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All Journal JURNAL ETIKA KEDOKTERAN INDONESIA The Indonesian Journal of Community and Occupational Medicine MEDICINUS Sriwijaya Journal of Neurology
Pukovisa Prawiroharjo
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Pemulihan Hak dan Wewenang Profesi Pascasanksi Majelis Kehormatan Etik Kedokteran Yuli Budiningsih; Pukovisa Prawiroharjo; Agus Purwadianto
Jurnal Etika Kedokteran Indonesia Vol 2, No 3 (2018)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.742 KB) | DOI: 10.26880/jeki.v2i3.24

Abstract

Proses kemahkamahan dan pemberian sanksi etik merupakan bagian yang tak terpisahkan dari bentuk kontrol sosial-profesi kepada setiap individu dokter, agar dapat menampilkan kemuliaan etika dan perilaku profesional secara konsisten dalam kesehariannya. Pemulihan hak dan wewenang profesi pascasanksi merupakan langkah penting bagi Majelis Kehormatan Etik Kedokteran (MKEK) untuk mencapai tujuan tersebut, serta mengembalikan produktivitas dokter yang diberikan sanksi agar sama bahkan lebih baik dibandingkan sebelum sanksi. Diusulkan lima langkah dapat dilakukan MKEK dan perlu dielaborasi dalam narasi di Pedoman Organisasi dan Tatalaksana Kerja MKEK untuk memastikan proses pemulihan ini berjalan baik, yaitu (1) menyatakan dengan jelas tanggal dimulai dan berakhirnya sanksi dalam putusan MKEK, (2) memberikan informasi kepada sejawat yang diberikan sanksi MKEK perihal kebijakan pemulihan hak dan wewenang profesi ini pada sidang pembacaan putusan MKEK, (3) menerbitkan pemberitahuan pendahuluan kepada instansi tempat dokter teradu bekerja sebelum masa berakhirnya sanksi, (4) segera menerbitkan surat pemulihan hak dan wewenang pascasanksi di tanggal berakhirnya sanksi, dan (5) menyatakan bahwa riwayat sanksi MKEK tidak boleh menjadi alasan untuk membatasi, menghalangi, atau mematikan karir profesi kedokteran, pengabdian di organisasi profesi dan masyarakat, serta jabatan politik dan pemerintahan.
The Relationship Between Shift Work Patterns and Cognitive Function Disorders in Health Workers at Hospital X, West Java, Indonesia Malau, Bintang Leonard; Amilya Agustina; Pukovisa Prawiroharjo; Winnugroho Wiratman; Retno Asti Werdhani
Sriwijaya Journal of Neurology Vol. 2 No. 2 (2024): Sriwijaya Journal of Neurology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjn.v2i1.105

Abstract

Introduction: Jobs with shift work patterns, especially irregular ones, can disrupt circadian rhythms and sleep quality, which then impacts cognitive function. Despite its importance, research on cognitive domain vulnerabilities related to shift work patterns is still limited. Sleep quality and cognitive function are critical in the context of hospital health services, where decisions and actions must be taken quickly and precisely to support patient safety. Methods: This research is a cross-sectional observational analytical study to determine the relationship between shift work patterns and impaired cognitive function. To measure sleep quality, the Pittsburgh Sleep Quality Index Indonesian (PSQI-Ina) is used, while cognitive function and cognitive domains were measured using Oxford Cognitive Screen (OCS) Indonesian (OCS-Ina), a cognitive instrument for stroke patients, which has been validated. The minimum sample size in this study was 72 samples. Correlation, principal component analysis, demographic analysis, and regression were used to characterize the relationship between PSQI-Ina, OCS-Ina, and other research variables. Results: A total of 83 health workers met the inclusion criteria and were included in the research. The results showed that 16 respondents (19.3%) experienced impaired cognitive function in the Attention domain and 2 respondents (2.4%) experienced impairment in 2 cognitive domains (Attention and Number Management). The results of statistical analysis showed a significant relationship with health workers who had part-time jobs having a 12.8-fold risk (OR 12.8; 95% CI 1.7-91; p = 0.011) of experiencing cognitive impairment. Then health workers who experience poor sleep quality (with a PSQI value >5) have a 40.3 times greater risk (OR 40.3; 95% CI 2.2-708.1; p = 0.011) of experiencing cognitive impairment. Likewise, health workers with irregular shift work patterns have a 5.4 times risk of experiencing cognitive impairment (OR 5.4; 95% CI 0.1-26.6; p = 0.036). Conclusion: There is a relationship between shift work patterns and impaired cognitive function in the workplace. Hospitals should prioritize ergonomic shift work schedules, emphasizing speed and clockwise rotation, to support the well-being of their healthcare workers.
Perbandingan Keputusan Tata Laksana Farmakologi dan Rujukan Pasien Epilepsi Baru dengan Pasien yang Pernah Didiagnosis Sebelumnya pada Layanan Telemedik di Indonesia Pukovisa Prawiroharjo; Yulia Puspita Dewi
MEDICINUS Vol. 38 No. 6 (2025): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/qvn39698

