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"ABSTRAKPemeliharaan yang baik tentunya adalah pemeliharaan yang membuat suatu perusahaan dapat mencapai target-target yang telah ditetapkan oleh perusahaan tersebut. PT.XYZ merupakan salah satu industri manufaktur garam. Karena terbatasnya teknologi pendeteksi kerusakan, udara yang mengandung kadar garam tinggi dan kondisi mesin yang masih konvensional maka dibutuhkanlah perencanaan pemeliharaan. Mesin Crusher Line A merupakan salah satu mesin di PT.XYZ yang sudah beberapa kali dilakukan upaya perencanaan pemeliharaan untuk menemukan program pemeliharaan terbaik, namun belum ada metode yang diterapkan oleh PT.XYZ mengingat pertimbangan biaya yang dikeluarkan. Pemeliharaan yang menghasilkan keekonomisan biaya serta efektivitas paling tinggi adalah program pemeliharaan age-replacement dibandingkan dengan program pemeliharaan PT.XYZ dan program pemeliharaan reliability yang dihitung oleh saudara Hidayanto. Keekonomisan biaya program pemeliharaan age-replacement sebesar IDR 609,445,500, program pemeliharaan PT.XYZ sebesar IDR 665,742,150 dan program pemeliharaan reliability yang menghasilkan biaya sebesar IDR 1,333,867,750. Efektifitas program pemeliharaan age-replacement sebesar 92.9 , program pemeliharaan PT.XYZ sebesar 92.8 dan pemeliharaan reliability sebesar 90.3 .

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ABSTRACT<>br>Good maintenance is certainly the maintenance that makes a company can achieve targets set by the company. PT.XYZ is one of salt manufacturing industry. Due to the limited technology of detection against damage, high content of saltinity and conventional engine conditions so that it requires a maintenance planning. Crusher Line A is one of the machines in PT.XYZ which has been done several maintenance planning efforts to find the best maintenance program, but there is no single method applied by PT.XYZ considering the spent cost. The most economical and the highest effectiveness maintenance is achieved by age replacement maintenance program compared to the maintenance program of PT.XYZ and the reliability oriented maintenance program that was calculated by Hidayanto. The economical cost of the age replacement maintenance program is IDR 609,445,500, the maintenance program of PT.XYZ of IDR 665,742,150 and the reliability maintenance program which generates the cost of IDR 1,333,867,750. The effectiveness of age replacement maintenance program is 92.9 , maintenance program of PT.XYZ is 92.8 and maintenance reliability is 90.3 ."

"An easy-to-follow anti-aging programme that draws on the principles of natural hormone replacement to promote a healthier, younger-looking skin, weight control, muscle tone, enhanced energy and sexual function, better sleep habits, balanced moods, better memory, and more. It provides women advice on choosing natural hormone replacements based on individual needs, and suggests how they can improve memory, balance moods, enhance sexuality, and increase energy."

"Dr. Selma Rashid is a leading figure in hormone replacement therapy and anti-aging medicine. She is board-certified in internal medicine, yet refuses to practice medicine through standard medical protocols, which are not in her patients best interests. She passionately seeks answers to preventing the diseases and dysfunctions of aging.Her career in medicine was inspired by the complexity of the endocrine system. Very soon she was disheartened to learn that endocrinology operates like almost every other field of medicine, in a tight box of protocols, trying to treat diseases with medications and procedures, directed by the pharmaceutical and medical device companies.At every stage of her medical training she was perplexed as to why there was so little connection between the basic sciences learned in the first two years of medical school and the clinical training in the last two years. Although so much in medicine seemed noble and invaluable, most of what was going on did not make sense.The essence of her thought process is that the medical system should do everything possible to ensure that the diseases of aging are maximally prevented; and every person dies their natural death while fully functional, both physically and mentally."

"The energy crisis in the future will be a threat for human life. Many advancement of technology currently focus on creating something that perform better than its predecessor but consuming less power. LED lighting technology has been introduced as a breakthrough of technology which possesses big advantages over the other lighting technology. LED lighting technology is able to produce a high luminous flux with very low power consumption, and also lasts longer than others. By consuming lower power, hence the amount of energy being consumed in order to generate the same amount of light will be reduced, and hence, energy saving will happen. This undergraduate thesis discusses replacement analysis of lighting at classrooms at Engineering Center of Faculty of Engineering Universitas Indonesia. The analysis is in terms of illuminance aspect, power quality performance and cost, and it is done by replacing the existing CFL with three different options of LED lamp exist in the market with competitive price. The study suggests that using LED lamp as a replacement for CFL at classrooms at Engineering Center of Faculty of Engineering Universitas Indonesia is more efficient consuming less energy by 42.86 , and moreover saving the electricity cost as well, from IDR 864,360 annually to IDR 493,920. A comparative analysis between the three different LED lamp options is also performed. "

