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SEVERITY SCORING PADA PASIEN KRITIS Yulianto, Susilo; Indriasari
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

The scoring system used in the management of critical patients has been introduced and developed since more than 30 years. The system allows assessment of disease severity and provides a prediction of mortality in the hospital. The scoring system consists of outcome prediction scores (APACHE, SAPS, MPM) and organ dysfunction scores (SOFA, MODS). In addition, the scoring system is also divided based on data collection methods, namely: anatomical score, therapeutic weighted score, specific organs, physiological assessment, simple scale (simple), and specific diseases. APACHE, SAPS, MPM, SOFA and MODS are scores that are often used in the ICU, these scores have a certain specificity and level of discrimination, where these scores are still being developed taking into account local conditions and the use of drugs to support the cardiovascular taking into account local conditions and the use of drugs to support the cardiovascular system, . In conclusion, the Severity of Illness score is a tool designed to predict and evaluate, from various perspectives, to predict patient outcomes.Most scoring systems are the result of multivariate regression analysis applied to large databases to identify the most relevant factors in predicting mortality.
PEMBERIAN DINI VASOPRESOR PADA SYOK SEPSIS Ferianto; Oktaliansah, Ezra; Indriasari
E-Journal Widya Kesehatan dan Lingkungan Vol. 3 No. 1 (2021)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Sepsis adalah disfungsi organ yang mengancam jiwa akibat disregulasi respon tubuh terhadap infeksi dan merupakan salah satu penyebab kematian utama di Intensive Care Unit (ICU). Penyebab utama tingginya mortalitas adalah keterlambatan penanganan sehingga pasien jatuh dalam kondisi syok septik. Dua komponen utama penanganan syok sepsis adalah resusitasi cairan dan pemberian vasopresor. Pemberian dini vasopresor bersamaan dengan pemberian cairan dapat menurunkan mortalitas pasien karena mengurangi volume resusitasi sehingga mencegah kelebihan cairan pada pasien. Rekomendasi terbaru dari Surviving Sepsis Campaign (SSC) menyarankan resusitasi cairan dan terapi medikamentosa dalam 1 jam pertama, yang mencakup pemberian vasopresor sedini mungkin pada kasus hipotensi yang mengancam nyawa, bersamaan atau segera setelah resusitasi cairan untuk mempertahankan level MAP ≥ 65mmHg. Penanganan yang holistik akan mengurangi mortalitas pasien syok sepsis di ICU. Tujuan dari penelitian ini Tujuan dari penelitian ini adalah melakukan penanganan lebih awal pada pasien sepsis. Metode yang digunakan berdasarkan penurunan angka mortalitas atau keberhasilan dalam penanganan pasien syok sepsis yang diberikan Norepinephrine (NEP) di awal berhubungan dengan kecepatan tercapainya nilai Mean arterial pressure (MAP) dan clearance laktat. Dapat disimpulkan Pada sebagian besar pasien syok sepsis memerlukan pemberian dini vasopresor untuk stabilisasi hemodinamik, selain resusitasi cairan yang tepat. Pemberian obat vasopresor sangat penting dalam mencapai target resusitasi hemodinamik yang bertujuan untuk meningkatkan pengantaran oksigen melalui peningkatan curah jantung, perfusi aliran darah organ vital dan tekanan perfusi organ.
The The mathematical Model Predicting the proportion of resources in multistory building construction Lamser Rajagukguk; Mardiaman; Indriasari
JOURNAL OF CIVIL ENGINEERING BUILDING AND TRANSPORTATION Vol. 8 No. 2 (2024): JCEBT SEPTEMBER
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/jcebt.v7i2.9924

