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Analisis Faktor yang Mempengaruhi Peningkatan Serum Transaminase pada Pasien Demam Dengue di RSUD Ngudi Waluyo Wlingi pada Tahun 2023-2024 Wijayanto, Fajar; Insanitaqwa, Aleyda
Jurnal Klinik dan Riset Kesehatan Vol 3 No 3 (2024): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.3.4

Abstract

Background: Dengue fever has become a global and national health concern due to its increasing incidence rate over the past six years. Dengue infection may present with variable sign and symptoms. Major organ involvement may occur, including liver, which is characterized by an elevated transaminase serum level. Aim: This study aims to identify factors contributing to increased transaminase serum levels in patients with dengue fever at Ngudi Waluyo Wlingi General Hospital between 2023-2024. Methods: One hundred and sixty-nine patients with positive dengue serology admitted to Ngudi Waluyo Wlingi General Hospital from January 1st, 2023 to May 19th, 2024, were reviewed retrospectively. Only patients aged 15 years and over with complete laboratory data were included in this retrospective cross-sectional study, using total sampling approach. We collected demographic and laboratory data from electronic medical records, then analyzed and correlated the data with liver function values. Results: Increased AST levels was observed in 70 patients (41.4%), while ALT values was elevated in 32 patients (24.9%). This increase was significantly linked to decreased platelet counts (p=0). Additionally, age was statistically associated with ALT levels (p=0.022), while gender was significantly related to AST levels (p=0.04). However, leukocyte levels and dengue serology showed no significant correlation with serum transaminase levels (p>0.05). Together, dengue serology, platelet counts, leukocyte levels, gender, and age collectively have a significant effect on AST (14.3%) and ALT (13.6%) values. Among these factors, platelet counts exerted the greatest influence on AST and ALT levels. Conclusion: Elevated transaminase serum levels may occur in patients with dengue fever. This is associated with platelet counts, age, and gender. Therefore, diagnosing dengue infection should prompt measurement of liver function to ensure appropriate management according to each patient’s condition.
Analisis Faktor yang Mempengaruhi Peningkatan Serum Transaminase pada Pasien Demam Dengue di RSUD Ngudi Waluyo Wlingi pada Tahun 2023-2024 Wijayanto, Fajar; Insanitaqwa, Aleyda
Jurnal Klinik dan Riset Kesehatan Vol 3 No 3 (2024): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.3.4

Abstract

Background: Dengue fever has become a global and national health concern due to its increasing incidence rate over the past six years. Dengue infection may present with variable sign and symptoms. Major organ involvement may occur, including liver, which is characterized by an elevated transaminase serum level. Aim: This study aims to identify factors contributing to increased transaminase serum levels in patients with dengue fever at Ngudi Waluyo Wlingi General Hospital between 2023-2024. Methods: One hundred and sixty-nine patients with positive dengue serology admitted to Ngudi Waluyo Wlingi General Hospital from January 1st, 2023 to May 19th, 2024, were reviewed retrospectively. Only patients aged 15 years and over with complete laboratory data were included in this retrospective cross-sectional study, using total sampling approach. We collected demographic and laboratory data from electronic medical records, then analyzed and correlated the data with liver function values. Results: Increased AST levels was observed in 70 patients (41.4%), while ALT values was elevated in 32 patients (24.9%). This increase was significantly linked to decreased platelet counts (p=0). Additionally, age was statistically associated with ALT levels (p=0.022), while gender was significantly related to AST levels (p=0.04). However, leukocyte levels and dengue serology showed no significant correlation with serum transaminase levels (p>0.05). Together, dengue serology, platelet counts, leukocyte levels, gender, and age collectively have a significant effect on AST (14.3%) and ALT (13.6%) values. Among these factors, platelet counts exerted the greatest influence on AST and ALT levels. Conclusion: Elevated transaminase serum levels may occur in patients with dengue fever. This is associated with platelet counts, age, and gender. Therefore, diagnosing dengue infection should prompt measurement of liver function to ensure appropriate management according to each patient’s condition.
Transformasi Fungsi Dan Kedudukan Kejaksaan Agung Dalam Menghadapi Tantangan Reformasi Hukum Di Indonesia Wijayanto, Fajar; Holijah, Holijah
JURNAL ILMIAH HUKUM DAN DINAMIKA MASYARAKAT Vol 23, No 2 (2025): HUKUM DAN DINAMIKA MASYARAKAT
Publisher : Fakultas Hukum Universitas 17 Agustus (UNTAG) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/hdm.v23i2.6746

