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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Medika Kartika : Jurnal Kedokteran dan Kesehatan Jurnal Eduscience (JES) Islamic Management and Empowerment Journal Journal of Community Empowerment for Health Indian Journal of Forensic Medicine & Toxicology Berita Kedokteran Masyarakat Jurnal Forensik dan Medikolegal Indonesia Biomedika Medical Journal of Soeradji
Beta Ahlam Gizela
Universitas Gadjah Mada
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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KEMANFAATAN DATA AUTOPSI VERBAL HEALTH AND DEMOGRAPHIC SURVEILLANCE SYSTEM (HDSS) SLEMAN DALAM MEMPERKIRAKAN SEBAB DAN CARA KEMATIAN Beta Ahlam Gizela; Suhartini Suhartini; Nurholis Majid
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 4 No 2 (2021): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (820.382 KB)

Abstract

Kematian terjadi dimana saja, dengan atau tanpa saksi, dengan atau tanpa didahului perawatan oleh tenaga kesehatan. Pencatatan kematian yang baik dan lengkap memenuhi kebutuhan informasi yang berguna bagi perlindungan hak asasi manusia, peningkatan upaya keselamatan masyarakat, dan pengambilan kebijakan di bidang kesehatan dan kependudukan. Analisis faktor risiko dan tanda serta gejala yang diamati sebelum kematian memberikan informasi yang berguna untuk memperkirakan penyakit atau penyebab kematian. Sehubungan dengan hal tersebut perlu digali data autopsi verbal sebagai upaya perlindungan hukum masyarakat dan statistik kesehatan. Penelitian ini menggunakan desain observasional. Data yang digunakan adalah data sekunder Health and Demographic Surveillance System (HDSS) Sleman. Subjek penelitian adalah seluruh kematian yang tercatat dalam dokumen autopsi verbal HDSS Sleman, pada tahun 2014-2018, sejumlah 687 kasus. Analisis statistik yang digunakan analisis deskriptif kematian. Terdapat perbedaan yang bermakna proporsi gender, pada tahun 2014 dan 2017, kematian perempuan lebih banyak dari laki-laki. Sebagian besar kematian pada umur di atas 65 tahun. Kematian sebagian besar adalah kematian wajar. Kematian tidak wajar disebabkan oleh kecelakaan lalu lintas, tenggelam, terbunuh dan lain-lainnya, tertinggi pada tahun 2014 (12%). Kematian yang belum dapat ditentukan (indeterminate) terdapat di setiap tahunnya, terbesar pada tahun 2017 (13%). Kematian terbesar setiap tahun adalah kematian akibat stroke (29%). Kematian akibat infeksi paling banyak disebabkan infeksi saluran nafas. Kematian akibat kanker sebesar 12% dengan penyebab terbanyak adalah kanker pencernaan (25 kasus). Kematian akibat gangguan metabolik terbanyak adalah diabetes melitus (32 kasus dari 55 kasus). DOI : 10.35990/mk.v4n2.p182-196
Rekam Medis Sebagai Alat Bukti Menurut Hukum Susi Hadidjah, Suhartini dan Beta Ahlam Gizela
Berita Kedokteran Masyarakat (BKM) Vol 20, No 1 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3713

Abstract

Background: Treatment of victims from any violations, such as accident, crime, and human right violations, often held in non standard protedure. As the result, evidence from those cases often been managed as a common patient. Every day at least 7 request letters for the medical report (for justice) from investigator come to Medical Record Department of Sardjito Hospital. To fulfil the request doctor or hospital must take data from medical record. By the way, it is clear that medical record is very important in hospital documentation. Objective: This study was aimed at reminding the doctor that medical record was important as medical proofing in a court.Methods: This was based on reference study and medico-legal cases management experience. Results: Health Ministry Regulation No.749a/1989 describe, medical record was a document of patient identity, examination, treatment, and other services to the patient in medical facilities. In a case of violations in which there is human victim that is not managed as an evidence, medical proofing for justice is arranged based on medical record. The medical report from examination request by investigator called visum et repertum. The medical report from examination request by patient called surat keterangan medis". Doctor in his duty must do carefully, make good documentation, and report his medical finding medic-objectively, that can be checked scientifically. Conclusion: Medical record as an evidence was needed to make a case become clear in law point of view. Medical record as a documentation of medical examination must be clear, detail, and complete, so it can be checked scientifically.Keywords: medical record, proofing, violation
PENGEMBANGAN PROGRAM COLLECTIVE CARE PENANGANAN HENTI JANTUNG BAGI SISWA SMA DI YOGYAKARTA DENGAN APLIKASI ANDROID SATU JANTUNG Beta Ahlam Gizela; Djayanti Sari; Nurholis Majid
JURNAL EDUSCIENCE Vol 9, No 3 (2022): Jurnal Eduscience (JES)
Publisher : Universitas Labuhanbatu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36987/jes.v9i3.3389

