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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Folia Medica Indonesiana Jurnal Biosains Pascasarjana Jurnal Antropologi: Isu-Isu Sosial budaya Indonesian Journal of Tropical and Infectious Disease Jurnal Media Gizi Indonesia (MGI) Kapata Arkeologi Dental Journal (Majalah Kedokteran Gigi) Masyarakat, Kebudayaan dan Politik Berkala Arkeologi SANGKHAKALA Berkala Arkeologi Naditira Widya JURNAL INFO KESEHATAN Jurnal Penelitian Arkeologi Papua dan Papua Barat Biokultur Jejaring Administrasi Publik (JAP) Journal of Governance and Administrative Reform

Toetik Koesbardiati

Departemen Antropologi, FISIP, Universitas Airlangga, Surabaya.

Author-ID : 299250

Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Earth & Planetary Sciences Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Hubungan Jaminan Persalinan, Jarak Tempat Tinggal, Waktu Tempuh dan Kebiasaan Masyarakat Terhadap Pemanfaatan Tempat Persalinan Di Kabupaten Timor Tengah Selatan Bakoil, Mareta Bakale; Supriyanto, Stefanus; Koesbardiati, Toetik
JURNAL INFO KESEHATAN Vol 15 No 1 (2017): JURNAL INFO KESEHATAN
Publisher : Poltekkes Kemenkes Kupang

Latar belakang: fenomena di Indonesia adalah masih banyaknya ibu melahirkan tidak menggunakan fasilitas kesehatan dan di tolong oleh non tenaga kesehatan, yang mana dapat berdampak pada tingginya angka kematian ibu. Kabupaten Timor Tengah Selatan adalah salah satu Kabupaten di Provinsi Nusa Tenggara Timur dengan angka kematian ibu tertinggi yaitu 290/100.000 kelahiran hidup. Selain itu masalah akses ke fasilitas kesehatan yang rendah, disebabkan karena keterjangkauan lokasi tempat pelayanan kesehatan yang sulit, jenis dan kualitas pelayanan serta keterjangkauan terhadap informasi (WHO, 2008). Metode penelitian: observasional analitik dengan rancangan cross sectional. Jumlah sampel 95 responden. Teknik pengambilan sampel adalah systematic random sampling. Analisis data menggunakan SPSS. Analisis deskriptif untuk menggambarkan distribusi frekuensi setiap variabel, uji chi-square digunakan untuk analisis bivariat yaitu untuk menilai hubungan antara variabel independen dengan dependen. Uji statistik dengan tingkat signifikansi 5%. Hasil: jaminan persalinan mempunyai p-value 0,003 (OR 0,098, 95% CI: 0,019-0,509), jarak tempat tinggal dengan p-value 0,498 (OR 1,822 95% CI 0,428-7,761), waktu tempuh dengan p-value 0,710 (OR 1,292 95% CI 0,299-5,583), kebiasaan masyarakat dalam memilih tempat persalinan dengan p-value 0,010 (OR 13,833 95% CI 2,282-83,861). Analisis multivariat menunjukkan bahwa jaminan persalinan dan kebiasaan masyarakat dalam memilih tempat persalinan merupakan variabel penentu terkuat terhadap pemanfaatan tempat bersalin dibandingkan dengan variable lain. Kesimpulan: Jaminan persalinan dan kebiasaan masyarakat dalam memilih tempat persalinan mempunyai hubungan yang signifikan dengan pemanfaatan tempat persalinan di fasilitas kesehatan. Sedangkan jarak tempat tinggal dan waktu tempuh tidak signifikan terhadap pemanfaatan tempat persalinan di fasilitas kesehatan.

