This Author published in this journals
All Journal Medica Hospitalia
Raja Al Fath Widya Iswara
Bagian Ilmu Kedokteran Forensik dan Medikolegal Fakultas Kedokteran Universitas Halu Oleo Kendari

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

Penentuan Intravitalitas Gantung berdasarkan Gambaran Histopatologis Otak Besar Mencit Balb/c Raja Al Fath Widya Iswara; Sigid Kirana Lintang Bhima; Intarniati Nur Rohmah
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.077 KB) | DOI: 10.36408/mhjcm.v6i2.387

Abstract

Latar Belakang : Asfiksia merupakan salah satu mekanisme kematian yang dapat terjadi akibat gantung. Otak merupakan salah satu organ penting yang dinilai dalam otopsi kasus gantung. Secara makroskopis tidaklah mudah membedakan temuan asfiksia pada otak yang terjadi antemortem dan perimortem. Adanya temuan asfiksia pada pemeriksaan mikrokopis dapat menentukan intravitalitas gantung. Penelitian ini bertujuan untuk mengetahui penentuan intravitalitas gantung berdasarkan gambaran histopatologis otakbesar mencit Balb/c. Metode : Penelitian eksperimental ini menggunakan post test only with control group design yang telah memenuhi kelayakan etik dengan sampel berjumlah 18 mencit Balb/c jantan yang dibagi menjadi tiga kelompok yaitu kelompok kontrol yang tidak diberi perlakuan, kelompok antemortem yang digantung saat masih hidup, kelompok perimortem yang digantung 15 menit setelah mati. Pada kelompok pelakuan mencit digantung selama 1 jam dengan tali yang ditambahkan beban 50 gram. Penilaian gambaran histopatologi otak besar berdasarkan reaksi inflamasi dan perdarahan. Hasil : Pada kelompok kontrol hampir tidak terdapat inflamasi dan perdarahan, pada kelompok antemortem terdapat inflamasi sedang hingga berat dan perdarahan berat, pada kelompok perimortem terdapat inflamasi dan perdarahan ringan hingga sedang. Pada uji Kruskal Wallis didapatkan perbedaan bermakna pada semua kelompok (p<0,05). Pada Uji Man Whitney didapatkan perbedaan yang bermakna pada parameter inflamasi dan perdarahan antara kelompok kontrol dengan kelompok antemortem dan perimortem, antara kelompok antemortem dan perimortem (p<0,05). Simpulan : Intravitalitas Gantung dapat ditentukan berdasarkan gambaran histopatologis otak besar mencit Balb/c dimana reaksi inflamasi dan perdarahan berat didapatkan pada kelompok antemortem. Kata Kunci: gantung, histopatologis, intravital, otak besar Hanging Intravitality Determination based on Cerebrum Histopathological Features in Balb/c Mice Abstract Background: Asphyxia is one of the death mechanisms that can occur due to hanging. The brain is one of the important organs autopsied in a hanging-related death case. Macroscopically, it is challenging to distinguish between asphyxiated brains occuring antemortem and those occurring perimortem. The presence of asphyxia on micro-examination can help determining the hanging intravitality. This study aims to determine hanging intravitality based on cereberum histopathological features in mice Balb/c mice. Method: This is a post test only experimental study with control group examining 18 male Balb/c mice in three groups involving untreated control group, antemortem group hanged during alive, perimortem group hanged 15 minutes after death. In the treatment groups, mice were hanged with 50 grams load for 1 hour. Determination of histopathological features is based on inflammatory and bleeding reactions. Results: Nearly no inflammation and bleeding was found in the control group, moderate to severe inflammation and heavy bleeding was found in the antemortem group, mild to moderate inflammation and bleeding was found in the perimortem group. The Kruskal Wallis test showed significant differences in all groups (p <0.05). The Man Whitney test found significant differences in the inflammatory and bleeding parameters between the control group and the antemortem and perimortem groups; between the antemortem and perimortem groups (p <0.05). Conclusion: The cerebrum histopathological features of the Balb/c mice can indicate hanging intravitality in which the antemortem group shows inflammatory reactions and heavy bleeding. Keywords: hanging, histopathological, intravital, cerebrum
Penentuan Jenis Kelamin berdasarkan Sidik Hypothenar Raja Al Fath Widya Iswara; Intarniati Nur Rohmah; Santosa Santosa; Ratna Relawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.755 KB) | DOI: 10.36408/mhjcm.v7i1.419

