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All Journal Health and Medical Journal KRTHA BHAYANGKARA Jurnal Akuntansi Dan Bisnis Indonesia (JABISI) Jurnal Ilmu Hukum, Humaniora dan Politik (JIHHP) Journal of Indonesia Vascular Access Jurnal MedScientiae Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Jurnal Widya Medika
Kartika, Ronald Winardi
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Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health

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Evaluasi Mikrovaskuler dengan Near Infrared Spectroscopy pada Pasien Kaki Diabetes Kartika, Ronald Winardi; Timotius, Kris Herawan
Jurnal MedScientiae Vol. 3 No. 1 (2024): April
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v3i1.3074

Abstract

Peripheral Arterial Disease (PAP) requires good evaluation to reduce amputation rate. The aim of this study is to assess non-invasive detection methods in evaluating microvascular conditions in PAP. The potential use of Near Infrared Spectroscopy (NIRS) in identifying disorders in patients with PAP, either with or without DM, was also assessed. A systematic literature search was conducted through PUBMED until October 2023. Based on the literature review, it can be concluded that the use of NIRS in evaluating microvascular status in PAP is a non-invasive testing method that has expanded its role. Evaluation with NIRS provides metrics such as recovery time, deoxygenation, oxygen consumption (VO2), tissue oxygen saturation (StO2), total haemoglobin (HbT), and oxyhemoglobin area under the curve (O2 HbAUC). NIRS also has the potential to assist multidisciplinary teams in treating high-risk patients, especially in diabetic patients whose symptoms are compensated by peripheral neuropathy. This study shows that NIRS can be used as a useful tool in evaluating microvascular status in PAP, by providing important information that can be used to optimise patient care and prevent more serious complications. It is concluded that NIRS can be used as a tool to evaluate the effectiveness of treatment and prevent worsening of the condition of patients with PAP in diabetic foot.
Potensi Sekretom Mesenchymal Stem Cell pada Terapi Regeratif Penyakit Paru Fibrosis Kartika, Ronald Winardi; Timotius, Kris Herawan
Jurnal MedScientiae Vol. 3 No. 2 (2024): Agustus
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v3i2.3142

Abstract

Fibrosis lung diseases such as chronic obstructive pulmonary disease, acute lung injury and post-Covid 19 fibrosis lung disease are considered as major health problems in the last decade. Cellular therapy with Mesenchymal Stem Cells (MSC) offers a novel therapeutic approach for fibrosis lung disease associated with anti-inflammatory, immunomodulatory, regenerative, pro-angiogenic and anti-fibrotic properties. Such therapeutic effects may be attributed to the MSC-secretome, which is made of free soluble proteins and extracellular vesicles (EVs). This review summarises some recent literature findings related to the efficacy and safety of MSC-derived products in pre-clinical models of lung diseases, demonstrating the biologically active substances contained in the MSC-secretome and its mechanisms involved in tissue regeneration. A perspective view is given on the secretome being a high-quality, safe and effective medicinal product,  
Curcumin as Adjuvant Therapy in Mild-Moderate Covid 19 Kartika, Ronald Winardi; Tendean, Marcel; Yong, Bernard Jonathan Christian; Sartika, Katarina Dewi; Suradji, Eka Widrian; Hasan, Irsan
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 6 No. - (2022): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v6i-.127

