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All Journal E-Jurnal Medika Udayana Jurnal Ilmiah Ilmu Sosial Indonesian Journal of Global Health research Public Health and Preventive Medicine Archive Journal of Law, Poliitic and Humanities
Manuaba, Ida Bagus Gede Fajar
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Humanities Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Megawati, Desak Made; Lubis, Dinar Saurmauli; Manuaba, Ida Bagus Gede Fajar; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (970.694 KB) | DOI: 10.53638/phpma.202`1.v9.i1.p01

Abstract

Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.
Karakteristik Pasien Kanker Serviks Stadium IIB Pasca Kemoterapi Neoadjuvant di RSUP Sanglah Denpasar Tahun 2020-2021 Satriawan, Nyoman Gede Dikawijaya; Winata, I Gde Sastra; Pangkahila, Evert Solomon; Manuaba, Ida Bagus Gede Fajar
E-Jurnal Medika Udayana Vol 11 No 4 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i04.P18

Abstract

Kanker serviks adalah keganasan pada leher rahim akibat human papilloma virus. Terapi pada kasus kanker serviks stadium IIB adalah kemoterapi neoadjuvant. Tujuan dari penelitian ini untuk mengetahui karakteristik berdasarkan usia, tipe histopatologi, riwayat keluarga, paritas, riwayat kontrasepsi, respon kemoterapi, dan status operabilitas pada kasus kanker serviks stadium IIB pasca kemoterapi neoadjuvant di RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian deskriptif retrospektif yang bersumber dari rekam medis pasien dengan teknik total sampling. Populasi dan sampel penelitian ini adalah pasien kanker serviks stadium IIB pasca kemoterapi neoadjuvant di RSUP Sanglah Denpasar periode 2020-2021 sesuai kriteria inklusi. Hasil penelitian menunjukkan terdapat 40 pasien kanker serviks stadium IIB dengan jumlah kasus tertinggi usia 40-49 tahun (45%). Tipe histopatologi tersering squamous cell carcinoma (85%). Pasien tanpa riwayat keluarga menderita kanker serviks sejumlah 92,5%. Pasien dengan jumlah paritas >2 sebanyak 52,5%. Pasien dengan riwayat penggunaan kontrasepsi sebanyak 65%. Respon kemoterapi baik lebih banyak ditemukan sebesar 70%. Status pasien operabel sebesar 57,5%. Kata kunci : karakteristik, kanker serviks stadium IIB, kemoterapi neoadjuvant.
Karakteristik Keberhasilan Kehamilan Pasien Yang Menjalani Bayi Tabung Dengan Protokol Panjang Di Klinik Bayi Tabung Rumah Sakit Umum Pusat Sanglah Tahun 2014-2017 Hariantha Putra, Putu Surya Pradipta; Manuaba, Ida Bagus Gede Fajar; Jaya Kusuma, Anak Agung; Wijaya Surya, I Gede Harry
E-Jurnal Medika Udayana Vol 12 No 4 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i04.P16