PROFIL PROGNASI WAJAH BEBERAPA POPULASI DUNIA [Prognation Profile of World Population Faces] Koesbardiati, Toetik
Jurnal Penelitian Arkeologi Papua dan Papua Barat Vol 9, No 2 (2017): November 2017
Publisher : BALAI ARKEOLOGI PAPUA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4040.504 KB)

The face is one of the major variables in determining the biological characteristics of a population in the identification effort of human skeletal remains. This is not only important in the field of forensic anthropology but also the field of bioarchaeology. The purpose of this study is to describe the variation of facial angle in some of the world population. The method applied is anthropometry. The study material is the skull of nine world populations of Europe, North Africa, Subsahara Africa, South America, Inuit, Australomelanesia, Indonesia, Polynesia and China. The results showed that among the population tested, Australomelanesoid, Polynesian, Indonesian and African Subsahara populations had a prognathic face both on the even face, as well as the alveolar and facial projection. In contrast, the population groups of China, Europe, Inuit and North Africa are population groups that have faces of orthognath. ABSTRAKWajah adalah salah satu variabel utama dalam menentukan ciri biologis suatu populasi pada usaha identifikasi sisa rangka manusia. Hal ini tidak hanya panting dalam bidang antropologi forensik tetapi juga bidang bioarkeologi. Tujuan penelitian ini adalah untuk mendeskripsikan variasi sudut wajah pada beberapa populasi dunia. Metode yang diterapkan adalah antropometri. Bahan penelitian adalah tengkorak dari sembilan populasi dunia yaitu populasi Eropa, Afrika Utara, Afrika Subsahara, Amerika Selatan, Inuit, Australomelanesia, Indonesia, Polinesia dan China. Hasil penelitian menunjukkan bahwa diantara populasi yang diuji, populasi Australomelanesoid, Polinesia, Indonesia dan Afrika Subsahara memiliki wajah yang prognath baik pada bagian wajah genap, maupun bagian alveolar serta proyeksi wajah. Sebaliknya kelompok populasi China, Eropa, Inuit dan Afrika Utara adalah kelompok populasi yang memiliki wajah orthognath.

SISA RANGKA TENTARA JEPANG DARI PERANG DUN lA II Dl BIAK (The Japan Soldier Bones Remains from World War II in Biak Island) Koesbardiati, Toetik; Murti, Delta Bayu
Jurnal Penelitian Arkeologi Papua dan Papua Barat Vol 8, No 1 (2016): Juni 2016
Publisher : BALAI ARKEOLOGI PAPUA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5113.855 KB)

Repatriation of the skeletal remains of Japanese soldiers who died during World War II in Indonesia has been conducted since 2009. In 2013 repatriation activities carried out in Biak, West Papua. The purpose of repatriation in 2013 is to identify the human remains that assumed as Japanese soldier. Identification methods follow the protocol of forensic anthropology. The results indicate the identification of mixing between the Japanese soldiers with local residents. Furthermore, we found also subadult human remains. Individualization analysis showed pathological conditions of bone, that also assumed suffered infectious disease (yaws or syphilis). AbstrakRepatriasi sisa rangka tentara Jepang yang tawas selama Perang Dunia II di Indonesia telah dilakukan sejak tahun 2009. Di tahun 2013 kegiatan repatriasi dilakukan di Biak, Papua Barat. Tujuan repatriasi tahun 2013 ini adalah mengidentifikasi temuan sisa-sisa rangka yang diduga sebagai tentara Jepang. Metoda identifikasi sisa rangka mengikuti protokol ke~a dalam antropologi forensik. Hasil identifikasi mengindikasikan tercampumya sisa rangka tentara Jepang dengan penduduk lokal dan adanya sisa rangka anak-anak. Analisis individualisasi menunjukkan kondisi patologis tulang, yang diduga efek dari infeksi penyakit yaws atau sifilis.

THE DENTAL MODIFICATIONS IN ANCIENT UNTIL PRESENT INDONESIA A CHRONOLOGICAL EVIDENCE OF INDONESIAN RACIAL IDENTITY Suriyanto, Rusyad Adi; Koesbardiati, Toetik; Murti, Delta Bayu
Jurnal Penelitian Arkeologi Papua dan Papua Barat Vol 3, No 2 (2011): November 2011
Publisher : BALAI ARKEOLOGI PAPUA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.45 KB)

