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All Journal The Indonesian Journal of Community and Occupational Medicine Neurona Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Folia Medica Indonesiana
Pukovisa Prawiroharjo, Pukovisa
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Journal : Neurona

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RANGKAIAN KASUS CEDERA OTAK PENETRASI: PATOMEKANISME, IMPLIKASI KLINIS, DAN PENATALAKSANAAN DENGAN SUMBER DAYA TERBATAS Andini, Putri; Yugo, Mohammad Reynalzi; Yunus, Reyhan Eddy; Prawiroharjo, Pukovisa
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 4 (2024): Volume 40, No 4 - September 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.396

Abstract

Penetrating brain injury differs markedly from blunt injury in dural tears and the transmission of kinetic energy to the surrounding structures along the penetrating tract. Unique clinical characteristics of penetrating brain injury (PBI) certainly require a case-by-case approach, however there are some principles that can be applied in almost every case and need to be considered to improve the outcomes. We present three cases of PBI with different mechanisms and outcomes. Two of the cases presented with non-missile PBI, while the third case presented with missile PBI. We also present a review of current literature highlighting various pathomechanisms, clinical implications and key approaches in managing PBI, particularly in resource-limited settings.
Biomekanika Cedera Otak Traumatik pada Kecelakaan Mobil Tunggal yang Melibatkan Empat Orang Penumpang Prawiroharjo, Pukovisa; Karmila, Hanna; Mayza, Adre; Martono, Yesenia
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 3 (2022): Vol 39 No 3 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i3.398

Abstract

Traumatic Brain Injury (TBI) caused by traffic accidents remains the leading cause of death and disability. Based on data from the Global status report on road safety 2018, deaths caused by traffic accidents occur at a ratio of 18 per 100,000 populations. In traffic accidents, doctors are often asked to perform a verbal autopsy. When performing a verbal autopsy, knowledge of the mechanism of the accident is required to make it easier to analyse the pathomechanism and its implications for the patient. We present a case of an accident involving four passengers, which we reviewed related to the biomechanical process and implications for these four patients. The injuries that occur are influenced by various things such as the seating position in the vehicle, the mechanism of the collision, the vehicle's speed at the time of the collision and various other things, so the four have different injuries. Understanding the biomechanics of injuries in traffic accidents will help medical personnel to unravel the mechanism and sort out the possible causes of injuries
Korteks Prefrontal pada Kelompok Remaja Adiksi Pornografi Lebih Kecil dibandingkan Remaja Tanpa Adiksi Pornografi Prawiroharjo, Pukovisa; Edmi Edison, Rizki; Ellydar, Hainah; Pratama, Peter; Evangeline Imelda Suaidy, Sitti; Amani, Nya'Zata; Carissima, Diavitri; Faradisa Hatta, Ghina
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 4 (2023): Vol 39 No 4 (2023)
Publisher : PERDOSNI

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Abstract

Background and aims: Increasing popularity of Internet has exposed our children pornography addiction. As in other types of addiction, it affects a brain region known as prefrontal cortex (PFC), which is important in executive functions and inhibitory control. However, this region was loosely defined, and there was no consensus for that definition. We aimed to use volumetric MRI in finding the defining region of PFC which would be suitable in distinguishing pornography addicted juveniles. Methods: We enrolled 30 juveniles (12-16 y.o.) consisting of 15 pornography addiction and 15 non-addiction subjects. We proposed several models of PFC definition from mix-and-matched subregions, consisting of orbitofrontal (OFC), inferior frontal gyrus (IFG; pars orbitalis, opercularis, and triangularis), dorsolateral PFC (DLPFC), and anterior cingulate (ACC). Suitable PFC definition was defined as models which volume statistically different between both groups. Brain volumetric was measured using 3D-T1 3T MRI images and analyzed using FreeSurfer® for automatic cortical reconstruction and brain segmentation (recon-all command). Results: We found significant differences between groups in 6 models, which mainly included OFC, ACC, and DLPFC, with models devoid of DLPFC had lowest mean differences. Conclusion: The most suitable definition of PFC for pornography addiction study should consist of OFC, ACC, and especially DLPFC. Inferior frontal gyrus pars orbitalis was not necessary for this purpose, but may increase effect size if it is included.
Perbandingan Keputusan Rujuk Pasien Stroke Baru Dengan Pasien yang Pernah Didiagnosis Sebelumnya Pada Layanan Telemedis Prawiroharjo, Pukovisa; Kurniawan, Mohammad; Alexander, Fooann
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 3 (2025): Vol 41 No 3 (2024): Volume 41, No 3 - Juni 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i3.665

Abstract

ABSTRACT Introduction: Stroke is the third leading cause of death worldwide. Unfortunately, the high incidence of stroke in Indonesia is not matched by prompt and effective treatment, resulting in a high disability rate. These limitations make decision-making in telemedicine services challenging. Objective: This study aims to compare decision-making related to stroke management between newly diagnosed patients and those previously diagnosed. Methods: This study employed a cross-sectional retrospective design. The data consisted of 256 secondary data obtained from telemedicine company conversations during March and April 2020. Patients were categorized into newly diagnosed stroke patients and previously diagnosed stroke patients. Results: Among the 256 subjects, a significant relationship was found between patient status and decisions regarding referral and pharmacological management. Newly diagnosed stroke patients more frequently received referral decisions, while previously diagnosed patients more often received pharmacological management. Discussion: This study indicates a significant association between patient status and decisions on referral and pharmacological management in telemedicine services. Further studies with larger sample sizes and longer time periods are needed for better representation of conditions in Indonesia. Keywords: patient status, pharmacological treatment, referral, stroke, telemedicine.
Co-Authors -, Herqutanto Adre Mayza Alexander, Fooann Amani, Nya'Zata Aninditha, Tiara Ariarini, Ni Nengah Rida Carissima, Diavitri Dewi Sumaryani Soemarko Diafiri, Dinda Edmi Edison, Rizki Ellydar, Hainah Evangeline Imelda Suaidy, Sitti Faradisa Hatta, Ghina Finna Fitriana Imran, Darma Karmila, Hanna Kurniawan, Mohammad Lastri, Diatri Nari Malufti, Chandrika Najwa Martono, Yesenia Martono, Yessenia Nadia Farhanah Syafhan Nuri Purwito Adi Pratama, Peter Putri Andini, Putri Rachman, Abu Rahmawati, Mia Ramli, Yetty Rani Sauriasari, Rani Reyhan Eddy Yunus Risni, Hindun Wilda Sinthia, Novita Ayu Sitorus, Freddy Sofyan, Henry Riyanto Yugo, Mohammad Reynalzi Zairinal , Ramdinal Aviesena Zairinal, Ramdinal Aviesena