Papers by Amir Syafruddin
Annals of Medicine and Surgery
Background: Reports suggest that early initiation of breastfeeding can reduce infant mortality ra... more Background: Reports suggest that early initiation of breastfeeding can reduce infant mortality rates by around 22%. Infants who are given early initiation of breastfeeding will obtain colostrum that contains immunoglobul in to improve infants’ immunity. Early initiation of breastfeeding within twenty four hours of birth can determine exclusive breastfeeding (EBF) and breastfeeding duration. However, in Indonesia, the rate of breastfeeding initiation was only 34.5%, and exclusive breastfeeding was about 54.3% in 2014. West Java is one of the provinces with the lowest exclusive breastfeeding rate, as low as 35%. The objective of this study was to analyze the relationship between early initiation of breastfeeding with exclusive breastfeeding and with breastfeeding duration in rural and urban areas in Subang, West Java-Indonesia. Methods: A cross-sectional study was conducted from January to June2013 to analyze the relationship between early initiation of breastfeeding with EBF and breastfeeding duration. A total of 243 mothers who had babies aged between 12-24 months were interviewed using the questionnaire. The inclusion criteria are mothers aged ≤40 years who have spontaneous birth, singleton birth, baby’s birth weight ≥2500 grams, not disabled, and been willing to participate in this study. 107 mothers who live in Pagaden sub-district (a rural area), and 136 mothers in Subang sub-district (an urban area) have completed the social and demographic data questionnaire. The participants were recruited using cluster random sampling technique. Results: The overall early initiation of breastfeeding was seen in 33.7% of mothers (from the total of 243 mothers), and the rate of exclusive breastfeeding was about 38.6%. A total of 42.0% of the babies have beenbreastfed for more than 12 months. The mothers in the urban area are more likely to initiate early breastfeeding (about 39.7% in ≥1-2 hours and 52.9% <1 hour) and perform exclusive breastfeeeding (45.6%) than mothers in the rural area. The multiple logistic regression analysis showed that early initiation of breastfeeding has statictically significant positive relationship with exclusive breastfeeding and breastfeeding duration. The most significant relationship is on exclusive breastfeeding (OR: 2.14,95% CI1.19 to 4.18) Conclusions: Early initiation of breastfeeding is related to exclusive breastfeeding and breastfeeding duration, with the most significant relationship on exclusive breastfeeding. Educational strategies need to improveand to increase the knowledge of breastfeeding mothers who livein urban and rural areas, which in turn can gradually increase the rate of early initiation of breastfeeding and exclusive breastfeeding in Subang District, West Java-Indonesia.
The study examines the effect of Continuing Medical Education (CME) through the online module on ... more The study examines the effect of Continuing Medical Education (CME) through the online module on the knowledge enrichment and broadening of general practitioners' insight in dealing with Bell's Palsy. The research method used is a pre-experimental, pre-test post-test group design. Seven hundred seventy-nine general practitioners from Central Java Province, Indonesia, participated as samples in this study. The results of the Wilcoxon statistical test show that the CME throughout the online module has an effect on the enrichment of knowledge and broadening the knowledge of general practitioners in dealing with Bell's Palsy.
Background: The logical clinical skill of the doctors can affect the patient's recovery. It ... more Background: The logical clinical skill of the doctors can affect the patient's recovery. It was highly related with the quality of health care facilities which increase the community health status. The objective of this study was to analyze the effectiveness of peer learning methode in improving logical clinical skills and student satisfaction on medical student in University of Muhammadiyah Jakarta. Methods: A mix-method study was conducted from April to June 2016. A quasi-experimental as a quantitave study was used to analyze the pre and post test score of logical clinical skills in respiration’ block among the second year student of medical study program in University of Muhammadiyah Jakarta. As many as 30 student as control group and 30 student as intervention group (using peer learning method). An Independent t-tes was used to analyzed statictically. Student satisfaction was assessed with quantitative method and also a qualitative study. Both of control (3 groups) an...
New England Journal of Medicine, 1980
FOR many years it has been accepted that the practicing physician can maintain his competence onl... more FOR many years it has been accepted that the practicing physician can maintain his competence only by regular updating. The reading of medical journals, attendance at scientific meetings, and parti...
Introduction: The Logical clinical skills is an absoulte requirements of doctors profesionalism. ... more Introduction: The Logical clinical skills is an absoulte requirements of doctors profesionalism. Unfortunaltely, in Indonesiathat skills is lower compared the others countries. Muhammadiyah universities which have medical faculty is not yet all implemented learning methods in accordance with standards of Indonesian and Muhammadiyah doctor’s competency. The aim of study was analyzing the effectiveness of peer learning method in developing logical clinical skills on medical students. Research Method: This quasi-experimental study was conducted among the sophomore students of medical study program in Muhammadiyah University of Jakarta in 2013-2014. The studentswere randomly selected, devided into seventeen groups in neuropsychiatrics’ block. Nine groups (83 students) using peer learning method and the others was control groups with lecture-practices methods.At the end of block, the students were examined and that score was analyzed using Independent t-test through SPSS 16software. Re...
Introduction: The Logical clinical skills is an absoulte requirements of doctors profesionalism. ... more Introduction: The Logical clinical skills is an absoulte requirements of doctors profesionalism. Unfortunaltely, in Indonesiathat skills is lower compared the others countries. Muhammadiyah universities which have medical faculty is not yet all implemented learning methods in accordance with standards of Indonesian and Muhammadiyah doctor's competency. The aim of study was analyzing the effectiveness of peer learning method in developing logical clinical skills on medical students. Research Method:This quasi-experimental study was conducted among the sophomore students of medical study program in Muhammadiyah University of Jakarta in 2013-2014. The studentswere randomly selected, devided into seventeen groups in neuropsychiatrics' block. Nine groups (83 students) using peer learning method and the others was control groups with lecture-practices methods.At the end of block, the students were examined and that score was analyzed using Independent t-test through SPSS 16software. Results and Analysis:The mean scores of peer learning groups was higher than control groups (91.45±5.07 and 89.91±5.02 respectively).There was statistically significant differences mean scoresin both groups (p=0.048). Conclusion:Peer learning is an effective method in developing logical clinical skills. This method needs to be applied in learning method. Students' confidence and satisfaction need to be assessed in future studies.
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Papers by Amir Syafruddin