ika meilia, putri dianita
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Child Sexual Abuse (CSA) Using Hypnosis ika meilia, putri dianita; Susanto, Mardi
Jurnal Forensik dan Medikolegal Indonesia Vol 4 No 2 (2023): 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.2023.4.2.3135

Abstract

Child sexual abuse (CSA) is a global problem and a serious public health issue. Perpetrators often resort to threats and force to incapacitate their victims, including using hypnosis. The use of hypnosis increases the level of difficulty of clinical forensic examination by presenting a diagnostic issue and complicating the formulation of forensic medical expert opinions. This evidence-based case report (EBCR) aims at assessing the available evidence concerning the forensic examination and diagnosis of hypnosis-facilitated CSA. A comprehensive computer-based literature search was performed using several keywords related to the clinical question. The search yielded seven relevant articles. The articles were appraised using general critical appraisal questions from the Centre for Evidence-Based Medicine, University of Oxford. All articles suggest that there might be a place for hypnosis in a criminal investigation (‘forensic hypnosis’). The evidence on the correct application of forensic hypnosis and its benefits are, however, still inconclusive and conflicting. In cases of suspected sexual assault using hypnosis, forensic hypnosis could potentially help memory recall of the victim and aid forward-thinking in drawing a clear and unambiguous conclusion for the forensic medical expert opinion.
The Forensic Autopsy Record: A Type of Medical Record or Not? ika meilia, putri dianita
Jurnal Forensik dan Medikolegal Indonesia Vol 1 No 2 (2019): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

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Abstract

Forensic pathology is a part of (forensic) medicine that has unique features compared to other medical specialties. One of them is that the results of forensic pathological examinations are not documented in medical records but in forensic autopsy records (FARs). Despite the existence of regulations regarding medical records and the performance of (forensic) autopsies, FARs themselves are rarely mentioned in detail. This paper aims at reviewing current issues regarding FARs and discussing whether FARs can be considered as a type of medical record or not. Our literature review yields that there exist guidelines regarding the management of FARs, e.g. in the USA and Europe. Indonesia, however, lacks similar guidelines. There are several ethical and medico-legal issues present regarding FARs, which should be addressed, as FARs cannot be considered as a type of MRs. PDFI can play an important role in developing guidelines regarding FARs, which should be adopted by Indonesian forensic medical centres to avoid ethical and medico-legal pitfalls.
Kualitas Sertifikat Medis Penyebab Kematian (SMPK) di RSUP Persahabatan Tahun 2016 – 2018 ika meilia, putri dianita; Salendu, Andrew Rens
Jurnal Forensik dan Medikolegal Indonesia Vol 2 No 1 (2020): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

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Abstract

Salah satu unsur esensial dari surat kematian, atau Sertifikat Medis Penyebab Kematian (SMPK), adalah penentuan penyebab kematian. Ketidaktepatan dalam penentuan penyebab kematian dapat mengakibatkan perumusan kebijakan kedokteran dan kesehatan yang keliru. Tujuan penelitian ini adalah untuk mengetahui tingkat kelengkapan dan ketepatan pengisian SMPK di RSUP Persahabatan, sebagai salah satu rumah sakit rujukan tersier di Jakarta, selama tahun 2016 – 2018. Penelitian ini merupakan penelitian deskriptif retrospektif dengan desain potong lintang. Sampel penelitian berupa data sekunder yang diambil dari SMPK serta rekam medis. Selama tahun 2016 – 2018 telah diterbitkan sebanyak 8224 SMPK. Ditemukan bahwa masih terdapat kekurangan dalam kelengkapan dan ketepatan pengisian SMPK. Berdasarkan tingkat kelengkapan pengisian unsur-unsur dalam SMPK, sebagian besar unsur umumnya terisi. Namun, terdapat beberapa unsur yang masih sering tidak diisi sama sekali atau diisi namun tidak lengkap/tidak tepat. Hanya pada sekitar 40% dari seluruh SMPK pemilihan kelompok penyebab kematian sudah tepat dan sesuai dengan penyebab kematian dasar. Pada hampir 70% SMPK, terdapat ketidaksesuaian antara ketiga jenis penyebab kematian. Untuk meningkatkan kualitas pengisian SMPK, diperlukan upaya-upaya perbaikan yang kolaboratif dan berkelanjutan.