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ANALISIS SPEKTRUM GETARAN UNTUK MENGIDENTIFIKASISINYAL KONTAK GIGIDALAM SISTEM TRANSMISIRODA GIGI DIFFERENSIAL DENGAN MEMANFAATKAN CREATIVE SOUNDBLASTER AUDIGY LS 5.1 DAN MATLAB 6.5 Eddy, Noor; Husen, A.; Kurniawan, Heru
MESIN Vol 8, No 2 (2006)
Publisher : Program Studi Teknik Mesin, Universitas Trisakti

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Abstract

Usually, a modern industry requires theproduction keep going on with the least interrupt as possible,butfrequently, the unscheduled maintenance will waste money in a large amount which is allocated in amodern industry needs an enormous investment. Machines with good condition generally produce a littlerelative of vibration but with increase in service life, the vibration of machine will increase. In somecondition, the increase in quite drastic vibration probablymay occur. Thisphenomenon is an indicator thatthe machine must have an immediate repair. This vibration spectrum analysis is tried to conductedfor thetransmission system of differential gear. By means to use the alternative tools beside DSA (Dynamic SignalAnalyzer), that is CREATIVE SOUNDBLASTER AUDIGY LS5.1 and MATLAB 6.5 whichhave Fast FourierTransform facility and so, can to know the real condition gear by time domain andfrequency domain. Thevibration spectrum analysiswhich donetofocus byidentification signal ofproblem which comebygear meshlikegear meshfrequency ofhypoidgear andside gear.
Sensitivitas dan Spesifisitas Cystatin C dan Kreatinin Serum dalam Mendiagnosis Cedera Ginjal Akut pada Pasien Sepsis yang Dirawat di Ruang Rawat Intensif RSUP H. Adam Malik Medan Arifin, Hasanul; Kurniawan, Heru
Jurnal Anestesi Perioperatif Vol 4, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Kreatinin serum memiliki banyak keterbatasan dalam mendiagnosis cedera ginjal akut (CGA) terutama dalam ruang lingkup unit perawatan intensif sehingga kurang sensitif untuk menggambarkan tingkat disfungsi ginjal pada pasien sakit kritis. Dari sekian banyak penanda biologis baru yang tersedia, terdapat 4 penanda biologis yang saat ini secara luas digunakan para klinisi di seluruh dunia untuk mendeteksi CGA, antara lain neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, KIM-1, dan interleukin-18. Tujuan penelitian ini adalah mengetahui sensitivitas dan spesifisitas cystatin C dan kreatinin serum dalam mendiagnosis cedera ginjal akut pada pasien sepsis yang dirawat di ruang rawat intensif. Jenis penelitian ini adalah uji diagnostik dengan jumlah sampel 24 pasien dan dikerjakan di ruang rawat intensif Rumah Sakit H. Adam Malik (RSHAM) periode Februari–Maret 2014. Populasi dalam penelitian ini adalah semua pasien dewasa dengan sepsis, sepsis berat, dan syok sepsis di ruang rawat intensif. Uji statistik dilakukan dengan metode receiving operator characteristics (ROC) melalui perangkat lunak SPSS 17. Hasil penelitian ini menunjukkan bahwa cystatin C serum lebih superior dibanding dengan kreatinin serum dalam mendeteksi CGA pada pasien sepsis di ruang rawat intensif. Cystatin C memiliki sensitivitas, nilai prediksi positif, nilai prediksi negatif, dan area under curve -receiving operator characteristics (AUC-ROC) yang lebih tinggi dibanding dengan kreatinin serum. Namun, dari nilai spesifisitas dijumpai nilai yang sama pada kedua penanda biologis. Cystatin C serum memiliki nilai cut-off 1,03 mg/L, sedangkan kreatinin serum mempunyai nilai cut-off 1,0 mg/dL. Simpulan, cystatin C dapat dijadikan penanda biologis alternatif untuk deteksi CGA pada pasien sepsis di RRI (Ruang Rawat Intensif) dengan nilai diagnostik yang lebih baik.Kata kunci: Cedera ginjal akut, cystatin C serum, kreatinin serumSensitivity and Specificity of Serum Cystatin C and Creatinine for Diagnosing Acute Kidney Injury in Sepsis Patients Treated in Intensive Care Unit at H. Adam Malik Hospital MedanSerum creatinine has many limitations when being used to diagnose acute kidney injury (AKI), especially in the scope of intensive care unit due to its low sensitivity to depict the kidney dysfunctional level of critically-ill patients. Out of numerous new available biological markers, four biological markers are widely used all over the world to detect AKI, e.g. neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, KIM-1, and interleukin-18. The purpose of this study was to determine the sensitivity and specificity of serum cystatin C and creatinine in establishing the diagnosis of acute kidney injury in sepsis patients treated in intensive care room. This study was a diagnostic test to 24 patients and conducted in intensive care room of H. Adam Malik Hospital during the period of February–March 2014. Population in this study is all adult patients with sepsis, severe sepsis, and septic shock in the intensive care room. A statistical test was conducted using receiving operator characteristics (ROC) method using SPSS 17 software. The result of this study showed that serum cystatin C was more superior than serum creatinine in detecting acute kidney injury in sepsis patients treated in intensive care room. In this study, cystatin C had higher sensitivity, positive prediction score, negative prediction score, and area under curve -receiving operator characteristics (AUC-ROC) than serum creatinine. As of specificity, there was no significant difference between these two biological markers. Serum cystatin C had a cut-off point of 1.03 mg/dL, and serum creatinine had 1.0 mg/dL. In conclusion, cystatin C can be an alternative biological marker to detect AKI in sepsis patients treated in intensive care room with a better diagnostic value.Key words: Acute kidney injury, serum creatinine, serum cystatin C DOI: 10.15851/jap.v4n2.819
Perbandingan Cystatin C Serum dan Kreatinin Serum untuk Deteksi Cedera Ginjal Akut pada Pasien Sepsis di Ruang Rawat Intensif Rumah Sakit Haji Adam Malik Medan Kurniawan, Heru; Hanafie, Achsanuddin; Mursin, Chairul M
Majalah Anestesia dan Critical Care Vol 32 No 1 (2014): Februari
Publisher : Perdatin Pusat

