Publication Search

Adolescents face significant barriers in accessing reproductive health services due to fears of privacy breaches and social stigma. In primary healthcare facilities, healthcare professionals are often trapped in a dilemma between the obligation to maintain medical confidentiality based on professional ethics and national regulatory demands requiring parental involvement for underage patients. This study aims to analyze the practice of protecting adolescent patient data privacy at Mardi Saras Primary Clinic and identify the gap between practical implementation and the norms of medical ethics and applicable legal regulations. This study employs a socio-legal research method with a qualitative approach. Data were collected through in-depth interviews with doctors and nurses, observation of service procedures, and study of the clinic's Standard Operating Procedures. The results indicate that although Mardi Saras Primary Clinic has implemented basic confidentiality protocols such as closed consultation rooms, there are substantial weaknesses in informed consent management, which still heavily relies on parental presence for all adolescent cases. This practice is driven by healthcare professionals' fear of legal risks, thereby ignoring the principle of developing autonomy in adolescents. These findings indicate a disparity between rigid administrative compliance and the spirit of protecting adolescent health rights within national regulations. The implication of this study underscores the urgency of developing specific SOPs that are sensitive to adolescent rights, as well as the need for continuous training for healthcare professionals regarding the legal and ethical boundaries of maintaining confidentiality for underage patients without compromising legal safety aspects.

Malpractice in dental health services has become a complex legal issue as public awareness of service quality and patient rights continues to increase. The enactment of Law Number 17 of 2023 on Health introduces important changes in regulating the legal accountability of medical personnel, including dentists, particularly in relation to criminal liability for malpractice. This study analyzes the forms of dental malpractice and the criminal responsibility of dentists under the new Health Law. The research uses an empirical legal method with sociological and statutory approaches. Data were obtained through interviews and a review of relevant legislation, legal doctrines, and court decisions. The results show that dental malpractice can arise from negligence, failure to comply with professional standards, violations of standard operating procedures, and the absence or disregard of informed consent. Law Number 17 of 2023 stipulates that criminal liability for dentists can only be applied after a recommendation from the Professional Discipline Board, ensuring a clear distinction between inherent medical risks and professional misconduct. This framework is designed to provide balanced legal protection for both patients and dentists while strengthening legal certainty in malpractice case resolution. Consequently, dentists must understand professional standards and criminal liability mechanisms to practice responsibly and professionally.

This study identified the use of abbreviations in Medical Treatment Consent Forms (SPTK) at X Hospital Indonesia. A quantitative cross-sectional descriptive approach was applied to 76 SPTKs in September 2024, and questionnaires were administered to 30 patient-responsible physicians (DPJP). The results showed that 75% of SPTKs contained abbreviations, even though 97% of respondents understood the risk of miscommunication to patient safety. The state of the art includes accreditation standards that prohibit the use of abbreviations in informed consent, with global orthopedic studies reporting a decrease from 54% to 22% after educational interventions, as well as Indonesian regulations, namely Peraturan Mentri Kesehatan (Permenkes) Republik Indonesia No. 24/2022, which emphasizes that medical records must be complete. The novelty lies in the first empirical analysis in Indonesian hospitals to reveal the disparity between high physician knowledge and low documentation compliance, contributing to the development of evidence-based monitoring for patient safety. These findings support recommendations for daily review of SPTK, ongoing socialization, and integration of digital checklists to reduce medical errors.

Fournier gangrene (FG) is a progressive and life-threatening necrotising fasciitis that affects the perineum, perianal region, and external genitalia. FG is a rare condition with a high mortality rate, which is significantly influenced by comorbidities such as uncontrolled diabetes mellitus, which acts as a major predisposing factor. Early diagnosis and aggressive management, particularly surgical debridement, are key to improving patient outcomes. This study is a case report aimed at describing the clinical findings, management, and final outcome in one patient diagnosed with Fournier gangrene. Data were collected from the patient's medical records after obtaining consent. A 52-year-old man with a history of uncontrolled DM presented with complaints of pain radiating from the scrotum to the lower abdomen and perineum, scrotal swelling, and fever, which developed over 5 days. A urological physical examination revealed scrotal oedema, crepitus, and necrotic skin accompanied by foul-smelling discharge. Laboratory results showed leukocytosis and hyperglycemia. The patient was diagnosed with Fournier gangrene and immediately underwent necrotomy debridement. Pharmacological management included aggressive fluid resuscitation, broad-spectrum antibiotics, and supportive therapy. The diagnosis of Fournier gangrene was established based on clinical findings of skin necrosis, crepitus, and severe pain in the genital/perineal area with uncontrolled DM as a predisposing factor. Rapid and integrated management, including aggressive surgical debridement, broad-spectrum antibiotics, and fluid resuscitation, is fundamental to successful treatment. The patient in this case report showed improvement and was discharged after 8 days of treatment.