Abstract

Background: Coronavirus (Covid-19) has spread rapidly to more than 200 countries, including Indonesia. Adjuvant therapy of Vitamin C, D, Zinc has become beneficial for Covid-19 treatment to improve the immune system, while Curcumin is still not standard therapy. Curcumin can stimulate specific immune cells and can reduce oxidative stress. There is currently no scientific evidence showing that the addition of Curcumin can protect COVID-19, especially as an anti-inflammation and anticoagulant effect. Methods: This cross-sectional study was conducted at Ukrida Hospital from January -June 2021. The inclusion criteria are Mild-Moderate Covid-19 use on Curcumin and Supplement therapy ( Vitamin C, Vitamin D, and zinc). Data analyses with SPSS v.20 use Anova test and Kruskall Walis test. This study had been approved by The Institutional Board of the Faculty of Medicine Universitas Krida Wacana, Indonesia (No. 1053/SLKE-IM/UKKW/FKIK/KE/II/2021). Research Objectives: To see the effect of Curcumin as an additional therapy from Covid-19 by clinical and laboratory inflammation indicators of the usefulness of Curcumin are such as ratio neutrophil/lymphocyte, ratio platelet/lymphocyte, erythrocyte sedimentation rate (ESR), C-Reactive Protein ( CRP), and D Dimer. Results: There were 246 cases, with 62.6% male and 56.5% female taking Curcumin. Curcumin has a good effect in reducing inflammation and coagulation in mild-moderate Covid-19. Patient who got Curcumin or without Curcumin as additional supplement therapy shows patient that got Curcumin has decreased inflammatory markers N/L ratio (p = 0.041), P/L ratio (p = 0.040), ESR (p = 0.013 ), and CRP ( p= 0.045). Curcumin also has an anticoagulant effect that shows a decrease of D-Dimer ( p= 0.020). Conclusion: Curcumin is beneficial in mild-moderate Covid-19 as an anti-inflammatory and anticoagulant.
Penggunaan Ukrida ChatBot pada Pemeriksaan Kesehatan Karyawan Rumah Sakit Ukrida Kartika, Ronald Winardi; Liem, Jen Fuk; Widjaja, Daniel
Health and Medical Journal Vol 6, No 3 (2024): HEME September 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i3.1616

Abstract

Latar belakang: Pengambilan data pemeriksaan Kesehatan dengan bantuan kecerdasan buatan sedang dikembangkan. Rumah sakit UKRIDA  sedang mengembangkan sistem Ukrida Chatbot untuk meningkatkan efisiensi dan efektivitas proses pengambilan data pra-medis (Pra MCU) yang sebelumnya menggunakan Formulir Online. Tinjauan literatur ini bertujuan untuk mengkaji literatur yang ada mengenai implementasi Ukrida Chatbot dalam layanan Pra MCU di Rumah Sakit Ukrida. Metode: Pencarian sistematis dilakukan di database jurnal ilmiah, termasuk Scopus, untuk mengidentifikasi penelitian yang terkait dengan penggunaan teknologi digital, khususnya kecerdasan buatan, dalam pengumpulan dan analisis data kesehatan pasien untuk layanan Pra MCU. Referensi yang dipilih mencakup publikasi tentang manfaat, tantangan, dan keberhasilan implementasi sistem serupa di lingkungan layanan kesehatan. Hasil: Tinjauan literatur menunjukkan bahwa kolaborasi Rumah Sakit Ukrida dalam pengembangan dan penerapan Ukrida Chatbot telah memberikan beberapa manfaat, seperti peningkatan efisiensi dalam proses pengumpulan data pasien awal, identifikasi awal faktor risiko, dan peningkatan keterlibatan pasien dalam pemantauan kesehatan mereka. Penggunaan teknologi Chatbot di Rumah Sakit Ukrida juga telah berkontribusi terhadap keberhasilan program pra MCJ. Kesimpulan: Pengalaman Rumah Sakit Ukrida dalam mengadopsi Ukrida Chatbot dalam pengumpulan data awal pasien pra MCU Karyawan RS UKRIDA
DESAIN KONSEPTUAL CHATBOT UNTUK PROYEKSI BIAYA HARIAN PERAWATAN DI RUMAH SAKIT UKRIDA Oktavini, Eva; Frederica, Diana; Kartika, Ronald Winardi; Kristianto, Jason Renaldi; Wijaya, Wendy Octantia
Jurnal Akuntansi Dan Bisnis Indonesia (JABISI) Vol 5 No 2 (2024): Jurnal Akuntansi Dan Bisnis Indonesia (JABISI)
Publisher : Program Studi Akuntansi Institut Bisnis dan Informatika (IBI) Kosgoro 1957

