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I Gusti Kamasan Arijana
Departemen Histologi Fakultas Kedokteran Universitas Udayana
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Journal : INDONESIAN JOURNAL OF LEGAL AND FORENSIC SCIENCES

 1 
PROSTATE-SPECIFIC ANTIGEN (PSA) RAPID DIAGNOSTIC TESTS COMPARED WITH SRY GENE FOR DETECTING MALE COMPONENT IN VAGINAL SWABS - Henky; I G. K. N. Arijana
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 2 (2012): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

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Abstract

Proving intercourse signs on sexual assault victims still become a major challenge for forensic physicians in Indonesia.  Many cases unsolved due to minimal evidences. One of the difficulties is evincing ejaculation in vagina.  Most of forensic laboratories only depend on spermatozoa examination to find ejaculate.  Surely, it is difficult to find spermatozoa if the perpetrators are azoospermia.  Moreover, this examination may give false negative results as well as low sensitivity, especially in women who have washed their vagina. However, nowadays, there is a rapid test to detect PSA in seminal fluid which is very practical, quick, and inexpensive.  This study will show the performance of PSA rapid test to detect male component in vaginal swabs taken from sexually assaulted victims. A cross sectional study was conducted between October 2012 and December 2012.  Sixteen vaginal swabs had been collected consecutively from raped women who were examined in gynecologic emergency ward Sanglah Public Hospital.  The vaginal swabs were tested with PSA rapid test and extracted for SRY gene analysis as a gold standard to confirm male genetic material.  The result of this study shows that PSA rapid test diagnostic values to detect male component in vaginal swabs are sensitivity 84.62%, specificity 100%, PPV 100%, NPV 60%, LR (+) 100%, LR (-) ~, and accuracy 87.5%.  These values are better than spermatozoa examination. Based on this study, PSA rapid test is highly recommended to take the place of spermatozoa examination as a new standard for proving sexual intercourse in Indonesia.
Co-Authors ADNYANA PUTRA, I GEDE AGUS DIVA Agus Dody Pranata Suadi Putra Anak Agung Ngurah Subawa Apolonia Berenika Badu Ayu Gita Bhagawanti Ayu Saka Laksmita W D.A.A.S. Laksmi Desak Putu Citra Udiyani Desak Putu Risky Vidika Apriyanthi Dewa Ayu Agus Sri Laksmi Dinesh Tanabbal ELVINA VERONICA Eugenia Meidy Fedik Abdul Ratam Gayathiri Mohana Krishnan Gede Wirata Hamsu Kadriyan Henky Henky I Dewa Ayu Eka Widiari Putri I Dewa Ayu Inten Primayanti I Dewa Made Agus Paramarta Putra I Gde Raka Widiana I Gusti Ayu Dewi Ratnayanthi I Gusti Ayu Dewi Ratnayanti I Gusti Kamasan I Gusti Ngurah Mayun I Gusti Nyoman Sri Wiryawan I Kadek Swastika I Ketut Tunas I Made Adi Satria Darma I Made Agus Endra Permana I Made Jawi I Made Sudarmaja I Nyoman Hariyasa Sanjaya I Nyoman Wande I Nyoman Wiryawan I Putu Dema Prasetya I Wayan Gede Artawan Eka Putra I Wayan Putu Sutirta Yasa I Wayan Sugiritama I Wayan Sugiritama I. G. A. D. Ratnayanthi I.G.N.S. Wiryawan I.N. Wande I.W. Sugiritama Ida Ayu Dewi Wiryantini Ida Ayu Ika Wahyuniari Intan Syahirah Bt Abdul Rauap JOHAN AXEL PARIURY Joshua Ezra Ronaldo Bayak JUAN PAUL CHRISTIAN HERMAN Juven Luvianto Komang Jegek Triangga Apsari Made Satria Yudha Dewangga Mahen Isaac Pannir Chelvam N. M. Linawati N.M. Linawati Ni Ketut Susilawati Ni Luh Ariwati Ni Luh Putu Eka Diarthini Ni Made Linawati Ni Made Mertaniasih Ni Made Yuli Lestari Ni Nyoman Mas Utari Rena Ni Nyoman Sri Budayanti Ni Putu Candra Paramita Ni Putu Sriwidyani Ni Putu Widayanti Ni Wayan Devi Yulianti Nyoman Intan Cahaya Pertiwi Nyoman Pratiwi Hapsari Dewi P.P.A.P. Dewi Putu Ayu Asri Damayanti Raymond Elbert Budianto Romdhoni, Achmad Chusnu Ruthirar Kalaichelvam Sri Maliawan Tarvin Jit Singh Gill TIFFANY REBECCA Tjokorda Gde Agung Suwardewa Wayan Aryadana Wayan Aryadana Wayan Suardana Yogarani V.C Rajappan