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Patricia Wulandari
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Sriwijaya Journal of Forensic and Medicolegal
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 29871530     EISSN : 29871530     DOI : https://doi.org/10.59345/sjfm
Core Subject : Health, Science, Social,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology
Focus Sriwijaya Journal of Forensic and Medicolegal (SJFM) focused on the development of medical sciences especially forensic and medicolegal for human well-being. Scope Sriwijaya Journal of Forensic and Medicolegal (SJFM) publishes articles which encompass all aspects of basic research/clinical studies related to the field of forensic-medicolegal and allied science fields, especially all type of original articles, case reports, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Patologi dan Kedokteran Kesehatan
Articles 25 Documents
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The Impact of Postmortem Interval on the Reliability of Forensic Autopsy Evidence in Murder Cases: A Comprehensive Analysis in Nairobi, Kenya Kase, Stephen; Jenne Batdorff
Sriwijaya Journal of Forensic and Medicolegal Vol. 3 No. 1 (2025): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i1.37

Abstract

Introduction: Postmortem interval (PMI) significantly impacts the accuracy and interpretation of forensic autopsy evidence, especially in murder cases. In Nairobi, Kenya, where resources and infrastructure may be limited, understanding the relationship between PMI and evidence reliability is crucial for effective investigations and prosecutions. Methods: A retrospective analysis was conducted on 150 murder cases in Nairobi between 2018 and 2023. Cases were stratified based on PMI (early PMI <24 hours, intermediate PMI 24-72 hours, late PMI >72 hours). Autopsy reports were reviewed to assess the reliability of evidence related to the cause of death, manner of death, and identification. Statistical analyses were performed to examine the correlation between PMI and evidence reliability. Results: As PMI increased, the reliability of certain forensic evidence decreased significantly. Early PMI cases showed the highest reliability for determining the cause of death, manner of death, and identification. In contrast, late PMI cases often presented challenges in interpreting evidence due to decomposition, scavenging, and environmental factors. This led to uncertainties in determining the cause and manner of death, particularly in cases involving blunt force trauma or asphyxia. Conclusion: This study highlights the critical impact of PMI on the reliability of forensic autopsy evidence in murder cases in Nairobi. Early PMI examinations are essential for obtaining accurate and reliable evidence, especially in resource-limited settings. Standardized protocols, improved infrastructure, and ongoing training for forensic pathologists are crucial to mitigate the challenges associated with PMI and ensure justice in murder investigations.
Barotrauma in Technical Diving: An Exploration of Risk Factors and Preventive Measures in Raja Ampat, Southwest Papua, Indonesia Saallo, Lusiana; Erenne Yoseph
Sriwijaya Journal of Forensic and Medicolegal Vol. 3 No. 1 (2025): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i1.38

Abstract

Introduction: Technical diving, while offering an unparalleled exploration of underwater environments like Raja Ampat's biodiverse reefs, presents inherent risks, with barotrauma being a major concern. This study aims to analyze barotrauma incidents among technical divers in Raja Ampat, identify risk factors, and propose preventive measures. Methods: A retrospective analysis of barotrauma cases (2018-2023) was conducted in collaboration with local dive centers and medical facilities. Data collected included: demographics, dive profiles, equipment, pre-existing conditions, symptoms, and treatment. Statistical analysis was performed to identify significant associations. Results: A total of 42 barotrauma cases were identified (ear: 69%, sinus: 21%, lung: 10%). Significant risk factors included: rapid ascents (p<0.01), inadequate equalization techniques (p<0.05), and pre-existing conditions like allergies or upper respiratory tract infections (p<0.05). Most cases were mild to moderate and managed with conservative treatment. Conclusion: Barotrauma remains a significant risk in technical diving in Raja Ampat. Strict adherence to safe diving practices, comprehensive pre-dive medical evaluations, and targeted diver education programs are crucial to mitigate these risks.
The Impact of Delays in Reporting on the Recovery and Interpretation of Sperm Evidence in Sexual Assault Cases in Bangkok, Thailand Siriraj, Chris
Sriwijaya Journal of Forensic and Medicolegal Vol. 3 No. 1 (2025): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i1.39

