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Jurnal Forensik dan Medikolegal Indonesia
Published by Universitas Jenderal Soedirman
ISSN : 26562391     EISSN : 3032310X     DOI : https://doi.org/10.20884/jfmi
Core Subject : Health,
Health Professions Medicine & Pharmacology
Indonesian Forensic and Medical Journal is an official scientific media and professional organization of the Indonesian Forensic Doctors Association (PDFI) which is twice edition a year (June & December). This journal contains the results of research, literature reviews, case reports, case studies and other scientific results in the Forensic Medicine and Medicolegal Science Field. The editorial board accepts submissions of manuscripts for publication, from academics of Forensic Medicine and Medicolegal, Professionals and other academic communities who fulfill the published requirements in accordance with the guidelines of writing, and have been reviewed by partners
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 69 Documents
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Photographic Identification of Tooth Prints After High Temperature Exposure Khaerunnisa, Rahmadaniah; Oscandar, Fahmi; Syukriani, Yoni
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.2023.4.2.9396

Abstract

Tooth prints is a very potential tool in forensic identification as the enamel rod patterns on tooth surface is individually unique. This study was aimed to detect changes of tooth prints after teeth were exposed with high temperatures. Forty-five extracted teeth were divided into 5 groups, then exposed to various high temperatures for 15 minutes in a furnace. To ensure practical application, a highly reproducible digital photographic method to detect tooth prints was developed. Before and after the heating process, tooth prints were photographed. The image data was analysed using an open-source biometric software, and the number of matching points of each tooth was compared before and after treatment. Results showed the decreasing number of match points of tooth prints in accord with the increasing of temperature exposure (P < 0.05). The number of tooth print matching points can be confidently observed at temperatures 600°C or lower. The consistence of matching points shows the prospect of tooth print analysis to become a reliable identification method. This digital photography technique offers a straightforward method for routine dental recording in daily practice by dentists and identification by forensic odontologists. It opens further direction for standardization of pattern analysis, database development, and daily protocols. Keywords: dental photography; forensic identification; high temperature; tooth prints
CHARACTERISTICS VISUM ET REPERTUM OF LIVE VICTIMS AT BHAYANGKARA POLDA DIY HOSPITAL (2014-2016) Eko, Andhiriawan; utami, handayani dwi; Siswoputro, Andy Yok
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.2023.4.2.9429

Abstract

ABSTRAK Latar Belakang : RS.Bhayangkara POLDA DIY adalah salah satu RS yang melayani pemeriksaan klinis dan membuat laporan visum et repertum. Di dalamnya terdapat karakteristik yang dapat diamati. Tujuan : Melihat karakteristik VeR hidup RS. Bhayangkara POLDA DIY 01 Januari 2014-31 Desember 2016 Metode : Deskriptif retrospektif crossectional dengan metode total sampling. Hasil dan Pembahasan : Data VeR hidup selama 3 tahun berjumlah 46 dokumen yang terbagi : 10 (2014), 7 (2015), dan 29 (2016). Jenis : 28 perlukaan, 18 susila, 0 psikiatrik. Penyebab luka : 4 fisik, 23 mekanik, dan 1 zat kimia. Usia terbanyak 22-40, paling sedikit 0-5 tahun. Jenis kelamin : 25 lelaki dan 21 perempuan. Derajat luka : 17 (derajat 1), 7 (derajat 2), dan 4 (derajat 3). Derajat 1, derajat luka terbanyak (70 %). 22-40 tahun,usia terbanyak (40 %).Waktu terbanyak, bulan Februari (11) dan paling sedikit Juli. Wilayah terbanyak, Polda DIY (11). Ditreskrimmum Polda DIY, wilayah paling banyak (30 %). Lelaki, jenis kelamin terbanyak (55 %). Kesimpulan : Jumlah VeR hidup terbanyak, tahun 2016 (61 %). Jenis terbanyak adalah VeR perlukaan, (65 %). Kekerasan mekanik adalah penyebab luka terbanyak (88 %). Kata Kunci : Karakteristik, Visum et Repertum Hidup, RS.Bhayangkara POLDA DIY.
MENGUNGKAP PERISTIWA KEMATIAN KRIMINAL KASUS PEMBEKAPAN PERSPEKTIF MEDIKOLEGAL Muthaher, Annisa Anwar
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 1 (2024): 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.2024.5.1.9742