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55122/jabisi.v5i2.1521

Abstract

Perkembangan inovasi teknologi pada era saat ini berkembang cukup pesat yang secara tidak langsung menuntut proses bisnis untuk dapat beradaptasi. Landasan teori pada penelitian ini yaitu menggunakan Technology Acceptance Model, TAM dinilai erat kaitannya dengan penelitian ini karena TAM berfokus pada penerimaan teknologi pada pengguna. Penelitian ini bertujuan untuk memberikan gambaran proses bisnis layanan informasi biaya dan tagihan rawat inap serta merancang desain konseptual sistem chatbot atas layanan informasi biaya dan tagihan rawat inap Rumah Sakit Ukrida. Metode penelitian yang digunakan yaitu pendekatan kualitatif dengan studi kasus sebagai desain utama. Data dikumpulkan melalui wawancara dan analisis dokumen yang diperoleh dari Rumah Sakit Ukrida. Hasil penelitian menunjukkan proses bisnis layanan informasi biaya dan tagihan rawat inap di Rumah Sakit Ukrida yang berjalan saat ini sudah cukup baik dan beberapa kelemahan yang ada saat ini adalah layanan yang kurang efisien karena masih berbasis manual. Beberapa masukan untuk mengatasi kelemahan-kelemahan tersebut yaitu adanya integrasi data dan adanya chatbot.
Role of awake thoracoscopy in diagnosis before chest tube insertion in lung empyema: A Case Report Kartika, Ronald Winardi; Hasan, Afrizal; Dwiyanti, Hapsari; Yoshua, Edwin; Gisela, Esther; Supriyanto, Jaya
Journal of Indonesia Vascular Access Vol. 5 No. 1 (2025): Available online : 1 June 2025
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v5i1.76

Abstract

Background: Awake thoracoscopy diagnostic (ATD) is a valuable procedure performed before the insertion of a chest tube to visually identify lung and pleural diseases. This technique, which utilises thoracic spinal anaesthesia, allows patients to remain conscious during the procedure and eliminates the need for intensive care unit (ICU) admission post-operation. The purpose of this study is to demonstrate ATD's effectiveness in early identification and management of complex pleural infections, particularly in high-risk and resource-constrained settings Case Report: This case report describes a 56-year-old male who presented to the Emergency Department of RSUP Sitanala Tangerang with worsening intermittent dyspnea over three days, accompanied by low-grade fever, decreased appetite, weight loss, and a persistent cough. Diagnostic imaging revealed significant loculated pleural effusion, and thoracentesis yielded only 10 cc of purulent fluid, indicating a possible infectious process. A thoracic surgeon recommended awake thoracoscopy under thoracic spinal anaesthesia for direct evaluation and management. Intraoperative findings included thick pleural peel, necessitating thorough irrigation of the pleural cavity. A water-seal drainage (WSD) system was established for ongoing fluid management. Conclusion: Awake thoracoscopy diagnostic demonstrates significant advantages in the preoperative evaluation of patients with pleural diseases, particularly in cases involving active tuberculosis. Its minimally invasive nature and the benefits of awake procedures underscore its potential as a preferred diagnostic approach in thoracic surgery.
Fraud in BPJS According to Ethics and Health Law No. 17 Of 2023 Kartika, Ronald Winardi; Nasser, M; Agus Suswantoro, Tri
KRTHA BHAYANGKARA Vol. 19 No. 2 (2025): KRTHA BHAYANGKARA: AUGUST 2025
Publisher : Fakultas Hukum Universitas Bhayangkara Jakarta Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31599/krtha.v19i2.3875

Abstract

Background: Fraud in the National Health Insurance (JKN) program managed by BPJS Kesehatan poses a serious challenge to maintaining the sustainability of healthcare services in Indonesia. This study aims to analyze the forms of fraud, their impact on the healthcare system, and prevention strategies based on ethical and regulatory perspectives, specifically Health Law No. 17 of 2023 and Minister of Health Regulation No. 16 of 2019. Methodology: This study uses a normative legal approach with a descriptive-qualitative analysis method. Data were obtained through a literature review of applicable regulations, academic literature, and document analysis related to fraud in BPJS health. Primary legal sources include Health Law No. 17 of 2023 and various related regulations, while secondary sources consist of journal articles and research reports. The analysis was conducted by identifying fraud patterns, evaluating the effectiveness of supervision and administrative sanctions, and reviewing the role of technology in fraud mitigation. Results: Research shows that BPJS health fraud occurs due to weak supervision, minimal participant literacy regarding rights and obligations, and gaps in the claims and verification system. Implementing an information technology-based anti-fraud system, participant education, and increased oversight are strategic steps to minimize fraud. With a multidisciplinary approach, it is hoped that the JKN system can function optimally, ensure transparency, and increase the accountability of healthcare providers
Analisis Yuridis terhadap Perlindungan Privasi Pasien dalam Era Digital: Studi Kasus Aplikasi Satu Sehat Kartika, Ronald Winardi; Nasser, M.; Suswantoro, Tri Agus
Jurnal Ilmu Hukum, Humaniora dan Politik Vol. 6 No. 1 (2025): (JIHHP) Jurnal Ilmu Hukum, Humaniora dan Politik
Publisher : Dinasti Review Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jihhp.v6i1.5874