Abstract

Introduction: The timely reporting of sexual assault cases is critical for the preservation and effective analysis of forensic evidence, especially sperm evidence. In Bangkok, Thailand, delays in reporting are common due to various socio-cultural factors. This study aimed to investigate the impact of such delays on the recovery and interpretation of sperm evidence in sexual assault cases. Methods: A retrospective analysis was conducted on 150 sexual assault cases reported in Bangkok between 2018 and 2023. Cases were categorized based on reporting delay: less than 24 hours, 24-72 hours, and more than 72 hours. The recovery rates of sperm from various anatomical sites and the quality of DNA profiles obtained were compared across the groups. Additionally, a survey was conducted among forensic practitioners in Bangkok to assess their perceptions of the challenges associated with delayed reporting. Results: The study found a significant decline in sperm recovery rates with increasing reporting delays. In cases reported within 24 hours, sperm recovery rates were highest, particularly from vaginal swabs. The quality of DNA profiles obtained also showed a similar trend, with delays leading to increased degradation and difficulties in interpretation. The survey revealed that forensic practitioners perceive delayed reporting as a major challenge, impacting their ability to provide conclusive evidence in sexual assault cases. Conclusion: Delays in reporting sexual assault cases in Bangkok significantly impact the recovery and interpretation of sperm evidence. Efforts to encourage prompt reporting, coupled with improved forensic techniques for analyzing degraded samples, are crucial for enhancing the investigation and prosecution of sexual assault cases in the region.
Breaking the Cycle: A Medicolegal Analysis of the Effectiveness of Interventions in Preventing Domestic Violence Recidivism in Dhaka, Bangladesh Mohammed Ayash; Khan, Shahlia
Sriwijaya Journal of Forensic and Medicolegal Vol. 3 No. 1 (2025): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i1.40

Abstract

Introduction: Domestic violence remains a pervasive issue globally, and Dhaka, Bangladesh, is no exception. This study aimed to examine the effectiveness of various interventions in preventing recidivism among domestic violence perpetrators in Dhaka. Methods: A retrospective cohort study was conducted involving 300 individuals convicted of domestic violence between 2018 and 2023 in Dhaka. Data were collected from court records, police reports, and intervention program records. Recidivism was defined as a subsequent conviction for domestic violence within three years of the initial conviction. The impact of interventions, such as batterer intervention programs, counseling, and legal sanctions, on recidivism rates was analyzed using Cox proportional hazards regression models. Results: The overall recidivism rate was 32%. Participation in batterer intervention programs was associated with a significant reduction in recidivism (Hazard Ratio [HR] 0.52, 95% Confidence Interval [CI] 0.35-0.77). Counseling also demonstrated a modest protective effect (HR 0.71, 95% CI 0.53-0.95). Legal sanctions, such as restraining orders and probation, were not independently associated with reduced recidivism. Conclusion: Batterer intervention programs and counseling show promise in reducing domestic violence recidivism in Dhaka. A multi-pronged approach incorporating these interventions, along with enhanced legal and social support systems, is crucial for effectively breaking the cycle of domestic violence.
The Potential of Postmortem Imaging in Heatstroke Diagnosis: A Medicolegal Study in Vietnam Nguyen Trangh; Wang, Hui
Sriwijaya Journal of Forensic and Medicolegal Vol. 1 No. 2 (2023): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i2.60

