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Gumilar, Gulam
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FORTRAN PROGRAM FORECASTING ON MATERNAL MORTALITY IN TYPE C HOSPITALS IN EAST JAVA BASED ON PREDOMINANT VARIABLES Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation (AJRI) Vol 1 No 1 (2019): AJRI (ADI Journal on Recent Innovation)
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/ajri.v1i1.89

Abstract

In Indonesia, the effort to reduce maternal mortality rate remains unsatisfactory and is progressing slowly due to the lack of working ethos, blood facility, communication facility, obstetrician and gynecologists, midwifes, nurses, and functionaries of Indonesian Red Cross. Objective. To forecast maternal mortality in all type C hospitals in East Java, 2010 - 2015. Material and Methods. This study was a development of clinical management from predominant variables that lead to maternal mortality in type C hospitals in East Java using FORTRAN simulation program. Results. The contribution of working ethos to clinical management model in reducing maternal mortality in governmental type C hospital was 45.46%, indicating that the contribution if this variable can be expandable to 57.99%. The contributions of blood facility and communication facility were 27.22% and 26.95%, indicating a possible expanding contribution as much as 34.73% and 34.38% respectively.  
MAKING PREGNANCY A MISSED OPPORTUNITY FOR TREATMENT OF TUBERCULOSIS INFECTION : A SYSTEMATIC REVIEW Atmaja, Sardjana; Gumilar, Gulam
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.2081

Abstract

Background : Eleven million Americans, representing 4% of the U.S. general population, are estimated to have latent tuberculosis infection (LTBI). In countries with low TB incidence, immigrant from higher incidence countries form the major pool of infected individuals. To understand the prevalence, screening and management of TBI in pregnancy. Methods : A systematic review of 4 databases (Embase, Embase Classic, Medline, Cochrane Library) covering articles published from January 1st 2010 to April 30th 2018. Articles in English with relevant information on prevalence, screening strategies and treatment of TBI during pregnancy were eligible for inclusion. Results : Of 193 titles initially identified, 108 abstracts were eligible for review. Of these, 86 articles qualified for full text review and 22 were retained: 3 cohort studies, 2 case-control studies, and 17 cross-sectional studies. In the USA, the estimated prevalence of TBI ranged from 14 to 48% in women tested, and tuberculin skin test (TST) positivity was associated with ethnicity. The proportion of women who attended follow-up visits after positive tuberculin tests varied from 14 to 69%, while 5 to 42% of those who attended follow-up visits completed a minimum of 6 months of isoniazid treatment. One study raised the possibility of an association of pregnancy/post-partum state with INH hepatitis (risk ratio 2,5, 95% CI 0.8–8.2) and fatal hepatotoxicity (rate ratio 4.0, 95% CI 0.2–258). One study deemed INH safe during breastfeeding based on peak concentrations in plasma and breast milk after INH administration. Conclusion : Pregnancy is an opportunity to screen for TBI. Interferongamma release assays are likely comparable to tuberculin skin tests and may be used during pregnancy. Efforts should be made to improve adherence with follow-up and treatment post-partum. Further data are needed with respect to safety and feasibility of antepartum INH therapy, and with respect to alternative treatment regimens.
Fortran Program Forecasting On Maternal Mortality In Type C Hospitals In East Java Based On Predominant Variables Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation Vol. 1 No. 1 (2019): September
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (933.864 KB) | DOI: 10.34306/ajri.v1i1.5

Abstract

In Indonesia, the effort to reduce maternal mortality rate remains unsatisfactory and is progressing slowly due to the lack of working ethos, blood facility, communication facility, obstetrician and gynecologists, midwifes, nurses, and functionaries of Indonesian Red Cross. Objective. To forecast maternal mortality in all type C hospitals in East Java, 2010 - 2015. This study was a development of clinical management from predominant variables that lead to maternal mortality in type C hospitals in East Java using FORTRAN simulation program. Results. The contribution of working ethos to clinical management model in reducing maternal mortality in governmental type C hospital was 45.46%, indicating that the contribution if this variable can be expandable to 57.99%. The contributions of blood facility and communication facility were 27.22% and 26.95%, indicating a possible expanding contribution as much as34.73% and 34.38% respectively.
UPDATE HEALTH POLICY DECISION MAKING IN SAFE MOTHERHOOD REGIONAL ISSUE Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation Vol. 1 No. 2 (2020): March
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.17 KB) | DOI: 10.34306/ajri.v1i2.38

Abstract

More than a half million women die every year because of complications related to pregnancy and child birth. Nearly all these deaths take place in developing countries. The disparity between maternal death rates in developing and developed countries is greater than for any other common category of death. Poor maternal health during pregnancy is directly linked to poor health in the infant. Therefore, a mother’s health and survival continues to be critically important throughout a child’s life. Pregnant women and children suffer first and most under poor socioeconomic conditions. To reduce maternal and morbidity in half by the 2000, the safe motherhood initiative was launched. The success of safe motherhood initiative depends on the active participation of a wide range of individuals and organizations who can contribute ideas, skills, and funds, because the problem stems not only from inadequate health services, but mostly also from the social, cultural, and economic environment in which women live. Health policy decision making in safe mother-hood at least should be based on the assessment of Maternal Health situation and health services and the assessment of socio- cultural aspects of safe motherhood of each region.
Co-Authors Atmaja, Sardjana Sardjana Atmadja