Abstract

ABSTRACT; This study discusses the transformation of the role and position of the Attorney General in facing the challenges of legal reform in Indonesia. Since the 1998 reform, Indonesia has undergone significant changes in its legal system, and the Attorney General, as one of the main law enforcement agencies, has been confronted with major challenges in adapting to these dynamics. With a broader mandate post-reform, the Attorney General not only functions as the public prosecutor but also as a supervisor of government policies and state administration. This research adopts a normative approach to examine relevant regulations and evaluate the role of the Attorney General in the Indonesian judicial system. The findings indicate that, despite the transformation, there are still significant challenges such as unclear roles, transparency issues, and political influence affecting the Attorney General’s duties. Therefore, the Attorney General needs to strengthen human resource capacity, maintain independence, and optimize technology to enhance the effectiveness of law enforcement in Indonesia.
Efektivitas Kebijakan Makan Bergizi Gratis (MBG) Dalam Perspektif Siyasah Dusturiyah (Analisis Tata Kelola Dan Pemenuhan Hak Warga Negara) Sari, Vidya Nirmala; Wijayanto, Fajar; Yazwardi, Yazwardi
Indonesian Journal of Islamic Jurisprudence, Economic and Legal Theory Vol. 4 No. 1 (2026)
Publisher : SPT. haria Journal and Education Center Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62976/ijijel.v4i1.1779

Abstract

Efektivitas Kebijakan Makan Bergizi Gratis (MBG) di Indonesia menghadapi tantangan serius dari sisi tata kelola pemerintah dan pemenuhan hak warga negara, terutama hak atas pangan, kesehatan, dan tumbuh kembang anak. Masalah utama penelitian ini adalah sejauh mana kebijakan MBG efektif dalam perspektif siyasah dusturiyah, kerangka hukum tata negara Islam yang menekankan keadilan, musyawarah, perlindungan hak rakyat, dan akuntabilitas penguasa. Penelitian menggunakan metode yuridis normatif dengan pendekatan perundang-undangan dan konseptual. Bahan hukum primer meliputi Undang-Undang Nomor 35 Tahun 2014 tentang Perlindungan Anak, Undang-Undang Nomor 36 Tahun 2009 tentang Kesehatan, Peraturan Menteri Pendidikan dan Kebudayaan Nomor 75 Tahun 2016, serta Peraturan Presiden Nomor 72 Tahun 2021. Bahan hukum sekunder berupa literatur siyasah dusturiyah dan hasil penelitian terkait. Analisis dilakukan secara kualitatif-deskriptif. Temuan penelitian menunjukkan bahwa dari perspektif siyasah dusturiyah, kebijakan MBG secara prinsip sejalan dengan kewajiban negara melindungi hak warga negara (ri’ayah al-maslahah) dan mewujudkan keadilan distributif. Namun, efektivitas kebijakan masih rendah karena kelemahan tata kelola: perencanaan anggaran tidak memadai, koordinasi lintas sektor lemah, distribusi pangan tidak tepat waktu dan merata, serta pengawasan kualitas minim. Berbeda dengan asumsi awal, penelitian ini menemukan bahwa Indonesia telah memiliki lembaga yang secara fungsional mendekati al-hisbah, yaitu Ombudsman RI berdasarkan Undang-Undang Nomor 37 Tahun 2008. Ombudsman berwenang menerima laporan maladministrasi, melakukan investigasi, dan memberikan rekomendasi, namun kewenangannya terbatas karena tidak dapat menjatuhkan sanksi langsung dan rekomendasinya sering tidak diindahkan. Akibatnya, pemenuhan hak warga negara atas gizi (haqq al-mu’awwanah) masih parsial. Siyasah dusturiyah menuntut penguatan kewenangan Ombudsman, revisi UU Ombudsman, penerapan sanksi tegas, serta penguatan akses gugatan warga melalui PTUN dengan pendampingan Ombudsman. Tanpa reformasi ini, efektivitas MBG dalam mewujudkan kemaslahatan umum tidak akan optimal dan berkelanjutan.