"The purpose of this study was to evaluate the effects of ovariectomy, the influences of estrogen replacement therapy and / or suplemen CavitD3 on mandible's calsium contents of animal's models. Forty-five female rats were used in this researched. Five rats were sacrificed for unoperated basal controls and the others were bilaterally ovariectomized. The ovariectomized animals were devided into 8 groups and two of these groups were only ovariectomized, the others were treated by estrogen replacement therapy. CavitD3 and combination of both per oral for 2 and 4 weeks and then were sacrificed. Mandible's calsium contents were analyzed by Ion Selective Electrode methode after demineralized with 10% phosphoric acid for 24 hours. Result : there were significant increased of mandible's calcium content at 2 weeks post-ovariectomy, but the results decreased at 4 weeks post-ovariectomy. Estrogen replacement therapy and treated with CavitD3 for 2 and 4 weeks or combination of both for 2 weeks increased the mandible's calsium contents of ovariectomized rats, but therapy combination with estrogen and CavitD3 for 4 weeks had a protective effect to mandible's calsium contents of ovariectomized rats."

"ABSTRAK Tooth loss is considered a major end point sequela of preventable oral diseases. In Malaysia, tooth mortality is a common oral health problem. Objective: To assess the impact of tooth loss, preferences for tooth replacement, and the relationship between impact of tooth loss and number of missing teeth. Methods: This descriptive crosssectionalsurvey involved 244 patients attending a primary health center and dental clinic at a public university. The respondents completed self administered questionnaires on personal background, tooth replacement status, impact of tooth loss using a 12 item modified Geriatric Oral Health Assessment Index (GOHAI), and preferencesfor tooth replacement. A dental examination was performed to determine the number of missing teeth. Results: The mean age of the respondents was 56.2 years (standard deviation (SD), 8.1 years). The mean number of missing teeth was 8.3; 62.7% of patients had at least 20 natural teeth. The majority were not wearing a dental prosthesis.The mean GOHAI score was 16.3. Of the patients, 66.0% experienced some food biting difficulty, 59.4% worried about oral health, and 57.8% experienced eating discomfort. Dental implants were the most preferred replacement option (38.9%). The GOHAI scores were not related to the number of missing teeth. Conclusion: Tooth loss anduse of dental prostheses had some impact on quality of life, although the impact was not high. "

"Drs. Buechel, an orthopaedic surgeon, and Pappas, a professor of Mechanical Engineering, are the designers of several successful joint replacement systems. The most well-known of these is the pioneering LCS knee replacement. They have written this book for the users and designers of joint replacements. It is an attempt to convey to the reader the knowledge accumulated by the authors during their thirty five year effort on the development of replacement devices for the lower limb for the purpose of aiding the reader in their design and evaluation of joint replacement devices.The early chapters describe the engineering, scientific and medical principles needed for replacement joint evaluation. One must understand the nature and performance of the materials involved and their characteristics in vivo, i.e. the response of the body to implant materials. It is also essential to understand the response of the implants to applied loading and motion, particularly in the hostile physiological environment. A chapter describes the design methodology now required for joint replacement in the USA and EU countries. The remaining chapters provide a history of joint replacement, an evaluation of earlier and current devices and description of the design rationale for some of the authors devices with which the authors are, of course, quite familiar."

"ABSTRAKPendahuluan Keputusan untuk melakukan tindakan operasi reparasi dan replace katup mitral pada stenosis mitral masih diperdebatkan. Tujuan penelitian ini adalah mencari hubunganantara Wilkin?s score dengan keputusan operasi reparasi dan replace katup mitralpada stenosis mitral, serta mencari titik potong nilai Wilkins? score pada operasireparasi dan replace katup mitralMetodePenelitian adalah deskriptif analitik dengan pendekatan cross sectional secararetrospektif mencakup seluruh pasien dari RS Harapan Kita Jakarta yang dilakukanoperasi stenosis mitral pada Januari 2010 ? September 2015 oleh satu orang dokterbedah Jantung. Hubungan Wilkins? score dengan keputusan operasi serta nilai titikpotong Wilkins? score pada operasi reparasi dan replace menjadi luaran yang akanditeliti.HasilSeratus dua puluh lima subjek dengan usia rata-rata kelompok reparasi 36,78 ± 9,37tahun dan replace 44,49 ± 9,29 tahun. Didapatkan nilai mean Wilkins? score padakelompok reparasi 6,5 (4-12) dan kelompok replace 8 (4-14) dengan nilai signifikansip<0,001. Dengan area under curve 0,786 dan p<0,001, dapat dinilai titik potongWilkins? score berada pada nilai 7. Dengan memerhatikan variabel lain yangmenunjukkan adanya hubungan signifikan pada analisis bivariat yaitu usia,regurgitasi mitral dan Euro score, dilakukan analisis multivariate dengan uji regresilogistic didapatkan area under curve 0,946 dan p<0,001, dapat dinilai titik potongWilkins? score berada pada 5. KesimpulanWilkins? score berhubungan dalam pengambilan keputusan tindakan operasi reparasidan replace katup pada subjek dengan stenosis mitral, dengan titik poin pada putusanoperasi reparasi dan replace yaitu Wilkins? score 7. Jika Wilkins? scoremempertimbangkan faktor usia, regurgitasi mitral dan Euro score titik poin padaputusan operasi reparasi dan replace yaitu Wilkins? score 5.

