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Otonomi VS Paternalisme: Pengambilan Keputusan Medis pada Pasien dengan Skizofrenia Yen, Liauw Djai; Simanjuntak, Vionita; Yantoro, Felicia Cynthiadewi; Junus, Kezia Adelize Aurelia; Wijaya, Richard; Allo, Kezia Nathania Limbong; Lukito, Patricia Michelle; Dananjaya, Anna Sakurai; Wijaya, Yurike; Sugiarto, James; Mahardika, Danadipa Yoga; Gani, Alicia
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 13 No 2 (2023): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/IJLFS.2023.v13.i02.p02

Abstract

Background: Balance between autonomy and paternalism in the context of decision making of individuals with schizophrenia is a complicated and ethical problem. Collaboration between healthcare workers, family members, and individuals with schizophrenia is crucial to ensure decision made is for the individual’s best interest whilst upholding their dignity and rights. Methods: This is a literature review study. References used are literature from journal articles, law texts, and other textbooks in Indonesian and English. Results and Discussion: In clinical practice, doctors and patients both have autonomy to make the best decision. In patients with schizophrenia, autonomy conflicts with paternalism due to errors in cognitive function and decision making. Some studies have shown that schizophrenia patients can increase their understanding through information repetition, or by using improved information delivery procedures. Loss of capacity of decision making in patients with schizophrenia is temporary and can recover with time. Conclusion: It is important to find balance between autonomy and paternalism in medical practice. Doctors need to give clear information to patients, discussing benefits, downfalls, and risks from a certain procedure, respecting patient preference. However, doctors also have the responsibility to use their clinical judgement to give the best medical outcomes for patients.
Perkiraan Usia Berdasarkan Tulang Belulang Arief, Pamela; Gozali, Rowen Jayadi; Mulyono, Bethea Manuela; Widiastuti, Tri; Marcella, Laurie; Arfandi, Hanif; Karupukaro, Aprilda Yulifa Thalia Thomas; Kristhazshana, Zshananda; Precious, Heunice; Ethanelle, Lourdes; Yen, Liauw Djai
Jurnal MedScientiae Vol. 3 No. 2 (2024): Agustus
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v3i2.3265

Abstract

Pendahuluan: Estimasi usia kerangka manusia merupakan aspek penting dalam profil biologis yang digunakan oleh antropolog forensik untuk identifikasi individu yang meninggal. Perkiraan usia dapat dilakukan melalui beberapa metode, seperti pemeriksaan makroskopis perkembangan dan erupsi gigi, penyatuan epifisis tulang panjang, degenerasi permukaan artikular panggul, ujung tulang rusuk, dan jahitan kranial, serta analisis mikroskopis struktur tulang. Tinjauan ini bertujuan untuk mengeksplorasi serta menganalisis berbagai teknik yang tersedia untuk tujuan ini. Metodologi: Tinjauan literatur ini menggunakan referensi melalui basis data PubMed dan ResearchGate. Pengambilan data dilakukan berdasarkan alur proses, dimana diperoleh 8 sumber literatur yang relevan dengan topik penelitian. Hasil dan Pembahasan: Metode estimasi usia sering menunjukkan bias di mana usia individu yang lebih muda cenderung dilebih-lebihkan, sementara usia individu yang lebih tua diremehkan. Perubahan degeneratif pada struktur seperti ujung tulang rusuk sulit untuk ditafsirkan secara akurat dan berkontribusi terhadap kesalahan dalam estimasi usia terutama setelah usia 60 tahun. Variasi ini kemungkinan terkait dengan perbedaan gaya hidup, lingkungan, dan aktivitas. Metode menggunakan simfisis pubis lebih akurat untuk individu dewasa muda. Permukaan aurikular dapat memberikan estimasi yang memadai pada kelompok usia menengah. Gigi monoartikular dan ujung sternal iga keempat ditemukan sebagai metode yang akurat untuk individu yang lebih tua. Simpulan: Metode estimasi usia osteologis memerlukan penyesuaian dan evaluasi terus-menerus berdasarkan populasi dan faktor-faktor spesifik terkait usia. Kombinasi beberapa metode dan analisis mendalam terhadap variabel morfologis dapat meningkatkan akurasi estimasi usia, meskipun bias tetap ada terutama pada kelompok usia tua dan muda. Kata kunci: Age Estimation, Skeletal Age, Anthropology, Forensic
Kematian Akibat Kelaparan Kronis Deby; Yen, Liauw Djai; Nathania, Gultom Belinda; Novenia, Djajasasana Caroline; Aryanto, Suselo Emanuel; Della, Felista Joanesa; Irene, Tamrin; Artanti, Jelita Mentari; Pingkan, Naomi; Eka, Putri Fransiska; Verina, Setiawan Clarissa; Andrew, Hadinata Antonius
Jurnal Kedokteran Meditek Vol 30 No 2 (2024): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v30i2.3156

