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All Journal Acta Neurologica Indonesia Folia Medica Indonesiana
Malufti, Chandrika Najwa
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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A Comprehensive Approach to Ending Bullying in Indonesia's Medical Residency Programs: A Policy Brief Pujiwati Permata Rima, Siti; Bumantari, Annisa Fitri; Nabillah, Bayuni Izzat; Malufti, Chandrika Najwa; Adhiguna, Gunawan; Hadianto, Henry; Kakisina, Jurika; Ikhromi, Noryanto; Amalia, Nur Izzaty; Fathana, rezka dwi; Jaehan, Risa; Putri, stefanie karina; Setiawan, Yosia Putra
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.40

Abstract

Bullying is a pervasive issue in medical education and practice, affecting educators, residents, nurses, and students. In Indonesia, it has emerged as a significant concern, particularly within medical residency programs. Often described as a chronic problem, bullying in medicine negatively impacts patient care and is difficult to eradicate. It occurs both in professional settings and through digital platforms like WhatsApp and Telegram. Bullying in medical education takes various forms, including physical and non-physical, and often escapes the attention of faculty, universities, teaching hospitals, and victims' families. These acts, typically carried out by senior students in an organized manner, may be falsely perceived as part of the mentoring process, masking the harmful behavior.1
Traumatic Brain Injury Patients in the Emergency Unit of a Tertiary Hospital Zairinal, Ramdinal Aviesena; Malufti, Chandrika Najwa; Ramli, Yetty; Lastri, Diatri Nari; Mayza, Adre; Prawiroharjo, Pukovisa
Folia Medica Indonesiana Vol. 59, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. The main focus of this study was to underscore the importance of exploring the characteristics of traumatic brain injury (TBI) patients, which have not been extensively investigated, to help establish effective clinical procedures and decisions. 2. Three out of every four trauma patients in the emergency unit had mild TBIs, and those who did not survive showed a significant trend of rapid deterioration. 3. It is crucial to consistently conduct a thorough and comprehensive head-to-toe examination for all trauma patients. Abstract Traumatic brain injury (TBI) is a prevalent neurological condition in emergency units. TBI cases are frequently diagnosed with severe conditions. Underdiagnosis is common in mild TBI cases. As a result, physicians have an uncomprehensive understanding of the patients' characteristics in their daily practice. This study aimed to discuss the characteristics of trauma patients who were diagnosed with TBIs in an emergency unit. We conducted a retrospective cohort observational study to examine the adult population of TBI patients from April 2022 to March 2023. This study collected several data points, including demographics, clinical characteristics, surgical procedures, and disposition distribution. All variables were compiled and summarized using descriptive statistics and analyzed by calculating frequencies and percentages. During the period of this study, 483 trauma patients were admitted to the emergency unit. A total of 361 (74.7%) of these cases were identified as TBIs. Most of the traumatic brain injuries occurred in men (75.6%), with the predominant age range being 18–22 years (22.4%). Mild TBI cases (74.5%) were the most prevalent, followed by moderate (20.2%) and severe (5.3%) TBI cases. The average score from the Glasgow Coma Scale assessment was 15. Most patients (80.9%) had no hypotension, while a greater number of patients (98.1%) did not exhibit hypoxia as a comorbidity. The Injury Severity Score revealed that the highest percentage of TBIs was categorized as minor (62.3%). It was found that 53.5% of the patients were discharged, while 36% of the patients were hospitalized. However, 7 patients (1.9%) passed in the emergency unit, and 30 patients (8.3%) opted to be discharged against medical advice. Only 21 patients (5.8%) received neurosurgical management. As the most prevalent trauma, TBI necessitates careful management to handle the implications of clinical decision-making. It is crucial to investigate the underlying risk of mortality in TBI cases because the majority of patients do not require neurosurgical intervention.
Co-Authors Adhiguna, Gunawan Adre Mayza Amalia, Nur Izzaty Bumantari, Annisa Fitri Fathana, rezka dwi Hadianto, Henry Ikhromi, Noryanto Jaehan, Risa Kakisina, Jurika Lastri, Diatri Nari Nabillah, Bayuni Izzat Pujiwati Permata Rima, Siti Pukovisa Prawiroharjo, Pukovisa Putri, Stefanie Karina Ramli, Yetty Setiawan, Yosia Putra Zairinal, Ramdinal Aviesena