Sejarah migrasi di Asia Tenggara telah menjadi subjek banyak spekulasi dengan memanfaatkan ciri-ciri morfologis rangka dan gigi manusia, perbandingan-perbandingan dan persebaran linguistic dan cultural, perbandingan-perbandingan genetika manusia, filogeni dan DNA kuno hewan-hewan dan tanaman-tanaman dan koevolusi bahasa dan genetika manusia. Menurutpola migrasi di Indonesia ini, kami telah mencoba juga untuk membangun hipotesis tentang sejaah rasial dan penghunian Kepulauan Indonesia sejak Neolitik sampai sekarang dari bukti modifikasi-modifikasi gigi yangpernah ditemmukan di Indonesia. Penelitian ini bertujuan untuk menggambarkan modifikasi-midifikasi gigi yang pernah dilakukan di Indonesia berdasarkan bukti-bukti paleoantropologis-arkeologis. Di samping itu, penelitian ini juga telah menginvestigasi dan menunjukkan identitas rasial penduduk Indonesia dari Neolitik sampai sekarang. Bahan penelitian meliputi gigi-geligi tengkorak manusia dewasa yang berasal dari beberapa situs paleoantropologis-arkeologis di Jawa, Bali, Nusa Tenggara Timur, Sulawesi dan Papua, serta sampel gigi-geligi permanen isolatif populasi Bali modern. Metode-metode yang digunakan adalah metode deskriptif komparatif visual, dan penelusuran sumber-sumber pustaka arkeologis dan etnografis klasik. Sumber-sumber etnografis Indonesia yang terkait dengna modifikasi-modifikasi gigi juga telah dihadirkan. Bukti-bukti ini telah diupayakan untuk menunjukkan kontinuitas modifikasi-modifikasi gigi di Indonesia. Fungsi-fungsi modifikasi gigi telah diupayakan untuk ditampilkan, baik yang terkait dengan ritus inisiasi maupun estetika. Para peneliti bermaksud untuk mengeksploitasi bahwa modifikasi-modifikasi gigi ini terkait dengan migrasi dan kronologi persebaran ras-ras manusia di Asia Tenggara ke Kepulauan Indonesia dan penghuniannya dari 4000 tahun yang lalu sampai sekarang. Ras-ras manusia ini adalah Australomelanesoid dan Mongoloid yang merupakan populasi-populasi utama yang menghuni kawasan ini.

Variation of TTC Repeat Pattern In The Dna of Mycobacterium Leprae Isolates Obtained from Archeological Bones and Leprosy Patients From East Nusa Tenggara Adriaty, Dinar; Wahyuni, Ratna; Iswahyudi, Iswahyudi; Aksono, Bimo; Koesbardiati, Toetik; Agusni, Indropo; Izumi, Shinzo
Journal of Tropical Life Science Vol 2, No 3 (2012)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.2.3.%x

The existence of leprosy or kusta or Morbus Hansen or Hansens disease has been known for years, including in Indonesia. Starting from the discovery of Mycobacterium leprae isolates from ancient bone (about 1.000 years B.C), the archaeological excavations results in East Nusa Tenggara, interesting questions arise about how the development of leprosy in eastern Indonesia is. Biology molecular study would become a powerful tool to investigate the presence of leprosy bacillary whether there are similarities between the genomes of M. leprae isolates in the primeval and the present. PCR examinations were performed on mandibular bone fragments from ancient human who lived 1000 years B.C. discovered in archaeological surveys on the island of Lembata and three leprosy patients from East Nusa Tenggara. The DNA extraction was performed using a kit from Qiagen products and its TTC repeating pattern was seen with the method of direct sequencing. It turned out that the TTC profile obtained from samples of archaeological was as many as 13 copies, while the repetition of TTC in three samples of leprosy patients were 15, 17 and 26 copies. The different number of TTC repetition shows the different isolates of M. leprae between in the ancient times and the present. Further studies are needed to verify the differences in the genome that occur, for example from the study of SNPs (single nucleotide polymorphisms).

