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All Journal Jurnal Kedokteran Diponegoro
Edward Kurnia Setiawan L
Department of Clinical Pathology, Faculty of Medicine Universitas Diponegoro Semarang
Medicine & Pharmacology

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Case Report: Choledocholithiasis as Risk Factor for Klatskin Tumor: A Rare Cholangiocarcinoma Edward Kurnia Setiawan L; Esa Loyallita Lestari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 1 (2023): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v12i1.36780

Abstract

 Background: Klatskin tumor is a rare liver cancer that involves the bile ducts. Its incidence begins to increase over time and is usually only diagnosed in patients who are already at an advanced stage. The annual incidence of klatskin tumors is not more than 1:100,000. Klatskin tumor is suspected based on signs of biliary obstruction, ultrasonography showing a stricture or bile mass, cholangiography with ERCP and MRCP, abnormal liver function tests, and elevated tumor marker CA 19-9. Case Report: A 65-year-old man presented to the hospital with complaints of yellowing of the eyes and body that began one month ago, as well as a lump in the right upper abdomen that had grown larger over the previous five months. Physical examination revealed yellow eyes, and a palpable lump in the upper quadrant of the patient's abdomen. The patient defecates looked like putty and urinates looked like tea. The diagnosis leaded to a klatskin tumor because the results of MRCP showed a mass in the hilar region of the liver that extended to the proximal common bile duct, which described the appearance of a klatskin tumor. There were an increasing CA 19-9 level and liver function tests. Conclusion: Patient has been diagnosed with klatskin tumors, has choledocholithiasis risk factor, supported by appropriate MRCP images and increasing CA 19-9 level 
Relationship Between Fasting Blood Glucose Levels and Lipid Profiles in Type 2 Diabetes Mellitus Patients with Hypertension Sarah Syifa Lestari; Edward Kurnia Setiawan L; Banundari Rachmawati; Aryu Candra
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.42645

Abstract

Background: Diabetes Mellitus (DM) is a global health emergency that experiences an increasing trend every year. Diabetes mellitus can cause complications if not treated properly. One of the complications that arises is hypertension. Type 2 DM patients with hypertension may have a higher risk of complications than type 2 DM patients without hypertension. Aim: To prove the relationship between Fasting Blood Glucose (FBG) levels and lipid profile levels in type 2 DM patients with hypertension. Methods: This research is an analytical observational study using a cross-sectional approach. This study used secondary data from type 2 DM patients with hypertension medical records at Diponegoro National Hospital, with as many as 38 respondents from 2021 to 2023. Results: Spearman Rank’s analysis showed that in type 2 DM patients with hypertension, the correlation between GDP levels and total cholesterol levels was p = 0.073 and r = 0.295, HDL cholesterol p = 0.232 and r = 0.199, LDL cholesterol p=0.048 and r=0.323, and triglyceride p=0.371 and r=0.149. Conclusion: There was a significant positive correlation between GDP levels and LDL cholesterol levels in type 2 DM patients with hypertension. 
OVERVIEW OF LEGAL DECISIONS ON ALLEGED MALPRACTICE BY PROFESSIONAL DOCTORS AND DENTISTS: STUDY OF DATA AT THE SUPREME COURT IN 2016-2020 Karlina Harsono Ilham; Intarniati Nur Rohmah; Edward Kurnia Setiawan L
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 6 (2025): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v14i6.50879

Abstract

  Background: Malpractice is an act that is not appropriate from the actions of an expert, a lack of sub-standard skills, or an expert's inaccuracy in carrying out the legal obligations, practices that are not in accordance with procedures, or illegal or immoral acts. This study is descriptive of the description of the final legal decision obtained by the doctor and/or dentist regarding allegations of malpractice in practicing medicine. Aim: To find out the problems of malpractice cases, law enforcement in the form of sanctions and laws reviewed and legal decisions related to alleged malpractice by the profession of doctors and / or dentists in the Supreme Court in 2016-2020 in Indonesia. Methods: This research is a descriptive study. The data population is based on cases of professional malpractice of doctors and/or dentists based on data at the Supreme Court (Mahkamah Agung) in 2016- 2020. Results: The results showed that 71% were found not guilty and 29% were found guilty of cases of alleged medical malpractice in carrying out their treatment. Conclusion: Cases of doctors who were sued by patients and complainants at the Supreme Court based on 2016-2020 data on suspicion of committing acts of malpractice in medical practice resulted in 71% of cases being declared not guilty while 29% were found guilty of malpractice and served sentences in accordance with the final decision. that has been determined, whether to get a sanction in the form of compensating for the loss to the plaintiff along with the expenditure of the ongoing Supreme Court proceedings or legal sanctions in accordance with the law that has been violated. 
Co-Authors Aryu Candra Banundari Rachmawati Esa Loyallita Lestari Intarniati Nur Rohmah Karlina Harsono Ilham Sarah Syifa Lestari