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Gambaran Usia dan Stadium Klinis Pasien Kanker Payudara yang dilakukan Pemeriksaan Imunohistokimia di Rumah Sakit Abdul Wahab Sjahranie pada Tahun 2018 Yulianto, Ade Yusuf; Irawiraman, Hadi; Ompusunggu, P.M.T. Mangalindung
Jurnal Kebidanan Mutiara Mahakam Vol 8 No 2 (2020)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mutiara Mahakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36998/jkmm.v8i2.106

Abstract

ABSTRACKBreast cancer still occupies the highest incidence of all types of malignancies in women. Based on data recorded at Abdul Wahab Sjahrenie Hospital, 200 new cases are found each year. Immunohistochemical profile examination has been used extensively as a basis for classifying breast cancer molecularly. Expression of hormone receptors (ER, PR) and HER-2 found in immunohistochemical examinations are useful for determining therapeutic options that fit the patient's needs. The purpose of this descriptive study was to determine the characteristics of the immunohistochemical profile of breast cancer patients in Abdul Wahab Sjahranie Regional Hospital Samarinda in the January-December 2018 period based on age and clinical stage that had been examined by immunohistochemical examination including the expression of ER PR, Ki-67 and HER2. Method: This study used a cross-sectional descriptive study design by taking secondary data from breast cancer patients who had performed immunohistochemical examinations at Abdul Wahab Sjahranie Regional Hospital Samarinda in the January 2018 - December 2018 period. From 479 breast cancer patients came to Abdul Wahab Regional Hospital Sjahranie Samarinda, only 177 (37.18%) patients did immunohistochemical examinations. Most patients aged 40-49 were 65 patients (36.7%) had breast cancer, the highest clinical stage IIIB with 92 cases (52%), the Ki-67 with severe highest interpretation, range> 30% with 73 patients (41.2%), more positive ER than negative, in 93 patients (52.5%), while negative examination results 84 patients (47.5%). PR is the same as ER, which is 96 patients (54.2%), while negative examination results are 81 patients (45.8%). Most HER-2 results were negative, in 109 patients (61.6%). In this study the highest number of cases of breast cancer patients ranged between the ages of 40-49 years and at least aged 70 years and above. The clinical stage is most often found in stage IIIB (advanced). Ki-67 examination was found most frequently in severe interpretations. Examination of estrogen receptors is found to be most widely in positive interpretation. Positive progesterone tests to be most widely than negative examinations. Her-2 examination was found to be most widely in negative interpretation Keywords: Immunohistochemical examination, Hormone receptors, HER-2, Clinical Stadium
Kekuatan Hukum Informed Consent Dalam Praktek Euthanasia Di Indonesia Atriani, Dewi; Yulianto, Ade Yusuf
Jurnal Risalah Hukum Vol 19 No 2 (2023): Volume 19, Nomor 2, Desember 2023
Publisher : Fakultas Hukum Universitas Mulawarman

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Abstract

The existence of informed consent is a stronghold for doctors to act calmly after the permission of the patient or the patient's family, while euthanasia is defined as the act of "lethal injection" to patients who have suffered greatly with very little or no chance of recovery. The purpose of this research is to find out how the regulation of informed consent, euthanasia and the legal force of informed consent in protecting doctors who practice euthanasia in Indonesia. This research uses a normative method by examining library materials and laws regulating to resolve the legal issues. From this study, it is found that informed consent has been regulated in Law No. 17 of 2023 concerning Health, Minister of Health Regulation No. 290/MENKES/PER /III/2008 concerning Consent for Medical Actions and other regulations related to the approval of medical actions, while the regulation of euthanasia is only limited to active euthanasia in Article 461 of the Criminal Code. The legal force of informed consent cannot protect doctors in the practice of euthanasia in Indonesia, due to the non-fulfillment of the legal requirements of the agreement based on Article 1320 of the Civil Code and the absence of specific euthanasia regulations other than the provisions of active euthanasia which are included in criminal acts against life or murder.