Abstract

Perkembangan teknologi digital telah membawa perubahan signifikan dalam layanan kesehatan, termasuk penggunaan aplikasi berbasis elektronik untuk pengelolaan data pasien. Aplikasi Satu Sehat merupakan inisiatif pemerintah dalam meningkatkan akses dan efisiensi layanan kesehatan, tetapi di sisi lain menimbulkan tantangan serius terkait perlindungan data pribadi. Penelitian ini bertujuan untuk menganalisis aspek yuridis perlindungan privasi pasien dalam aplikasi kesehatan digital, dengan menyoroti regulasi yang berlaku dan tantangan implementasi. Penelitian ini menggunakan pendekatan yuridis normatif dengan metode analisis deskriptif-kualitatif. Data diperoleh melalui studi pustaka terhadap regulasi terkait, termasuk Undang-Undang No. 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik, UU No. 27 Tahun 2022 tentang Perlindungan Data Pribadi, serta Permenkes No. 36 Tahun 2012 mengenai kerahasiaan data medis. Selain itu, dilakukan analisis terhadap penelitian terdahulu yang membahas privasi pasien dalam layanan kesehatan digital untuk mengidentifikasi celah regulasi dan tantangan implementasi. Penelitian menunjukkan bahwa Beberapa undang-undang yang mendukung perlindungan data pribadi pasien meliputi UU No. 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik dan UU No. 27 Tahun 2022 tentang Perlindungan Data Pribadi. Penelitian oleh Tombokan dkk (2024) menekankan pentingnya sanksi bagi penyalahgunaan data dalam aplikasi layanan kesehatan. Selain itu, studi Wibowo dkk (2024) mengkaji tantangan implementasi perlindungan privasi pasien dalam rekam medis elektronik. Penelitian-penelitian ini memberikan konteks tambahan mengenai perlunya penguatan regulasi dan kesadaran masyarakat dalam menjaga privasi di era digital. Penguatan regulasi yang lebih spesifik, peningkatan edukasi publik, serta sistem pengawasan yang lebih efektif guna memastikan perlindungan data pasien dalam era digital.
ASSOCIATION BETWEEN HEART RATE VARIABILITY AND BLOOD PRESSURE IN ELDERLY WORKER Kartika, Ronald Winardi; Susanti, Yosephin Sri; Winata, Susanti Dewi
JURNAL WIDYA MEDIKA Vol. 10 No. 1 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i1.3765

Abstract

Life expectancy increases along with improving health. A good healthy life as an impact that there are still many workers in old age who are still needed. The effect of age and work environment will affect the normal range of time-domain heart rate variability (HRV) in older worker. Heart rate variability test might detect autonomic nervous system influenced by blood pressure level, stress, and working environment. A low HRV value is considered an independent marker of risk of death. However, age-related decline in HRV may limit its predictive value, especially in older workers. It was found that the decrease in HRV decreased with age and length of service. The elevation of HRV at specific wavelengths was correlated with the blood pressure values of hypertension patients; however, in the uncontrolled hypertensive group, the values of SDNN, SDANN, ASDNN, VLF, LF (indicating sympathovagal balance), and HF were significantly lower.
Co-Authors Agus Suswantoro, Tri Diana Frederica Dwiyanti, Hapsari Eva Oktavini Gisela, Esther Hasan, Afrizal Irsan Hasan Kris Herawan Timotius Kristianto, Jason Renaldi Liem, Jen Fuk Nasser, M Nasser, M. Sartika, Katarina Dewi Supriyanto, Jaya Suradji, Eka Widrian Susanti, Yosephin Sri Suswantoro, Tri Agus Tendean, Marcel Widjaja, Daniel Wijaya, Wendy Octantia Winata, Susanti Dewi Yong, Bernard Jonathan Christian Yoshua, Edwin