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Abstract

Perubahan mendadak laju filtrasi glomerulus (LFG) pada pasien sakit kritis dengan sepsis tidak diikuti secara paralel dengan perubahan kreatinin serum. Tujuan dari penelitian ini adalah membandingkan kegunaan dari cystatin C serum dan kreatinin serum sebagai penanda biologis fungsi ginjal pada pasien sepsis di ruang rawat intensif (RRI). Sebuah studi cross-sectional dilakukan pada pasien dewasa usia 18–65 tahun di RRI RSUP Haji Adam Malik. Kreatinin serum, cystatin C serum dan creatinin clearance (CrCl) 24 jam urin diobservasi pada 24 pasien sepsis. CrCl 24 jam urin yang disesuaikan dengan luas permukaan tubuh digunakan sebagai “baku emas” untuk menentukan LFG. Kreatinin serum, cystatin C serum dan CrCl 24 jam urin (nilai rata-rata ± standar deviasi [range]) adalah 1,53 ± 1,13 mg/dL (0,3–4,2 mg/dl), 1,71 ± 1,1 mg/L (0,6–4,48 mg/L), dan 66,33 ± 37,77 ml/min/1,73 m2 (4–137 mL/min/1,73 m2). 17 dari total 24 pasien mengalami CGA. Cystatin C serum memilki nilai sensitivitas dan spesifisitas sebesar 82,4% dan 85,7%. Sedangkan kreatinin serum memiliki nilai sensitivitas dan spesifisitas sebesar 52,9% dan 85,7%. Cystatin C secara diagnostik lebih superior dibandingkan kreatinin serum dengan area under the curve (AUC) 0,874 untuk cystatin C serum dan 0,785 untuk kreatinin serum. Cystatin C serum dengan nilai cutt-off 1,03 mg/L dan kreatinin serum dengan cutt-off 1,0 mg/dL memiliki sensitivitas dan spesifisitas yang sama yaitu 82,4% dan 85,7%. Cystatin C adalah penanda biologis yang akurat dalam mendeteksi perubahan akut pada LFG, dan terbukti lebih superior dibandingkan kreatinin serum dalam mendiagnosa CGA pada pasien sakit kritis. Kata Kunci: Cedera ginjal akut, creatinin clearance 24 jam urin, cystatin C serum, kreatinin serum, sepsis Comparative of Serum Cystatin C and Serum Creatinin for Detection Acute Kidney Injury on Septic Patients in Icu Haji Adam Malik Hospital Medan Sudden changes in glomerular filtration rate (GFR) septic critically ill patients are not instantly followed by parallel changes in serum creatinine. The aim of the present study was to compare the utility of serum cystatin C and serum creatinin as a marker of renal function in these patients.A cross-sectional study was conducted in adult patients among 18-65 years in the intensive care unit Haji Adam Malik hospital. Serum creatinine, serum cystatin C and 24-hour creatinine clearance (CrCl) were observed in 24 critically ill patients with sepsis. Twenty-four-hour body surface adjusted CrCl was used as a control because it is the ‘gold standard’ for determining GFR.Serum creatinine, serum cystatin C and CrCl (mean ± standard deviation [range]) were 1.53 ± 1.13 mg/dL (0.3–4.2 mg/dl), 1.71 ± 1.1 mg/l (0.6–4.8 mg/l), and 66.33 ± 37.77 mL/min per 1.73 m2 (4–137 mL/min per 1.73 m2), respectively. Of the total 24 patients, 17 patients had AKI. Serum cystatin C has a