Abstract

Proporsi biaya sumberdaya proyek konstruksi berbeda-beda karena proyek konstruksi mempunyai sifat ketidakpastian yang tinggi. Oleh karena itu model proporsi setiap sumber daya manusia, material dan peralatan perlu ditetapkan. Penelitian ini mencoba membuat model matematis proporsi biaya setiap sumber daya bangunan bertingkat terhadap anggaran biaya, durasi dan jumlah lantai. Tujuan penelitian ini untuk membuat model matematis yang menghubungkan variabel terikat setiap sumber daya manusia (y1), material (y2) dan peralatan (y3) terjadap variabel bebas anggaran biaya (x1), durasi (x2) dan jumlah lantai (x3). Pengumpulan data 44 pekerjaan konstruksi yang sudah selesai dilakukan. Data yang dikumpulkan anggaran biaya, durasi, jumlah lantai, biaya sumber daya, material dan peralatan. Proporsi setiap sumber daya dihitung. Berdasarkan pengolahan data menggunakan spss versi 26 diperoleh model matematika proporsi sumber daya manusia, material dan peralatan. Proporsi rata-rata sumberdaya manusia 51,104%, material 26.35% dan peralatan 13.19%. Implementasi penelitian, pelaku konstruksi mengetahui perkiraan biaya setiap sumber daya pada pekerjaan bangunan gedung.
Role of CRRT (Continuous Renal Replacement Therapy) as Management of Cardiac Arrest Patient with Postpartum Acute Lung Edema and Cardiomyopathy in the ICU Anwary, Army Zaka; Indriasari
Journal of Society Medicine Vol. 2 No. 6 (2023): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i6.66

Abstract

Introduction: Continuous renal replacement therapy (CRRT) is a type of renal replacement therapy commonly used in the ICU for hemodynamically unstable patients. CRRT can comprehensively achieve various goals such as reducing inflammatory mediators, alleviating fluid overload, and correcting acidosis. Therefore, whether CRRT is necessary and when to initiate CRRT are basic questions that intensivists must consider when treating critical patients in the ICU to achieve favorable outcomes. Method: This retrospective case report analyzed patient clinical data. The patient provided written informed consent to publish their case details and accompanying images. Results: We present the case of a 23-year-old woman with acute pulmonary edema and peripartum cardiomyopathy who experienced cardiac arrest prior to cesarean section. Postoperatively, the patient was admitted to the ICU, and CRRT was initiated to correct various complications. During treatment, the patient experienced clinical improvement and improvement in respiratory and renal function parameters until she was discharged from the ICU without neurological deficits. Conclusion: Early assessment, the decision to use CRRT, and comprehensive therapy are crucial for the successful treatment of post-cardiac arrest patients with pregnancy-related acute pulmonary edema and peripartum cardiomyopathy in the ICU.
THE EFFECT OF COCONUT SHELL CHARCOAL POWDER WASTE AS A FINE AGGREGATE SUBSTITUTION IN ASPHALT CONCRETE WEARING COURSE MIXTURE ARDIANSYAH; GALI PRIBADI; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

Laston, commonly known as AC (Asphalt Concrete) in Indonesia, is a type of asphalt concrete with continuous gradation designed to handle large traffic volumes. According to Waani (2013), stability is the main characteristic that makes laston a vital component. This study examines the use of coconut shell charcoal, previously considered waste, as an environmentally friendly additive. Coconut shells and rock ash are used as fillers in asphalt mixtures. It is important to test asphalt containing coconut shell charcoal to evaluate changes in its properties. The performance of asphalt mixtures, including flow, stability, VIM, VMA, Marshall Quotient, VFA, and durability values ​​are expected to increase with the addition of coconut shell charcoal. The results of the Marshall characteristic analysis of the AC-WC mixture with a filler variation of 25% substituted with coconut shell charcoal powder are 2487 kg for stability, 36.51% for VMA, 3.35 mm for flow, 26.19% for VIM, and 742 kg/mm ​​for MQ, all of which have met the specifications. However, the 2018 Bina Marga standard was not met by the VFB value of 28.27%. On the other hand, the variation of 50% coconut shell charcoal powder produced a stability value of 2568 kg, an MQ value of 756 kg/mm, a VMA value of 37.31%, a flow value of 3.4 mm, and a VIM value of 27.12%, all of which were still within the acceptable range. However, the VFB value of 27.31% did not meet the 2018 Bina Marga requirements. The findings of the mixture design presentation for cement filler are as follows: 17% for hot bin I, 45% for hot bin II, 32% for hot bin III, 6% for cement filler, and 6% for asphalt.
THE EFFECT OF USING RED BRICK WASTE ON ASPHALT CONCRETE BINDER COURSE MIX M RIFQI BADRIANSYAH; GALI PRIBADI; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

