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All Journal The New Ropanasuri Journal of Surgery Borobudur Law and Society Journal
Lesmana, Andy
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Humanities Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Social Sciences

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Comparison of Wells Score, D–Dimer and Combination of Wells Score and D–Dimer with Venous Duplex Ultrasonography in Diagnosis of Acute Deep Vein Thrombosis in Lower Extremity Lesmana, Andy; Pratama, Dedy; Wangge, Grace
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Abstract

Introduction. Diagnosis of acute deep vein thrombosis (DVT) of lower extremity using available diagnostic tools such as venous duplex ultrasonography (VDUS) encountered problems including cost, time consuming and the operator. A simple and practical tool is required. Thus, we run a study aimed to evaluate the efficacy of Wells score, D–Dimer, or combination of both, compared to VDUS in early detection of acute DVT of lower extremity. Method. A diagnostic study was run using cross–sectional design in Department of Surgery enrolling all adult subjects of which suspected to acute DVT of lower extremity managed in period of January 2014 –December 2015 who met the criteria. The diagnosis was confirmed by VDUS. Those data of medical record were analyzed statistically with diagnostic study to find out the sensitivity and specificity. Results. The study enrolled of 85 subjects. The prevalence of acute DVT of lower extremity was 65.88%. Sensitivity and the highest negative predictive value of 100.00% were found in score combination of II and IV. While as the highest specificity of 89.66% and the highest positive predictive value of 92.68% were found in score combination of III. The score with balanced diagnostic value (sensitivity of 87.50% and specificity of 72.41%) was found in Wells score 3 level I. Conclusion. Wells score and VDUS showed comparable efficacy in detection of acute DVT of lower extremity. Thus, a score could be used as a diagnostic tool.
Impelementasi Peraturan Daerah Kabupaten Magelang Nomor 1 tahun 2021 (Studi Kasus: Obyek Wisata Borobudur) Lesmana, Andy; Suharso, Suharso; Dewi, Dyah Adriantini Shinta
Borobudur Law and Society Journal Vol 4 No 2 (2025): Vol 4 No 2 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/11690

Abstract

Penyandang disabilitas memiliki hak yang sama berwisata seperti warga negara lainnya untuk mengatasi permasalahan tersebut pemerintah daerah Kabupaten Magelang menerbitkan Perda Kabupaten Magelang Nomor 1 Tahun 2021 yang diharapkan dapat mempermudah penyandang disabilitas. Namun, pada kenyataannya masih terdapat kendala. Penelitian ini bertujuan untuk mengkaji impelementasi Perda Kabupaten Magelang Nomor 1 tahun 2021 pada obyek wisata Borobudur dan untuk mengetahui hambatan yang dihadapi dalam pemenuhan hak penyandang disabilitas pada obyek wisata Borobudur. Metode penelitian dengan menggunakan metode yuridis empiris. Hasil penelitian yang diperoleh bahwa implementasi peraturan di Perda Kabupaten Magelang Nomor 1 Tahun 2021 belum terimplementasikan dengan baik dikarenakan terbatasnya anggaran sehingga untuk fasilitas berwisata disabilitas masih kurang diperhatikan. Hambatan yang dihadapi yaitu anggaran membangunan fasilitas khusus disabilitas dan pelatihan sumber daya manusia yang lebih baik.
Co-Authors Dedy Pratama Dyah Adriantini Shinta Dewi, Dyah Adriantini Shinta Grace Wangge, Grace Suharso Suharso