Abstract

Introduction: Epilepsy is a condition or brain disorder characterized by a tendency for recurrent seizures. Telemedicine services use electronic communication facilities to provide medical support or care remotely. In these services, various factors influence doctors in making decisions. Objective: This study aims to compare the pharmacological management decisions and referral decisions for newly diagnosed epilepsy patients versus patients previously diagnosed by doctors in telemedicine services in Indonesia. Methods: This research uses a retrospective cross sectional design using secondary data sources from one of Indonesia's telemedicine services. A total of 100 subjects were selected within the telemedicine service. Pharmacological management decisions and referrals were assessed based on chat history. Results: Analysis of the data showed no significant difference between newly diagnosed patients and previously diagnosed in terms of pharmacological management decisions (p=0.298). However, there is a significant difference between newly diagnosed patients and previously diagnosed in terms of referral decisions (p=0.025). In addition, newly diagnosed patients appear to have a higher referral percentage (18.87%) compared to previously diagnosed patients (4.26%). Discussion: There was no significant difference in pharmacological treatment decisions between newly diagnosed patients and previously diagnosed patients. However, a significant difference was observed in referral decisions. This indicates the need for a larger sample size and further research.  
The Association of Hydration Status and Other Occupational Factors with Attention, Concentration, and Working Memory among Mine Workers Yusuf, Adrian Cristianto; Dewi Friska; Yetty Ramli; Pukovisa Prawiroharjo; Agus Sugiharto
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 3 (2026): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i3.204.94-103

Abstract

Background: Hot work environments and poor hydration status may impair workers’ cognitive functions, particularly attention, concentration, and working memory, increasing the risks of operational errors and unsafe behaviors. In open-pit coal mining, heat exposure, high workload, and operational demands contribute to elevated incident rates.Objective: This study aimed to examine the association between hydration status and occupational factors with attention, concentration, and working memory among mine workers at PT. X.Methods: This analytic observational study employed a cross-sectional design among 90 morning-shift coal miners at PT. X, East Kalimantan, recruited using convenience sampling. Cognitive function was assessed using the Digit Span Test, with the Forward Digit Span (FDS) subtest assessing attention and concentration and Backward Digit Span (BDS) subtest assessing working memory. Hydration status was assessed using Urine Specific Gravity (USG) to determine hydration trends over three consecutive days, and perceived stress was measured using the Perceived Stress Scale-10 (PSS-10).Results: The result showed significant associations between hydration status and attention and concentration (p=0.023), as well as working memory (p=0.019). Job type, workload, and work climate were also significantly associated with attention, concentration, and working memory. No change in hydration status trends were observed during the three-day measurement period, with a consistent median USG value of 1,018, indicating mild dehydration. Conclusion: Hydration status, job type, workload, and hot work climate were significantly associated with attention, concentration, and working memory, whereas age, sex, health status, and perceived stress did not show consistent associations with cognitive outcomes.
Co-Authors Agus Purwadianto Agus Sugiharto Amilya Agustina Dewi Friska Malau, Bintang Leonard Ramli, Yetty Retno Asti Werdhani Winnugroho Wiratman Yuli Budiningsih Yulia Puspita Dewi Yusuf, Adrian Cristianto