sensitivity of 82,4% and spesificity value of 85,7%. Serum creatinin has a sensitivity and spesificity value of 52,9% and 85,7%. Cystatin C was diagnostically superior to creatinine (area under the curve [AUC] for cystatin C 0.874 and for creatinine 0,785. Serum cystatin C with cutt-off value 1,03 mg/L and serum creatinin with cutt-off value 1,0 mg/dl has the same sensitivity and spesificity of 82,4% and 85,7%, respectively. Cystatin C is an accurate marker of subtle changes in GFR, and it may be superior to creatinine when assessing this parameter in clinical practice in critically ill patients. Key words: Acute kidney injury, serum creatinin, serum cystatin C, sepsis24-hour creatinine clearance Reference 1. Bagshaw SM, George C, Bellomo R. Changes in the incidence and outcome forearly acute kidney injury in a cohort of Australian intensive care units. Crit Care.2007;11:R68.2. Hoste EA, Clermont G, Kersten A. RIFLE criteria for acute kidney injury areassociated with hospital mortality in criticallyill patients: A cohort analysis. CritCare. 2006;10:R73.3. Mehta RL, Pascual MT, Soroko S. Spectrum of acute renal failure in the intensivecare unit: The PICARD experience. Kidney international. 2004; 66:, 1613–21.4. Uchino S, Kellum JA, Bellomo R.Acute renal failure in critically ill patients:A multinational, multicenter study. JAMA. 2005;294:813–8.5. Uchino S, Bellomo R, Goldsmith D: Anassessment of the RIFLE criteria for acuterenal failure in hospitalized patients. Critcare. 2006;34:1913–7.6. Doi K, Peter ST, Eisner C. Reduced production of creatinine limits its use as a marker of kidney injury in sepsis. J Am Soc Nephrol. 2009;20:1217–21.7. Abrahamson M, Olafsson I, Palsdottir A, Ulvsback M, Lundwall A,Jensson O, dkk. Structure and expression of the humancystatin C gene. Biochem J. 1990;268:287–94.8. Spahillari A, Parikh CR, Sint K, Koyner JL, Patel UD, Edelstein CL, dkk. Serum cystatin C- versus creatinine-based definitions of acute kidney injury following cardiac surgery: a prospective cohort study. Am J Kidneys Dis. 2012;60:922–9.9. Slort PR, Ozden N, Pape L, Offner G, Tromp WF, Wilhelm AJ, dkk. Comparing cystatin C and creatinine in the diagnosis of pediatric acute renal allograft dysfunction. Pediatr Nephrol. 2012;27:843–9.10. Chung MY, Won Jun D, Sung SA. Diagnostic value of cystatin C for predicting acute kidney injury in patients with liver cirrhosis. KASL. 2010; 16: 301–7.11. Le Bricon T, Leblanc I, Benlakehal M, Gay-Bellile C,Erlich D, Boudaoud S. Evaluation of renal function inintensive care: plasma cystatin C vs. creatinine andderived glomerular filtration rate estimates. Clin Chem. 2005;43:953–7.
KOLABORASI MENULIS KREATIF BUKU BACAAN ANAK DALAM MENGEMBANGKAN INDUSTRI KREATIF PADA KOMUNITAS LITERASI WADAS KELIR PURWOKERTO Kurniawan, Heru; Supriyono, Supriyono
Magistra Andalusia: Jurnal Ilmu Sastra Vol 2, No 1 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/majis.2.1.24.2020

