Made Ayu Mira Wiryaningsih
Faculty Of Medicine Universitas Indonesia, Jakarta, Indonesia

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Competence and Workload of Forensic Non-Medical Workers during the COVID-19 Pandemic Fitri Ambar Sari; Made Ayu Mira Wiryaningsih
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 2 (2022): August 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i2.14355

Abstract

This study aims to understand strategies needed to overcome competency and workload challenges faced by non-medical workers in the Forensic Unit of the Universitas Indonesia Hospital (RSUI). This descriptive study was performed in the Forensic Unit of RSUI in March 2021. Respondents were chosen by purposive sampling, consisting of three non-medical staff from the unit. Data was collected from the forensic unit, human resources department, and direct observation for three days using the Time and Motion Study Observation Method and structured interviews with each respondent. The subjects of this study were three non-medical workers (two forensic technicians and one mortuary personnel) of the Forensics Unit, all males; each graduated from high school and has attended non-formal training or workshops which support their job position in the unit. Since the pandemic, there has been an increase in the number of services conducted by the unit, especially mortuary and funeral services. The proportion of productivity based on the three-day observation during office hours was 80%, 80%, and 30%, while the after-office hours (during the on-call schedule) were 96%, 96%, and 88%.
TRAUMATIC BRAINSTEM INJURY DUE TO BLUNT FORCE TRAUMA: AN AUTOPSY CASE REPORT Wiryaningsih, Made Ayu Mira
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 1 (2024): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2024.5.1.3950

Abstract

Trauma is the leading cause of morbidity and mortality in patients under 35-years of age and the sixth leading cause of death worldwide, but primary traumatic brainstem injury after blunt force trauma to the head is a rare event. A forensic autopsy was performed on a 35 years old female who was found dead in an apartment building with both her hands and feet tied together and mouth closed with duct tape. External examination showed the victim suffered from blunt force trauma to the head, face, both arms and legs. Internal examination of the body showed hematomas on the scalp, temporal muscles and deep neck muscles and organs, subarachnoid, intraventricular and brainstem haemorrhage and contusion, along with signs of asphyxiation. Trauma to the occipital region of the head not only can cause traumatic brain injury but can also cause trauma to the brainstem as a result from acute hyperflexion of the neck. Haemorrhages and contusions of the brainstem can lead to changes in the respiratory system, depending on the location of the lesions. Cause of death was concluded to be force trauma to the occipital region causing primary brainstem injury with the mechanism of death of asphyxia.