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IMPLEMENTASI PENGAWASAN TAHAPAN PEMUTAKHIRAN DATA PEMILIH (DPT) DALAM PEMILU KEPALA DAERAH KOTA MEDAN TAHUN 2010 (STUDI KASUS KELURAHAN PUSAT PASAR KECAMATAN MEDAN KOTA KOTA MEDAN) David Susanto
PERSPEKTIF Vol 3, No 1 (2014): PERSPEKTIF - January
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/perspektif.v3i1.142

Abstract

The successful implementation of the policy will be determined by many variables or factors, and each of these variables are related to one another. In view of Edwards III, policy implementation is influenced by four variables, namely: (1) communication, (2) resources, (3) disposition, and (4) bureaucratic structure. This research is a descriptive study with a qualitative approach. The results are as follows: (1). Implementation of the discussion using the theory of policy implementation at the stage of monitoring the implementation of data updating voters (DPT) in the city of Medan in 2010 Election not running optimally be seen from the number of people who are not enrolled in the DPT and the limited performance of the Supervisory Committee (2). Inhibiting factors that affect the performance of the Supervisory Committee of Medan in 2010 is a limited member of the Supervisory Committee, the limited time of the establishment (regulation / legislation governing the Supervisory Committee / Election Supervisory Body), HR is not the same (level of education) between Panwas City, District, and Village
LAPORAN KASUS : DEKOMPRESI MIKROVASKULAR PADA SPASME HEMIFASIAL David Susanto; Abrar Arham; Rizal Tumewah; Maria Theresia Jasi
Jurnal Sinaps Vol. 3 No. 2 (2020): Volume 3 Nomor 2, Juni 2020
Publisher : Neurologi Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.219 KB)

Abstract

Spasme Hemifasial merupakan gangguan aktivitas otot wajah yang diinvervasi oleh nervus (n) fasialis. Meskipun spasme hemifasial tidak mengancam jiwa, namun gangguan ini dapat mempengaruhi aktivitas sosial penderitanya. Terdapat beberapa tatalaksana pada spasme hemifasial, seperti : farmakoterapi, injeksi toksin botulinum, dan dekompresi mikrovaskular (DMV). DMV merupakan tatalaksana operatif pilihan pada pasien spasme hemifasial, dilaporkan perbaikan gejala terjadi pada lebih dari 90% kasus. Laporan kasus ini melaporkan wanita 47 tahun datang dengan keluhan kedutan pada wajah sisi kiri yang hilang timbul dan memberat dalam beberapa tahun terakhir. MRI kepala menunjukan adanya penekanan N.VII sinistra oleh arteri (A). serebelar anterior inferior kiri. Pasien dikonsulkan ke bedah saraf dan direncanakan terapi DMV. Setelah operasi, pasien menunjukan perbaikan gejala, evaluasi 3 bulan setelah operasi diperlukan untuk menentukan prognosis. Kata Kunci : Spasme Hemifasial
Role of Elastography in Early Detection of Liver Cirrhosis David Susanto; Visakha R Irawan
Journal of Medicine and Health Vol. 1 No. 5 (2017)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.196 KB) | DOI: 10.28932/jmh.v1i5.543

Abstract

Liver cirrhosis is a condition in which the liver slowly deteriorates and is unable tofunction usually due to chronic, or long lasting, injury. Fibrotic tissue replaces healthy livertissue and partially blocks the flow of blood through the liver. Fibrosis increases liver stiffness.Liver palpation on the early physical examination has been used to assess liver stiffness.Though, palpation has some limitations, such as highly subjective, very operator dependent,and sometimes even impossible to perform. At present, liver biopsy remains the current goldstandard for assessing liver fibrosis, even though the diagnostic accuracy is limited by thespecimen size, invasive procedure, and long duration for getting the result. Elastography is analternative method to liver biopsy in patients with chronic liver disease.Keywords: chronic liver disease, elastography, liver cirrhosis
IMPLEMENTASI PENGAWASAN TAHAPAN PEMUTAKHIRAN DATA PEMILIH (DPT) DALAM PEMILU KEPALA DAERAH KOTA MEDAN TAHUN 2010 (STUDI KASUS KELURAHAN PUSAT PASAR KECAMATAN MEDAN KOTA KOTA MEDAN) David Susanto
PERSPEKTIF Vol. 3 No. 1 (2014): PERSPEKTIF - January
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/perspektif.v3i1.142

