). Currently, SFR can be predicted through validated scoring systems such as Guy’s stone score and S.T.O.N.E. nephrolithometry score. This study aimed to compare Guy’s stone score and S.T.O.N.E. nephrolithometry score in predicting SFR after PCNL at Prof. Dr. R. D. Kandou Hospital Manado. This was an observational and analytical study with a cross-sectional design. Data collection was conducted through patients’ medical record data. Data analysis was performed using the Fisher’s Exact Test and the independent t-test through SPSS Statistic Version 26 for MacOS. The results showed that there was no statistically significant relationship between Guy’s Stone Score and SFR after PCNL (p=0.706). The S.T.O.N.E. nephrolithometry score also showed no significant relationship with SFR after PCNL (p=0.514). In conclusion, both Guy’s stone score and S.T.O.N.E. nephrolithometry score do not have significant impact on predicting stone free rate in patients with kidney stone at Prof. Dr. R. D. Kandou Hospital Manado. Keywords: Guy’s stone score; S.T.O.N.E. nephrolithometry score; stone free rate    Abstrak: Percutaneous nephrolitotomy (PCNL) merupakan tatalaksana pembedahan utama batu ginjal berukuran >20mm. Tindakan ini dievaluasi dengan pemantauan stone free rate (SFR). Pada praktik klinis saat ini SFR dapat diprediksi melalui beberapa sistem skoring yang telah divalidasi seperti Guy’s stone score dan S.T.O.N.E. nephrolithometry score. Penelitian ini bertujuan untuk membandingkan kedua sistem skoring tersebut dalam memrediksi SFR setelah tindakan PCNL di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini merupakan studi analitik observasional dengan desain potong lintang melalui evaluasi data rekam medik pasien. Uji statistik dilakukan dengan uji Fisher’s Exact Test dan independent t-test menggunakan program SPSS Statistic Version 26 for MacOS. Hasil penelitian menunjukkan tidak terdapat hubungan bermakna antara sistem skoring Guy’s stone score dengan SFR setelah tindakan PCNL (p=0,706). Sistem skoring S.T.O.N.E. nephrolithometry score juga tidak menunjukan hubungan bermakna dengan SFR setelah tindakan PCNL (p=0,514). Simpulan penelitian ini ialah sistem skoring Guy’s Stone Score dan S.T.O.N.E. nephrolithometry score tidak memberikan pengaruh bermakna dalam memrediksi stone free rate pada pasien batu ginjal di RSUP Prof. Dr. R. D. Kandou Manado Kata kunci: Guy’s stone score; S.T.O.N.E. nephrolithometry score; stone free rate
Perbandingan Luaran Fungsi Pada Kasus Neglected Fraktur Leher Femur dan Early Treatment Menggunakan Harris Hip Score Oey, Friginia J. C.; Lengkong, Andriessanto C.; Arianto, Eko
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55368

Abstract

Abstract:  Femoral neck fracture is a serious injury to the upper femur that is very common in the elderly population due to falls or trauma. To restore patient mobility, prompt and timely treatment is an important factor in the management of this condition. One of the methods used to measure the functional outcome of these patient is the Harris hip score (HHS). This study aimed to compare the results of HHS on the functional outcome of the neglected femoral neck fracture patients with those who received early treatment at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective, observational, and analytical study with a cross-sectional design using medical record data. Data were analyzed using the Fisher’s exact test through the SPSS Statistical Version program. There was no significant difference between the HHS of the neglected femoral neck fracture group and the group that received early treatment (p=0.14). In conclusion, there is no significant difference in the functional outcome of the patients in the early treatment and neglected groups. Keywords: neck femoral fracture; Harris hip score; neglected fracture; early treatment   Abstrak: Fraktur leher femur merupakan cedera serius pada tulang paha bagian atas yang sangat umum terjadi pada populasi lanjut usia akibat jatuh ataupun trauma. Dalam upaya untuk mengembalikan mobilitas pasien, penanganan yang diberikan dengan cepat dan tepat waktu menjadi faktor penting dalam manajemen kondisi ini. Salah satu metode yang digunakan untuk mengukur luaran fungsi panggul ialah Harris hip score (HHS). Penelitian ini bertujuan untuk membandingkan hasil HHS pada luaran fungsional pasien fraktur leher femur yang neglected  dengan yang mendapatkan early treatment di RSUP Prof Dr. R. D. Kandou Manado. Jenis penelitian ialah  analitik observasional retrospektif dengan desain potong lintang menggunakan data rekam medik.. Analisis data dilakukan dengan Fisher’s exact test menggunakan program SPSS Statistic Version. Hasil penelitian mendapatkan bahwa tidak terdapat perbedaan bermakna antara hasil HHS kelompok neglected dengan kelompok yang mendapatkan early treatment (p=0,14). Simpulan penelitian ini ialah tidak terdapat perbedaan bermakna pada luaran fungsional pasien kelompok early treatment dan neglected. Kata kunci:  fraktur leher femur; Harris hip score; fraktur neglected; early treatment
First Endoscopic-Guided Percutaneous Nephrolithotomy (ePSL) with Prone Split-Leg Position in Manado Phoebus, Andrien; Astram, Ari; Toreh, Christof; Arianto, Eko; Wihono, Frendy
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.59320

