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All Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Siber Multi Disiplin Dinasti Health and Pharmacy Science
Muhammad Aulia Molid Ogest Putra Calisanie
Department of Ophthalmology, Faculty of Medicine, Universitas Sriwijaya / Dr. Mohammad Hoesin Central General Hospital, Palembang, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Social Sciences

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Analisis Yuridis Iklan Klinik Mata Alternatif dalam Perspektif Undang-Undang Perlindungan Konsumen dan Undang-Undang Kesehatan Mohammad Aulia Molid Ogest Putra Calisanie; Yuyut Prayuti; Junaidi Malik; Kadarusman; Sobri
Jurnal Siber Multi Disiplin Vol. 4 No. 1 (2026): Jurnal Siber Multi Disiplin (April - Juni 2026)
Publisher : Siber Nusantara Research & Yayasan Sinergi Inovasi Bersama (SIBER)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jsmd.v4i1.751

Abstract

Data tahun 2022 mencatat sedikitnya 8 juta kasus gangguan penglihatan di Indonesia. Di tengah kondisi ini, klinik mata alternatif tumbuh subur dan memanfaatkan iklan sebagai instrumen promosi utama, sering kali dengan klaim kesembuhan yang tidak memiliki landasan ilmiah yang memadai. Penelitian ini mengkaji pengaturan hukum atas praktik tersebut berdasarkan Undang-Undang Nomor 8 Tahun 1999 tentang Perlindungan Konsumen dan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan, serta menelaah tanggung jawab hukum pelaku usahanya. Metode yang digunakan adalah yuridis normatif dengan pendekatan perundang-undangan dan konseptual. Penelitian ini menemukan adanya disharmonisasi normatif antara pendekatan strict liability dalam hukum perlindungan konsumen dengan prinsip inspanningsverbintenis dalam hukum kesehatan, yang selama ini memberi celah bagi klinik mata alternatif untuk beroperasi tanpa pengawasan yang memadai. Tanggung jawab hukum pelaku usaha bersifat multidimensi, meliputi aspek administratif, perdata, dan pidana. Harmonisasi regulasi dan mekanisme pre-clearance iklan menjadi agenda mendesak, mengingat dampak yang dialami pasien kerap tidak dapat dipulihkan ke kondisi semula.
Dilema Etik dan Hukum Dalam Penyampaian Prognosis Kebutaan: Perspektif Filsafat Hukum Terhadap Prioritas Autonomi dan Batasan Non-Maleficence Mohammad Aulia Molid Ogest Putra Calisanie Calisanie; Asep Sapsudin; Kadarusman; Sobri
Jurnal Siber Multi Disiplin Vol. 4 No. 1 (2026): Jurnal Siber Multi Disiplin (April - Juni 2026)
Publisher : Siber Nusantara Research & Yayasan Sinergi Inovasi Bersama (SIBER)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jsmd.v4i1.853

Abstract

Dokter spesialis mata di Indonesia menghadapi dilema nyata ketika harus menyampaikan prognosis kebutaan kepada pasien. Di satu sisi, hukum positif mewajibkan penyampaian prognosis sebagai bagian dari informed consent yang sah. Di sisi lain, Pasal 9 ayat (3) Permenkes 290/2008 membuka ruang bagi therapeutic privilege yang memungkinkan dokter menahan informasi demi melindungi pasien. Ketegangan ini mencerminkan konflik mendasar antara prinsip autonomi dan non-maleficence dalam bioetika medis. Penelitian ini bertujuan menganalisis konflik tersebut dari perspektif filsafat hukum dan merumuskan rekonstruksi norma berbasis prioritas autonomi. Metode yang digunakan adalah penelitian hukum normatif dengan empat pendekatan: perundang-undangan, konseptual, filsafat hukum, dan perbandingan hukum. Hasil analisis menunjukkan bahwa penahanan informasi prognosis justru merupakan bentuk maleficence jangka panjang yang lebih serius. Rekonstruksi norma yang diusulkan mencakup penegasan kewajiban fundamental penyampaian prognosis dengan pengecualian yang sangat terbatas, penetapan standar minimum substansi, mekanisme penyampaian bertahap disertai dukungan psikologis, serta kewajiban dokumentasi yang terverifikasi.
Integrated Geriatric Care Management in Hospitals: Systemic Clinical Problems in Older Adults, Assessment Approaches, and Management Strategies Mohammad Aulia Molid Ogest Putra Calisanie; Zahratul Riadho; Lili Indrawati; Asyifa Robiatul Adawiyah
Dinasti Health and Pharmacy Science Vol. 4 No. 1 (2026): Dinasti Health and Pharmacy Science (July - September 2026)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dhps.v4i1.3680