Abstract

Death is a definite thing in life that can be identified clinically in a person through observing the changes that occur in the corpse's body. The mechanism of death can be unnatural. In this case, wounds were found in the mouth, a form of mechanical smothering. Smothering can cause death, so it is an important reason to discuss and aims to reveal unnatural injuries and what events occurred. The examination method uses the principles of evidence based medicine. On external examination, bruises were found on the inner lips, both eyes (racoon eyes), left cheek, upper jaw, lower jaw, abrasions on the lips with teeth prints, and cheeks and several other bodies injuries. The lips, the tips of both fingers and the tips of the toes were bluish in color and bleeding spots were found on both inner eyelids. The conclusion of the external examination of the corpse showed that the wounds were unnatural and there were signs of strong pressure on the mouth and nose area which could cause suffocation and there were signs of cranial base trauma. These wounds were caused by blunt trauma Key words: Asphyxia, Cranial Base Fracture, smothering
PROFILE OF VICTIMS OF SEXUAL VIOLENCE CASES AGAINST WOMEN EXAMINED AT THE HOSPITAL. Dr.PIRNGADI MEDAN PERIOD JANUARY 2021 TO JUNE 2023 Sidauruk, Horas Ahmad; Sitepu, Agustinus; Marbun, Doaris Ingrid; Petrus, Asan; Lubis, Adriansyah
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.11948

Abstract

Background: Forms of violence against women include physical, sexual, economic, political, and psychological violence that can be carried out by individuals, communities, and the state. The types of sexual violence that can occur are crimes, sexual violence (sexual violance) and obscenity. The purpose of this study is "Knowing the profile of victims of sexual violence cases against women examined at the hospital Dr.Pirngadi Medan for the period January 2021 to June 2023. Method: This study was conducted by collecting data using secondary data, all medical records of sexual violence against women examined at the Emergency Department of the Hospital. Dr. Pirngadi Medan on Cases of Sexual Violence Against Women in the period January 2021 to June 2023 and the data listed variables that will be studied in accordance with the specific objectives of this study. Results: The number of cases of sexual violence against women examined at Dr. Pirngadi Medan Hospital from January 2021 to June 2023 was 610 victims. The highest number of cases of sexual violence based on age was in the age group of adolescents 12-25 years as many as 508 victims with a percentage of 83.3%. The number of women who experienced cases of sexual violence based on marital status, as many as 599 victims, namely with unmarried status, with a percentage of 98.2%, and the lowest as many as 11 victims, namely with marital status with a percentage of 1.8%. K
SEXUAL VIOLENCE CASE PROFILE AT THE REGIONAL RSUD DR. RM. DJOELHAM BINJAI IN 2022 Julanda, Baari Putra; Lubis, Adriansyah; Marbun, Doaris; Ismurizal, Ismurizal; Arviandi, Rizki
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.11949

Abstract

Introduction Sexual crimes are crimes of morality in which every act committed by a person against another person results in sexual satisfaction for himself and disturbs the honor of others. In Indonesia, women and minors are often the victims of sexual crimes. Method This research is descriptive research with a cross-sectional approach. The population in this study was all data examined at the Forensic and Medicolegal Installation at Dr. RSUD. RM. Djoelham Binjai in 2022. The research sample was obtained from all data examined at the Forensic and Medicolegal Installation at RSUD Dr. RM. Djoelham Binjai on Sexual Violence Cases in Binjai City in 2022 using the total sampling method. Data collection was carried out using secondary data. Results Sexual violence cases examined in Dr. Hospital RM. Djoelham Binjai in 2022 were 46 victims. The highest number of cases of sexual violence based on age was in the early teens age group 12 - 16 years with 28 victims with a percentage of 60.8%. The number of women who experienced cases of sexual violence based on the relationship between the victim and the perpetrator, the highest was 42 victims who were people the victim knew with a percentage of 91.3%. The number of sexual violence cases based on the type of sexual violence was highest in cases of sexual abuse, 36 victims with a percentage of 78.3% and the lowest in rape cases, 10 victims with a percentage of 21.7%.
IDENTIFIKASI FORENSIK MENGUNGKAP RAHASIA DALAM RUMAH TANGGA Muthaher, Annisa Anwar
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.12030

