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THE INFLUENCE OF JOB SATISFACTION ON SPECIALIST PHYSICIANS’ PERFORMANCE MEDIATED BY PUNCTUALITY IN OUTPATIENT SERVICES(AN EMPIRICAL STUDY AT DR. SAIFUL ANWAR REGIONAL GENERAL HOSPITAL, EAST JAVA PROVINCE) Budianto, Mochamad Bachtiar; Rudijanto, Achmad; Wardhani, Viera
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Job satisfaction plays a vital role in enhancing productivity, particularly in hospitals that function as integral components of the healthcare system and provide various services, with outpatient care often serving as the primary access point to referral hospitals. Optimal human resources and service quality can only be attained when employees experience job satisfaction, which in turn promotes greater productivity, creativity, discipline, enthusiasm, and commitment. High job satisfaction encourages a positive attitude toward work, whereas dissatisfaction tends to lead to a negative impact on performance. This study aims to examine the effect of job satisfaction on the performance of specialist physicians, with punctuality as a mediating variable in the outpatient department of Dr. Saiful Anwar Regional General Hospital, East Java Province. This research employed an analytical observational design with data collected cross-sectionally. The study population comprised 100 specialist physicians working in the outpatient installation, selected using purposive sampling. Data were gathered through questionnaires and electronic attendance records, and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results indicate that punctuality mediates the relationship between job satisfaction and performance (t = 3.812; p = 0.001 < 0.05). Strategies such as remuneration improvements, reward and punishment systems, standard operating procedures (SOPs), and enhancement of facilities and infrastructure are expected to improve both satisfaction and performance among specialist physicians in outpatient services.
Molecular mechanisms of vascular calcification in diabetes mellitus: insights from human aortic smooth muscle cells, a systematic review Weningtyas, Anditri; Rohman, Mohammad Saifur; Chomsy, Indah Nur; Hose, Victor Alvianoes Guterez; Riza, Mochamad Faishal; Purbaningroom, Dian Laila; Rudijanto, Achmad; Nugrahenny, Dian
Heart Science Journal Vol. 7 No. 1 (2026): Accelerating Clinical Breakthroughs: The Journey from Molecular Discovery to Pa
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.01.2

Abstract

Background: Vascular calcification is a significant contributor to cardiovascular complications in diabetes mellitus (DM), particularly affecting the prognosis of patients.   Objectives: To conduct a comprehensive analysis of the molecular mechanisms underlying vascular calcification in DM, with a focus on insights from human aortic smooth muscle cells (HASMCs). Methods: The search was conducted following the PRISMA guidelines, utilizing databases such as MEDLINE/PubMed, Science Direct, and Google Scholar. The search focused on articles published within the last 5 years that discussed the molecular mechanisms of vascular calcification in DM, specifically in HASMCs. Results: Five selected reviews were found in a total of 637 articles. DM significantly accelerates vascular calcification in HASMCs through the upregulation of osteogenic markers and activation of the Wnt/β-catenin signaling pathway. Other identified mechanisms include inflammation, ferroptosis, and endothelial dysfunction, contributing to the complex interplay of factors that drive vascular calcification in diabetic patients. Conclusion: It is concluded that DM significantly accelerates vascular calcification in enhanced expression of osteogenic markers and activation of the Wnt/β-catenin signaling pathway in human aortic smooth muscle cells. Patients with diabetes are more likely to have cardiovascular issues as a result of this pathological process.