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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Jurnal Kedokteran Brawijaya Jurnal Administrasi Kesehatan Indonesia Bali Journal of Anesthesiology Bioscientia Medicina : Journal of Biomedicine and Translational Research Interdental Jurnal Kedokteran Gigi (IJKG) PREPOTIF : Jurnal Kesehatan Masyarakat Scientia Psychiatrica Neurologico Spinale Medico Chirurgico Babali Nursing Research JUNCTO: Jurnal Ilmiah Hukum Journal of Anaesthesia and Pain Bioscientia Medicina : Journal of Biomedicine and Translational Research COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Jurnal Konstruksi Hukum Journal of Anesthesiology and Clinical Research Journal of Law, Poliitic and Humanities Jurnal Smart Hukum (JSH) Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
I Gusti Agung Gede Utara Hartawan
Departemen Anestesi Dan Ruang Terapi Intensif, Fakultas Kedokteran, Universitas Udayana, Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Combined Lumbar Plexus and Sciatic Nerve Blocks Improve Postoperative Recovery in Lower Extremity Surgery: A Randomized Controlled Trial Wiranata, Jeremia Alvian; Aribawa, I Gusti Ngurah Mahaalit; Parami, Pontisomaya; Senapathi, Tjokorda Gde Agung; Hartawan, I Gusti Agung Gede Utara; Adi, Made Septyana Parama; Kurniajaya, I Gusti Agung Made Wibisana; Pradhana, Adinda Putra
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Patients undergoing lower extremity orthopedic surgery often experience moderate to severe postoperative pain, commonly managed with opioids. Regional anesthesia techniques, such as peripheral nerve blocks, offer promising alternatives. This study evaluates the efficacy of combined lumbar plexus block (LPB) and sciatic nerve block (SNB) versus intravenous opioid analgesia in enhancing postoperative recovery and pain control. Methods: In a single-blind, randomized controlled trial, 42 patients scheduled for lower extremity orthopedic surgery under spinal anesthesia were allocated to two groups. Group P1 received postoperative LPB and SNB using 20 mL of 0.25% bupivacaine, while group P2 received intravenous opioids. Outcomes at 24 hours included quality of recovery (QoR-40) scores, total morphine consumption, duration of analgesia, and monitored adverse events. Result: Group P1 showed significantly better recovery scores [QoR-40: 183 (178–188) vs. 152 (136–161.5), p < 0.001], reduced morphine consumption [4 (4–6.5) mg vs. 18 (16–22) mg, p < 0.001], and longer analgesia duration [480 (340–600) min vs. 75 (60–110) min, p < 0.001]. No adverse events were observed. Conclusion: Combined LPB and SNB significantly improve postoperative recovery quality and analgesia in patients undergoing lower extremity orthopedic surgery, reducing opioid requirements and extending pain-free duration compared to intravenous opioids.
Roles of Law on Medical Records for Data and Information Security: A Systematic Literature Review Ida Bagus Udayana Hanggara; Tuty Kuswardhani; I Gusti Agung Gede Utara Hartawan
Journal of Law, Politic and Humanities Vol. 5 No. 2 (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.v5i2.1141

Abstract

Electronic medical records must adhere to the principles of data and information security, which include availability, integrity, and confidentiality. Medical records serve as legitimate legal evidence, thereby satisfying these principles both individually and institutionally. Consequently, the aim of this research is to explore the roles of law on medical records for data and information security. To achieve this aim, a systematic literature review (SLR) was employed. The Scopus and PubMed databases were chosen for their global recognition. Full-text articles from these databases were subjected to PRISMA analysis using Mendeley Reference Manager. The researchers collected 32 research articles by the categories of data protection law, medical records' law enforcement, and data protection law recommendation. The research findings indicate that the roles of law deal with the role of law in compliance and data protection, law enforcement and sanctions, a recommendation for improving compliance and data protection. In addition, the law is crucial for ensuring compliance and data protection in electronic medical records implementation in hospitals. However, compliance levels have not reached optimal levels. To improve security, awareness, and enforcement, collaboration with legal bodies, and educational initiatives are needed. Legislation like HIPAA and GDPR influence data protection measures, but penalties are insufficient. To enhance compliance, medical personnel should undergo rigorous training and improve oversight of health data management procedures
An Analysis Of Ethical And Legal Issues In Organ Transplantation And Organ Donation In Indonesia Lestari, Kadek Dwi Pradnya; Hartawan, I Gusti Agung Gede Utara
Jurnal Smart Hukum (JSH) Vol. 4 No. 3 (2026): February-May
Publisher : Inovasi Pratama Internasional. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/jsh.v4i3.1830