The number of new road constructions is increasing, with the main focus on the repair of old roads. However, these roads often deteriorate before reaching their intended service life due to excessive vehicle loads, lack of maintenance, and problems with the asphalt mixture. Research on additives to asphalt mixtures, such as red brick waste, is needed to improve the quality and durability of roads. The red brick industry, which is largely traditional, often produces defective products that contribute to the failure rate in brick making. The addition of red brick debris to asphalt is expected to not only improve the quality of the pavement but also offer a low-cost solution to the waste problem. Marshall characteristic analysis on AC-BC mixture using red brick powder as a substitute for fine aggregate with variation 0 or normal produces a stability value of 1202.04 kg, for variation 1 with 20% red brick powder waste replacing sand, produces a stability value of 1074.39 kg, for variation 2 with 40% red brick powder waste replacing sand, produces a stability value of 1021.2 kg, while for variation 3 with 60% red brick powder waste replacing sand, produces a stability value of 914.83 kg. These values ​​meet the 2018 Bina Marga specifications.
THE EFFECT OF USING SUGAR CANE WASTE ON CONCRETE FLEXURAL STRENGTH FAJAR RIVANI; SAHAT MARTUA SIHOMBING; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

Modern construction technology has developed with the principle of environmental concern, integrating natural materials into construction materials to support environmentally friendly practices. Green construction includes processes that minimize the use of hazardous materials, do not disturb the peace of the population, limit waste production, maintain the balance of nature, and avoid the use of hazardous chemicals. In industry, rapidly developing technology often produces negative waste. Population growth increases the need for construction materials from natural and artificial sources. One solution is the utilization of local resources, including waste and garbage, which not only reduce pollution but also as an alternative to conventional building materials, such as the use of bagasse waste in construction. Based on data analysis and conversations that have been described in the previous chapter regarding the use of bagasse waste with variations of 0%, 10%, and 15%, the results of the flexural test of fc'25 concrete, namely after 28 days, the strength of ordinary concrete is 3.67 MPa, while variation 1 with 10% bagasse reaches 4.06 MPa, while for variation-2 with 15% bagasse reaches 4.49 MPa. The test results appear to meet the minimum requirements of 14% of the planned concrete compression test. The increase with the addition of sugarcane pulp was an average of 10%.
EVALUATION OF FACTORS AFFECTING DELAY IN UJUNG MENTENG FLAT HOUSING PROJECT WORK CHANDRA PURNOMO ADJIE; GITA PUSPA ARTIANI; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

Economic growth in DKI Jakarta has driven significant infrastructure development, from buildings to public transportation, which play a vital role in people's lives. Smooth development will have a big impact, while delays in construction projects can result in losses and conflicts due to deviations from the set schedule and quality. This forces construction companies to develop rapidly and demands effective strategies to overcome problems that cause delays. For example, the Ujung Menteng Flats project which started on December 4, 2019 and aims to target low-income people in Jakarta, experienced a deviation of -0.271% from the plan, which triggered research on the factors causing this delay. Research using the correlation test method shows several main factors causing delays in the Ujung Menteng Flats construction project, including Cost, Tools, Labor, Management, Weather, and Pandemic factors, with a significant correlation level. Cost is the most dominant factor. The study recommends improving financial planning and management to reduce delays and complete projects on budget, as well as improving project management and the availability of tools and labor.
ANALYSIS OF THE USE OF ACRYLIC WASTE AS A PARTIAL SUBSTITUTION OF COARSE AGGREGATE FOR CONCRETE COMPRESSIVE STRENGTH DEDY RAMADHAN; ACHMAD PAHRUL RODJI; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

