Background: There are differences of genital structure between girls and adult women in terms of anatomy and histology which it may affect medical evidence which is obtained during the verification.  Objective: This study aimed at determining the differences of medical evidence of sexual violence that includes promiscuity signs and violence signs among victims of sexual violence who were examined at Sanglah Central Public Hospital. Methods: Cross sectional studies were conducted of 56 girls (<18 years) and 56 adult women (> 18 years) to collect data from visum et repertum (VER) 2011-2015 by consecutive sampling. Sexual violence cases were taken in this studies based on the request letters of VER from police investigators.  Medical evidence variables in this study consisted of promiscuity sign (divided into genital wounds findings and positive sperm findings) and violence signs. Results: The finding of this study indicated that promiscuity sign in the form of genital wounds in girls were lower than adult women (44.6% vs 85.7%; P <0.05). Conversely, there was no significant difference of the finding associated with sperm positive findings among girls and women (7.1% vs 17.9%; P> 0.05). Violence signs in women were more than girls (39.3% vs 17.9%; P <0.05). Conclusion: It could be concluded, from 2 types of medical evidences of sexual violence found significant differences associated with promiscuity sign in the form genital wounds and violence signs among girls and adult women.

Background: Legal case, determining cause of death is a requirement either to prove the victim death by natural cause or unnatural cause. In determining the cause of death is usually started by seeking information about the scene, the state of the corpse when it was found, information from witnesses, and other information. Recognizing the risk factors characteristic of cases of death due to criminal acts can assist stakeholders in making decisions and policies associated with crime. Objective: This study aimed to examine Cause of death interrelation in homicide and persecution criminal act with dead victims. Methods: The research was conducted with a descriptive cross-sectional design using data based on letter of request by police and visum et repertum archive in Forensic Installation Sanglah Central Hospital from 2010 to 2015. Results: Among 70 samples obtained there are 49 male cases (70%) and 21 female cases (30%) with the largest age group is early adulthood as many as 23 cases (32.9%). Injury patterns obtained 33 cases (47.1%) sharp violent death, 33 cases (47.1%) blunt violence, violent firearms 2 cases (2.9%), 1 burns case (1.4%) and 1 case of other cause (1.4%). The most injured region that caused death is head region with 28 cases (40%) and the leading mechanism of death according to the autopsy report is bleeding by 55 cases (78.6%). Other death by cardiovascular system is by 31 cases (44,3%), then death by blunt force by 23 cases (32,9%), death by gunfire is 1 case (1,4%) and by stroke is 1 case (1,4%). Cause of death because of respiratory system failure and because of central nervous system failure respectively by 7 cases (10%). Conclusion: The most frequent demographic characteristic of murder and persecution cases that autopsied in Sanglah Central Hospital in 2010-2015 are male and age characteristic of adult (17-25 years). Whereas the most frequent type of violence is blunt violence. As for the most frequent mechanism of death is cardiovascular failure.

Infertility is a worldwide concern which has a variety of causes. This study was aimed to investigate the prevalence of infertility in women with genital tuberculosis. A search of PubMed, Science Direct, Scopus, Google Scholar and Cochrane databases (from 1990 to the present, date of last search February 2016) was performed using the keywords tuberculosis, genital tuberculosis, female genital, bacteriological, histological, infertility, primary infertility, secondary infertility, fallopian tube diseases, Asherman syndrome, women genital tract, fertility outcome, reproductive outcome,  prevalence, rate, percent in order to identify the studies which have reported the prevalence of infertility in women with genital tuberculosis. Data were extracted, and a meta-analysis was done. Seven studies were identified. The prevalence of infertility among women with genital TB with 95% confidence interval was 70.67% (58.30-83.03). Also, the prevalence of primary infertility and secondary infertility among genital tuberculosis cases were 75.70% (69.03-82.36) and 24.30% (17.64-30.97), respectively. The prevalence of infertility in women with genital tuberculosis is high. Therefore, prevention and treatment of genital tuberculosis can be considered as a way to reduce the infertility rate.