Abstract

Serangan jantung merupakan salah satu penyebab kematian tertinggi di Indonesia. Kematian mendadak akibat penyakit kardiovaskular ini dapat dicegah jika gejalanya diketahui secara luas dan pasien mendapatkan bantuan segera, pada 10 menit pertama akibat serangan jantung. Aplikasi SatuJantung dikembangkan untuk memfasilitasi pertolongan pertama dan akses yang lebih baik ke rumah sakit. Pemberdayaan remaja dapat membantu mengurangi jumlah kematian mendadak akibat penyakit ini. Tujuan penelitian untuk mengembangkan program pembelajaran menggunakan pendekatan collective care pada penanganan henti jantung dan memberikan ketrampilan pertolongan pertama bagi keluarga pada kasus henti jantung. Metode penelitian dengan desain action research. Hasil penelitian berupa Panduan Pendidikan Kesehatan Jantung dan Pertolongan Pertama Henti Jantung bagi Siswa SMA. Panduan dapat meningkatkan ketrampilan resusitasi jantung pada siswa SMAN 5 Yogyakarta dan dapat digunakan di seluruh Indonesia.
Development and expert-evaluation of FORENSICA-android application for estimating post-mortem interval Beta Ahlam Gizela; Idha Arfianti Wiraagni; Firdaus Firdaus; Budiatri Retno Noormaningrum; Busyra Busyra; Wendi Wiradinata; Ahnav Bil Auvaq; Nurholis Majid
Journal of Community Empowerment for Health Vol 5, No 2 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.69097

Abstract

Death registration is very important and has civil and legal impact on the deceased person and their family. Validity of a death certificate is influenced by the time accuracy of death estimation. Calculation of the post-mortem interval has a central role in the estimation of the time of death, especially for death cases in the community, without prior medical observation. This study aimed to develop a smartphone application for counting the estimated time of death based on android features, to help doctors establish a more accurate time of death and provide a learning facility for doctors and medical student. This action research consisted of 4 cycles: 1) Planning, 2) Action, 3) Observation, and 4) Reflection. The final result of this study is an android application named Forensica 3rd version. This application was developed in Bahasa Indonesia. This application has a menu for recording the patient identity, instructions for post-mortem changes examination, record examination results, time of death calculation and its interpretation. This 3rd version of the application is the latest version after undergoing two revisions. The Forensica application provides an easy way for doctors and medical students to establish the time of death estimation and it is user-friendly.
ELECTRONIC MEDICAL RECORD, A MEDICAL SERVICE CHALLENGE IN 4.0 ERA AND ITS LEGAL ASPECT Beta Ahlam Gizela
Jurnal Forensik dan Medikolegal Indonesia Vol 2 No 1 (2020): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/jfmi.v2i1.4201

Abstract

Background: All people need health services. As a concequences of that, we found great number of patients queue in public healh services. To reduce the patients queue, technology implemented. Electronic medical record is one of technology aplication that able to solve the problem of queueing. Indonesia has no special regulation on electronic medical record. Considering that background, author try to explore problems in implementation of electronic medical record, 1) is the electronic medical record valid as an evidence in litigation process (ethics and law) and 2) is electronic medical record able to provide information needed in patient management. Objective: Justification proofing of ethicolegal judgement in technology implementation of medical record documentation. Methods: This research uses mixed methods design: Quantitative method leading to in-depth ethically reflective method after coherent qualitative result. Populations of the research are outpatients, and the subject of this research are health workers of hospital that use electronic medical record. Results: Electronic medical record used is “computerized” or “automated” medical record. There are some paperless documents, combining with conventional record in implementation. There is significant difference on accessability and completeness between electronic medical record and conventional medical record. Electronic medical record able to improve the service quality, in beneficence and non-maleficence principle. There is no significant difference on legal quality between electronic medical record and conventional medical record. Implementation of automated medical record is an inter phase, before a hospital successfully implement fully electronic medical record. Conclusion: Automated medical record able to improove quality of medical record, based on beneficence and non-maleficence ethics principle. It’s needed further investigation to conclude autonomy and justice principle nowadays.
Pengendalian Infeksi Covid-19 pada Pengelolaan Kasus Meninggal di Luar Fasilitas Pelayanan Kesehatan (Fasyankes) Beta Ahlam Gizela
Jurnal Forensik dan Medikolegal Indonesia Vol 2 No 2 (2020): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/jfmi.v2i2.4526