Acrylic, or polymethyl methacrylate, is a synthetic polymer that has superior properties compared to glass, such as flexibility, light weight, easy to process (cut, drill, polish), and can be formed into various complex shapes through thermal processes. This material has advantages in resistance to impact and weather conditions, and is environmentally friendly because it can be recycled. Acrylic is widely used in industries, including advertising, automotive, and interior design, due to its ease of processing and aesthetics. However, the production of acrylic products is still considered inefficient and expensive, triggering the need for new tools for the bending process to increase the efficiency of making acrylic-based products. Based on the results of the average concrete compressive strength test for normal concrete at the age of 28 days is 11.94 Mpa, the compressive strength results are less than the planned concrete quality of 25 Mpa; Based on the research results, it was found that concrete using acrylic waste as a partial replacement for coarse aggregate at the age of 28 days at a variation of 3% was 13.94 MPa, a variation of 5% was 24.87 MPa and a variation of 7% was 7.97 MPa, so it can be concluded that the more acrylic waste mixture for the compressive strength of concrete, the results will decrease.
IDENTIFICATION OF CAUSING FACTORS FOR THE NON-APPLICATION OF SMK3 BASED ON ISO 45001 CLAUSES 6,7,8 AT PT X IN 2024 RIZKI HERWANSYAH; LYDIA DARMIYANTI; INDRIASARI
INTERNATIONAL JOURNAL OF MULTI SCIENCE Vol. 4 No. 02 (2024): INTERNATIONAL JOURNAL OF MULTISCIENCE - MAY -AUGUST 2024
Publisher : CV KULTURA DIGITAL MEDIA

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Abstract

Occupational Safety and Health Management is the process of controlling risk and creating a safe and productive work environment which is a component of the company's management system. Factors that hinder companies from implementing SMK3 in accordance with ISO 45001 are the lack of support from management to implement SMK3 and safety officers who are not competent in their fields. This study is a descriptive qualitative study where data collection is carried out directly on workers, in-depth interviews and filling out questionnaires, with a research sample of 18 respondents. The results of the study showed that the company had not implemented SMK3 based on ISO 45001, from the results of observations, interviews and filling out questionnaires. Respondents on average did not know more about SMK3, because safety officers did not socialize the K3 policy regarding SMK3 in accordance with ISO 45001. The company must conduct general K3 expert training and other training related to K3 for safety officers so that officers are competent, and provide more support from management and others so that SMK3 can be implemented in the company
Co-Authors Achmad Pahrul Rodji Agustanhakri Andrameda Ardiansyah Arfiana Army Zaka Anwary, Army Zaka Asy’ari, Gilang Maulana CHANDRA PURNOMO ADJIE Darmiyanti, Lydia DEDY RAMADHAN Dwi Lestari Elvita Nora Susana Ezra Oktaliansah FAJAR RIVANI Ferianto Gali Pribadi Gita Puspa Artiani Gita Puspa Artiani, Gita Puspa Gumelar, Muhammad Dikdik Gunawan Mutiara, Gunawan Husin Indrijarso Lamser Rajagukguk Lydia Darmiyanti M RIFQI BADRIANSYAH Mardiaman Martua Sihombing, Sahat Mirahati MUHAMMAD ARDIYAN DENYADI Muhammad Rifa'i Mumtaz Muthiah Ramadhani Putra Rahayu Riyan Prasetyo RIZKI HERWANSYAH Sahat Martua Sihombing Saputra Saudi Situmorang, Hendrik Kristian Susilo Yulianto, Susilo Taqwatomo TEGUH SIANTURI Yonas Prima Arga Rumbyarso YULIANI