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All Journal MNJ (Malang Neurology Journal) Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Tedyanto, Eric Hartono
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Medicine & Pharmacology Neuroscience

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Health Impacts and Medical Interventions on Physical Violence Among Adolescents: A Review And Strategies in Indonesia Sinaga, Nur Flora Nita TB; Tedyanto, Eric Hartono; Rehatta, Nancy Margarita
Indonesian Journal of Anesthesiology and Reanimation Vol. 7 No. 2 (2025): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V7I22025.140-148

Abstract

Introduction: Violence against adolescents is a global public health issue with significant impacts on physical and psychological health. Data shows that many children around the world experience physical, sexual, or emotional violence, with a high prevalence in Indonesia. Based on data from the 2013 Child Violence Survey, violence against adolescents in Indonesia remains very high, with significant impacts on their physical and psychological health, as well as their academic performance. Objective: This study aims to identify the causes of violence, including family dynamics, social media, and mental health, as well as its impacts, such as health disorders and decreased academic performance. Review: Various factors causing physical violence among adolescents in Indonesia include family influence, social media, and peers. The impact is very detrimental, both in the short and long term, both in terms of physical and mental health. The findings indicate the need for early intervention and additional education in schools to effectively address adolescent violence. The synergy between various disciplines at the Faculty of Medicine is key to creating evidence-based prevention strategies. To mitigate the negative impact, additional education in schools and early interventions involving various disciplines are greatly needed. The synergy between educational programs, government policies, and social support is key to preventing violence. With the strengthening of legal protection, as well as increased attention from parents and the social environment, it is hoped that a safer environment for teenagers can be created. Summary: Overall, this review emphasizes the importance of holistic interventions involving families, schools, and communities to address violence among adolescents and improve their quality of life. There is a need for preventive efforts that involve education in schools, family interventions, and stricter government policies. The success of preventing and addressing physical violence among adolescents heavily relies on the collaboration of all parties involved.
DEVELOPING NEW ICH (nICH) AND ICH-SURGICAL EVACUATION (ICH-SE) SCORE FOR PREDICTING 30-DAY MORTALITY OF SPONTANEOUS INTRACEREBRAL HEMORRHAGE Tedyanto, Eric Hartono; Pramana, Nyoman Angga Krishna; Widyadharma, I Putu Eka
MNJ (Malang Neurology Journal) Vol. 11 No. 2 (2025): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2025.011.02.05

Abstract

Introduction: The Original Intracerebral Hemorrhage (oICH) score has been widely used as a clinical assessment scale that is consistent and reliable for predicting patient mortality. However, the ICH score is sometimes complicated, does not contain an acute complication component of stroke, and is not developed to predict the mortality of patients undergoing surgery. We intended to create a new ICH (nICH) and ICH surgical evacuation (ICH-SE) score to predict 30-day mortality in spontaneous ICH patients. Methods: We conducted a retrospective cohort study involving all spontaneous ICH patients who were hospitalized at Prof. Dr. I.G.N.G. Ngoerah Denpasar between July 2020 and July 2022. To evaluate the relationship between the independent variables and the dependent variable, bivariate analysis will be followed by multivariate logistic regression analysis and the Hosmer and Lemeshow tests. The final model was converted into a scoring system and assessing the final area under the curve (AUC) model to determine predictive mortality value, optimal cut-off point, sensitivity, and specificity value. Results: 265 patients met the requirements, and 83 underwent evacuation surgery. Independent factors associated with ICH patient mortality were high NIHSS on admission, the volume of bleeding (P = 0.016 each), and age >65 years (P = 0.005). Independent factors for good outcomes were pneumonia, sepsis, respiratory failure (p=0.027, p=0.022, p=0.004, respectively), and the absence of mass effect (P<0.001). The nICH score was overall better than the oICH score (AUC 0.864 vs. 0.760). Taking a cut-off value of 2, the nICH score has a sensitivity of 75% and a specificity of 81.4%. Independent factors associated with the mortality of spontaneuous ICH patients who underwent surgery were pneumonia, midline shift >8mm, and intraventricular hemorrhage. By taking a cut-off value of 1, the ICH-SE score has a sensitivity of 71.7% and a specificity of 78.4% with a Youden index (YI) of 0.501. Conclusion: The nICH score proved more effective and reliable than the oICH score in predicting mortality within 30 days of spontaneous ICH patients. This study has also developed an ICH-SE score that can be used to predict 30-day mortality in spontaneous intracerebral hemorrhage patients who are about to undergo an evacuation surgery.
Co-Authors I Putu Eka Widyadharma Pramana, Nyoman Angga Krishna Rehatta, Nancy Margarita Sinaga, Nur Flora Nita TB