Abstract

The development of modern medical science has brought significant advancements in efforts to save human lives, one of which is through organ transplantation. Although organ transplantation offers significant benefits to the medical field, it also raises various complex issues that encompass ethical, legal, social, and religious dimensions. This study utilizes a qualitative descriptive method and a library research approach to explore the legal framework and bioethical principles that govern organ transplantation in Indonesia. The analysis reveals that the legal regulations concerning organ transplantation in Indonesia have undergone substantial development. Law Number 17 of 2023 on Health stipulates that organ transplantation may only be conducted for humanitarian purposes and explicitly prohibits any form of organ commercialization. Furthermore, Government Regulation Number 28 of 2024 provide the technical foundation related to the procedures, hospital licensing, and the establishment of transplantation ethics committees. From an ethical standpoint, organ transplantation practices must adhere to the four fundamental principles of bioethics, beneficence, autonomy, non-maleficence, and justice which position patients as autonomous subjects in medical decision-making. Religious factors also have a major effect on public perception: Catholicism and Islam regard organ donation as an act of charity and solidarity, Hinduism associates it with the concept of dāna (sacred giving); while Buddhism views it as a noble expression of compassion. Therefore, the implementation of organ transplantation in Indonesia must be carried out within a robust legal and ethical framework, harmonized with the prevailing humanitarian and spiritual values of the society. Keyword: organ transplantation, Bioethics, Health Law, Organ Donation, Religious Values.
Co-Authors Adi, Made Septyana Parama Adinda Putra Pradhana Anak Agung Angga Pringga Dana Anak Agung Gde Agung Adistaya Anak Agung Sagung Laksmi Dewi Andi Kusuma Wijaya, Andi Brillyan Jehosua Toar Christopher Ryalino Cristy, Nadia Assecia Dewa Ayu Mas Shintya Dewi Dewi Sinardja, Cynthia Dewi, Dewa Ayu Mas Shintya Eka Nantha Kusuma, Putu Eka Putra, I Wayan Gede Artawan EM, Tjahya Aryasa Emkel Perangin Angin, Emkel Fikrawan, Putu Filla Jaya Gde Agung Senapathi, Tjokorda Gede Semarawima, Gede Gusti Agung Made Wibisana Kurniajaya Gusti Ayu Putu Giti Livia Devi I Gede Budiarta I Gusti Agung Made Wibisana Kurniajaya I Gusti Ngurah Mahaalit I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Made Darma Junaedi, I Made I Made Gede Widnyana I Nyoman Sutama I Putu Fajar Narakusuma I Wayan Aryabiantara, I Wayan I Wayan Suranadi Ida Ayu Mas Sasmari Brahmani Ida Bagus Aditya Mayanda Ida Bagus Fajar Manuaba Ida Bagus Krisna Jaya Sutawan Ida Bagus Udayana Hanggara IGNA Putra Arimbawa, IGNA Putra Indrastuti, Putu Shintadewi Kadek Agus Heryana Putra Kadek Agus Heryana Putra, Kadek Agus Ketut Semara Jaya, Ketut Semara Khamandanu, Kadek Fabrian Kurniajaya, I Gusti Agung Made Wibisana Kurniawan, Sylvia Jessy Kuswantoro Rusca Putra Labobar, Otniel Adrians Lestari, Kadek Dwi Pradnya Made Agus Kresna Sucandra, Made Agus Kresna Made Oka Widyantara, Made Oka Made Septyana Parama Adi Made Widnyana Made Wiryana Mahaalit, I Gusti Ngurah Mas Shintya Dewi, Dewa Ayu Merry Ni Ketut Supasti Dharmawan Ni Putu Novita Pradnyani, Ni Putu Nyoman Ayu Anggayanti Nyoman Suyatna Parama Adi, Made Septyana Parami, Pontisomayaa Pontisomaya Parami Pragra, Maria Preicilia Pratama, I Wayan Agus Wirya Putra, Made Bagus Cahya Maha Putu Herdita Sudiantara, Putu Herdita Putu Kurniyanta Putu Pramana Suarjaya R. A.T. Kuswardhani Suparna, I Ketut Sutjipto, Matthew Nathanael Syamsuddin, Johanis Bosco Troy Syarifuddin Syarifuddin Sylvia Jessy Kurniawan Tjahya Aryasa Tjahya Aryasa E M Tjokorda Gde Agung Senapathi Wahyuni, Ni Kadek Ayuk Ari Widiasa, Anak Agung Made Wiranata, Jeremia Alvian Yaslis Ilyas