Abstract

Introduction: Globally there are estimated cases of infertility in 8%-10% of couples, if from the global picture of the population then about 50-80 million couples (1 in 7 couples) or about 2 million new infertile pairs each year and this number continues to increase. In Vitro Fertilization (IVF) can be a solution for infertile patients. There are two IVF programs, namely with short protocols and long protocols, each protocol has benefits and limitations, The long protocol was the most widely used protocol prior to the introduction of GnRH antagonists (short protocols) in IVF centers around the world, but high cost constraints leads change over to the short protocol method. In its journey, the average success rate of IVF cycles ranges from 25-30%, while in Indonesia it is 29% for one cycle of long protocol. Thus, this study aims to determine characteristics of success rate patients undergoing ivf with long protocol at ivf clinic Sanglah General Hospital. Methods: This research is a descriptive study using medical record data and the sampling technique is saturation sampling. The data obtained according to the inclusion and exclusion criteria were 4 data which were analyzed descriptively for each case. Result: This study shows that out of 87 cases underwent the ivf program at RSUP Sanglah Clinic only 4 cases who underwent IVF with the long protocol, only 1 case was success, the age of the male partner was 35 years old and the female partner was 35 years old with primary infertile status for 4 years, had a total of 12 oocytes and 4 embryos and appropriate for the long protocol criteria. IVF with levels of ?-hCG 204.1 mIU / ml and get Geneli's pregnancy.Conclusion: During the 2014-2017 period, only 4 cases of patients undergoing IVF with the long protocol method were found, 3 cases with ?-hCG <50,2 did not get live birth while 1 case with ?-hCG> 50,2 had a viable pregnancy.
KARAKTERISTIK MENOPAUSE PADA PERAWAT DI RSUP SANGLAH DENPASAR TAHUN 2021 Kirana, Ni Wayan Kartika Candra; Surya, I Gede Ngurah Harry Wijaya; Manuaba, Ida Bagus Gede Fajar; Mulyana, Ryan Saktika
E-Jurnal Medika Udayana Vol 11 No 4 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i04.P16

Abstract

The age of menopause varies in each woman, due to differences in the characteristics of certain factors that are thought to have an effect. This study aims to determine the age of menopause and the characteristics of education level, marital status, parity, age of menarche, age of first birth, history of hormonal contraceptive use, and Body Mass Index in postmenopausal nurses at Sanglah General Hospital Denpasar in 2021. This study is an observational descriptive study with a cross-sectional approach. The sample consisted of 60 respondents who were collected by total sampling method. Data were collected through interviews using a questionnaire. The results showed that 88,3% experienced menopause at the age of >45 years with the most distribution at the age of 50 years (30%). The characteristics of respondents were as follows, namely 100% in married, 88,3% completed D3/S1/S2/S3, 73,3% had given birth to 1-2 children, 88,3% gave birth to their first child at the age of 20-29 years, 58,3% menarche at age > 14 years, 61,7% never used hormonal contraception, 51,7% are obese I. The results of this study are expected to be used as a basis for further research to determine the association between the characteristics of a woman and menopausal age. Keywords : menopause, menopausal age, characteristics.
Legal Impact for Health Facilities in Filling in Inauthentic Birth Certificate Data Idayati, Ns. Dewa Ayu Made; Manuaba, Ida Bagus Gede Fajar; Purwanto, I Wayan Novy
Journal of Law, Politic and Humanities Vol. 5 No. 5 (2025): (JLPH) Journal of Law, Politic and Humanities
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jlph.v5i5.1926

Abstract

This research is about the legal impact for health facilities in filling out inauthentic birth certificate data. A birth certificate is a vital official document in population administration, serving as proof of birth and the basis for access to public services. However, inauthentic data entry can occur due to human error or intent to deceive, which has the potential to have significant legal impacts for the health facilities (faskes) that issue it. This research aims to examine the legal impacts faced by health facilities due to filling out inauthentic birth certificate data and examine the legal enforcement process for health facilities that issue birth certificates with inaccurate data.   This research will analyze the legal impact on health facilities regarding filling out inauthentic birth certificate data using a normative juridical legal approach. The focus is on regulations governing population administration and the legal responsibilities of health facilities. The methods used include regulatory studies, jurisprudential studies. Findings show that legal impacts include administrative sanctions, revocation of operational permits, and lawsuits, while the law enforcement process involves monitoring, investigation, data verification, and public education. With a deep understanding of this problem, it is hoped that research can provide solutions to increase accuracy in filling out birth certificates and maintain the integrity of the population administration system
Pertanggungjawaban Hukum terhadap Tenaga Medis dan Tenaga Kesehatan atas Pelanggaran Kode Etik menurut Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan Supraba, Putu Ayu Adi; Parsa, I Wayan; Manuaba, Ida Bagus Gede Fajar
Jurnal Ilmiah Ilmu Sosial Vol. 11 No. 1 (2025): Jurnal Ilmiah Ilmu Sosial
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jiis.v11i1.94332

