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All Journal Jurnal MedScientiae Jurnal Kedokteran Meditek
Liauw, Djai Yen
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Distribusi Pola Luka Korban Meninggal Pada Kasus Kecelakaan Lalu Lintas Di RSU Kabupaten Tangerang Tahun 2023 Engkolan, Cherine Zefanya; Liauw, Djai Yen; Hon, Handy Winata
Jurnal MedScientiae Vol 4 No 1 (2025): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i1.3674

Abstract

A traffic accident is an event that occurs on a highway where a motor vehicle, rider pedestrian, or other user is involved in an impact or collision that causes physical damage, injury, and or death. Based on the Central Bureau of Statistics, traffic accidents that occurred in Indonesia in 2021 were 103,645 cases. The purpose of this study is to analyze the distribution of injury patterns experienced by traffic accident victims in Tangerang during the period of 2023. This study used descriptive retrospective method to identify the types of injury. The results showed that head injury (36,5%) was the most common type of injury, followed by upper extremity (25,7%). In addition, it was found that males were more frequently victimized than females, and the age group of 15-39 years had the highest prevalence of traffic accidents. This study provides important insights for authorities in designing traffic safety policies and improving emergency medical services.
Analisis Perbandingan Sistem Investigasi Kematian Pediatri di Berbagai Negara Liauw, Djai Yen; Tantra, Deven Aleron; Koesuma, Freddie Wijaya; Grace; Budiono, Jolene; Putri, Lidwina Nadia Adinda; Wijaya, Stephanie Jeanne; Sharon, Sonya Hedva; Valerie; Silitonga, Virnalisi Lestari Romauli; Palarogo, Yosua Dima Agung
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): JANUARI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.3669

Abstract

Introduction: Sudden infant death is a medical and legal issue that requires investigation involving relevant institutions. In various countries, differences in standards, resources, and systems pose challenges. Purpose: To examine the systems and methods of investigating sudden child deaths for the prevention of pediatric mortality. Methods: Databases searched included Google Search, PubMed, and Google Scholar for studies published up to 2024. The analysis applied keywords such as ‘pediatrics,’ ‘death,’ ‘investigation,’ ‘guidelines,’ and ‘system. Results: In Indonesia, the pediatric death investigation system is handled by the Ministry of Health and the Indonesian Police; however, there are limitations, including a shortage of forensic personnel and inadequate autopsy facilities. In contrast, developed countries have stricter regulations and better documentation systems. Several institutions have worked to establish international standards for child death investigations through the Inter-agency Guidelines on Child Death Review. These guidelines are essential to standardize the investigation system and create systematic reporting to prevent pediatric deaths. Conclusion: Despite standardization efforts, investigation systems remain varied between countries, depending on conditions and resources. To improve the system in Indonesia, enhanced forensic personnel and a digitalized reporting system are needed.m
Tragedi di Balik Pembekapan: Ruptur Anterior Inferior Cerebellar Artery Sebagai Penyebab Kematian Mendadak Akibat Asfiksia Liauw, Djai Yen; Sutanto, Eugenia Gerin; Natalie, Agatha Clarice; Anastasia Stella Carmelita; Leifon, Dave Edgar; Fungestu, Eyskens; Kaban, Felix Try Raka; Jusuf, Hans Jasper; Maria Victoria Isabella; Soedjianto, Susanna Gabriella; Tjiu, Wilsen
Jurnal Kedokteran Meditek Vol 32 No 2 (2026): MARET
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i2.3813

Abstract

Introduction: Mechanical asphyxia due to smothering is difficult to diagnose forensically because it often leaves no distinctive signs. Unlike strangulation or hanging, smothering using soft materials generally leaves no external traces, making the mechanism of death difficult to identify. Furthermore, epidemiological data on cerebral vascular rupture due to asphyxia are still limited. This case report aims to add to the forensic literature on variations in asphyxial deaths and strengthen the diagnosis of the cause of sudden death. Case Illustration: A 46-year-old woman was found in a supine position. External examination revealed bruising on the bridge of the nose, philtrum, lower lip, left shoulder blade, inner left upper arm, outer right thigh, and abrasions on the upper lip and left side of the neck caused by blunt force. Internal examination revealed two blood seepage sites in the neck muscles, an enlarged heart, dilated cerebral and cerebellar vessels, and haemorrhage in the posterior brainstem. Discussion: Autopsy findings indicated rupture of the anterior inferior cerebellar artery (AICA), suspected to be triggered by asphyxia. Asphyxia does not always cause death through direct hypoxia, but also through increased intracranial pressure that triggers cerebral blood vessel rupture. This mechanism can be caused by airway obstruction or cerebral venous occlusion. Conclusion: AICA rupture due to asphyxia is a rare phenomenon. Mechanical asphyxia due to smothering requires attention because it can cause hypoxia, decreased consciousness, and even death. This report serves as an important forensic reference in the diagnosis of sudden death due to asphyxia.
Gambaran Makroskopik dan Mikroskopik Pankreatitis Kronis dalam Pemeriksaan Postmortem Liauw, Djai Yen; Simanjuntak, Vionita; Maharani, Lura; Widjaja, Clara; Amanda Widjaja, Patricia; SH, Tirza Amelia; Phowen, Jacinda; Wisal, Gabriela Geby; Siburian, Bernaditha Feby Shela; Kimberly, Nadya Calista; Karyn, Ireina; Olivia, Vera
Jurnal MedScientiae Vol 2 No 3 (2023): December
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v2i3.2893

Abstract

Pancreatitis is a disease of the pancreas due to an inflammatory process. Chronic pancreatitis often causes complications that increase both morbidity and mortality. Postmortem examination can provide macroscopic and microscopic findings that allow to determine the etiology of chronic pancreatitis. This article aims to comprehensively understand the macroscopic and microscopic features of chronic pancreatitis in the postmortem context, as well as identify the relevant implications of the findings. This article is a literature review research with database sources from PubMed, Google Scholar, ProQuest, and EBSCO research databases. Fibroinflammatory changes and ductal dilation (corkscrew appearance) are the macroscopic features of chronic pancreatitis, while microscopic changes can be found as loss of asinus, ductal dilation, and chronic inflammatory infiltrates. These findings can detect the underlying diseases of chronic pancreatitis due to excessive alcohol consumption or genetic disorders, and it has important forensic implications, such as genetic counseling or assessment of alcohol use that has the potential to contribute on death. In conclusion, chronic pancreatitis can be identified through macroscopic and microscopic findings on postmortem examination, and the findings have important implications in determining the cause of death and understanding the underlying disease condition.
Co-Authors Amanda Widjaja, Patricia Anastasia Stella Carmelita Budiono, Jolene Engkolan, Cherine Zefanya Fungestu, Eyskens Grace Hon, Handy Winata Jusuf, Hans Jasper Kaban, Felix Try Raka Karyn, Ireina Kimberly, Nadya Calista Koesuma, Freddie Wijaya Leifon, Dave Edgar Maharani, Lura Maria Victoria Isabella Natalie, Agatha Clarice Olivia, Vera Palarogo, Yosua Dima Agung Phowen, Jacinda Putri, Lidwina Nadia Adinda SH, Tirza Amelia Sharon, Sonya Hedva Siburian, Bernaditha Feby Shela Silitonga, Virnalisi Lestari Romauli Simanjuntak, Vionita Soedjianto, Susanna Gabriella Sutanto, Eugenia Gerin Tantra, Deven Aleron Tjiu, Wilsen Valerie Widjaja, Clara Wijaya, Stephanie Jeanne Wisal, Gabriela Geby