Abstract

Abstract: Literature has not yet defined the best position for percutaneous nephrolithotomy (PCNL) based on the complexity of the stone burden. This case of left-sided complex kidney stones underwent endoscopic-guided PCNL in an PSL (prone split-leg position). A 61-year-old woman with a chief complaint of right pelvic pain. Standard prone PCNL was planned for this patient, however, due to so much debris in the pelviocalyceal system during URS evaluation and ureter catheter insertion, we decided to puncture with ultrasound guidance rather than fluoroscopy. Intraoperatively there was residual superior calyx stone that was beyond the reach of nephroscope. We decided not to do a double puncture because of poor vision due to the floating debris. In the second procedure, the ePSL method was utilized. A C-arm and nephroscope examination revealed no active bleeding, no infundibulum laceration, and no remaining stones. The primary goals of this method were to remove stones from the urinary tract throughout the entire tract using a one-step, one-access procedure that made the most of the full range of endourologic equipment. There were a number of reasons why the prone split-leg position was chosen, including operator preference, familiarity with the position, and the inability to make a direct puncture in the upper pole. The main drawback was that patient would not be able to see how well and safely this method worked over time. In conclusion, complex kidney stones can be treated with ePSL performed in the prone split-leg position, which is a safe procedure with a low risk of complications. Keywords: percutaneous nephrolithotomy; prone split-leg position; complex kidney stones
Long-Term Follow-up after Kidney Trauma at Prof. Dr. R. D. Kandou General Hospital Manado Arianto, Eko; Panelewen, Bryan P.; Astram, Ari; Toreh, Christof; Wihono, Frendy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.59605

Abstract

Abstract: Renal trauma, caused by blunt or penetrating injuries, is associated with severe complications such as hypertension, chronic kidney disease (CKD), and pyelonephritis, especially in high-grade renal trauma. The study aimed to evaluate the complications and management of renal trauma patients at Prof. Dr. R. D. Kandou Hospital Manado from January 2022 to October 2024. This was an observational study with a cross-sectional design involving 17 patients that met the inclusion criteria. Data included types of trauma, severity level, management approaches, and post-trauma complications. Trauma severity was classified using the American Association for Surgery of Trauma (AAST) grading system. The results showed that 58.8% of patients had penetrating trauma, while 41.2% experienced blunt trauma. The highest percentages were found in grade II severity (29.4%). Operative management was the most common approach (58.8%). Post-trauma complications included CKD (70.5%), hypertension (29.4%), and pyelonephritis (29.4%). In conclusion, renal trauma, whether blunt or penetrating, often leads to significant complications such as CKD and hypertension. Proper long-term management and monitoring of kidney function and blood pressure are crucial to minimize the complications. This study highlights the need for early and effective intervention in high-grade renal trauma cases. Keywords: renal trauma; hypertension; acute kidney injury (AKI); chronic kidney disease (CKD); post-trauma complications
Validation of Guy’s Stone Score, RUSS, S-RESC SCORE, and S.T.O.N.E Score for Predicting Stone Free Rate in Percutaneous Nephrolithotomy in a Residency Teaching Hospital Panelewen, Bryan P.; Arianto, Eko; Astram, Ari; Toreh, Christof; Wihono, Frendy
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.61296

Abstract

Abstract: Kidney stones represent a significant health burden globally, with a high risk of recurrence. Percutaneous nephrolithotomy (PCNL) is the primary treatment option for kidney stones larger than 20 mm, offering superior outcomes compared to open surgery. Several scoring systems, including Guy’s Stone Score (GSS), S.T.O.N.E. Nephrolithometry Score, Resorlu Unsal Stone Score (RUSS), and Seoul Renal Stone Complexity (S-ReSC), have been developed to predict the Stone-Free Rate (SFR) following PCNL. However, the comparative effectiveness of these scoring systems remains unclear. This study aimed to evaluate and compare the predictive accuracy of GSS, S.T.O.N.E., RUSS, and S-ReSC scoring systems in determining SFR after PCNL. This was an analytical and retrospective study. Data were collected from 60 patients with kidney stones treated at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2023. Patients underwent PCNL, and preoperative non-contrast CT scans and postoperative plain abdominal X-rays were used for evaluation. Statistical analyses included univariate, bivariate, and multivariate tests, as well as ROC curve analysis. The results showed that all four scoring systems were statistically significant in predicting SFR (p<0.005). The RUSS score demonstrated the highest predictive value, with an odds ratio 20 times higher than without scoring. The ROC analysis showed AUC values of 0.792 for GSS, 0.913 for RUSS, 0.694 for S-ReSC, and 0.945 for S.T.O.N.E. These findings highlight significant relationships between stone complexity scores and SFR, emphasizing their utility in surgical planning. In conclusion, each scoring system has significant predictive value for SFR following PCNL. Among them, RUSS showed the highest reliability, followed by S.T.O.N.E. and GSS. Despite differences in focus, all scores contribute to treatment planning and patient management. Further research is needed to optimize these tools and integrate them with advanced imaging and minimally invasive techniques for personalized patient care. Keywords:  percutaneous nephrolithotomy; kidney stones; Stone-Free Rate; Guy’s Stone Score; S.T.O.N.E Nephrolithometry Score; Resorlu Unsal Stone Score; Seoul Renal Stone Complexity
Mitroanoff Appendicovesicostomy Procedure On Bladder Neck Stenosis: A Case Report Arianto, Eko; Hardianti Kusanto, Putri; Astram, Ari; Toreh, Christof; Wihono, Frendy; R. Torry, Stivano
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.411