Abstract

Kematian akibat kelaparan merupakan kasus yang jarang terjadi, baik di negara maju maupun negara berkembang. Terdapat beberapa penyebab kelaparan, seperti penyakit (kanker esofagus, HIV, dan tuberkulosis), malanutrisi, mogok makan, gangguan mental (anoreksia nervosa), dan penelantaran. Kedokteran forensik berperan penting dalam menentukan penyebab kelaparan. Laporan kasus ini menunjukkan hasil pemeriksaan luar, autopsi, serta pemeriksaan patologi anatomi dan laboratorium pada jenazah pria berusia 30 tahun. Pada pemeriksaan luar tidak ditemukan tanda-tanda kekerasan, didapatkan indeks massa tubuh 16 kg/m2 dan pemeriksaan dalam jenazah ditemukan jaringan adiposa subkutan dan di sekitar organ dalam kurang lebih 1 mm, mukosa lambung tampak erosi dan atrofi. Kandung empedu tampak distensi dan ditemukan beberapa batu berwarna kehitaman. Hasil pemeriksaan eksternal dan internal menunjukkan tanda-tanda kelaparan kronis yang menjadi penyebab kematian dalam kasus ini. Publikasi laporan kasus kematian akibat kelaparan belum ditemukan di Indonesia dan diharapkan laporan ini menambah wawasan dalam investigasi postmortem mengenai tanda-tanda kelaparan kronis.
Tinjauan Etik Rumah Sakit Berkontribusi Dalam Limbah Makanan Yen, Liauw Djai; Wea, Brigitta Yuliana; Tholib, Clemarie Natasha; Mai, Roy; Rasyiqah, Fajrina Rizki; Yurike, Vony; Ongga, Leonardo
Jurnal MedScientiae Vol. 3 No. 3 (2024): Desember
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v3i3.3456

Abstract

About a third of the food produced per year is thrown away and becomes food waste, affecting various fields on a global scale. According to Williams and Walton, food waste generated by hospitals is two to three times greater than in other service areas. If this food waste is processed and recycled, it will produce methane and CO2 emissions which will also worsen global warming. The purpose is to review the ethics of hospitals that contribute to food waste. This is a literature study that was carried out using the Pubmed and Google Scholar databases from 2014-2024 with the main keywords "food waste", "hospital", and "ethic", and obtained 17 journals in Indonesian and English. The results showed that vegetables were often the type of food left most in hospitals. Strategies to reduce food waste include attractive presentation, room service systems, and bioconversion innovations with BSF larvae. Indonesia itself has several policies to reduce food waste, but more focused management is still needed. It can be concluded that the main strategies for reducing food waste include improving food presentation, flexible services such as room service, bioconversion with BSF larvae, and recycling. More specific regulations for hospitals are needed in Indonesia
Hubungan status gizi dengan kualitas tidur pada mahasiswa fakultas kedokteran ukrida angkatan 2021 Sutanto, Jovian Christopher; Hartanto, Hartanto; Yen, Liauw Djai
Jurnal MedScientiae Vol. 4 No. 1 (2025): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i1.3599

Abstract

Good sleep quality is a crucial aspect of maintaining physical and mental health. This study aims to analyze the relationship between nutritional status and sleep quality among adolescents. The research employed a quantitative design with a purposive sampling method, involving 143 respondents. Nutritional status was measured using Body Mass Index (BMI) based on the Asia-Pacific standard, while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was conducted using the chi-square test to examine the relationship between these variables. The results revealed a significant relationship between nutritional status and sleep quality among the respondents p=0,00 (p < 0.05). Adolescents with overweight status tended to have poorer sleep quality compared to those with normal nutritional status. These findings highlight the importance of maintaining optimal nutritional status to improve sleep quality in adolescents.    
Artificial Intelligence in Type II Diabetes Mellitus: Screening, Treatment, and Complication Lians, Airine Stefanie; Tunru, Andi Miyanza Rezkyawan Lakipadada; Chindia, Chindia; Prasetyo, Juan Alexandra; Kie, Justin; Christian, Raffael; Sean, Sherlyn; Larasati, Victoria; Yen, Liauw Djai
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.1138

Abstract

Type II diabetes mellitus is one of the chronic metabolic diseases that are associated with insulin resistance. Type II diabetes mellitus incidence continues to increase each year and may cause various health complications, even death. Addressing early detection and appropriate treatment is important in decreasing the incidence of type II diabetes mellitus and improving the quality of life in diabetic patients. The potential of artificial intelligence in healthcare is expected to assist in screening, therapy management, and even detection of type II diabetes mellitus complications. Despite limited literature, this study aims to understand the benefit of AI in assisting health workers in screening and managing type II diabetes mellitus. Searches are conducted with search engines, such as PubMed, Science Direct, and Google Scholar, with the keywords “Artificial Intelligence” and “Diabetes Mellitus Type 2”, as well as their synonyms. The search results in twenty English and Indonesian studies were published in the last ten years. These various studies found that many Artificial intelligence models developed to assist in screening, therapy management, and detect complications in patients with type II diabetes mellitus.