Abstract

Background : Hypothenar regio in palmar is an area that is often contact with surfaces while doing the activity which can establish print or pattern of protruding line (ridge) that can be used in identification process. One of the important identification to sex determination. The aims of this study is to sex determination based on hypothenar print. Methods : The study was a cross sectional study. Subjects were 300 students underwent clinical clerkship in Forensic and Medicolegal Dr. Kariadi Semarang hospital during October-December 2017, age 21-26 years, male (n = 150) and female (n = 150). Hypothenar print measured by calculating the average number of ridge hypothenar palm on the side of the top, middle and bottom in each area measuring 5 mm x 5 mm. A Mann-Whitney test was performed to analyze the the difference between left and right hypothenar ridge. Spearman correlation test was conducted to measure the association of hypothenar prints and sex. Results : In male, the average number of hypothenar ridge on the right palm was 10 (7-12)/25 mm2, while the left palm 10 (7-13)/25 mm2. In female, the average number of hypothenar ridge on the right palm was 12 (8-16)/25 mm2, while the left hand was 12 (8-16)/25 mm2. The was a significant difference between the right hand hypothenar ridge (p = 0.008) and the left hand hypothenar ridge (p = 0.017) between male and female. There was a significant correlation between hypothenar prints and sex (p = 0.000). Conclusion : Hypothenar prints can be use in sex determiation where female have more hypothenar ridge count and density than male.
Hubungan Tingkat Pendidikan dan Pelatihan dengan Tingkat Pengetahuan Petugas Kamar Jenazah tentang COVID-19 pada Jenazah Raja Al Fath Widya Iswara
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1A (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.456 KB) | DOI: 10.36408/mhjcm.v7i1A.475

Abstract

Latar belakang: Petugas kamar jenazah adalah orang yang paling berisiko terinfeksi COVID-19 dikarenakan kurangnya pengetahuan tentang infeksi tersebut pada jenazah. Tingkat pendidikan dan keikutsertaan dalam pelatihan merupakan hal yang dapat mempengaruhi pengetahuan petugas kamar jenazah. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pendidikan dan pelatihan dengan tingkat pengetahuan petugas kamar jenazah tentang COVID-19 pada jenazah. Metode: Penelitian cross sectional menggunakan desain deskriptif analitik. Subjek penelitian 30 responden petugas kamar jenazah dengan teknik total sampling di Rumah Sakit Umum Bahteramas Provinsi Sulawesi Tenggara, Rumah Sakit Umum Daerah Kota Kendari dan Rumah Sakit Bhayangkara Kendari pada bulan Mei 2020 yang memenuhi kriteria inklusi. Instrumen penelitian menggunakan kuesioner. Pendidikan rendah mencakup lulusan SD, SMP dan SMA, sedangkan pendidikan tinggi mencakup lulusan Akademik, Sekolah Tinggi, Politeknik dan Perguruan Tinggi. Pelatihan dikategorikan dalam pernah dan tidak pernah mengikuti. Pengetahuan baik apabila responden mampu menjawab benar dengan nilai 70–100%, sedangkan pengetahuan buruk apabila responden menjawab benar dengan nilai kurang dari 70%. Data dianalisis menggunakan uji Fisher Exact Test. Hasil: 18 responden memiliki tingkat pendidikan tinggi dan 12 responden memiliki tingkat pendidikan rendah. 16 responden pernah mengikuti pelatihan dan 14 responden tidak pernah mengikuti pelatihan. 23 responden memiliki pengetahuan baik dan 7 responden memiliki pengetahuan buruk. Terdapat hubungan yang signifikan antara tingkat pendidikan dan pelatihan dengan tingkat pengetahuan petugas kamar jenazah tentang COVID-19 pada jenazah, masing-masing dengan nilai p=0.029 dan p=0.031. Simpulan: Terdapat hubungan tingkat pendidikan dan pelatihan dengan tingkat pengetahuan petugas kamar jenazah tentang COVID-19 pada jenazah. Kata Kunci: COVID-19, jenazah, pelatihan, pendidikan, pengetahuan Background: The mortuary officer is the person most at risk of being infected with COVID-19 due to a lack of knowledge about the infection in the corpse. The level of education and participation in training are things that can affect the knowledge of the mortuary officer. The aim of this study is to determine the relationship between the level of education and training with the level of knowledge of the mortuary officer about COVID-19 in the corpse. Methods: This study was cross sectional used a descriptive analytic design. The research subjects were 30 respondents of mortuary officers with total sampling technique at the Bahteramas General Hospital of Southeast Sulawesi Province, Kendari City Regional General Hospital and Bhayangkara Kendari Hospital in May 2020 who met the inclusion criteria. The research instrument was use a questionnaire. Low level education includes graduates from elementary school, junior high school and senior high school, while higher education level includes graduates from Academics, Higher Education, Polytechnic and University. Training is categorized as having and never following. Good knowledge is if the respondent is able to answer correctly with a value of 70–100%, while bad knowledge is if the respondent answers correctly with a value of less than 70%. Data were analyzed using the Fisher Exact Test. Results: 18 respondents had a high level of education and 12 respondents had a low level of education. 16 respondents have attended training and 14 respondents have never attended training. 23 respondents have good knowledge and 7 respondents have bad knowledge. There was a significant relationship between the level of education and training with the level of knowledge of mortuary officers about COVID-19 in the corpse, with p = 0.029 and p = 0.031, respectively. Conclusion: There is a relationship between the level of education and training with the level of knowledge of mortuary officers about COVID-19 in the corpse. Keywords: COVID-19, corpse, training, education, knowledge