Abstract

Menjunjung tinggi harkat dan martabat setiap manusia dan setiap warga negaranya dan berhakmendapatkan perlindungan dan keamanan dalam melangsungkan hidupnya adalah salah satu tujuanyang tertuang dalam Undang Undang Dasar Negara Republik Indonesia sehingga bentuk kekerasanapapun pada manusia tidak dibenarkan termasuk Kekerasan Dalam Rumah Tangga (KDRT).Namun demikian data kekerasan tetap menunjukkan peningkatan termasuk data kasus kekerasanyang terjadi pada perempuan dan anak. Dalam Simfoni Kementerian Perlindungan Perempuan danAnak pada tahun 2021 terdapat 20,4% kasus kekerasan terjadi pada laki-laki dan 79,6% kasuskekerasan terjadi pada perempuan. Oleh karenanya kasus ini penting untuk dibahas dengan tujuanuntuk memberikan informasi pembuktian medis kepada penegak hukum Menggunakan metode penelitian normatif melalui studi kepustakaan (library research)berdasarkan pembuktian berbasis evidence based medicineHasil pemeriksaan luar ditemukan bukti adanya memar berwarna ungu kekuningan pada areaanggota gerak lengan kiri dan kanan, paha kiri dan didapatkan memar berwarna kemerahan disertaipembengkakan membentuk cetakan gigi pada area bahu kiri. Namun keluhan nyeri pada pada saatpemeriksaa sudah berkurang terutama pada area lengan dan paha Berdasarkan hasil medis pada pemeriksaan luar dapat disimpulkan adanya kekerasan fisik yangberulang beresiko dapat memberikan efek psikologis yang tidak baik dan diperlukan pembuktianlanjut trauma psikis baik jangka pendek maupun jangka panjang dan adanya tanda bekas lukagigitan pada bahu menunjukkan luka baru terjadi dan diperlukan pemeriksaan bentuk cetakan gigibilamana terduga pelaku masih belum mengakui perbuatannya
GEOMETRIC MORPHOMETRIC ANALYSES TO QUANTIFY SEXUAL DIMORPHISM IN THE ADULT MANDIBLES IN MODERN MALAYSIAN AND WESTERN AUSTRALIAN POPULATIONS Tjiang, Sari Lestari; Obertová, Zuzana; Flavel, Ambika; Franklin, Daniel
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.12061

Abstract

The adult mandible can be used to estimate sex and ancestry. However, there are limited studies on the degree of sexual dimorphism and population affinity of the mandible, while population-specific anthropological standards are essential for forensic human identification. This study aimed to quantify sexual dimorphism and population affinity in adult mandibles in modern Malaysian and Western Australian populations. A total of 101 CT scans of the mandible were used in this study, consisting of male and female of Malaysian and Western Australian origins. Thirty-two anatomical landmarks were collected, where the centroid size and PCA analysis were used to quantify the size and shape variations between sexes and between populations. Classification accuracy rates were calculated using DFA. There were significant differences between sexes in all groups for centroid size and PCA (p < 0.05), and between populations for PCA (p < 0.001). Classification accuracy rates were higher for sex estimation from centroid size (91-93%) and ancestry estimation from PCA (89-94%). Male mandibles were larger than females, and the mandibular condyles, ramus breadth, and gonial angle were the most sexually dimorphic features. For population affinity, size did not contribute significantly, but Malaysian mandibles tended to display more “feminine” features while Western Australians appeared to be more “masculine”, indicating that different populations have different gradations of sexual dimorphism. Geometric morphometric analyses can be used to estimate sex and ancestry from adult mandibles. The estimations of sex and ancestry are more accurate when performed separately rather than simultaneously, where mandibular size is more accurate for sex estimation, while the shape variations are more accurate for distinguishing between populations. Keywords: ancestry estimation; geometric morphometric; mandible; population variation; sex estimation; sexual dimorphism.
PERANAN DOKTER FORENSIK DAN DOKTER UNIT GAWAT DARURAT DALAM PENANGANAN KASUS TINDAK PIDANA PERDAGANGAN ORANG (TTPO) Fitrianti, Mia Yulia
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.12219

Abstract

Peningkatan kasus tindak pidana perdagangan orang merupakan fenomena gunung es karena sebenarnya banyak korban melapor dengan pidana lain, diperlukan kejelian dokter dalam anamnesa menggunakan pendekatan berdasarkan kebutuhan korban, korban ternyata merupakan korban tindak pidana perdagangan orang (TTPO). Selain itu banyak korban perdagangan orang datang meminta pertolongan medis khas korban TTPO tetapi tidak disadari oleh dokter, seperti pada kulit, dan bagian tubuh lainnya adanya luka bekas sayatan, luka bakar, infeksi menular seksual. Diperlukan pemeriksaan secara komprehensif untuk memberikan bukti objektif pasien yang datang merupakan korban perdagangan manusia. Ketidak pekaan pemberi layanan akan makin membuat korban tidak percaya dengan tenaga kesehatan bahkan penegak hukum. Penelitian ini membahas pentingnya peranan dokter forensik dan dokter UGD dalam penanganan awal atau screning korban TTPO yang sering datang bukan sebagai korban TTPO berdasarkan kebutuhan korban. Metode penelitian yang digunakan penelitian normatif empiris dengan pendekatan live case study, bersifat deskriptif. Hasil penelitian peranan dokter unit gawat darurat dan dokter forensik sangat penting dalam screening awal korban TTPO sehingga diperlukan pemahaman dan pengetahuan yang sama serta selaras dalam pelayanan tersebut guna membantu korban mendapatkan hak terutama hak atas kesehatan dan restitusi. Metode penelitian menggunakan metode penelitian yuridis normatif. Hasil penelitian mengidentifikasi korban TTPO masih menjadi tantangan bagi dokter forensik, penegak hukum dan pemerintah. Kolaborasi antara pemberi layanan kesehatan (dokter spesialis forensik) dapat membantu mengungkapkan unsur-unsur dalam TTPO dalam bentuk Visum et Repertum. Selain itu Visum et Repertum merupakan suatu hal yang penting dalam pembuktian karena menggantikan sepenuhnya corpus delicti (tanda bukti).
SCOOPING REVIEW: KEMATIAN KARENA KRATOM Djunet, Nur Aini Aini Djunet
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.12240

