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Reflections of medicolegal aspect of visum et repertum in criminal injury cases according to police investigator as law enforcement in mataram Syamsun, Arfi; Rahayuningrum, Nurekayani; Rohadi; Herlina, Lenny; Harahap, Ida Lestari; Pujiarrohman
Jurnal Kedokteran Vol 9 No 2 (2020): Jurnal Kedokteran Vol 9 No 2 2020 (Edisi Juni 2020)
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v9i2.375

Abstract

Background: To seek evidence for the sake of criminal matters, doctors can act as an expert and create Visum et Repertum. There are various procedures for writing the report of Visum et Repertum due to the lack of formal rules and regulation of Visum et Repertum structure in Indonesia. This condition can confuse and mislead people who use Visum et Repertum such as police investigators. Method: This research is a qualitative descriptive study using cross sectional research design. The sampling technique used is saturated sampling. Data were taken using Medicolegal Aspect Visum et Repertum Reflection questionnaire in the Criminal Case From Law Enforcement Perspectives in Mataram City which was validated. This research analyzed with descriptive qualitative inductive data analysis techniques. The research subjects consisted of 22 police investigators and assistant investigators in the Kepolisian Resor Kota Mataram. Result: From 46 questions regarding the formal and material requirements for Visum et Repertum contained in the questionnaire, 14 of the 46 questions showed the same opinion related to the reflections of the medicolegal aspects of the Visum et Repertum between investigators and assistant investigators. While the opinion of the other 32 questions shows the wide variety of opinions of the investigator and the assistant investigator. Conclusion: There is a difference of opinion related to the reflections of the medicolegal aspects of Visum et Repertum from the perspective of the investigator as a law enforcer in the city of Mataram, which includes formal completeness standards and material completeness standards of Visum et Repertum.
GAMBARAN DAN KARAKTERISTIK PASIEN DELIRIUM PADA CEDERA OTAK DI RUMAH SAKIT UMUM DAERAH PROVINSI NUSA TENGGARA BARAT Yusuf, Ricky Setiadi; Rohadi; Priyanto, Bambang; Ansyori, Maz Isa
Jurnal Kedokteran Vol 9 No 4 (2020): Jurnal Kedokteran volume 9 no 4 2020
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v9i4.442

Abstract

Latar Belakang: Cedera otak merupakan kejadian trauma yang mengenai otak dan menyebabkan kerusakan baik secara struktur maupun fungsi. Tingginya angka kejadian cedera otak baik di dunia maupun di Indonesia mayoritas diakibatkan oleh kecelakaan lalu lintas kendaraan bermotor. Adanya kerusakan tersebut menyebabkan munculnya sekuele psikiatri dan salah satunya adalah delirium. Metode: Penelitian ini merupakan observasional deskriptif dengan pendekatan cross-sectional. Pengambilan data dilakukan di RSUDP NTB dengan metode nonprobability sampling yaitu consecutive sampling. Cara pengambilan data yaitu secara langsung pada 39 orang pasien cedera otak rawat inap di RSUDP NTB. Peneliti melakukan observasi langsung kepada pasien dan mengkaji rekam medis pasien. Hasil: Dari 39 sampel pasien cedera otak, didapatkan 32 orang (82,05%) mengalami delirium, dengan dominasi pria sebanyak 24 orang (61,54%) mengalami delirium. Berdasarkan derajat keparahannya, didapatkan cedera otak sedang (COS) terbanyak diantara derajat lainnya. Dari hasil CT Scan pasien dengan delirium, kebanyakan pasien memiliki lesi diffuse. Selain itu, hasil laboratorium terhadap kadar leukosit didapatkan meningkat pada pasien delirium, sedangkan kadar glukosa mayoritas pasien dalam batas normal. Kesimpulan: Pasien dengan delirium pada TBI didominasi oleh pria terutama kelompok usia 51-65 tahun. Selain itu, letak lesi yang diffuse, peningkatan kadar leukosit, dan kadar glukosa yang normal sering didapatkan pada pasien delirium pada TBI. Kata kunci: cedera otak, TBI, delirium, jenis kelamin, usia, letak lesi, kadar leukosit, kadar glukosa