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All Journal Althea Medical Journal eScience Humanity Journal Jurnal Sosial dan Sains
Hamdan, Angkasa Ramatuan
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Arts Humanities Astronomy Education Environmental Science Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Physics Social Sciences

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Juridical Analysis of Business Dispute Resolution in Strategic Technology and Services Procurement Contract Disputes through the Indonesian National Arbitration Board (BANI) Hamdan, Angkasa Ramatuan; Nugroho, Enggar Adi; Takaryanto, Davin; Ciptawan STP, Beni; Syahruddin, Syahruddin; Anggraeni, Happy Yulia
eScience Humanity Journal Vol 5 No 2 (2025): eSience Humanity vol 5.2. May 2025
Publisher : Asosiasi Ide Bahasa Kepri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37296/esci.v5i2.262

Abstract

This research examines legal issues arising from business disputes in contractual agreements, specifically focusing on the Availability Payment (AP) Service Level Agreement (SLA) between PT Palapa Ring Barat and the Ministry of Communication and Informatics of the Republic of Indonesia. Disputes emerged due to differing interpretations of tax clauses, where PT Palapa Ring Barat demanded additional VAT (10%) on AP payments, while Kemenkominfo argued the payments already included VAT. This study employs a normative juridical method, analyzing primary sources such as BANI Decision No. 45016/II/ARB-BANI/2022 and relevant legal frameworks, including Law No. 30 of 1999 on Arbitration and Alternative Dispute Resolution. Findings indicate that arbitration plays a critical role as an effective, binding dispute resolution mechanism, as demonstrated by BANI's decision, which affirmed the validity of the agreement and ordered Kemenkominfo to pay additional VAT. The case highlights the importance of clear contractual clauses, particularly regarding taxation, to prevent disputes. In comparison, other dispute resolutions, such as mediation, are evident in cases like the collaboration between RSUD Mataram and CV. Ijen Perkasa on hospital information system management. This research contributes to the field by emphasizing the need for clear, comprehensive contracts and effective dispute resolution mechanisms. The findings provide insights for businesses and policymakers to develop contracts that minimize potential conflicts while promoting adherence to legal frameworks
Undiagnosed Hypothyroidism as a Contributor to Cryptogenic Cirrhosis: A Case Report and Diagnostic Perspective Hamdan, Angkasa Ramatuan; Handayani, Indri
Jurnal sosial dan sains Vol. 5 No. 8 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i8.32429

Abstract

Cryptogenic cirrhosis poses a diagnostic dilemma because its underlying cause remains unidentified. Emerging research indicates a two-way association between thyroid disorders—especially hypothyroidism—and liver disease. On one hand, liver dysfunction can impair thyroid hormone metabolism; on the other, hypothyroidism may play a role in advancing non-alcoholic fatty liver disease (NAFLD) and the development of cirrhosis. We report a case of a 48-year-old woman presenting with chronic diarrhea, cold intolerance, fatigue, jaundice, and easy bruising. There was no history of alcohol use, viral hepatitis, or other known causes of liver disease. Physical examination revealed bradycardia, psychomotor slowing, dry skin, and signs of liver dysfunction. Laboratory findings showed pancytopenia, elevated liver enzymes, hypoalbuminemia, and a thyroid profile consistent with overt hypothyroidism (low fT4 and elevated TSH). Imaging supported diagnoses of hepatic cirrhosis and benign thyroid nodules. The patient was treated with levothyroxine 100 mcg/day alongside supportive care. Within a few days, notable clinical improvement occurred, including cessation of diarrhea and better hematologic findings.. This case demonstrates that hypothyroidism may be overlooked as contributor to liver dysfunction, especially in cryptogenic cases. Considering the shared clinical manifestations and biochemical interplay between the liver and thyroid, it is important for clinicians to assess thyroid function in patients presenting with unexplained liver disease. Treating hypothyroidism in such contexts may lead to significant clinical improvement and may alter the course of hepatic deterioration.
Systemic Immune-Inflammation Index as a Potential Indicator of COVID-19 Severity in a Tertiary Hospital in Indonesia Hamdan, Angkasa Ramatuan; Fianza, Pandji Irani; Hartantri, Yovita
Althea Medical Journal Vol 12, No 3 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n3.4238

Abstract

Background: The progression of coronavirus disease 2019 (COVID-19) to severe stages is strongly influenced by host immunity and inflammatory. The Systemic Immune-Inflammation Index (SII) is a novel biomarker reflecting both immunity and inflammation. This study aimed to analyze differences in SII according to COVID-19 severity.Methods: A cross-sectional study was conducted using medical records of COVID-19 patients hospitalized at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, between March 2020 and August 2021. SII was calculated as the absolute neutrophil count and platelet count divided by the absolute lymphocyte count obtained from peripheral blood samples. COVID-19 severity was classified based on oxygen saturation (SpO₂). Receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to evaluate the discriminatory ability of SII. Results: Of the 1,192 patients included, 410 (34.3%) had severe symptoms and 782 (65.7%) had mild to moderate symptoms. The median SII at admission was significantly higher in severe symptoms [1779 x 109 /L (IQR 46-40416)] compared with mild to moderate symptoms [880 x 109 /L (IQR 14.5-23280)]; p<0.001. ROC analysis showed an SII cut-off of 1244 with an AUC of 0.695 (95% CI 0.668–0.721), sensitivity 65.9%, and specificity 66.2%.Conclusions: SII may serve as a potential biomarker for predicting COVID 19 severity. Its simplicity and availability from routine blood counts make it particularly valuable for early risk stratification, especially in resource-limited settings. Moreover, early recognition of elevated SII could support timely interventions, prevent disease progression, and improve clinical outcomes.
Co-Authors Arman Lany, Arman Ciptawan STP, Beni Ciptawan, Beni Davin Takaryanto Indri Handayani, Indri Nugroho, Enggar Adi Pandji Irani Fianza Prayuti, Yuyut Syahruddin Syahruddin Takaryanto, Davin Yovita Hartantri