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Perlindungan Hukum bagi Tenaga Kesehatan terhadap Terjadinya Risiko Tindakan pada Operasi Mayor Kebidanan Emergensi di RSIA Dian Pertiwi Massa, Jaya; Yustina, Endang Wahyati; Limijadi, Edward Kurnia Setiawan
Soepra Jurnal Hukum Kesehatan Vol 11, No 1: Juni 2025
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v11i1.11100

Abstract

Abstrak: RSIA Dian Pertiwi Karanganyar merupakan Rumah sakit khusus tipe C di Kabupaten Karanganyar, yang menangani pasien dengan kehamilan dan persalinan risiko tinggi, keadaan ini berakibat pada meningkatnya operasi mayor kebidanan emergensi dan meningkatkan komplikasi dari tindakan tersebut. Peningkatan komplikasi tindakan operasi mayor kebidanan emergensi berbanding lurus dengan peningkatan permasalahan hukum yang akan dihadapi oleh tenaga kesehatan. Timbulnya permasalahan hukum akibat komplikasi tindakan operasi mayor kebidanan emergensi tersebut mengisyaratkan diperlukannya perlindungan hukum terhadap tenaga kesehatan yang melakukan layanan operasi emergensi tersebut. Peraturan perundangan yang berlaku, perijinan Rumah Sakit, peraturan internal Rumah Sakit, persyaratan perijinan tenaga kesehatan merupakan piranti yang disediakan untuk melakukan pelindungan hukum bagi tenaga kesehatan. Penelitian dengan metode yuridis sosiologis, deskriptif analitis dan metode pengumpulan data dengan studi lapangan yaitu wawancara dan studi kepustakaan telah dilakukan di RSIA Dian Pertiwi terhadap tim operasi kebidanan tahun 2022 untuk mengetahui sejauh mana pelindungan hukum terhadap tim operasi tersebut telah dijalankan. Penelitian ini bertujuan untuk memperoleh data dan gambaran secara lengkap tentang pelaksanaan pelindungan hukum bagi tenaga kesehatan di RSIA Dian Pertiwi. Hasil penelitian bahwa pengaturan perlindungan hukum meliputi segi norma hukum dan bentuk atau tehnis pengaturan hukum bagi tenaga kesehatan telah terpenuhi dengan baik demikian juga pelaksanaan dari pelindungan hukum terhadap tenaga kesehatan yang meliputi pihak terkait, bentuk pelindungan hukum dan ruang lingkup pelaksanaan pelindungan hukum. Satu kasus fatal akibat atonia uteri yang terjadi paska operasi perlu dicermati Manajemen Rumah Sakit dan Tim Operasi, untuk mencegah kasus fatal terulang kembali.Abstract: RSIA Dian Pertiwi is a specially hospital in Karanganyar District , referral center a high risk for pregnancies and deliveries, including a many babies and childs who finding health problems likes infection, malnutrition and others. This condition actually increases an obstetrian emergency operation like cesarian section, automatically increase the complication about this and increase the legal health problem for health workers Arise legal problems consequence complication of obstetrician emergency operation, induce legal health problems for health workers who prepared patient for obstetrian emergency operation. Law regulations, internal hospital regulation, letter of license for health workers can proctect them too legal medical problems In 2022 our studies on yudiris sosiology method, spesification descriptive and analisis data with interview and literature studies aim to collecting data and put the desription perfectly about implementation legal protection for find out legal protection for health workers who done in mayor obstetrician operation room Result about this studies are regulation of legal protection including the norm of law and tehnic of law regulation about health workers against the risk of obstetrician emergency operations in RSIA Dian Pertiwi can be fulfilled, similar about implementation legal regulation including legal protection, scope of law regulation and the related institution are fulfilled too. There is one fatality case cause atonia uteri occur after this emergency operation, can finishing with discussion between hospital management and the pasien until achieved agreement. At least the fatality case make our operation tim and health workers introspection how this moment can occuring and make the changging too avoid the same insident.
Insulin-like Growth Factor-1 and Calcium Ion Levels are Negatively Associated with Serum β-Cross Laps in Multi-transfused β-thalassemia Major Patients Widodo, Sabar; Widyastiti, Nyoman Suci; Limijadi, Edward Kurnia Setiawan; Hendrianingtyas, Meita; Retnoningrum, Dwi; Ariosta, Ariosta; Nency, Yetty Movieta
The Indonesian Biomedical Journal Vol 17, No 4 (2025)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v17i4.3706

Abstract

BACKGROUND: Thalassemia patients with repeated transfusions (multi-transfusion) are often at risk of experiencing early osteoporosis. Several studies have demonstrated that osteoporosis in these individuals was associated with altered bone remodeling, characterized by decreased insulin-like growth factor-1 (IGF-1) and serum calcium ions, as well as increased serum β-Cross Laps (β-CTx) levels. Despite the prevalence of this condition, there is limited literature on the relationship between IGF-1 levels and calcium ions with β-CTx. Therefore, this study was conducted to examine the relationship between IGF-1 and calcium ions levels with serum β-CTx in multi-transfused β-thalassemia major patients.METHODS: A cross sectional study involved 29 thalassemia patients with multiple transfusions, aged 2-18 years, that were selected from the electronic medical records. Calcium ion levels were examined using ion selective electrode method. Subsequently, IGF-1 and serum β-CTx levels were examined by enzyme-linked immunosorbent assay (ELISA), and the data were analyzed using the Pearson correlation test.RESULTS: The results showed that the mean serum IGF-1 levels, calcium ion, and β-CTx were 20.11±20.763 ng/mL, 1.26±0.07 mmol/L, and 9330.40±1696.76 ng/mL, respectively. Statistical analysis showed a significant relationship between the levels of IGF-1 (r=-0.573; p=0.001) and calcium ion (r=-0.373; p=0.046) with serum β-CTx. A moderate negative relationship was found between IGF-1 levels and β-CTx, while calcium ion levels and β-CTx showed a weak negative relationship.CONCLUSION: A moderate negative correlation between IGF-1 and serum β-CTx, and a weak negative correlation between calcium ion and serum β-CTx suggest that IGF-1 and calcium ions may serve as potential indicators of bone turnover and osteoporosis risk in multi-transfused β-thalassemia major patients, underscoring their potential role in routine clinical evaluations.KEYWORDS: miR-200a expression, NO level, early-onset preeclampsia, late-onset preeclampsia
Erratum to “The Difference between Coagulation Profile and Fibrinolysis in Acute and Chronic Leukemia Patients”[Published Issue of Indonesian Journal of Clinical Pathology and Medical Laboratory March 2025, 31(2) : p. 136] Limijadi, Edward Kurnia Setiawan; Devi, Wivina Riza; Tjitradinata, Cynthia
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 32 No. 1 (2025)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v32i1.2873

Abstract

This erratum is to explain a typographical error in Table 2 occurred in the published issue of Indonesian Journal of Clinical Pathology and Medical Laboratory Volume 31, Number 2 in March 2025, pages 136. The error was in writing the Fibrinogen level which should be a period, not a comma and D-dimer level in the table, which should be a comma, not a period.