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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
Diagnosis dan Tata Laksana Perdarahan Batang Otak Primer Hadianto, Henry
Cermin Dunia Kedokteran Vol 51 No 3 (2024): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i3.944

Abstract

Primary brainstem hemorrhage is an intracerebral hemorrhage that affects the brainstem, primarily caused by chronic hypertension. Clinical manifestations include decreased consciousness, motor weakness, respiratory problems, hyperthermia, and pupillary abnormalities. Diagnosis is with a head CT scan/MRI, bleeding was found in the mesencephalon, pontine, or medulla oblongata. Management is conservative with stabilization of vital signs, correction of hemostatic abnormalities, and intensive monitoring of neurological symptoms. Surgery is still controversial because of the lack of clinical and research evidence. The prognosis is generally grave depending on the degree of initial loss of consciousness, location, and volume of bleeding.