Abstract

Latar Belakang: Kratom adalah tanaman famili kopi yang tumbuh subur di Asia Tenggara. Daun kratom tinggi dengan alkaloid mitraginin yang bersifat stimulansia. Sampai saat ini kratom dilegalkan bahkan bernilai ekspor tinggi di Indonesia, berbeda dengan Malaysia dan Thailand yang telah melarang peredaran kratom. Beberapa studi melaporkan kasus toksisitas kratom namun data kematian terkait kratom masih terbatas. Tujuan: Untuk mengetahui data kematian dengan riwayat penggunaan kratom. Metode: Pencarian artikel yang terbit pada lima tahun terakhir secara sistematis pada tujuh database artikel. Berdasarkan skrining dan kriteria penelitian didapatkan empat laporan kasus. Hasil: Seluruh kasus kematian karena kratom terjadi di Barat, tepatnya Kanada, Inggris, dan Amerika Serikat. Perbedaan sediaan kratom di Barat dengan Asia Tenggara tampaknya berhubungan dengan risiko kematian. Seluruh korban juga mengonsumsi antipsikotik dan senyawa psikoaktif sehingga terjadi supratherapeutic systemic concentration. Hasil otopsi penggunaan kratom dengan zat lain adalah aritmia, kardiomegali, kardiomiopati, aterosklerosis koroner, focal band necrosis pada miokardium, hipertensi, hipertrofi ventrikel kiri, dan miokarditis. Simpulan: Risiko kematian karena kratom meningkat jika dikonsumsi bersama dengan antipsikotik dan senyawa psikoaktif. Kelainan system kardiovaskuler terkait takikardia dan hipertensi adalah yang paling sering ditemukan pada otopsi.
PENDAPAT MASYARAKAT TENTANG PERAN PASIEN PADA PENGAMBILAN KEPUTUSAN DALAM PELAYANAN PASIEN GAWAT DARURAT Dzahri, Delia Putri; Syukriani, Yoni; Novita, Nita
Jurnal Forensik dan Medikolegal Indonesia Vol 5 No 2 (2024): 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.2024.5.2.12327

Abstract

Abstrak Penelitian ini bertujuan untuk mengetahui gambaran pengalaman dan pendapat masyarakat Kota Bandung mengenai partisipasi mereka dalam proses pengambilan keputusan tindakan medis yang mereka jalani saat mengakses pelayanan kegawatdaruratan di Instalasi Gawat Darurat (IGD). Penelitian kualitatif fenomenologis ini dilaksanakan dengan melakukan wawancara semi terstruktur pada partisipan dengan riwayat mengakses pelayanan kegawatdaruratan di IGD rumah sakit di Kota Bandung. Wawancara dilakukan secara daring dengan panduan wawancara yang telah disusun sebelumnya. Wawancara direkam menjadi berkas audio secara verbatim untuk kemudian diubah menjadi transkrip wawancara, lalu dianalisa secara tematik. Hasil penelitian dan kesimpulan yang diambil kemudian divalidasi. Penelitian mencapai kejenuhan setelah wawancara dilakukan bersama 8 orang partisipan. Terdapat tiga tema besar yang didapat, yakni: persepsi pasien (subtema: kondisi/keparahan, keadaan IGD, hal yang dirasakan); pengalaman mengambil keputusan (subtema: hal terpenting, pendamping, peran pendamping, penggunaan asuransi kesehatan, proses pengambilan keputusan, dan testimoni); dan preferensi pengambilan keputusan (subtema: preferensi proses pengambilan keputusan, manajemen perbedaan pendapat). Partisipasi pasien dalam proses pengambilan keputusan di Instalasi Gawat Darurat secara realita maupun preferensi adalah beragam. Hal yang perlu diperhatikan adalah pentingnya pemahaman yang bersifat mutual, dilihat dari keinginan pasien untuk didengar, dimengerti, dan dilibatkan dalam proses pengambilan keputusan. Kata kunci: Partisipasi pasien; Pengambilan keputusan; Kegawatdaruratan

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