Background: Sectio caesarea is performed to ensure the safety of the mother and baby. Before the operation, health workers, especially nurses, need to provide education to the mother about informed consent and the operation procedure to reduce the mother's anxiety and concerns about the safety of her baby. Objective: To determine the effect of providing informed consent education on surgical preparation with anxiety levels in patients with Pre-Operational Caesarean Section. Method: This study is an analytical survey study using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 30 people and all of them were used as samples, sampling was done using purposive sampling. The analysis was performed univariately in the frequency distribution table and bivariately using the Kendall's tau-b test. Results: This study showed that the majority of pre-operative caesarean section patients stated that the provision of informed consent education in preparation for surgery was in the good category (60.0%). The majority of pre-operative caesarean section patients felt mild anxiety (50.0%). The provision of informed consent education in preparation for surgery had a significant effect on the level of anxiety of pre-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan, p-value = 0.005 <0.05. Conclusion: The anxiety of pre-operative caesarean section patients was influenced by the provision of informed consent education in preparation for surgery by nurses. Suggestion: It is recommended that nurses provide informed consent education regarding preparation for caesarean section surgery to improve the knowledge and readiness of mothers to overcome anxiety that can affect caesarean section procedures.

Background: Obesity has become a global epidemic, with substantial implications for musculoskeletal health, particularly in weight-bearing joints like the knee and ankle. Aim: To determine the prevalence of obesity with respect to age and gender and to assess its effect on the knee and ankle joints among adults in Ekpoma, Edo State. Materials and Methods: A descriptive cross-sectional study involving 60 obese adults was conducted using a structured, validated questionnaire. Ethical approval and informed consent were obtained. Results: Respondents were predominantly aged 40–45 years (35%) and female (80%). 65% reported pain in the knee and/or ankle joints; 56.7% reported joint stiffness or reduced range of motion. Conclusion: Obesity significantly affects the knee and ankle joints, contributing to pain, stiffness, and a reduced range of motion. These results reinforce the need for targeted public health interventions aimed at obesity prevention and management, particularly in populations at risk of joint-related complications.

The presence of Albumin, Microalbumin and Alpha-Feto Protein increase activity in third trimester. The aims of this study is to determine the Implication of Albumin, Microalbumin and Alpha-Feto Protein Variation in preeclamptic pregnant women in the third trimester of pregnancy. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples was spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes after which plasma was collected  and stored frozen in plain sample bottles and was analyzed for liver enzymes (albumin, Microalbumin and Alpha-fetoprotein) levels  by fluorescence immunoassay  method. . Data obtained from this study were analysed using Graph Pad Prism 9. Results generated were expressed as mean ± SEM and a P-value of ≤ 0.05 were considered statistically significant. The present study showed that there was statistically significant increase in Albumin, Micro albumin were observed in preeclamptic women compared to normotensive pregnant women, indicating various underlying pathophysiological processes such as liver dysfunction. These findings suggest albumin and Micro albumin are implicated as potential biomarkers in identifying and monitoring preeclampsia. However, levels of alpha-fetoprotein (AFP) did not show significant differences between preeclamptic and normotensive women.

Completeness, suitability, and accuracy in filling medical record documents are essential for effective management of patient files, as well as for improving the overall quality of healthcare services. Medical records serve as a critical tool for documenting patient histories, treatments, and decisions made during their healthcare journey, thus impacting the quality of care provided. Incomplete or inaccurate documentation can lead to delays in treatment, miscommunication among healthcare providers, and legal issues related to patient care. Studies have shown that comprehensive medical records are linked to improved patient outcomes and enhanced operational efficiency in healthcare settings (Smith et al., 2019; Johnson & Patel, 2021). This study aimed to assess the completeness of patient medical record documents in the Medical Resume and Informed Consent forms for inpatients with surgical cases at Tgk. Chik Ditiro Sigli General Hospital. Using a descriptive quantitative approach, the research analyzed a random sample of 293 medical documents. The findings revealed that the completeness of medical record documentation was 69% for the Medical Resume sheet and 83% for the Informed Consent sheet. The study concluded that certain sections were either incomplete or omitted, primarily due to the assumption that certain fields were not applicable to the particular patient’s case. This highlights the need for further training and awareness for healthcare staff regarding the importance of complete medical documentation. The hospital should implement stricter guidelines for filling out medical records and ensure that healthcare workers fully understand the significance of accurate and complete documentation. Future research could explore strategies for improving the consistency of medical record documentation and evaluate the impact of training programs on filling medical records (Williams et al., 2020).