Karakteristik Genetik Populasi Kuno Pulau Bali: Sanur dan Gilimanuk Rusyad Adi Suryanto; Toetik Koesbardiati; Delita Bayu Murti; Ahmad Yudianto; Anak Agung Putu Santiasa Putra
Berkala Arkeologi Sangkhakala Vol 17 No 1 (2014)
Publisher : Balai Arkeologi Sumatera Utara

AbstractThe study of ancient human migration and peopling in Indonesia still raises debate until now, both from the perspective of biological anthropology, human genetics or archaeological. The debate was always open space again to do some research about that. We concentrated with samples of ancient Bali, the findings of human remains from Gilimanuk (Melaya, Jembrana) and Semawang (Sanur, Denpasar). Relatively, Bali is an island located in the centre of Indonesian Archipelago, which may represent a major pathway of human migration and distribution according to the outer arc islands. The research aimed to describe human genetic variation of the two archeological sites of ancient Bali. Based locus short tandem repeats (STR) combined DNA index system (CODIS), which CSF1PO, TH01 and TP0X, the research took a sample of six individual human ancient Bali, which includes each of the three individual from Semawang and Gilimanuk site. The process of genetic research has been done at the Institute of Tropical Disease Laboratory of Human Genetics, Airlangga University. Semawang and Gilimanuk derived from different populations based on the analysis of its CTT loci visualization. The results with reference to all possible aspects of archaeology and biological anthropology further enrich the wealth of knowledge about human migration events in Indonesia around the Neolithic period, the early times of increasingly massive mongoloid migrations to the Archipelago region. The results also further strengthen the results of previous genetic studies of Bali population. Balinese has undergone a genetic mixture of various immigrant populations since the Neolithic period.AbstrakPenelitian migrasi dan penghunian manusia kuno di Indonesia masih memunculkan perdebatan sampai kini, baik dari perspektif antropologi biologis, genetika manusia atau arkeologis. Perdebatan itu selalu membuka ruang lagi untuk melakukan penelitian perihal itu. Kali ini kami berkonsentrasi dengan sampel Bali Kuno, yakni temuan sisa-sisa manusia dari Gilimanuk (Melaya, Jembrana) dan Semawang (Sanur, Denpasar). Bali merupakan pulau yang relatif terletak di tengah gugusan kepulauan Indonesia, di mana dapat mewakili jalur besar migrasi dan persebaran manusia seturut rute pulau-pulau busur luarnya. Penelitian ini bertujuan untuk mendeskripsikan variasi genetik manusia kuno dari dua situs arkeologis Bali itu. Berdasarkan lokus short tandem repeats (STR) combined DNA index system (CODIS), yakni CSF1PO, TH01 dan TP0X, penelitian ini mengambil sampel enam individu manusia Bali Kuno, yang meliputi masing-masing tiga individu Semawang dan Gilimanuk. Proses penelitian genetik itu telah dikerjakan di Laboratory of Human Genetics, Institute of Tropical Disease, Universitas Airlangga. Sampel Semawang dan Gilimanuk berasal dari populasi yang berbeda berdasarkan analisis visualisasi lokus CTT-nya. Hasil penelitian ini dengan merujuk semua kemungkinan aspek arkeologis dan antropologi biologisnya makin memperkaya khazanah pengetahuan tentang peristiwa migrasi manusia di Indonesia sekitar masa Neolitik, yang menjadi masa awal makin masifnya migrasi Mongoloid ke kawasan Nusantara. Hasil penelitian ini juga makin menguatkan hasil-hasil penelitian genetika populasi Bali sebelumnya bahwa populasi Bali dari sejak Neolitik sampai sekitar masa yang lebih resen diturunkan oleh banyak leluhur atau banyak sumber gen. Penduduk Bali telah mengalami percampuran genetik dari berbagai populasi pendatang sejak Neolitik atau awal Tarikh Masehi.

Positive Identification on the Skull From Colonial Era in Balai Pemuda, Surabaya nfn Suhendra; Bagaskara Adhinugroho; Yusuf Bilal Abdillah; Biandro Wisnuyana; Ali Akbar Maulana; Bayoghanta Maulana Mahardika; Rizky Nur Andrian; Rizky Sugianto Putri; Delta Bayu Murti; Toetik Koesbardiati
Kapata Arkeologi Vol. 17 No. 1 (2021)
Publisher : Balai Arkeologi Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24832/kapata.v17i1.33-42