Abstract

In this era, writing is not enough to be done expressively with personal spontaneity, but need to be done collaboratively by considering aspects of the desired goals. One of them is when writing is done to fulfill economic goals as the basis of a community's creative industry. With the concept of a creative industry whose estuary is to produce economic products made from creative ideas, writing in Wadas Kelir Literacy Community (KLWK) is carried out with a planned collaborative working model based on creative industry standards of economic value. From here, the results of research that have been carried out are: first, writing collaboration begins with market research studies in an effort to identify trends in children's books that are being sought after by publishers and readers. Second, the formulation of themes and ideas is carried out in the discussion space and cooperation for the division of writing work. Third, the results of the writing work are reviewed and edited by a team of experts to identify the strengths and the weaknesses. Fourth, the book manuscript offer to publishers is carried out by a separate management who continues to carry out partnership work with publishers. Fifth, involved in efforts to distribute book sales through online stores that create trust in the community of publishers.
PROFIT PLANNING ANALYSIS ON BUSINESS TAHU TEMPE BAIM MANNA SOUTH BENGKULU DISTRICT Noviantoro, Rinto; Afriani, Sulisti; Kurniawan, Heru
Journal of Research in Business, Economics, and Education Vol 2 No 1 (2020): February Edition
Publisher : STIE Kusuma Negara

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Abstract

The purpose of this study was to determine the analysis of earnings planning in the Business Tahu Tempe Baim Manna in South Bengkulu District. The analytical method used in this research is a quantitative analysis using BEP analysis. From the results of the study, the BEP point in 2019 was achieved in the sales volume of 9,513 prints or Rp. 476,031,532.00 with Contribution Margin Ratio of 0.444 or 44.40%. The level of safety or margin of safety is 57.65%. The company's profit rate reaches 25.60%. Based on the 2019 BEP point, then profit planning can be prepared for 2020. If the Business Tahu Tempe Baim Manna in South Bengkulu District plans a 10% increase in profit from 2019 which is Rp 316,510,850.00, then the level of sales that must be achieved is Rp. 1,188,893,806.00 or 23,759 prints.
Pembelajaran Kreatif untuk Mewujudkan Anak-Anak Yang Cerdas, Kreatif, dan Berkarakter Kurniawan, Heru
Madrasah: Jurnal Pendidikan dan Pembelajaran Dasar Vol 8, No 2 (2016): Madrasah: Jurnal Pendidikan dan Pembelajaran Dasar
Publisher : Fakultas Ilmu Tarbiyah dan Keguruan Universitas Islam Negeri Maulana Malik Ibrahim Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jt.v8i2.3773