Abstract

Introduction: Heatstroke is a life-threatening medical emergency with a high mortality rate, particularly in tropical regions like Vietnam. Accurate diagnosis is crucial for both clinical management and medicolegal investigations. Postmortem imaging techniques, such as computed tomography (CT) and magnetic resonance imaging (MRI), offer a non-invasive means of assessing internal organ damage associated with heatstroke. This study aimed to evaluate the utility of postmortem imaging in diagnosing heatstroke and its associated complications in the Vietnamese population. Methods: A retrospective analysis was conducted on medicolegal autopsy cases involving suspected heatstroke deaths in Vietnam between 2018 and 2023. Postmortem CT and/or MRI scans were performed prior to autopsy, and findings were correlated with autopsy results, including histopathological examination. Results: A total of 120 cases were included in the study. Postmortem imaging revealed characteristic findings associated with heatstroke, such as cerebral edema, pulmonary edema, and multiorgan congestion. These imaging findings were consistent with autopsy and histopathological results in the majority of cases. In some instances, imaging identified subtle findings, such as early myocardial injury, that were not readily apparent at autopsy. Conclusion: Postmortem imaging, particularly CT and MRI, can play a valuable role in the diagnosis of heatstroke and its complications in medicolegal investigations. These techniques offer a non-invasive means of visualizing internal organ damage and can complement traditional autopsy findings. Further research is warranted to establish standardized imaging protocols and to explore the potential of advanced imaging techniques, such as diffusion-weighted imaging, in heatstroke diagnosis.
Incidental Systemic Hypothermia as a Contributing Factor in Accidental Deaths: A Comparative Study in Jayawijaya, Indonesia Auparay, Ferry; John Sigit Purnomo
Sriwijaya Journal of Forensic and Medicolegal Vol. 1 No. 2 (2023): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i2.61

Abstract

Introduction: Accidental deaths pose a significant public health concern, especially in regions with challenging environmental conditions like Jayawijaya, Indonesia. This study investigates the role of incidental systemic hypothermia as a contributing factor in accidental deaths, comparing cases where hypothermia was identified to those where it was not. Methods: A retrospective comparative study was conducted, examining autopsy reports and medical records of accidental deaths in Jayawijaya from 2018 to 2023. Cases were classified into two groups: those with evidence of hypothermia and those without. Demographic data, circumstances of death, autopsy findings, and toxicology reports were analyzed. Results: A total of 350 accidental death cases were reviewed, with 78 (22.3%) exhibiting evidence of hypothermia. The hypothermia group had a significantly higher proportion of deaths occurring outdoors (p < 0.001) and during colder months (p = 0.025). Common causes of death in both groups included trauma, drowning, and poisoning. Hypothermia cases showed a trend towards lower core body temperatures at autopsy (p = 0.062). Conclusion: Incidental systemic hypothermia appears to be a contributing factor in a significant proportion of accidental deaths in Jayawijaya. Increased awareness of hypothermia risk, particularly in outdoor settings and during colder periods, is crucial for prevention and improved outcomes.
Medicolegal Investigation of Burn Injury Patterns in Bintan, Indonesia: Implications for Scene Reconstruction and Criminal Prosecution Aziz, Amalia
Sriwijaya Journal of Forensic and Medicolegal Vol. 1 No. 2 (2023): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i2.62

Abstract

Introduction: Burn injuries pose a significant public health challenge in Indonesia, with Bintan being no exception. Medicolegal investigations of burn injuries are critical in determining the cause and manner of death, aiding scene reconstruction, and supporting criminal prosecution when necessary. Methods: This retrospective study analyzed 150 medicolegal autopsy reports of burn injury cases from Bintan between 2018 and 2023. Data collected included demographics, burn injury characteristics, cause of death, and circumstances surrounding the incident. Statistical analysis was performed to identify patterns and associations. Results: The majority of victims were male (65%), with a mean age of 38 years. Scalds were the most common type of burn (45%), followed by flame burns (35%). Most deaths resulted from complications of burn injuries, such as sepsis and respiratory failure. Scene investigation and witness testimonies were crucial in differentiating between accidental, suicidal, and homicidal burn injuries. Conclusion: Medicolegal investigations of burn injuries in Bintan play a vital role in scene reconstruction and criminal prosecution. Understanding the patterns and circumstances surrounding burn injuries can aid in developing preventive strategies and improving the justice system's response to such cases.
Fatal Electrical Injuries in Padang, Indonesia: A Medicolegal Investigation of Circumstances and Cause of Death Fauzi, Irman
Sriwijaya Journal of Forensic and Medicolegal Vol. 1 No. 2 (2023): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i2.63