Abstract

The Mitrofanoff Appendicovesicostomy (MAC) procedure is a significant surgical intervention for patients with bladder neck stenosis, particularly in cases of severe urological dysfunction. This case report presents a 34-year-old female with a history of urinary incontinence and vesicovaginal fistula (VVF) following a cesarean section. The patient underwent the MAC procedure to address her bladder neck stenosis and restore urinary continence. Preoperative assessments, surgical techniques, and postoperative outcomes are discussed, highlighting the effectiveness of the MAC procedure in providing a new pathway for urine flow and improving the patient's quality of life. This report emphasizes the importance of a multidisciplinary approach in managing urinary incontinence, considering both physical and psychological factors. It also underscores the need for timely diagnosis and tailored surgical interventions to enhance patient outcomes. Future research should focus on identifying risk factors and developing personalized treatment strategies to mitigate urinary incontinence and related complications in postpartum patients. By integrating clinical evidence and holistic care, healthcare providers can better navigate the complexities of urinary incontinence and improve the quality of life for affected individuals.
Implementasi Teknologi Sensor dalam Pembelajaran STEM (Science, Technology, Engineering, and Mathematics) untuk Siswa SD Eksperimental Mangunan siswoyo, agus; Sulistyanto, Muhammad Prayadi; Arianto, Eko; Anugrayuning Jiwatami, Agatha Mahardika Anugrayuning Jiwatami; Hendro Noviyanto, Antonius
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 2 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi April - Juni
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i2.5773

Abstract

Penguatan pembelajaran STEM di tingkat sekolah dasar memiliki peran strategis dalam membangun fondasi literasi sains dan teknologi sejak dini. Program pengabdian ini bertujuan mengintegrasikan teknologi sensor ke dalam pembelajaran STEM di SD Eksperimental Mangunan melalui pendekatan eksperimen langsung yang interaktif. Kegiatan mencakup pelatihan bagi guru dan siswa, serta praktikum sederhana seperti merakit dan menggunakan sensor cahaya (LDR) dan sensor suara berbasis mikrofon kondenser untuk aplikasi nyata. Siswa terlibat dalam proyek-proyek kecil, seperti membuat lampu otomatis yang menyala saat gelap menggunakan LDR atau lampu tepuk yang aktif berdasarkan suara. Metode ini mendorong siswa untuk menggabungkan prinsip STEM secara kreatif dan kontekstual, sehingga pembelajaran menjadi lebih bermakna. Evaluasi program menunjukkan peningkatan minat siswa terhadap sains dan teknologi hingga 40%, serta peningkatan kemampuan berpikir kritis dalam menyelesaikan masalah praktis. Keberhasilan program ini tidak lepas dari kolaborasi yang solid antara tim pengabdian, guru, dan pihak sekolah. Hasil ini membuktikan bahwa pembelajaran berbasis teknologi dapat meningkatkan pemahaman konsep STEM secara efektif, kontekstual, dan menyenangkan bagi siswa.
Co-Authors Agatha Mahardika Anugrayuning Jiwatami Antonius Hendro Noviyanto Ari Astram, Ari Arry Rodjani Chaerul Umam Dwi Susanto Hardianti Kusanto, Putri Hatta, Hendrikus Yori Irfan Wahyudi Jamhari Jamhari Kambey, Stefan A. G. P. Kambey, Stefan G. Katuuk, Mario Esau Krishna, Mahesa L. Budi Handoko Langi, Fima Lengkong, Andriessanto C. Loleh, Rafli A. Lumangkun, Ridel M. Oey, Friginia J. C. Paat, Toar Panelewen, Bryan P. Phoebus, Andrien R. Torry, Stivano RR. Ella Evrita Hestiandari Sinurat, Bintang Siswoyo, Agus Siswoyo, Patresius Agus Solly Aryza Sulistyanto, Muhammad Prayadi Toreh, Christof Wihono, Frendy