Dua tengkorak manusia ditemukan saat pembangunan ruang bawah tanah pada 30 November 2016 hingga 1 Desember 2016, di Balai Pemuda, Surabaya, salah satu bangunan peninggalan masa kolonial di Indonesia. Penemuan dua tengkorak menimbulkan pertanyaan, seperti identitas dan konteks keberadaannya. Kedua tengkorak tersebut diberi kode identitas tengkorak 160689 dan tengkorak 160690. Penelitian ini bertujuan untuk mengungkap identitas tengkorak 160689 dan tengkorak 160690 berdasarkan prosedur identifikasi positif antropologi forensik. Penelitian ini menggunakan metode prosedur identifikasi antropologi forensik. Metode ini diterapkan secara berurutan, pertama umur, kedua jenis kelamin, ketiga afiliasi populasi, keempat tinggi badan, dan terakhir karakteristik individu. Menariknya, karakteristik individu tengkorak 160690 ditemukan sejumlah bukti berbeda yang menjelaskan identitasnya, yaitu, modifikasi gigi, jejak penyakit, dan bentuk kepala asimetris. Berdasarkan hasil identifikasi positif pada tengkorak 160689 dan tengkorak 160690 menunjukkan bahwa kedua tengkorak tersebut berjenis kelamin perempuan dan berafiliasi dengan populasi ras Mongoloid. Terakhir, karakteristik individu dan deformasi pada daerah oksipital mengindikasikan deformasi yang tidak disengaja yang disebabkan oleh tekanan terus menerus pada sisi kiri daerah oksipital. Plagiocephaly bisa jadi akibat dari posisi tidur yang salah selama masa kanak-kanak. Two human skulls were found during basement construction from November 30th, 2016, to December 1st, 2016, in Balai Pemuda, Surabaya, one of Indonesia's colonial-era buildings. The discovery of two skulls raised questions, such as the identity and its context of existence. Both skulls were coded as skull 160689 and 160690. This research aimed to reveal the identity of skull 160689 and 160690 based on the positive identification procedure of forensic anthropology. This research applies the method of the forensic anthropology identification procedure. This method was used sequentially, firstly age, secondly gender, thirdly population affiliation, fourthly stature, and lastly, individual characteristics. Interestingly, the individual characteristics of skull 160690 have distinct evidence for explaining its identity, for instance, dental modification, disease markers, and asymmetrical head shape. Based on the positive identification results on skull 160689 and 160690 showed both skulls were female and affiliated with Mongoloid population. At last, individual characteristics and deformation on the occipital area were indicated as an unintentional deformation caused by pressure continuously on the left side of the occipital area. Plagiocephaly could be a result of incorrect sleeping position during childhood.

