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All Journal Syntax Idea Jurnal MedScientiae
Davin Takaryanto
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Aerospace Engineering Agriculture, Biological Sciences & Forestry Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

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Laporan Kasus: Tantangan Pengelolaan Krisis Hiperglikemia Pasien Penyakit Ginjal Kronik (PGK) Tahap Akhir dalam Hemodialisa Rutin Davin Takaryanto; Maya Kusumawati; Nenny Agustanti; Rudi Supriyadi; Ervita Ritonga; Nanny N. M. Soetedjo; Hikmat Permana
Jurnal MedScientiae Vol. 2 No. 1 (2023): April
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

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Abstract

Introduction Hyperglycemic crisis is a life threatening medical emergency which occur in any individuals, including end stage renal disease (ESRD). The altered renal, glucose, electrolyte, and body fluid dysregulation seen in ESRD patients affects the management. Objective: Hyperosmolar hyperglycemic state (HHS) and diabetic ketoacidosis (DKA) are life threatening hyperglycemic emergencies that warrant immediate and adequate management. The incidence of hyperglycemic crises among ESRD patients who undergo routine hemodialysis remains unknown. Furthermore, several available studies reported in case reports. Methods: We hereby report a case of hyperglycemic crisis of 61years old woman with medical history of type 2 diabetes mellitus (DM) and ESRD as the complication, she undergoes routine hemodialysis. Results: The patient was admitted with decreased consciousness that was preceded by dyspnea, active cough and fever. Then, the patient treated for the hyperglycemic crisis as in ESRD patient and for the with septic shock due to pneumonia. Conclusion: The management of hyperglycemic crises consist of fluid, potasium corection and insulin administration, however there were some adjustment in ESRD patients. At present therere were no spesific guidelines to manage hyperglicemic crisis and ESRD which is challenging.
Efektivitas Mediasi Dan Arbitrase Dalam Penyelesaian Sengketa Konsumen Kesehatan Yuyut Prayuti; Arman Lany; Davin Takaryanto; Angkasa Ramatuan Hamdan; Beni Ciptawan; Enggar Adi Nugroho
Syntax Idea 1533-1544
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/syntax-idea.v6i3.3165

Abstract

Settlement of health consumer disputes is an important issue in the health system because it is directly related to consumer rights and the quality of health services. Mediation and arbitration are two alternative dispute resolution methods that can be used in cases like this. The aim of this research is to analyze the effectiveness of mediation and arbitration in resolving health consumer disputes. This study used qualitative research methods. The data collection technique in this research is literature study. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The research results show that mediation is considered effective in resolving health consumer disputes, while the effectiveness of arbitration depends on the expertise of the arbitrators, especially in cases that require special technical knowledge. Mediation tends to be more effective and efficient in resolving disputes because it can help disputing parties to reach an agreement voluntarily with the help of a mediator. However, mediation results are not final and usually require agreement from both parties to be binding. On the other hand, arbitration offers higher legal certainty because the decision is final and binding. However, the arbitration process tends to be more formal, time consuming, and more expensive than mediation. Therefore, the choice between mediation and arbitration must consider the needs and preferences of each party to the dispute.
Co-Authors Angkasa Ramatuan Hamdan Arman Lany Arman Lany, Arman Beni Ciptawan Ciptawan, Beni Enggar Adi Nugroho Hamdan, Angkasa Ramatuan Hikmat Permana Kusumawati, Maya Nanny N. M. Soetedjo Nenny Agustanti Nugroho, Enggar Adi Prayuti, Yuyut Ritonga, Ervita Rudi Supriyadi