Abstract

Tujuan: Artikel ini bertujuan merumuskan pemecahan masalah risiko penyebaran Covid-19 pada pengelolaan kasus meninggal di luar Fasyankes.Metode: Artikel ini disusun berdasarkan penelitian kualitatif.Hasil: Kasus meninggal di luar Fasyankes dapat disebabkan oleh berbagai penyakit. Tingginya jumlah kasus reaktif tes antigen Covid-19 dari hasil sampling pemudik menggambarkantingginya kemungkinan keberadaan virus dalam tubuh pasien yang meninggal oleh sebab bukanCovid-19. Pengelolaan kasus meninggal di luar Fasyankes dilakukan secara sukarela olehmasyarakat tanpa standar minimal keamanan terkait pengendalian infeksi. Standarisasipengendalian infeksi dan penanganan limbah pada pengelolaan kasus meninggal di luar Fasyankesmenjadi bagian penting dalam upaya menekan penularan Covid-19 di dalam komunitas.Penanganan limbah dilakukan dengan memperhatikan jarak aman terhadap pemukiman dan risikoperembesan air tanah ke sumber air warga.Kesimpulan: Pengendalian infeksi Covid-19 pada pengelolaan kasus meninggal di luarFasyankes dapat dilakukan dengan penyediaan tempat khusus pengelolaan jenazah di sekitarpemakaman dan pelaksanaannya dalam pantauan relawan terlatih.
Pneumonia Related Deaths in Sleman Based on Verbal Autopsy: an Observational Study Stephanie Audrey Handrianto; Beta Ahlam Gizela; Djayanti Sari; Lukman Ade Chandra
Journal of Community Empowerment for Health Vol 6, No 3 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.83510

Abstract

Pneumonia has long been and remains one of the leading causes of death, especially among children and the elderly. Until this study was released, only the Jakarta province fulfilled the national target of pneumonia case findings. Thus, it is important to determine the characteristics and prevalence of pneumonia-related deaths in Sleman District based on verbal autopsy. This cross-sectional study used secondary data from Sleman HDSS cycles 1 to 7. The subject of this study was a person aged over 28 days who passed away due to pneumonia between 2015 and 2022 and met the criteria for sample inclusion. Fisher’s exact and Pearson’s chi-square tests were used to analyze the data. The number of subjects who died due to pneumonia was 65 subjects (33,3%), and the number of subjects who died due to other causes was 130 (66,7%). The prevalence of those who died due to pneumonia was lower than non-pneumonia death for all of the predetermined risk factors, including elderly age, male sex, low education level, high occupational risk, smoking history, alcohol consumption, asthma history, COPD history, stroke history, tuberculosis history, hospitalization history, and very thin or malnourished body with sex, occupational status & type, and nutritional status being statistically significant. The prevalence of pneumonia-related deaths in the Sleman HDSS VA population is 33,3%, with some risk factors that may affect it.
Development of SatuJantung 2.0 Revised Version Android Application for Cardiac Arrest Pre-Hospital Management Beta Ahlam Gizela
Journal of Community Empowerment for Health Vol 6, No 3 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86361

