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Institution

Gadjah Mada University

EducationYogyakarta, Indonesia
About: Gadjah Mada University is a education organization based out in Yogyakarta, Indonesia. It is known for research contribution in the topics: Population & Adsorption. The organization has 17307 authors who have published 21389 publications receiving 116561 citations. The organization is also known as: University of Gajah Mada & Universitas Gadjah Mada.
Topics: Population, Adsorption, Tourism, Government, Catalysis


Papers
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Journal ArticleDOI
TL;DR: Hepatitis virus‐related liver disease increases substantially the mortality rate of patients with HIV on highly active antiretroviral therapy (HAART) and early diagnosis of hepatitis B virus (HBV) and hepatitis C virus (HCV) is important, but the prevalence of HBV and HCV infection in Indonesian patients infected with HIV is unknown.
Abstract: Department of Internal Medicine, Faculty of Medicine, Dr. Sardjito Hospital, Gadjah Mada University,Yogyakarta, IndonesiaHepatitis virus-related liver disease increasessubstantially the mortality rate of patients withHIV on highly active antiretroviral therapy(HAART). Therefore, early diagnosis of hepatitisB virus (HBV) and hepatitis C virus (HCV) is im-portant. However, the prevalence of HBV andHCV infection in Indonesian patients infectedwith HIV is unknown. Therefore, this study ex-amined the molecular and clinical characteris-tics of HBV and HCV in 126 patients infectedwith HIV, mostly on HAART, at Dr. Sardjito Hos-pital, Yogyakarta, Indonesia. The rates of tripleinfection, HIV/HCV co-infection, HIV/HBV co-in-fection, and mono-infection were 4.8%, 34.1%,3.2%, and 57.9%, respectively. Seven HCV gen-otypes were detected, with genotypes 1a, 1b,1c, 3a, 3k, 4a, and 6n found in 23 (52%), 1 (2%),4 (9%), 5 (11%), 7 (16%), 3 (6%), and 1 (2%)patients, respectively, indicating multiplemodes of transmission. HBV-DNA was detectedin 2/10 patients with hepatitis B surface antigen;both patients were HAART naive. Univariateanalysis revealed that male sex, higher educa-tion level, injection drug use, sexual contact, al-anine aminotransferase 40 IU/L, and aspartateaminotransferase-to-platelet ratio index > 0.5were associated with HCV co-infection. In multi-variate analysis, injection drug use (OR: 26.52;95% CI: 3.52–199.54) and alanine aminotransfer-ase 40 IU/L (OR: 6.36; 95% CI: 1.23–32.89)were independently associated with HCVco-infection. HCV co-infection was commonamong Indonesian patients infected withHIV, particularly among injecting drug users,and was a risk factor for disease progressionof HIV. J. Med. Virol. 84:857–865, 2012.

32 citations

Journal ArticleDOI
TL;DR: The E-test has an acceptable agreement for levofloxacin, metronidazole, tetracycline, and clarithromycin but further confirmation may be necessary for amoxicillin.
Abstract: For evaluating the antibiotic resistance of Helicobacter pylori, the agar dilution method is the gold standard; however, using this method in daily practice is laborious. E-test has been proposed to be an uncomplicated method. This study was aimed at validating the E-test and detecting the presence of any bias between the agar dilution method and E-test. The agar dilution method and E-test were performed using five antibiotics for 72 strains of H. pylori obtained from clinical patients in Indonesia. The E-test’s results showed a higher prevalence of resistance to all the antibiotics tested but the difference was not significant. Results showed high essential agreement (> 90.0%) for all the antibiotics, but only 84.7% for metronidazole. The agreement for MIC value was acceptable for levofloxacin, clarithromycin, and metronidazole. For amoxicillin, it showed only fair agreement (0.25) by the Kappa analysis and significant difference by Passing-Bablok regression. Even though some discrepancies were found, the E-test has an acceptable agreement for levofloxacin, metronidazole, tetracycline, and clarithromycin but further confirmation may be necessary for amoxicillin.