The coffee shop business is one of the most promising businesses because coffee shops currently attract young people who want to enjoy a different experience. However, it cannot be denied that the coffee shop business also has weaknesses and threats. This study employs the application of SWOT analysis on coffee and eatery businesses located in the city of Bukittinggi to identify the strengths, weaknesses, opportunities, and threats of coffee shop businesses. This study adopts a descriptive qualitative approach, where there is no population or sample. The study utilizes informed consent to obtain the necessary information.

Gout is a disease that is often found in the world. Usually gout occurs due to the deposition of monosidium urate crystals in the tissue or due to supersaturation of uric acid in the extracellular fluid. Some factors that cause gout include excessive purine intake. An unhealthy diet and high-protein foods with high purine levels. One of the non-pharmacological actions in reducing uric acid levels is the provision of soursop leaf decoction (Annona Muricata L) intervention. To determine the effectiveness of soursop leaf decoction on reducing uric acid levels in the elderly by administering soursop leaf decoction in Rambung Village, South Binjai District, Binjai City. This study uses a One-group pretest-posttest design research design approach. The sample of this study was 8 respondents. The sampling technique uses total sampling. The collection of research data uses demographic data, a consent sheet to become a respondent (Informed Consent). Data collection is carried out through observations by researchers of respondents and conducting observations. Research with Parametric Test Paired Sample T-test obtained a p Value of (0.000) <α (0.05), so there is a significant effectiveness of giving soursop leaf decoction to reduce uric acid levels in the elderly, and can be used as an alternative to reduce uric acid levels.

In the modern legal system, Deoxyribonucleic Acid (DNA) testing has become an important tool in the resolution of criminal and civil cases in Indonesia. The use of DNA can assist in determining blood relations, uncovering sexual abuse cases, and proving involvement in other crimes. Nonetheless, there are various legal issues that arise regarding the collection of DNA specimens without the consent of the sample owner. In Indonesia, although there are personal data protection regulations such as the Health and Population Administration Law, there are no specific provisions regarding the legality of unauthorized DNA sampling. This creates uncertainty in the legal system, especially in terms of evidence being recognized in court. Unauthorized DNA sampling can violate an individual's right to privacy guaranteed by the 1945 Constitution and the Criminal Procedure Law. This potentially makes DNA test results inadmissible as valid evidence in court. Therefore, this study aims to analyze the legality of the practice of unauthorized DNA sampling and its impact on the legal evidentiary system in Indonesia. The study also highlights the importance of medical ethics and legal protection of privacy in determining the validity of DNA evidence in judicial proceedings. It also explores the role of medical ethics and privacy law in determining the validity of DNA test results in the judicial process, and provides recommendations for clearer regulations regarding DNA sampling procedures.

Informed consent is a crucial component of medical records that ensures the legality and ethical compliance of medical procedures conducted on patients. At RSUP Surakarta, the completeness of informed consent documentation in the surgical ward has consistently failed to meet the national minimum service standard of 100%, with observed monthly completion rates ranging from 86% to 98% throughout 2024. This study aims to analyze the factors contributing to the incomplete documentation of informed consent in the surgical ward. A qualitative descriptive approach was employed using data collection techniques such as direct observation, in-depth interviews, documentation review, and participatory methods including the USG (Urgency, Seriousness, Growth) prioritization technique and brainstorming. The study involved four key informants: a medical services director, a surgeon, a surgical nurse, and a medical records officer. Findings indicate that the main contributing factors are the absence of Standard Operating Procedures (SOP) for consent documentation, lack of training, insufficient internal and external motivation due to absence of rewards or enforcement measures, limited knowledge, and short tenure of some staff members. The USG analysis identified the absence of an SOP as the most critical issue. Consequently, the development and dissemination of an SOP, coupled with regular staff training, were recommended as corrective measures. This study underscores the importance of structural and motivational support in improving the completeness of informed consent documentation, which is vital for patient safety and institutional accountability.