Abstract

Indonesia entered population ageing in 2021, with residents aged 60 years and older exceeding 10% of the total population and projected to reach nearly 20% by 2045. Older adults present distinct clinical characteristics, namely multimorbidity, atypical disease presentation, and homeostenosis, that render single-organ approaches inadequate for hospital care. This review argues that geriatric syndromes are a major, modifiable driver of adverse outcomes in hospitalised older adults, and that their management should be embedded into existing hospital governance instruments rather than treated as a standalone clinical concern. A structured narrative review was conducted using PubMed (MEDLINE) with free-text and MeSH terms for geriatric syndromes, frailty, comprehensive geriatric assessment, polypharmacy, deprescribing, delirium, and falls; of 48 records identified, 30 studies met inclusion criteria after title/abstract and full-text screening. Findings indicate that geriatric syndromes, including immobility, instability, incontinence, delirium, malnutrition, sarcopenia, and polypharmacy-related iatrogenesis, are associated with poorer hospital outcomes; that multidisciplinary Comprehensive Geriatric Assessment increases the likelihood of patients remaining alive and at home after discharge; and that Beers- and STOPP/START-guided deprescribing, combined with multicomponent non-pharmacological bundles, reduces polypharmacy burden and helps prevent delirium and falls. These findings support integrating geriatric-specific indicators into hospital accreditation and National Quality Indicators, and establishing multidisciplinary geriatric teams as a governance priority.
Association of Foveal Avascular Zone Diameter with Best-Corrected Visual Acuity in Diabetic Retinopathy: A Cross-Sectional Optical Coherence Tomography Angiography Study Ramzi Amin; Rezandi Pratama; Petty Purwanita; Muhammad Aulia Molid Ogest Putra Calisanie
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 8 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i8.1659

Abstract

Background: Foveal avascular zone (FAZ) enlargement reflects capillary loss in diabetic retinopathy (DR), but its relationship with visual acuity varies across protocols and populations. Objective: We assessed the association between swept-source optical coherence tomography angiography (OCTA)-derived FAZ diameter and best-corrected visual acuity (BCVA). Methods: This cross-sectional study included 32 adults with DR examined from April to December 2024. One eye per participant underwent 3×3-mm swept-source OCTA. Superficial and deep FAZ diameter, superficial vessel density, central subfield thickness, and LogMAR BCVA were assessed using correlations, severity-group comparisons, multivariable regression, and exploratory secondary analyses. Results: Mean age was 57.8±8.4 years; 17 participants (53.1%) were men. Mean superficial FAZ diameter was 617.6±171.6 µm and BCVA was 0.539±0.341 LogMAR. FAZ diameter correlated with worse BCVA (r=0.582, 95% confidence interval [CI] 0.293–0.774; p<0.001) and increased from 458.3±82.1 µm in mild nonproliferative DR to 812.5±125.8 µm in proliferative DR (F(3,28)=16.35; p<0.001; η²=0.637). FAZ was the largest standardized correlate in the exploratory adjusted model (β=0.485; p<0.001; adjusted R²=0.412). An exploratory 580-µm cutoff yielded an area under the curve of 0.847 (95% CI 0.723–0.971). Conclusion: Larger superficial FAZ diameter was associated with worse BCVA and greater DR severity. The proposed cutoff and secondary models require independent validation.
Retinal Neural Layer Thickness and Contrast Sensitivity in Type 2 Diabetes Without Clinical Retinopathy: A Cross-Sectional Study Ramzi Amin; Ririn Rahayu; Petty Purwanita; Muhammad Aulia Molid Ogest Putra Calisanie
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 7 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i7.1660

Abstract

Background: Retinal neural dysfunction may occur in type 2 diabetes mellitus (T2DM) before clinically visible diabetic retinopathy. Objective: We evaluated whether retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GCL-IPL) thickness were associated with contrast sensitivity in adults with T2DM without clinical retinopathy. Methods: This cross-sectional study included 30 eyes from 16 participants examined from September 2024 to June 2025. Swept-source optical coherence tomography measured average and quadrant RNFL thickness and macular GCL-IPL thickness. Monocular contrast sensitivity was assessed with the Pelli-Robson chart. Source-reported analyses included exploratory Spearman correlations, generalized estimating equations (GEE) for inter-eye clustering, and exploratory receiver operating characteristic (ROC) analysis. Results: Mean RNFL thickness was 101.3 ± 12.55 µm, GCL-IPL thickness was 81.53 ± 7.34 µm, and contrast sensitivity was 1.773 ± 0.227 logCS. Eye-level correlations with contrast sensitivity were ρ=0.758 for GCL-IPL and ρ=0.640 for average RNFL (both source-reported p<0.001). In the exploratory GEE model, coefficients were 0.0104 logCS per µm for GCL-IPL (95% CI 0.001-0.019) and 0.0062 for RNFL (95% CI 0.001-0.011). Exploratory AUCs were 0.872 and 0.804, respectively. Conclusion: Thicker GCL-IPL and RNFL measurements were associated with better contrast sensitivity in this small cohort. The estimates are hypothesis-generating and require confirmation with participant-level data, larger samples, and external validation before clinical use.
Co-Authors Asep Sapsudin Asyifa Robiatul Adawiyah Junaidi Malik Kadarusman Kadarusman Lili Indrawati Petty Purwanita Ramzi Amin Rezandi Pratama Ririn Rahayu Sobri Sobri Yuyut Prayuti Zahratul Riadho