Gadjah Mada University

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.

Knowledge of general practitioners about nasopharyngeal cancer at the Puskesmas in Yogyakarta, Indonesia

Abstract: Nasopharyngeal carcinoma (NPC) is one of the leading causes of cancer death in Indonesia At initial diagnosis, 80% of the patients present with advanced stage disease In Indonesia, primary medical care is generally provided by the health care centres; named Puskesmas The lack of knowledge of various aspects of NPC of the General practitioners (GPs) working in these centers might contribute to the diagnostic delay The aim of this study was to assess the knowledge of these GPs on different aspects of NPC including symptoms, risk factors and incidence One hundred six GPs in the Puskesmas in the Yogyakarta province were subjected to a questionnaire on different aspects of NPC based on literature and interviews with Head and Neck Surgeons All GPs approached participated and in total 106 questionnaires were filled in All participants were aware of NPC as a disease and 89% confirmed that it is a serious problem in Indonesia However, 50% of the participants believed NPC has a low incidence in their region The question on early symptoms gave a mean 42 answers of which 50% were incorrect The GPs provided a total of 318 answers when asked for the risk factors of NPC, 75% of which were incorrect Fifty seven GPs (54%) stated that they did not receive sufficient education on NPC at the university and insufficient knowledge was gained during daily practice Ninety-two percent of the GPs were interested in additional education, preferably in form of lectures, meetings or folders This study revealed that GPs in the Puskesmas in Yogyakarta lack knowledge on all aspects of NPC This is an important finding as NPC is endemic in Indonesia and the Puskesmas are the institutions which provide primary medical health care in the country Further education of the GPs in these endemic areas could be a first step to increase the rate of early detection Therefore, we suggest 1) to conduct a medical awareness campaign for GPs on the most important subjects concerning NPC, and 2) as soon as NPC awareness among GPs has risen, provide further education on the risk factors, the early symptoms and the incidence, education to the community We propose to extend this study to other areas in Indonesia (ie Jakarta, Surabaya, Central Java), using models that have been developed in Yogyakarta

‘Maintaining balance and harmony’: Javanese perceptions of health and cardiovascular disease

Abstract: Community intervention programmes to reduce cardiovascular disease (CVD) risk factors within urban communities in developing countries are rare. One possible explanation is the difficulty of designing an intervention that corresponds to the local context and culture. Objectives: To understand people’s perceptions of health and CVD, and how people prevent CVD in an urban setting in Yogyakarta, Indonesia. Methods: A qualitative study was performed through focus group discussions and individual research interviews. Participants were selected purposively in terms of socio-economic status (SES), lay people, community leaders and government officers. Data were analysed by using content analysis. Results: Seven categories were identified: (1) heart disease is dangerous, (2) the cause of heart disease, (3) men have no time for health, (4) women are caretakers for health, (5) different information-seeking patterns, (6) the role of community leaders and (7) patterns of lay people’s action. Each category consists of sub-categories according to the SES of participants. The main theme that emerged was one of balance and harmony, indicating the necessity of assuring a balance between ‘good’ and ‘bad’ habits. Conclusions: The basic concepts of balance and harmony, which differ between low and high SES groups, must be understood when tailoring community interventions to reduce CVD risk factors. Keywords: health perception; Javanese philosophy; qualitative content analysis; cardiovascular disease; community intervention (Published: 19 April 2010) Citation: Global Health Action 2010, 3: 4660 - DOI: 10.3402/gha.v3i0.4660

Student classification for academic performance prediction using neuro fuzzy in a conventional classroom

Abstract: Conventional classroom is still the main learning method applied in undergraduate program of Electrical Engineering and Information Technology Department, Gadjah Mada University. There are several problems in this method, such as large amount of students and limited number of meetings making difficult to understand each student. Student classification is a way to solve the problem by mapping the condition of each student based on certain parameters. Many methods have been applied to classify students that are based on IF-THEN rules and pattern recognition. However, many studies were done on intelligent tutoring systems and e-learning systems, not in a conventional classroom. Moreover, there are no researches that measure basic values by considering intelligence and non-intelligence performances. In this work, a student classification model was developed by applying neuro fuzzy concept; a combination of fuzzy's IF-THEN rules and neural network's ability to learn, so this method has the ability to learn from the generated rules to produce the best classification model. The model can be used to predict students' academic performance. Data were processed using ANFIS Editor-Matlab Fuzzy Logic. The results showed that combination of three parameter values -interest, talent, and motivation- is the best model for students classification, which has training RMSE value 0.12301 and testing average RMSE value 0.25611.

Economic burden of dengue in Indonesia.

Abstract: Background Dengue is associated with significant economic expenditure and it is estimated that the Asia Pacific region accounts for >50% of the global cost. Indonesia has one of the world's highest dengue burdens; Aedes aegypti and Aedes albopictus are the primary and secondary vectors. In the absence of local data on disease cost, this study estimated the annual economic burden during 2015 of both hospitalized and ambulatory dengue cases in Indonesia. Methods Total 2015 dengue costs were calculated using both prospective and retrospective methods using data from public and private hospitals and health centres in three provinces: Yogyakarta, Bali and Jakarta. Direct costs were extracted from billing systems and claims; a patient survey captured indirect and out-of-pocket costs at discharge and 2 weeks later. Adjustments across sites based on similar clinical practices and healthcare landscapes were performed to fill gaps in cost estimates. The national burden of dengue was extrapolated from provincial data using data from the three sites and applying an empirically-derived epidemiological expansion factor. Results Total direct and indirect costs per dengue case assessed at Yogyakarta, Bali and Jakarta were US$791, US$1,241 and US$1,250, respectively. Total 2015 economic burden of dengue in Indonesia was estimated at US$381.15 million which comprised US$355.2 million for hospitalized and US$26.2 million for ambulatory care cases. Conclusion Dengue imposes a substantial economic burden for Indonesian public payers and society. Complemented with an appropriate weighting method and by accounting for local specificities and practices, these data may support national level public health decision making for prevention/control of dengue in public health priority lists.