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A New Method for Obtaining Global Estimates of Maternal Mortality Sardjana Atmadja
ADI Journal on Recent Innovation Vol. 3 No. 2 (2022): March
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/ajri.v3i2.539

Abstract

Background: Maternal mortality is widely regarded as a key indicator of population health and social and economic development. Its rates and trends are closely monitored by the United Nations and others, inspired in part by the Sustainable Development Goals (SDGs), which call for a three-quarter reduction in the maternal mortality ratio by 2015. Unfortunately, the empirical basis for such monitoring is still quite weak, requiring the use of models. statistics to get estimates for most countries. Objective: In this paper we describe a new method for estimating global rates and trends in maternal mortality. For countries that lack sufficient data for direct estimation of estimates, we use a parametric model that separates maternal deaths from deaths from HIV/AIDS. Materials and methods: For maternal deaths not associated with HIV/AIDS, the model consists of a hierarchical linear regression with three predictors and variable intercepts for country and region. Estimated uncertainty is assessed by simulating the estimation process, taking into account the variability in both the data and other model inputs. This method was used to derive the most recent set of PBB estimates, published in September 2010. Here, we provide a brief description and description of the approach, including a novel analysis of the components of variability reflected in the uncertainty interval. Results: Final estimates provide evidence of a more rapid decline in the global maternal mortality ratio than suggested by previous studies, including another study published in April 2010. We compared the findings of the two most recent studies and discussed topics for further research to help resolve differences.
The Effect of New Therapy Zinc on Perinatal Mortality, Prematurity and Placental Ablation Sardjana Atmadja
ADI Journal on Recent Innovation Vol. 3 No. 2 (2022): March
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/ajri.v3i2.620

Abstract

Zinc is essential for life and is a part of zinc finger proteins, which perhaps represent the largest class of DNA-binding proteins. Zinc finger protein controlled gene expression may be a fundamental aspect of development as well as other processes. Nearly 30 elements are accepted as being essential for some or all organisms. Knowledge of the amounts of zinc in food is necessary for the understanding of the very complex system of zinc metabolism. Zinc content in leucocytes, mononuclear cells, red cells and platelets could be used as a measure of possible zinc deficiency. Almost 300 different enzymes, which include the synthesis and/or degradation of all major metabolites, have zinc as an integral component. AE has been interpreted as being a zinc-deficiency disease. The signs and symptoms of AE are reserved by zinc therapy. The recommended daily intake of zinc in pregnancy and lactation is 15 mg in Sweden and the Scandinavian countries. A woman on continuous zinc therapy for AE had two normal pregnancies. Other contributors to this volume will review these data.
“Halal” Abortion in Perspective Common Law system,Civil Law System and Ius Constituendum : Towards Legality and Safety Sardjana Atmadja
The Avicenna Medical Journal Vol 1, No 2 (2020)
Publisher : Faculty of Medicine, UIN (State Islamic University) Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (23127.44 KB) | DOI: 10.15408/avicenna.v1i2.17657

Abstract

Background: To safe services in hygienic conditions must be made widely available and affordable, so that the stigma associated with providing and obtaining abortions can lessen and safe services can become normal and accepted, abortion is broadly legal, widely available and safe in Indonesia.Objective: The purpose of this article to discuss ius constituendum on abortion in Indonesia from criminal law perspective between Common Law System and Civil Law System.In Indonesia Ius Contituendum on abortion  is not directed to legalization of abortion as carried out both in Netherland and USA but tends to be harmonized with therapeutic abortion concept both medical and psychiatric fields.Material and Method: Systematic review of studies evaluating the prevalence of unsafe abortion in Indonesia.Results: The public health tragedy caused by unsafe abortion is all the more so because it is largely preventable, by improving the quality and availability of post abortion care, by making abortion legal and increasing access to safe services, and—because almost every abortion is preceded by an unintended pregnancy—by expanding access to contraceptive information and services. Restrictive laws have much less impact on stopping women from ending an unwanted pregnancy than on forcing those who are determined to do so to seek out clandestine means. Ironically, the abortion laws governing of Indonesia  is holdovers from the colonial era.Conclutions:  “Halal” abortion is making a significant contribution toward reducing the need for abortion altogether and the likelihood of unsafe abortion by bringing down the rates of unintended pregnancy. This is also helping to reduce complications of unsafe abortion through its support for programs to increase access to and improve post abortion care. This includes not only treatment for septic or incomplete abortion, but also essential post abortion.Keywords: “Halal” abortion, the public health tragedy, unintended pregnancy Common law system,Civil law system and Ius Constituendum.