Abstract

Creative learning is learning that rests on four fundamental base, namely fun children learning design; learning to obtain more good values, but it is directed to produce learning products: intellectual works, creative performance, and educational activities; learning that is always appreciated by the teacher in the form of the value and the publication; and learning that can improve the child's motivation to learn. With four foundations above, this creative learning can create intelligent children. They are the children who are able to resolve the issue of learning in accordance with the breadth of his knowledge; a creative child, the child can actualize ideas, concepts, and feelings in concrete; and children who have personality and good character in their daily lives.
Pemeranan dan Internalisasi Karakter Integritas dalam Pelayanan Literasi Masyarakat Kurniawan, Heru; Rahayu, Sri
Integritas : Jurnal Antikorupsi Vol. 6 No. 2 (2020): INTEGRITAS: Jurnal Antikorupsi
Publisher : Komisi Pemberantasan Korupsi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32697/integritas.v6i2.680

Abstract

Literacy service of Rumah Kreatif Wadas Kelir Community is carried out through communication and interaction between volunteer and society. The service includes borrowing and returning literacy book, educational and religious activity, skill assistance, and financial service. In this literacy service, the volunteers portray integrity character based on moral ethic and humanity. The integrity character plays a vital role in enhancing society trust which in turn significantly contribute to the development of Rumah Kreatif Wadas Kelir Community. The success of this integrity character implementation means that the internalization of integrity character in society has been successfully carried out. In addition, the integrity character has become a collective character that is upheld by society in enhancing their dignity and improving their environment. The Integrity character of society significantly contribute to the development of both society and Rumah Kreatif Wadas Kelir Literacy Community concerning education, economy, religion, and socio-culture.
PENANAMAN KARAKTER RELIGIUS ANAK USIA DINI DALAM FILIM ANIMASI NUSSA DAN RARA Istifarriana, Deva Mega; Kurniawan, Heru; Kasmiati, Kasmiati
Jurnal Golden Age Vol 5, No 2 (2021): Jurnal Golden Age
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/goldenage.v5i2.4023

Abstract

Nussa and Rara are films that are favored by early childhood. One of the characteristics of this animated film is a religious character played by its characters. To that end, the purpose of the study was to discover, identify, and analyze the religious characters that Nussa and Rara instilled in early childhood. Research is conducted by literature studies or library research by examining libraries in the form of FIlm Animation Nussa and Rara. The result of the research is the religious character of early childhood in the animated film Nussa and Rara is played by the characters through an attitude of help, faith and fear, gratitude, and sincerity. This religious character attitude is what nussa and rara animated films instill in early childhood. By watching Nussa and Rara animated films continuously, this religious character will be internalized in early childhood.
Pengembangan Model Inovasi dan Kreativitas Keilmuan Pendidikan Islam Anak Usia Dini Kurniawan, Heru; Fakhrudin, Asef Umar
Generasi Emas Vol. 6 No. 2 (2023): Generasi Emas:Jurnal Pendidikan Islam Anak Usia Dini
Publisher : UIR PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/ge.2023.vol6(2).14193

Abstract

One of the important tasks of the study program is to carry out educational innovation and creativity. This research was conducted to find a model for developing scientific innovation and creativity in the study program. The research method used is field research in which the data is identified through interviews, documentation, and observation. The results of the research are First, PIAUD Study Program students realize the importance of scientific innovation and creativity in early childhood education because it is based on the scientific reality of early childhood education that requires creativity, the demands of institutional work that want creative graduates, and scientific opportunities in early childhood education that have market opportunities. good to develop. Second, the model for developing scientific innovation and creativity in early childhood education is carried out through intensive collaboration between lecturers and students which is realized by institutional mentoring of lecturers with the PIAUD Studio community which is established and developed according to students' interests and talents in the scientific field of early childhood education. With this model, PIAUD Study Program students have good creativity and innovation as evidenced by various achievements at the national level in innovation and creativity competitions for early childhood education students.
Analisis Dan Perancangan Sistem Informasi Manajemen Perjalanan Dinas Pada Dinas Lingkungan Hidup (DLH) Provinsi Jambi Kurniawan, Heru; Effiyaldi, Effiyaldi
Jurnal Manajemen Sistem Informasi Vol 5 No 3 (2020): MANAJEMEN SISTEM INFORMASI
Publisher : LPPM Universitas Dinamika Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33998/jurnalmanajemensisteminformasi.2020.5.3.913