32 citations

Journal ArticleDOI
TL;DR: A ‘CBE-tree’ model for the undergraduate medical curriculum is designed and students and teachers may better comprehend the essential of primary health care by using the CBE framework developed in this study.
Abstract: Community-based education (CBE) is strategically important to provide contextual learning for medical students. CBE is a priority for countries striving for better primary health care. However, the CBE literature provides little curriculum guidance to enhance undergraduate medical education with the primary health care context. We aim to develop a CBE framework for undergraduate medical education (from macro, meso, and micro curriculum levels) to engage students and teachers with better, more meaningful learning, within primary health care settings. We used a grounded theory methodology by interviewing eight medical educationalists and ten CBE teachers, followed with the coding process by sensitizing the concepts of ‘medical education’ and ‘primary care’, to explore any new concepts. The primary data originated from a developing country where the paradigm of high-quality primary health care is mostly unfamiliar. Three senior researchers from international associations of general practices from different countries provided validation to the results. We identified a new framework for a community-based educational program. The micro-curriculum should offer opportunities for small group activities, ranging from simple to complex learning, emphasizing clinical skills, leadership, and teamwork to improve self-directed and collaborative practice. Sufficient role models and constructive feedback within primary care contexts are robust facilitators. For the meso-curriculum, comprehensive coordination on teacher-training and CBE program is needed. To ensure the sustainability of the program, faculty leaders and managers should include the macro-curriculum with a national postgraduate general practice curriculum and provide strong commitment. We designed a ‘CBE-tree’ model for the undergraduate medical curriculum. By using the CBE framework developed in this study, students and teachers may better comprehend the essential of primary health care.

32 citations

Journal ArticleDOI
TL;DR: In this article, the seasonal variability of land-ocean groundwater nutrient fluxes in the tropical karstic region of Gunung Kidul (southern Java, Indonesia) from November 2015 to December 2016 was studied.

32 citations

Journal ArticleDOI
TL;DR: The SPQ was found to be a valid instrument for measuring approaches to learning among clinical students and showed the internal consistency and factorial validity of the SPQ to be comparable with previous studies.
Abstract: Many studies have explored approaches to learning in medical school, mostly in the classroom setting. In the clinical setting, students face different conditions that may affect their learning. Understanding students’ approaches to learning is important to improve learning in the clinical setting. The aim of this study was to evaluate the Study Process Questionnaire (SPQ) as an instrument for measuring clinical learning in medical education and also to show whether learning approaches vary between rotations. All students involved in this survey were undergraduates in their clinical phase. The SPQ was adapted to the clinical setting and was distributed in the last week of the clerkship rotation. A longitudinal study was also conducted to explore changes in learning approaches. Two hundred and nine students participated in this study (response rate 82.0%). The SPQ findings supported a two-factor solution involving deep and surface approaches. These two factors accounted for 45.1% and 22.5%, respectively, of the variance. The relationships between the two scales and their subscales showed the internal consistency and factorial validity of the SPQ to be comparable with previous studies. The clinical students in this study had higher scores for deep learning. The small longitudinal study showed small changes of approaches to learning with different rotation placement but not statistically significant. The SPQ was found to be a valid instrument for measuring approaches to learning among clinical students. More students used a deep approach than a surface approach. Changes of approach not clearly occurred with different clinical rotations.

32 citations


Authors

Showing all 17450 results

NameH-indexPapersCitations
Bunsho Ohtani7137119052
Lawrence H. Moulton7126620663
John M. Nicholls6623119014
Paul Meredith5930815489
Bernd M. Rode5244111367
Jan-Willem C. Alffenaar432946378
Bernd Lehmann412186027
Nawi Ng391524470
Jean-Philippe Gastellu-Etchegorry381924860
Mohd Hamdi381905846
Keiko Sasaki363195341
Jos G. W. Kosterink361675132
A. C. Hayward341066538
Eileen S. Scott331773187
Michael R. Dove331424334
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202346
2022201
20212,264
20203,105
20192,810
20182,588