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ABSTRACTIntroductionDecision on the repair and replacement of mitral valve surgery in mitral stenosispatients is still being debated. The aim for this research is to find the relationshipbetween Wilkins? score and the decision between repair and replacing mitral valve inmitral stenosis cases, and to find the cut off point for Wilkins?score in the mitralvalve repair and replacement procedureMethodsThe research is an analytic descriptive study with restrospective cross sectionaldesign. This research covered all patients of Harapan Kita Hospital for Heart andBlood vessels that had mitral stenosis operations from January of 2010 untilSeptember 2015 that is conducted by one of the surgeon in that hospital. Therelationship between Wilkin?s score and the decision to operate and the cut of pointof the Wilkins? score on the repair and replacement decision is the outcome that weare going to study in this research.ResultsOne hundred and twenty five subjects with the mean age of repair 36,78 ± 9,37 yearsold and replacement age of 44,49 ± 9,29 years old. We found that the mean ofWilkins? score in the reparation group is 6,5 (4-12) and in the replacement group is 8(4-14) with the significance value is p <0,001. With area under the curve of 0,786 andp<0,001 we can see that the the cut off point for Wilkins? score is 7. By seeing othervariables to show the significance between all bivariates variable such as age, mitralregurgitation and Euro score, we conducted multivariate analysis of regression testwe found area under the curve 0,946 with p<0,001. We can assess that the cut offpoint of Wilkins? score is 5 ConclusionWilkins score is related with decision making of valve repair and replacmentprocedure in patients with mitral stenosis with poin between decision is 7. If Wilkinsscore consider other factors such as age, the presence of mitral regurgitation and EuroScore the point that determine the decision to repair and replace mitral valve isWilkins? score 5."

"Fraktur merupakan salah satu masalah perkotaan akibat cedera fisik. Penatalaksanaan fraktur patologis cukup kompleks dan mengakibatkan imobilisasi yang lama. Tingkat kemampuan mobilisasi pasien pasca total hip replacement dapat ditingkatkan melalui therapeutic exercise yang meliputi latihan range of motion, angkle pump, quads statis dan gluteal statis, serta latihan ambulasi menggunakan alat bantu yang telah diajarkan selama masa rawat. Hasil latihan menunjukkan meningkatnya kemampuan mobilisasi secara bertahap dan aman. Therapeutic exercise merupakan latihan efektif untuk meningkatkan mobilisasi dan mendukung ambulasi. Perawat perlu meningkatkan pengetahuan dan kemampuan melakukan therapeutic exercise untuk meningkatkan mobilisasi dan dibarengi peningkatan status kesehatan dengan perbaikan masalah kesehatan pasca THR.

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The most frequent problem of urban health is fractures due to physical injuries. The management of pathological fracture is complex and leads to prolong immobilization. Patients ability level after total hip replacement surgery can be enhanced by therapeutic exercise that includes range of motion, ankle pump, quads and gluteal static exercise, and ambulatory exercises using walker in rehabilitation phase while hospital stays.

The results of exercise show patients ability had increased gradually and secure to perform mobilizations. Therapeutic exercise is an effective exercise to improve mobilization and support ambulation. Nurses need to improve their knowledge and ability to perform therapeutic exercise as treatment of mobilization and be accompanied by improved patient health status from potential health problems after total hip replacement."

"ABSTRAKKecelakaan dapat menyebabkan cedera pada manusia salahsatunya terjatuh dan menyebabkan fraktur dintaranya fraktur hip. Nyeri secara terus menerus dan resiko komplikasi membuat fraktur hip harus segera diatasi, salah satunya penangan dengan pembedahan yaitu total hip replacement. Klien dengan post operasi total hip replaceman beresiko untuk mengalami dislokasi dan masalah dalam mobilisasi jika tidak dilakukan pengawasan dengan baik dan benar. Oleh karena itu diperlukan penangan pasca pembedahan berupa pemberian edukasi untuk pencegahan dislokasi pada sendi pinggul dan latihan kekuatan otot serta latihan mobilisasi untuk meningkatkan kualitas hidup klien dengan total hip replacment. Pemberian edukasi pencegahan dislokasi dan pemberian latihan mobilisasi secara dini terbukti mampu mempercepat klien dalam melakukan mobilisasi secara mandiri yang ditulis dalam karya ilmiah ini.

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ABSTRACTAccidents can cause injury to humans one of them dropped and caused fracture hip. Continuous pain and the risk of complications make hip fracture should be addressed, one of which is surgical treatment with total hip replacement. Clients with postoperative total hip replaceman are at risk for dislocation and problems in mobilization if not supervised properly and properly. It is therefore necessary post-surgical handling in the form of providing education for the prevention of dislocation in hip joints and muscle strength training and mobilization exercises to improve the quality of life of clients with total hip replacment. The provision of education for the prevention of dislocation and the provision of early mobilization exercises proved able to accelerate the client in performing self-mobilization written in this scientific paper. "