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All Journal Jurnal Kedokteran Diponegoro Diponegoro Law Review Journal of Maternal and Child Health
Zuvarcan, Diaz Alifarizki
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Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health

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Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Zuvarcan, Diaz Alifarizki; Putra, David Anggara; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.03

Abstract

Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research. Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were pre­eclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression. Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001). Conclusion: Preeclampsia increases LBW, and this is a statistically significant.
QUALITATIVE STUDY OF FRAUD IN HEALTH SERVICES AND LEGAL FRAMEWORK IN INDONESIA: A LITERATURE REVIEW Zuvarcan, Diaz Alifarizki; Yuspin, Wardah; Budiono, Arief
Diponegoro Law Review Vol 10, No 1 (2025): Diponegoro Law Review April 2025
Publisher : Fakultas Hukum, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dilrev.10.1.2025.42-53

Abstract

Health sector fraud is a significant global challenge that undermines health systems by exploiting financial gains through methods like upcoding and false insurance claims. Despite legal updates, healthcare fraud remains a persistent issue. This study systematically examines fraud detection techniques and the legal framework, providing insights to guide policymakers in developing effective prevention strategies in Indonesia. This research employs a doctrinal research methodology with a literature review approach. Using secondary data from Scopus, PubMed, ScienceDirect, and Google Scholar, this study investigates the patterns, causes, and effects of fraud in the Indonesian healthcare system. This paper reviews nine selected articles and compares them with updated Indonesian legal instruments, mainly Law No. 17 of 2023 on Healthcare and Law No. 1 of 2023 on Criminal Code. The findings demonstrate that although legislative reforms have introduced stricter provisions, their implementation remains inconsistent due to lack of oversight and technology. This study proposes integrative strategies, such as digital audit systems, strengthening legislation, and public reporting mechanisms, to improve fraud prevention. It contributes to the debate by identifying gaps in enforcement and proposing regulatory and technological solutions to strengthen the transparency and integrity of the Indonesian healthcare system.
RECURRENT MALIGNANT PERIPHERAL NERVE SHEATH TUMOR OF THE LEFT FEMUR POST MULTIMODAL THERAPY IN 61 YEARS OLD MALE: A CASE REPORT Zuvarcan, Diaz Alifarizki; Bryan, Christopher; Marwanta, Sri
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 3 (2026): 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.v15i3.53468

Abstract

Background: Malignant peripheral nerve sheath tumors (MPNST) are rare, aggressive soft tissue sarcomas with a high rate of recurrence and metastasis. Sporadic MPNSTs, especially in older adults without neurofibromatosis type 1, present additional diagnostic and therapeutic challenges. Case Presentation: We report a 61-year-old male with a recurrent sporadic MPNST of the left femur. Over six years, he underwent three surgical excisions, radiotherapy, and two lines of chemotherapy. Despite initial partial response, the disease progressed with pulmonary metastases. Histopathology revealed spindle cell sarcoma with lymphovascular and skeletal muscle invasion. Conclusion: This case highlights the difficulty of achieving durable control in recurrent MPNST despite multimodal therapy. It underscores the importance of vigilant follow-up, individualized treatment plans, and supportive care in advanced disease settings.
Co-Authors Arief Budiono Bryan, Christopher Marwanta, Sri Putra, David Anggara Sri Martuti Wardah Yuspin