Abstract

Cardiac arrest is one of the leading causes of death in Indonesia. Deaths can be prevented if symptoms are recognized early, and immediate assistance can be provided. An Android application called SatuJantung 2.0 was developed in 2018 and has been in use. However, during evaluation in implementation, it was found that the application is not compatible with the latest version of Android. An application revision is needed with newer features.The objective of this study is to develop a revised version of SatuJantung 2.0 with more advanced specifications. Methods used is action research, consist of 4 cycles: 1) Planning, 2) Action, 3) Observation, 4) Reflection.Final result of this study is an android application named SatuJantung 2.0 revised version. This application is developed in Bahasa Indonesia. This application has menu for login, registration, user profile, user status (based on analysis of user profile by risk calculator), user information, summary, emergency button, guidance for the first responders, sending WhatsApp message for the family/contact registered with the geotag location, and emergency call to ambulance.SatuJantung 2.0 revised version, named SatuJantung 2.5, provides an easy way for patients calculate the risk factors, get information about the disease and management, ask help in emergency situation, and guide first responders to do prehospital management in cardiac arrest case.
PENGEMBANGAN MODUL COLLECTIVE-CARE PADA PENANGANAN KASUS HENTI JANTUNG BAGI RELAWAN AWAM Beta Ahlam Gizela
Medika Kartika : Jurnal Kedokteran dan Kesehatan Medika Kartika : Jurnal Kedokteran dan Kesehatan (Edisi PIT FK Unjani)
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Henti jantung merupakan salah satu penyebab kematian tertinggi di Indonesia. Kematian dapat dicegah jika gejala dikenali sejak awal, dan pertolongan segera diberikan. Tujuan penelitian ini mengembangkan modul pembelajaran dengan memanfaatkan teknologi untuk meningkatkan kewaspadaan masyarakat akan risiko kematian akibat henti jantung serta memberikan ketrampilan pertolongan pertama, dengan pendekatan collective care. Desain penelitian action research dengan populasi masyarakat awam. Analisis deskripstif digunakan dalam tahap observasi. Pembelajaran dirancang dengan metode flipped class room meliputi dua video pendek pengenalan penyakit dan pertolongan pertama (pre-session), penggunaan aplikasi SatuJantung, tiga sesi latihan ketrampilan resusitasi jantung, dan penilaian ketrampilan. Seluruh peserta pada pertemuan pertama tidak memiliki pengalaman dan tidak bisa melakukan resusitasi jantung. Pada pertemuan kedua 70% peserta mampu melakukan, dan pertemuan ketiga 90% mampu melakukan. Modul kasihpaham.org dapat menggugah relawan awam untuk peduli dan serius berlatih. Modul online ini memberikan alternatif media belajar tanpa batas waktu. Kata kunci: henti jantung, modul pembelajaran, relawan awam DOI : 10.35990/mk.v7n0.p91-101
PATTERNS OF INJURIES AND PSYCHOLOGICAL TRAUMA IN DOMESTIC VIOLENCE PATIENTS: A SYSTEMATIC LITERATURE REVIEW Gizela, Beta Ahlam; Liliana, Belinda
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 1 (2024): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2024.5.1.4817

Abstract

Background: Domestic violence is a complex problem that occurs in various countries in the world. It is noted that women are more often being victims of domestic violence, 1 of 4 women and 1 of 9 men in the world experiencing domestic violence. The number of cases tends to increase from year to year. Domestic violence is bad for the health of victims, both physically and psychologically. Doctors need certain methods to identify domestic violence, include pattern of injuries and psychological trauma of the victims that can be found through physical and mental examination. Aim: To describe the pattern of injuries and psychological trauma experienced by domestic violence patients, and to find corelation between demographic factors of age, gender, and race to the pattern of injuries and psychological trauma. Method: The study is a systematic literature review by analysing literature obtained from databases with specific criteria and keywords about patterns of injuries and psychological trauma in domestic violence patients as well as their association with demographic factors of age, gender, and race. Researchers will explore information from the literature found through the processes of abstraction, analysis, and data synthesis. Result: Based on searches of four electronic databases PubMed, Scopus, ScienceDirect, and EBSCOHost, 241 journals were obtained. After screening through the title, abstract, and exclusive journal, obtained 11 journals. Based on the 11 journals, results were obtained in the form of wound patterns, which include the number, location, and type of wounds; psychological trauma; as well as the corelation of demographic factors, which include age, gender, and race, to pattern of injuries and psychological trauma in domestic violence patients. Conclusion: The location of the most common injuries in domestic violence patients is the head, neck, and face. The most common type of injury found in domestic violence patients is bruising with most experiencing a greater number of injuries. The most common psychological trauma experienced by domestic patients is depression and PTSD. Racial differences had no effect on differences in wound patterns. But in the pattern of psychological trauma, Caucasians have higher rates of PTSD and depression than African-Americans.
Co-Authors Ahnav Bil Auvaq Almira, Adella Sahdasalma Artanti, Martiana Suciningtyas Tri Arwani Munib Budiatri Retno Noormaningrum Busyra Busyra Busyra, Busyra Djayanti Sari Firdaus Firdaus Idha Arfianti Wiraagni Liliana, Belinda Lukman Ade Chandra Nurholis Majid Nurholis Majid Nurholis Majid Public Pratiwi, Woro Rukmi Puspitasari, Kintan Rafitri, Anggina Stephanie Audrey Handrianto Suhartini Suhartini Suhartini Wendi Wiradinata Wiraagni, Idha Arfianti