Abstract

Management of official travel document at the Jambi Provincial Environmental Office is still done manually and has not been integrated, such as the management of assignment, official travel order, detail of official travel cost to official travel report so that document printing error often occur. The method used in this research is object-oriented analysis and design with UML modeling. This research resulted in the design of official travel management information system that can facilitate the management of official travel document, so that data and official travel report can be stored properly and can avoid error that might occur. With the official travel management information system, it is expected to minimize the weaknesses of the previous system.
Co-Authors A. Husen, A. Abdullah, Imam Abdussalam, Hasan Agustia Dwi Pamujiati Agustin, Bunga Veronika Milania Alfarisi, Maziz Ali, Musyafa Amelia, Mislaha Elmi Andi Zainal Anwar, M. Khoiril Apriani, Aisya Ariwibisono, F.X Ariyansyah, Oni Arrosyid, M. Arwin Asep Nugraha, Asep Aswaldi, Haikal Azkiyah, Lailatul Bagaskoro, Ladito Risang Bambang Priyo Darminto Bayu Dharma Putra, Eko Bramlie, Andian Budi Darmono, Prasetiyo Chamro', Wardatul Dany, Dany Eko Nurcahyanto Deyanti Deyanti, Deyanti Dharmawan, Moch. Marwan Dita Yuzianah Dona Alfina Effiyaldi, Effiyaldi Erlyananda, Moch. Fadilah Fachrizal Afandi Fadilah, Nurmilah Faidah, Alifiya Nur Fakhrudin, Asef Umar Fatoni, Khoirol Imam Felix Felix Firnanda, Arya Bagus Gunawan Gunawan Hanafie, Achsanuddin Haq, Indana Nurain Hasanul Arifin Hayati Hayati Hidayat, Moch. Ainul Ilyasa, Bani Imam Koeswahyono Irmanasari, Rofika Istiani, Diah Istifarriana, Deva Mega Istiqomah, Muyasarotul Janah, Sinta MIftakhul Kasmiati Kasmiati Kelvin Kelvin Kelvin Kristian Telaumbanua Kristiana, Irene Ika Kurniawan, Endro S. Kusuma, Ilham Jaya Larasati, Falasifa M. Fajri, M. Mahardhika, Rashita M. P. Manurung, Juliana Damayanti Mayda, Trika Ma’arif, Moh. Syamsul Milda Istiqomah Mulyadi, Dikdik Satria Mursin, Chairul M Ngilmiyah, Rofikoh Niar, Maria Ulfah Septadi Nina Lisanty Noor Eddy, Noor Nurmantias, Faizal Pradilla, Febry Aji Pranata, Muhammad Yoga Pranitamotik, Dewi Prasetyani, Ikom Prasetyani, Ikom Puji Nugraheni PURWANTI PURWANTI Putra, Eko Bayu Dharma Putra, I Wayan Sumardana E. Putra, Iska Putri Islami, Gadis Tiara Putri, Dinda Rahmat Hidayat Ramadan, Muhammad Anugrah Ramsito, Ramsito Raynaldo Raynaldo, Raynaldo Retoliah Retoliah Riche Riche Rinto Noviantoro, Rinto Riskiah Ronsen Purba Ropi’ah, Eva Siti Rusli, Hazmi Samsu Somadayo, Samsu Saragih, Yuni Marlina Sarwiji Suwandi Sepriano Sepriano Setyawan, Imron Sholeh, Dwi Rohman Sinaga, Frans Mikael Sio Jurnalis Pipin Sitorus, Yeremy Frederick Hizkia Somadayo, Samsu Rohman SRI RAHAYU Sudirman, Rendy SUKENDRO SUKENDRO, SUKENDRO Sulisti Afriani, Sulisti SUMARNI Sumarni Sumarni Supriyono Supriyono Suryo Wibowo, Mochamad Agus Suta Wardianto, Bayu Sutardi Sutardi Sutardi Sutardi Syahputri, Hamidah Tanti Triadi, Albet Waluyo, Herman J. Wardianto, Bayu Suta Winardi, Sunaryo Yundari, Yundari Yurmanita, Elsa Yusra Dinafi