Abstract

Pelanggaran HAM dalam kode etik tenaga kesehatan dapat meliputi berbagai tindakan seperti pelanggaran kerahasiaan pasien bahkan kekerasan fisik atau psikologis terhadap pasien. Penelitian ini bertujuan untuk menganalisis bentuk pertanggungjawaban hukum terhadap tenaga medis dan tenaga kesehatan yang melakukan pelanggaran etik berdasarkan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Penelitian menggunakan metode hukum normatif dengan pendekatan perundangan, konseptual, dan perbandingan. Sumber data diperoleh dari bahan hukum primer, sekunder, dan tersier melalui studi kepustakaan dan analisis deskriptif, komparatif, evaluatif, serta argumentatif. Hasil penelitian menunjukkan bahwa pelanggaran etik tenaga medis mencakup tindakan di luar kompetensi, pelanggaran kerahasiaan pasien, dan penyalahgunaan wewenang. Pertanggungjawaban hukum bagi pelanggaran etik ini terdiri atas tiga bentuk, yaitu administratif (teguran hingga pencabutan izin praktik), perdata (ganti rugi atas kerugian pasien), dan pidana (sanksi bagi pelanggaran berat seperti malpraktik). Pengaturan hukum yang tegas sangat penting untuk memastikan kepatuhan etika profesi, melindungi hak pasien, dan menjaga integritas tenaga medis serta kesehatan.
Legal Accountability in the Delegation of Authority from Obstetricians to Midwives in Maternal and Child Hospitals Nurharta, Desak Gede Dhyanada Kirana; Dharmajaya, Ida Bagus Surya; Manuaba, Ida Bagus Gede Fajar
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6791

Abstract

According to Law No. 4 of 2019 concerning Midwifery, midwives are recognized as part of the health workforce, alongside physicians, who are authorized to provide medical services. In practice, midwives interact directly with both patients and other healthcare professionals during service delivery. In many instances, a delegation of authority from physicians, especially specialists, to midwives is necessary to ensure effective inter-professional collaboration. This study aims to know about legal accountability in the delegation of authority from obstetricians to midwives in maternal and child hospitals. The research employed a literature review design using a comprehensive strategy. Articles were sourced from international research journal databases accessed via the internet, specifically ScienceDirect, PubMed, and Google Scholar. All searches were conducted in May-June 2025, focusing on articles published between 2016 and 2024. The keywords used in this literature review were adapted from the Medical Subject Heading (MeSH) terms, including "legal accountability,” “the delegation of authority from obstetricians to midwives,” “maternal,” and “legal and policy aspects.” A total of 265 articles were identified, with 40 articles meeting the criteria and having full-text access, and 6 articles ultimately meeting the inclusion criteria. The findings of various juridical studies reveal two major themes concerning the delegation of authority from obstetrician-gynecologists to midwives within hospital settings: (1) the limitation of delegation authority, and (2) the lack of legal responsibility from both parties involved. The legal accountability involved in the delegation of authority from an obstetrician to a midwife encompasses three domains: civil liability, criminal liability, and administrative liability.
Co-Authors Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Dharmajaya, Ida Bagus Surya Dinar Lubis Evert Solomon Pangkahila Hariantha Putra, Putu Surya Pradipta I Ketut Suwiyoga I Wayan Novy Purwanto I Wayan Parsa Idayati, Ns. Dewa Ayu Made Jaya Kusuma, Anak Agung Kirana, Ni Wayan Kartika Candra Megawati, Desak Made Nurharta, Desak Gede Dhyanada Kirana Ryan Saktika Mulyana Satriawan, Nyoman Gede Dikawijaya Supraba, Putu Ayu Adi Surya, I Gede Ngurah Harry Wijaya Wijaya Surya, I Gede Harry