Widayati, Anis Nur
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Meta-Analysis: Effectiveness of Dental and Oral Health Education using Combination Method on Knowledge and Plaque Scores in Visually Impaired Childrenveness of Dental and Oral Health Education using Combination Method on Knowledge and Plaque Scores in Visually Impaired Children Widayati, Anis Nur; Tamtomo, Didik Gunawan; Ichsan, Burhannudin
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.02

Abstract

Background: Dental health education is important to improve people's dental and oral health. Visually impaired children have limited vision, so they need appropriate and appropriate methods for accepting visually impaired children by maximizing the provision of education through senses other than sight in carrying out treatment and prevention efforts. This study aimed to analyze the effectiveness of combination oral health education on the oral health knowledge and plaque scores in visually impaired children. Subjects and Method: This was a meta-analysis with PICO model. Population: Visually impaired children. Intervention: dental health education ≥3 methods. Comparison: without education or <3 education methods. Outcome: oral hygiene knowledge and plaque scores. Article search was carried out using the keywords: ("dental health education" OR "oral hygiene" OR "oral health education") AND ("visually impaired children" OR "blind children") AND “randomized control trial”. Studies published between 2013-2023 from the PubMed, Elsevier, Google Scholar, and Science Direct databases were included. Standarized mean difference (SMD) from selected articles were were analyzed using the Review Manager 5.4 tool. Results: 10 RCTs from India and Indonesia were included in the meta-analysis. The use of combined education methods increased knowledge of oral hygiene compared to single education (SMD= 2.67; 95% CI= 1.05 to 4.30; p<0.001). Combined education method reduced plaque scores compared to single education (SMD= -0.82; 95% CI= -1.29 to -0.35; p<0.001). Conclusion: Combination education methods increase oral hygiene knowledge and reduce plaque scores in visually impaired children.
Effect of Dapagliflozin in Lowering Risk of Heart Failure Severity: Meta-Analysis Andreza, Andreza; Widayati, Anis Nur
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.03

Abstract

Background: Heart failure is a progressive health problem with high mortality and morbidity rates in developed as well as developing countries including Indonesia. Dapagliflozin is one of the oral antidiabetic medicines of the class of sodium-glucose cotransporter-2 (SGLT2) inhibitors, used in people with type 2 diabetes mellitus (DMT2). Unlike other oral anti-diabetes that work to stimulate insulin secretion or increase insulin sensitivity, dapagliflozin works in the kidneys by competitively inhibiting the SGLT2 protein reversibly which serves in glucose reabsorption in the glomerulus thereby lowering blood sugar levels in T2DM patients. This study aimed to determine the estimated effect of dapagliflozin on the severity of heart failure patients.Subjects and Method: This study was a systematic review and meta-analysis with PICO. Population= Heart failure patients over 18 years old. Intervention= administration of dapagliflozin. Comparison= Placebo. Outcome= severity of Heart Failure. The articles used PRISMA flowchart guidelines. The article search process was conducted from 2019 to 2022 using databases from PubMed, Google Scholar, and Scopus with the search keywords Dapagliflozin, Heart Failure, and Placebo. The analysis was performed using RevMan 5.4 software.Results: A total of 8 articles from across 2 continents, America and Asia, reviewed in the meta-analysis, showed that administering Dapagliflozin could reduce the risk of heart failure severity by 0.99 units compared to without dapagliflozin, however, it was statistically insignificant (OR= 0.99; 95% CI= 0.92 to 1.06; p= 0.710).Conclusion: The administration of Dapagliflozin lowers the risk of heart failure severity and is statistically significant. Keywords: dapagliflozin, heart failure, placebo Correspondence: Andreza. Universitas Hasanuddin. Jl. Perintis Kemerdekaan No.KM.10, Tamalanrea Indah, Kec. Tamalanrea, Makasar City, South Sulawesi. Email: andrezafauzialghifary@gmail.com. Mobile: +625299015320.