Abstract

The successful implementation of the policy will be determined by many variables or factors, and each of these variables are related to one another. In view of Edwards III, policy implementation is influenced by four variables, namely: (1) communication, (2) resources, (3) disposition, and (4) bureaucratic structure. This research is a descriptive study with a qualitative approach. The results are as follows: (1). Implementation of the discussion using the theory of policy implementation at the stage of monitoring the implementation of data updating voters (DPT) in the city of Medan in 2010 Election not running optimally be seen from the number of people who are not enrolled in the DPT and the limited performance of the Supervisory Committee (2). Inhibiting factors that affect the performance of the Supervisory Committee of Medan in 2010 is a limited member of the Supervisory Committee, the limited time of the establishment (regulation / legislation governing the Supervisory Committee / Election Supervisory Body), HR is not the same (level of education) between Panwas City, District, and Village
Gangguan Fungsi Tiroid pada Penggunaan Amiodaron David Susanto; Visakha Revana Irawan
Jurnal Kedokteran Meditek VOL. 22 NO. 58 JANUARI-APRIL 2016
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v22i58.1267

Abstract

AbstrakAmiodaron merupakan obat anti aritmia yang efektif untuk mengontrol ritme aritmia yang mengancam, namun pengobatan ini dapat memberikan berbagai efek samping. Disfungsi tiroid merupakan efek samping yang cukup sering terjadi selama terapi amiodaron. Hal ini disebabkan karena tingginya jumlah ion iodin dan adanya hambatan pada aktivitas enzim deiodinase. Disfungsi tiroid yang disebabkan oleh amiodaron, memiliki variasi klinis, mulai dari tanpa gejala, hipotiroid, hingga tirotoksikosis. Di perlukan pemantauan pengobatan jangka panjang karena eliminasi amiodaron yang memanjang dan waktu paruh yang terkait dengan komplikasinya. Kata Kunci: amiodaron, gangguan tiroid, hipotiroid, tirotoksikosis  AbstractAmiodarone is an effective anti arrhytmic agent to control the rhytm of life threatening arrhytmia but will causevarious side effects. Thyroid dysfunction is not uncommon during amiodarone therapy and is caused by iodide excess and inhibition of deiodinase activity. Amiodarone induced thyroid dysfunction and it varies from asymptomatic variation in thyroid function to clinically hypothyroidism and thyrotoxicosis. Amiodarone should be monitored due to its prolong elimination and half life which is associated with its complication. Keywords: amiodarone, hypothyroidism, thyroid disorder, thyrotoxicosis
Role of Elastography in Early Detection of Liver Cirrhosis David Susanto; Visakha R Irawan
Journal of Medicine and Health Vol 1 No 5 (2017)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i5.543

Abstract

Liver cirrhosis is a condition in which the liver slowly deteriorates and is unable tofunction usually due to chronic, or long lasting, injury. Fibrotic tissue replaces healthy livertissue and partially blocks the flow of blood through the liver. Fibrosis increases liver stiffness.Liver palpation on the early physical examination has been used to assess liver stiffness.Though, palpation has some limitations, such as highly subjective, very operator dependent,and sometimes even impossible to perform. At present, liver biopsy remains the current goldstandard for assessing liver fibrosis, even though the diagnostic accuracy is limited by thespecimen size, invasive procedure, and long duration for getting the result. Elastography is analternative method to liver biopsy in patients with chronic liver disease.Keywords: chronic liver disease, elastography, liver cirrhosis