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Analisis Perbandingan Sistem Investigasi Kematian Pediatri di Berbagai Negara Liauw, Djai Yen; Tantra, Deven Aleron; Koesuma, Freddie Wijaya; Grace; Budiono, Jolene; Putri, Lidwina Nadia Adinda; Wijaya, Stephanie Jeanne; Sharon, Sonya Hedva; Valerie; Silitonga, Virnalisi Lestari Romauli; Palarogo, Yosua Dima Agung
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): JANUARI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.3669

Abstract

Introduction: Sudden infant death is a medical and legal issue that requires investigation involving relevant institutions. In various countries, differences in standards, resources, and systems pose challenges. Purpose: To examine the systems and methods of investigating sudden child deaths for the prevention of pediatric mortality. Methods: Databases searched included Google Search, PubMed, and Google Scholar for studies published up to 2024. The analysis applied keywords such as ‘pediatrics,’ ‘death,’ ‘investigation,’ ‘guidelines,’ and ‘system. Results: In Indonesia, the pediatric death investigation system is handled by the Ministry of Health and the Indonesian Police; however, there are limitations, including a shortage of forensic personnel and inadequate autopsy facilities. In contrast, developed countries have stricter regulations and better documentation systems. Several institutions have worked to establish international standards for child death investigations through the Inter-agency Guidelines on Child Death Review. These guidelines are essential to standardize the investigation system and create systematic reporting to prevent pediatric deaths. Conclusion: Despite standardization efforts, investigation systems remain varied between countries, depending on conditions and resources. To improve the system in Indonesia, enhanced forensic personnel and a digitalized reporting system are needed.m
Hernia Inguinal Lateral pada Seorang Anak Berusia 13 Tahun: Laporan Kasus: Laporan Kasus Putri, Felicia Vivian Nowi; Leifon, Dave Edgar; Sharon, Sonya Hedva; Soeselo, Daniel Ardian
Cermin Dunia Kedokteran Vol 53 No 05 (2026): Mei 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i05.1970

Abstract

Background: Indirect inguinal hernia, particularly in children, is typically due to the failure of the processus vaginalis closure and is located lateral to the inferior epigastric vessels. Hernias are generally found in children aged 0-5 years, in premature infants, and in elderly individuals aged 75-80 years. In this case, however, the patient is 13 years old, an age that is considered uncommon for the manifestation of a congenital hernia. Case: A 13-year-old boy presented with a one-month history of an intermittent left scrotal bulge. Physical examination in the standing position revealed an elongated lump extending from the left inguinal region down to the left scrotum, which became more prominent during the Valsalva maneuver. The lump was spontaneously reduced when the patient was lying down. The lump had a soft consistency, welldefined margins, a smooth surface, and was reducible on pressure. Two similar-sized testes were palpable in the scrotum. The diagnosis was left indirect inguinal hernia; the patient underwent herniotomy without complications. Postoperative recovery was uneventful with no residual complaints. Discussion: Indirect inguinal hernias in children are generally caused by the persistence of the processus vaginalis and are characterized by a lump that appears when intra-abdominal pressure increases. Diagnosis is clinical, and the definitive treatment is surgery (herniotomy) due to the higher risk of incarceration. Conclusion: This case highlights the importance of early detection and appropriate management in the pediatric population to prevent complications such as incarceration or strangulation.