Abstract

Introduction: Electrical injuries, particularly those leading to fatalities, present significant public health concerns globally. In Indonesia, the incidence of electrical injuries remains a pressing issue, necessitating in-depth medicolegal investigations to understand the circumstances surrounding these deaths and contribute to preventive strategies. This study aimed to analyze fatal electrical injury cases in Padang, Indonesia, focusing on the demographic characteristics of victims, circumstances of the incidents, autopsy findings, and cause of death determination. Methods: A retrospective review of medicolegal autopsy reports from the Forensic Medicine Department in Padang, Indonesia, was conducted between 2018 and 2023. Cases involving fatal electrical injuries were identified and analyzed for demographic data, scene investigation details, autopsy findings, and cause of death. Descriptive statistics were used to summarize the data. Results: A total of 78 cases of fatal electrical injuries were identified. The majority of victims were males (87.2%) with a mean age of 35.2 years. Most incidents occurred in occupational settings (56.4%), followed by domestic environments (34.6%). Low-voltage electrocutions were predominant (83.3%). Common autopsy findings included electrical burns (94.9%), internal organ damage (42.3%), and histological evidence of electrocution (64.1%). The cause of death was primarily attributed to ventricular fibrillation (53.8%) and respiratory arrest (28.2%). Conclusion: Fatal electrical injuries in Padang, Indonesia, disproportionately affect males in occupational settings. Low-voltage electrocutions remain a major concern. Medicolegal investigations play a crucial role in understanding the circumstances and cause of death in these cases, aiding in the development of targeted preventive measures and safety regulations to reduce the incidence of such fatalities.
The Role of Forensic Anthropology in Identifying and Investigating Altitude-Related Fatalities in Remote Mountainous Regions of Makassar, Indonesia Susanto, Maghfirah; Muhammad Hasan
Sriwijaya Journal of Forensic and Medicolegal Vol. 1 No. 2 (2023): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v1i2.64

Abstract

Introduction: Altitude-related fatalities pose significant challenges in remote mountainous regions due to harsh environments, limited accessibility, and postmortem changes. Forensic anthropology plays a pivotal role in identifying victims, determining the cause and manner of death, and aiding investigations. This study aimed to explore the contribution of forensic anthropology in investigating altitude-related deaths in the challenging terrain of Makassar, Indonesia. Methods: A retrospective analysis was conducted on 35 cases of altitude-related fatalities in the mountainous regions of Makassar between 2018 and 2023. Data were collected from forensic reports, autopsy records, and scene investigations. Anthropological methods, including skeletal analysis, postmortem interval estimation, and trauma analysis, were employed to aid in identification and death investigations. Results: The majority of victims were male (80%), with an average age of 32 years. The most common causes of death were falls (45.7%), followed by hypothermia (28.6%) and avalanche/landslide (14.3%). Postmortem interval estimation was challenging due to environmental factors, with a mean interval of 5.3 days. Anthropological analysis assisted in identifying 91.4% of the victims, even in cases with advanced decomposition or skeletal remains. Conclusion: Forensic anthropology is indispensable in identifying and investigating altitude-related fatalities in remote mountainous regions. Anthropological techniques contribute significantly to victim identification, cause and manner of death determination, and the reconstruction of events, assisting legal authorities and providing closure to families.
Forensic Autopsy of Multiple Stab Wound Perwira, Satria; Prasilia Ramadhani; Edwin Tambunan; Ahmad Yudianto
Sriwijaya Journal of Forensic and Medicolegal Vol. 2 No. 1 (2024): Sriwijaya Journal of Forensic and Medicolegal
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjfm.v2i1.103

Abstract

Introduction: Stabbing is the predominant form of homicidal violence globally, resulting in both physical impairment and death. A stab wound is the result of a forceful push from a sharp or blunt pointed object, resulting in a wound that is deeper than it is length. Case presentation: We present a case of a man who was found dead after being stabbed with a sharp weapon by his partner in a public area, with an open wound on the left chest. A forensic expert identified the body at Dr. Soetomo General Hospital, Surabaya, Indonesia. On external examination, we found 23 open wounds on several anatomical regions. Vital injuries include an open wound on the right side of the neck and the back of both sides of the chest. In an internal examination, we found both lungs looked shrunken, and blood was found in the right and left chest cavities. The stab wound to the right back penetrated the right lower lung and right liver lobe. The stab wound to the left back penetrated the lower left lung. Conclusion: A complete autopsy is vital to determine the cause, mechanism, and manner of death and to reconstruct the events before death.

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