Dental modifications: a perspective of Indonesian chronology and the current applications Rusyad Adi Suriyanto; Toetik Koesbardiati
Dental Journal (Majalah Kedokteran Gigi) Vol. 43 No. 2 (2010): June 2010
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Background: Dental modifications are one of the forms of initiation rite. Thus tradition can be found in all of Indonesian regions, even in South East Asia, in previous era. Modes and dentistry, as a culture product, including its modifications or decorations toward body and teeth have appeared in present day, such as tattoo and decorations on teeth which are taken particular model and superimpose or inculcate ornament of jewel, diamond, gold and others. The first research aim is to describe how functions of modifications on teeth represent cultural affinity and population of biologic affinity that accompany it from time to time; starting from prehistoric period to present day, especially in Indonesian region. The second aim is to submit applicable proposal that is useful for medical area, particularly in dentistry. Method: The research materials include teeth of the adult human skulls of Java, Balinese, and East Nusa Tenggara from some paleoanthropological–archaeological sites, as well as isolated permanent dental sample from modern Balinese population. The methods used are visual comparative descriptive method, and browsed through ethnographic and archaeological classic literatures. Result: Chronologically, dental modifications as reference to the pattern of migration and the domination of the culture in the past, and these facts indicate to the biological affinity and indicate to how the culture influences other culture. Conclusion: Some effects of the practices of dental modifications are the emergence of some diseases. Therefore, it is necessary for the agent of health and the traditional practitioner to be aware when they practice the dental modifications. Nevertheless, on the other side, based on explanations the research results, it is clear that dental modifications provide broader knowledge, because it has a very long journey of migration history, occupancy, and culture in this Indonesian Archipelago, which stretches from the period of about ten thousand years ago until now. This knowledge can be used for either practical purposes of medicine and dentistry even forensic. Thus, it is also useful in forensic identification, as guidance with cultural background such as certain patterns of dental modifications cannot be disregarded. In the same way, patterns of modifications either intentional or unintentional can give a guidance to strengthen identification.Latar belakang: Modifikasi gigi geligi adalah salah satu bentuk ritus inisiasi. Tradisi ini dapat ditemukan di seluruh wilayah Indonesia, bahkan di Asia Tenggara pada masa lalu. Persoalan-persoalan kecantikan dan dentistri sebagai produk budaya termasuk modifikasi dan dekorasi tubuh dan gigi geligi telah muncul pada masa kini, contohnya tatto tubuh atau dekorasi gigi geligi dengan ornament hiasan dari emas, intan berlian dan juga bahan lainnya. Tujuan awal dari penelitian ini adalah untuk mendeskripsikan bagaimana fungsi modifikasi gigi geligi mewakili afinitas kultural dan afinitas biologis dari suatu populasi yang saling berkaitan dari waktu ke waktu, dimulai dari masa prasejarah hingga masa kini, terutama di wilayah Indonesia. tujuan penelitian yang kedua adalah untuk menyumbangkan pemikiran yang aplikatif yang berguna untuk bidang kesehatan terutama dentistri. Metode: Bahan penelitian adalah gigi geligi dari tengkorak dewasa Jawa, Bali dan Nusa Tenggara yang berasal dari situs-situs paleoantropologis-arkeologis, demikian pula sampel gigi geligi permanen individual dari populasi Bali saat ini/modern. Metode yang digunakan adalah deskriptif komparatif visual, dan penelusuran literatur etnografi dan arkeologi klasik. Hasil: Secara kronologis, modifikasi gigi geligi adalah rujukan bagi migrasi pada masa lalu dan dominasi budaya masa lalu. Kenyataan ini menunjukkan adanya afinitas biologis dan menunjukkan bagaimana budaya yang satu dapat mempengaruhi budaya yang lain. Simpulan: Beberapa efek dari praktek modifikasi gigi geligi adalah timbulnya beberapa penyakit. Oleh karena itu, hal ini sangat penting diketahui oleh praktisi kesehatan modern dan praktisi kesehatan tradisional untuk mempertimbangkan kenyataan ini dalam melakukan praktek modifikasi gigi geligi. Di sisi lain, berdasarkan hasil penelitian ini, modifikasi gigi geligi memberikan pengetahuan dan wawasan yang sangat luas, karena modifikasi gigi geligi telah lama dilakukan melalui perjalanan yang panjang dalam sejarah migrasi, penghunian dan budaya di kepulauan Indonesia, dengan rentang waktu sekitar 10.000 tahun yang lalu hingga saat ini. Pengetahuan tentang hal ini dapat digunakan untuk kepentingan studi kesehatan dan dentistry, bahkan forensik. Khususnya untuk identifikasi forensic, modifikasi gigi geligi adalah petunjuk latar belakang budaya seseorang, dimana pola tertentu modifikasi gigi geligi tidak dapat diabaikan. Dengan demikian, pola modifikasi gigi geligi baik sengaja (intentional) maupun yang tidak disengaja (unintentional) merupakan penguat dari identifikasi individual.

Kebijakan pelayanan kesehatan reproduksi bagi perempuan penyandang disabilitas dalam rangka pencegahan kekerasan seksual Tri Joko Sri Haryono; Toetik Koesbardiati; Siti Mas'udah
Masyarakat, Kebudayaan dan Politik Vol. 28 No. 2 (2015): Masyarakat, Kebudayaan dan Politik
Publisher : Faculty of Social and Political Science, Universitas Airlangga

