1. Perbandingan Ciri Arah Rigi Palatum yang Terpotong Paling Dominan oleh Garis antara Insisivus Kedua dan Kaninus yang Sejajar dengan Raphe Mediana Palatinae antara Mahasiswa Indonesia dan India
ABSTRACT: Background: Several methods are used in forensic identification to identify human. Most used methods are finger print examination, dental examination, and DNA. In burnt, decomposed, and edentulous teeth victims, those methods are incapable to be done. Therefore, this study used an alternative method, palatal ridge identification, due to its structural stability and location in the oral cavity. Objective: To know whether there is a significant differences based on direction of the palatal ridge which dominantly crossed by the lines between incicivus and caninus which parallel to the raphe mediana palatinae between India and Indonesia student. Method: This was a cross-sectional study. A number of 88 subjects, 44 subjects are India and 44 subjects are Indonesian. Palatal ridges were examined on the right and the left side of the palate for the direction and length. We used chi-square for the statistical analysis. Result: Based on the direction of the palatal ridge, the p value on the left side of the palate is 0,35 and on the right side of the palate is 0,00000000002131. Conclusion: On the right side of the palate there is a significant differences between India and Indonesia student based on the direction of the palatal ridges, but there is no significant differences on the left side of the palate. Key words: Human identification, forensic identification, palatoscopy, palatal rugoscopy.
2. GAMBARAN KASUS ASFIKSIA MEKANIK YANG DITANGANI DI INSTALASI KEDOKTERAN FORENSIK RSUP Dr. SARDJITO TAHUN 2007-2012
ABSTRACT: Lately, the number of suicide cases in Indonesia is considered worth a concern because its rate keeps rising. One of the most common methods of suicide is by hanging. In Forensic Medicine, hanging is one of mechanical asphyxia forms. Objective : The purpose of this study is to find out the profile of mechanical asphyxia cases that were examined in Forensic Department of dr.Sardjito Hospital in 2007-2012. Method : This is a retrospective study with descriptive and observational as a study design. Results : The result showed that there were 75 cases with mechanical asphyxia out of total 904 cases within 6 years. The prevalence of male was higher with 48 cases (64%). Most cases were in age group of 21-40 years old with 35 cases (46,67%). Most cases, which were 27 cases (36%), were found in Yogyakarta. The category of “airway obstruction by foreign bodies” was the most prevalent cases with 32 cases (42,67%). Most cases were found with the characteristic of suicide with 27 cases (36%). Conclusions : Most cases were found in year 2009; the prevalence of male was higher than woman; most cases of mechanical asphyxia were found in Yogyakarta; the age group of 21-40 years old was the highest prevalence; the category of airway obstruction by foreign bodies was the most prevalent; most mechanical asphyxia cases were found with characteristic of suicide as the manner of death
3. VALIDITAS DIAGNOSTIK MIKRODIFUSI CONWAY YANG DIMODIFIKASI PADA PEMERIKSAAN ALKOHOL DARAH
ABSTRACT: Ethanol (CH3-CH2-OH) is common to find in alcoholic drink. Ethanol has already been used by human beings since pre historical time and often cause toxicity. Determination of postmortem blood ethanol concentration is one of important and the most frequent analysis in forensic toxicology laboratory. Modified Conway Microdiffusion method is semi quantitative identification that may able to detect blood ethanol concentration. This is one of old medical technology that still used in forensic toxicology laboratory because it is cheap, easy and quick. Conway Microdiffusion method is modified to measure blood ethanol concentration for victim died from motorvehicle accidents in order to know its validity. This research used cross-sectional design. Validity of modified Conway Microdiffusion method for blood ethanol concentrations is compared with gas chromatographic examination as the gold standard. The blood sample examine at the laboratory by modified Conway Microdiffusion method and also tested by gas chromatograpic for blood ethanol concentration independently and blindly. Diagnosis of the use of ethanol is defined if the blood ethanol concentration more than 0,0 mg%. Statistical analysis is performed using SPSS 10.0. The clinical sensitivity, specificity, positive and negative predictive value, accuracy and likelihood ratio are calculated by 2×2 table. Determination of blood ethanol concentration by modified Conway Microdiffusion method is expected to be beneficial in the examination and visum et repertum making for victim died from motorvehicle accidents.
4. Luka derajat 3 kepala dengan perdarahan dari lubang hidung, mulut dan telinga kaitannya pada kesimpulan Visum et Repertum korban mati
ABSTRACT : Visum et Repertum (VeR) service for died victim is made for ‘pro justice’ process. VeR as a trace evidence must have a good quality, such as in the qualification’s identification of injury in VeR conclusion. On this research severe head injury/third level head injury of died victim based on hemorrhage indication from nose, mouth and ear become one of diagnosis ways which is easy to be implemented because those hemorrhage indications are easier and faster. The purpose of this research is to proof fatal injury’s existence inside the head on mechanical violence’s victim autopsy, with head injury by hemorrhage indication from nose, mouth and ear. This research uses diagnostic test design cross sectional study which is done in freely and vaguely. The appearance of hemorrhage indication from nose, mouth and ear used as wound qualification’s identification for head injury diagnosis compared to the autopsy as a gold standard. The research’s specimens is died victims by mechanical violence in head. Wound’s qualification was identified based on head wound’s condition by using pasal 351, 352 and 90 KUHP. The clinical sensitivity, specificity, diagnostic accuracy, positive and negative predictive values and likelihood ratio are calculated by 2×2 tables. Receiver Operating Characteristic (ROC) curve analysis done by computerize program. The research is done to forty eight specimens, with qualification of injury on VeR conclusion as the dependent variable and nose, mouth and ear hemorrhage as the independent variable. It is expected from this research that the independent variable has a high contribution in identifying head injury’s qualification on VeR conclusion and later become severe head injury/third level head injury diagnosis way. Analysis technique used to perform the research’s hypothesis is t-independent test and if the data have not normal distribution, it used Mann-Whitney test. The result signification identified by p value < 0.05 and confidence interval 95%. Keywords: Visum et Repertum – qualification of severe injury/third level injury – head injury – nose, mouth and ear hemorrhage – diagnostic test more
5. Penanganan kasus kecelakaan lalu lintas yang diotopsi di IKF RSUP DR Sardjito tahun 1998-2000
6. Penentuan ukuran baku berat dan ukran otak dewasa yang diotopsi di IKF RSUP DR Sardjito tahun 1997-2001
7. Kadar sianida dan tiosianat pada tikus putih post mortem yang diberi sianida dosis lethal secara peroral