Informed consent is a fundamental legal document in medical practice, ensuring that patients provide informed approval before undergoing medical procedures. The completeness of this document is crucial for legal compliance and patient safety, as incomplete or improperly filled out consent forms can lead to legal disputes and compromise patient well-being. This study aims to evaluate the completeness of informed consent forms for general surgery patients, employing the 5M method (Man, Money, Method, Material, and Machine) to identify the factors contributing to form deficiencies. A quantitative descriptive approach was employed, with a sample of 265 forms selected using Slovin’s formula from a total of 711 forms collected between June and August 2023 at a hospital in Indonesia. The findings indicate that incomplete forms are primarily caused by human factors, such as a lack of medical personnel’s understanding of the informed consent process, procedural issues, including unclear standard operating procedures, and system limitations, such as partial integration of electronic medical records. The analysis of these factors reveals the significant impact of human error and procedural gaps on the completeness of informed consent documentation. To enhance the quality of documentation and ensure better compliance with medical regulations, this study recommends a series of improvements, including medical staff training, revision of standard operating procedures, and optimization of electronic medical record systems. Implementing these improvements is expected to strengthen compliance with medical regulations, enhance the documentation process, and contribute to better patient safety and legal protections in the healthcare setting.

Patient loyalty is an attitude that drives behavior to return to using the services of a hospital, incorporating emotional aspects, particularly making regular and repeated visits with high consistency. This study aims to obtain empirical evidence of the relationship between brand image, patient experience, and trust on the loyalty of inpatients using private insurance at MRCCC Siloam Semanggi Hospital. The background of this research is the trend of decreasing patient numbers in 2023 among those with private payment and non-JKN insurance. Additionally, secondary data from patient feedback forms revealed some patients were dissatisfied with services not meeting their expectations and showed a tendency to switch hospitals. Based on the data, there is a noticeable decline in the number of patients in the inpatient unit, reflecting an issue with patient loyalty towards MRCCC Siloam Hospital. The research design used is a quantitative study with a cross-sectional design, involving 75 inpatients as the subjects of this study. Data collection was carried out by distributing questionnaires to inpatients randomly, with informed consent. The analysis tool used is Structural Equation Modeling (SEM). The results of the study based on the analysis test show a significant influence of brand image, patient experience, and trust on patient loyalty. However, the influence of brand image and patient experience on patient loyalty, when mediated by trust, is not significant. It is recommended that the hospital improve patient loyalty by enhancing the quality of services through various internal evaluations of the existing system to meet patient expectations and build stronger relationships.

The potential of cardiac markers in predicting preeclampsia, such as Creatinine Kinase (CK) and Tyrosine Kinase 1 (TK1), has emerged as promising due to their involvement in the pathophysiology of this pregnancy complication. Preeclampsia is characterized by hypertension and organ dysfunction, and it can lead to significant maternal and fetal morbidity if not detected early. Early identification of preeclampsia is critical for preventing severe complications, and biomarkers like CK and TK1 can provide valuable insights. This study aimed to investigate the role of CK and TK1 as potential predictors of preeclampsia in the third trimester of pregnancy. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Participants were divided into two groups: twenty (20) normotensive pregnant women and twenty (20) preeclamptic pregnant women in their third trimester. Blood samples were collected and processed using a bucket centrifuge at 2500 RPM for 10 minutes, and plasma was stored frozen for further analysis. Tyrosine Kinase 1 was analyzed by fluorescence immunoassay, and Creatinine Kinase was measured using a spectrophotometric method. Data obtained were analyzed using GraphPad Prism 9, with results expressed as mean ± SEM. Statistical significance was set at a P-value of ≤ 0.05. The study found a statistically significant increase in the levels of both CK and TK1 in preeclamptic women compared to normotensive controls. These findings suggest that CK and TK1 could serve as predictive biomarkers for identifying and monitoring preeclampsia, aiding in early diagnosis and timely interventions

At present, little is known in Nigeria and globally about the association between stress and cortisol secretion in normotensive and preeclamptic pregnant women. Preeclampsia is a pregnancy complication that involves high blood pressure and organ damage, and it has been associated with various physiological alterations. This study aims to determine the comparative levels of cortisol, a stress marker, in preeclamptic pregnant women in the third trimester of pregnancy. Cortisol levels are known to fluctuate in response to stress, and altered levels may indicate an underlying pathophysiological process. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples were collected and spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes. The plasma was stored frozen in plain sample bottles and analyzed for cortisol levels using the enzyme-linked immunosorbent assay (ELISA) method. The data obtained were analyzed using GraphPad Prism 9 software. Results were expressed as mean ± SEM, and a P-value of ≤ 0.05 was considered statistically significant. The study found that cortisol levels significantly increased from 226.4 ± 36.53 nmol/L in normotensive women to 370.7 ± 36.47 nmol/L in preeclamptic women (p<0.05, <0.0081). This increase was statistically significant, suggesting that elevated cortisol levels in preeclamptic women may be linked to stress and potentially to oxidative stress cascade activation. These findings contribute to the understanding of stress-related physiological changes in preeclampsia and may offer insights for future diagnostic or therapeutic approaches.