The issue of women with disabilities is still rarely studied and published in the community, especially the issues of sexual violences for women with disabilities. This study provides a recommendation for both central and local governments (especially in East Java) to accomodate reproductive health services for women with disabilities. Since The Convention on the rights of persons with disabilities through the Law no.19 in 2011, the government have not taken any significant action. Therefore, it is necessary to establish a more implementative model policy for the community. The purpose of this research acts as a reference to make an effective, efficient, and right-on-target reproductive health policy. The recommendation made in this study is expected to be a reference for various parties, including the government, in order to design a more concrete and proactive steps to overcome reproductive health issue for women with disabilities in Indonesia, and also to build strategies which unite communities with different backgrounds. In order to obtain empirical data and information, this study used descriptive research with qualitative approach. Several steps taken are (1) determining the location of the study purposively in 33 sub-districts of Malang regency: in clinic, health, education, and social department, boarding school, Bhakti Luhur, P2TP2A, and local NGOs. Malang regency is chosen because (a) it is the only city which starts concerning sexuality and reproductive health of women with disabilities issues; (b) The sex ratio in 2010 was around 98,78%, which means that the number of females is significantly larger than males. As seen from the population density of 33 sub-districts of Malang, the majority of women has high density above 2000/km². It implies that poverty is mostly suffered by women; (c) the number of reproductive health issues for women with disabilities is quite a lot, because it is regarded as a taboo. (2) Data Collection: (1) observation and (2) indepth interview, (3) informants, (4) data analysis. The result of this study indicates that there are still a lot of women with disabilities who do not understand about taking care of their reproductive organs, and thus impacting their health. The control over their reproductive organs is still low, which makes many of them suffered from sexual violences that lead to unwanted pregnancies. Some cases found during the study show that women with disabilities who become sexual violence victims did not get proper justice, because their statements are not legally accepted, and it is also reinforced by the communities’ stigma which calls person with mental disabilities as a psycho.

Epiphyseal Closure Time of Radius and Ulna Bones of the Proximal Section Tiara Mayang Pratiwi Lio; Toetik Koesbardiati; Achmad Yudianto; Rosy Setiawati
Folia Medica Indonesiana Vol. 54 No. 2 (2018): June
Publisher : Faculty of Medicine, Universitas Airlangga

Accurate determination of age is important in the legal process; when a person’s age is unknown or must be authenticated, a forensic age identification method must be applied. One of such methods is to assess the epiphyseal closure on the bone through radiological examination. The main problem associated with the use of this method is the relevance of the reference population provided because epiphyseal closure is influenced by genetics and nutrition. This method needs data to represent each population. Radiological examination of elbow bones of 30 male patients aged 11-30 years and 18 female patients aged 14-28 years in Dr. Soetomo Hospital, Surabaya from January to April 2016 was carried out to determine the time of epiphyseal closure of the radius and ulna distal section. This was cross-sectional descriptive study. In conclusion, epiphyseal closure of proximal radius and ulna is complete at age 16 in males and 14 in females.

Co-Authors Achmad Yudianto Ahmad Yudianto Ali Akbar Maulana Anak Agung Putu Santiasa Putra Azizatul Haq Larasati Bagaskara Adhinugroho Bayoghanta Maulana Mahardika Bayu Praharsena Biandro Wisnuyana Bimo Aksono Bimo Aksono Delita Bayu Murti Delta Bayu Murti Delta Bayu Murti Desytri Ayu Herina DINAR ADRIATY Dinar Adriaty Eko Herwanto Etty Indriati Gregorius Dwi Kuswanta Gunadi Kasnowihardjo Indah Asikin Nurani INDROPO AGUSNI Indropo Agusni Irfan Wahyudi ISWAHYUDI ISWAHYUDI Iswahyudi Iswahyudi Lucy Dyah Hendrawati Lucy Dyah Hendrawati Mareta Bakale Bakoil Mas'udah, Siti Muhammad Wishnu Wibisono Myrtati Dyah Artaria nfn Suhendra Nia Marniati Etie Fajari Nuraini Fauziah Pudjio Santoso Qurnia Andayani Rachmah Ida RATNA WAHYUNI Ratna Wahyuni Rizky Nur Andrian Rizky Sugianto Putri Rosy Setiawati Rusyad Adi Suriyanto Rusyad Adi Suryanto Septi Ariadi SHINZO IZUMI Shinzo Izumi Sri Endah Kinasih Stefanus Supriyanto Stefanus Supriyanto Tiara Mayang Pratiwi Lio Tiara Mayang Pratiwi Lio Tri Joko Sri Haryono Ulce Oktrivia Yusuf Bilal Abdillah

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