Alkaline Phosphatase (ALP), Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Gamma-Glutamyl Transferase (GGT) are liver enzymes commonly associated with liver dysfunction, and increased or decreased levels of these enzymes may be implicated in the pathophysiology of preeclampsia. This study aims to evaluate the levels of liver enzymes (ALP, ALT, AST, and GGT) in preeclamptic pregnant women in the third trimester of pregnancy. By analyzing these enzymes, the research seeks to identify potential early indicators of preeclampsia. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples were spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes, after which plasma was collected and stored frozen in plain sample bottles to be analyzed for liver enzymes (ALP, ALT, AST, and GGT) levels using the spectrophotometric method. Data obtained from the study were analyzed using Graph Pad Prism 9. Results were expressed as mean ± SEM, and a P-value of ≤ 0.05 was considered statistically significant. The present study showed a statistically significant increase in ALP, and a statistically significant decrease in liver enzymes such as ALT and AST were observed in preeclamptic women compared to normotensive pregnant women, indicating various underlying pathophysiological processes such as liver dysfunction.

Cardiac Troponin1 (cTn1) is a protein released into the bloodstream following cardiac damage and Brain Natriuretic Peptide (BNP) is a hormone released by the heart in response to ventricular stretch and pressure overload. This study aims to investigate the predictive role of cTn1 and BNP in preeclamptic pregnant women in the third trimester of pregnancy. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples was spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes after which plasma was collected and stored frozen in plain sample bottles and was analyzed for Cardiac Troponin 1(cTn1) and Brain Natriuretic Peptide (BNP) by fluorescence immunoassay. Data obtained from this study were analysed using Graph Pad Prism 9. Results generated were expressed as mean ± SEM and a P-value of ≤ 0.05 were considered statistically significant.  The present study showed that there was statistically significant increase in Brain Natriuretic Peptide (BNP) in preeclamptic women compared to normotensive pregnant women, indicating various underlying pathophysiological processes. These findings suggest the potential predictive roles of this cardiac marker in identifying and monitoring preeclampsia.

The ultimate goal of predicting preeclampsia that can enhance early detection and risk stratification in pregnant women, by leveraging the diagnostic potential of ECG patterns, we hope to improve maternal and fetal outcomes and contribute to the development of personalized care strategies for preeclamptic patients. Current diagnostic methods for preeclampsia rely primarily on routine blood pressure monitoring and proteinuria assessment, which have limited sensitivity and specificity. The aim of this study is to investigate the predictive role of P wave duration, amplitudes and morphology in preeclamptic pregnant women during the third trimester. Fourty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. These subjects consisted of  twenty (20) normotensive  and twenty (20) preeclamptic pregnant women in their  third trimester of pregnancy. After the subjects were  identified and recruited into the study, they were taken to the laboratory where their vital signs was taken and their ECG patterns recorded with ECG machine. Data obtained from this study were analysed using Graph Pad Prism 9. Results generated were expressed as mean ± SEM and a P-value of ≤ 0.05 were considered statistically significant. Results from this present study show statistically significant increases in P wave duration, amplitude and abnormal M pattern among preeclamptic compare to normotensive pregnant women, consistent with prior research, abnormal M pattern in P wave morphology is linked to atrial pathology in preeclampsia. The study underscores the multifactorial nature of cardiovascular changes in preeclampsia and highlights the potential of ECG parameters in aiding early detection, risk stratification, and management of the condition.

Early detection and prediction of preeclampsia are crucial to prevent severe complications and ensure timely interventions, Specific ECG patterns, including PR segment, Q wave duration and amplitude, ST segment, U wave, and sinus rhythm were under study for their potential indicators of preeclampsia. This study aims to investigate the predictive role of these ECG patterns in preeclamptic pregnant women in the third trimester of pregnancy. Fourty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. These subjects consisted of  twenty (20) normotensive  and twenty (20) preeclamptic pregnant women in their  third trimester of pregnancy. After the subjects were  identified and recruited into the study, they were taken to the laboratory where their vital signs was taken and their ECG patterns recorded with ECG machine. Data obtained from this study were analysed using Graph Pad Prism 9. Results generated were expressed as mean ± SEM and a P-value of ≤ 0.05 were considered statistically significant. results from this present study show no significant differences were observed in the P-R segment, R-R interval, Q wave duration, Q wave amplitude The study underscores the multifactorial nature of cardiovascular changes in preeclampsia and highlights the potential of ECG parameters in aiding early detection, risk stratification, and management of the condition, despite  parameters showing no significant differences. However, PR Segment, Q Wave duration and amplitude, ST Segment , U wave and Sinus rhythm cannot be used to predict preeclampsia