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Association of Exclusive Breastfeeding to the Prevention of Precocious Puberty Tjahyanto, Teddy; Angellina Mulyadi, Eunike; Angelica Novian, Gabriel; Rianto, Louis
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 9 (2023): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i9.189

Abstract

Introduction: Exclusive breastfeeding is breast milk given without other foods to children up to 6 months of age. Breast milk has many uses, including helping children's growth and development, preventing infections, reducing the risk of obesity, and helping children's mental and psychomotor development. Exclusive breastfeeding was found to have a protective effect against the incidence of precocious puberty. Precocious puberty is defined as the onset of puberty that occurs before age 8 in girls and age 9 in boys.  Objective: Based on these findings, the authors want to make a study to compile the latest research results on the association of exclusive breastfeeding as one of the prevention of precocious puberty.  Method: The author searches, selects, and selects journals related to exclusive breastfeeding with the prevention of precocious puberty through several research databases including ScienceDirect, Google Scholar, PubMed, and Wiley. The keywords used are "exclusive breastfeeding", "precocious puberty", and "prevention".  Results and discussion: Various studies have shown that exclusive breastfeeding has a protective effect against the incidence of precocious puberty. Exclusive breastfeeding alone can reduce the risk of obesity in children. Obesity in this child, based on several studies, is a risk factor for precocious puberty. Conclusion: Exclusive breastfeeding of children can prevent the incidence of precocious puberty.
The Effectiveness of Using Laser Therapy on Outcome of Carpal Tunnel Syndrome Patients : A Literature Review Tjahyanto, Teddy; Mayung, Claraiva; Yohanes, Guntur; Erwin, Ferdinand; Wiracakra, I Gusti Lanang Krisna
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.523

Abstract

Carpal Tunnel Syndrome (CTS) is a neuropathy caused by compression of the median nerve that passes through the carpal tunnel structure in the wrist. If the CTS condition is not treated, complications will occur such as irreversible damage to the median nerve resulting in permanent impairment and disability, chronic wrist pain, and muscle atrophy and weakness. Currently there are various CTS therapies such as splinting , local injection of corticosteroids, oral medications such as prednisone, physical therapy such as carpal bone mobilization, ultrasound therapy , and nerve glides exercises , as well as surgical therapy. However, these various therapies have not provided optimal results and there are complications such as neuromas, hypertrophic wounds, dysesthesia, wrist joint stiffness, and the inability of various to reduce CTS symptoms. Therefore, more effective therapy with minimal side effects is needed. Therefore, in this literature review, an analysis of the effect of laser therapy on various outcomes of CTS patients as an innovative therapy was carried out. Study searches were performed on various databases such as Pubmed, ScienceDirect , Directory of Open Access Journal , Epistemonikos, and Cochrane Library . From the search results obtained a total of 389 studies. The 7 studies that met the inclusion and exclusion criteria were the studies that were analyzed in this literature review. Various types of laser therapy showed better outcome results than the control group, with LLLT laser therapy showing the best results in various outcomes in CTS patients. LLLT laser therapy also shows better results when combined with other types of therapy. No adverse events were reported with any type of laser therapy in all inclusion studies. Therapy is the newest type of innovative therapy with better effects and minimal side effects compared to conventional therapy in CTS patients.
Vitamin K Supplementation for Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review Liora, Kevin; Wiyono, Putri Dhiya Prameswari; Putra, Ananda; Alexander, Devin; Ramadhan, Afif; Oktavia, Anissya Rima; Larissa, Olivia; Nugroho, Fajar Prianto; Tjahyanto, Teddy
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.919

Abstract

This study was conducted to analyze the hSIL of Vitamin K Supplementation in Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review. Cardiovascular disease (CVD) is the leading source of morbidity and mortality worldwide, and chronic kidney disease (CKD) is a major contributor to this matter. Kidney disease is estimated to affect over 850 million people worldwide. The present systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We searched studies from electronic databases (PubMed Central, ScienceDirect, PLoS One, Google Scholar, Nature). Studies were considered eligible if they met the following criteria : (1) the study is a randomized controlled trial (RCT), (2) the study was published in the last 5 years (2018– 2022), (3) the study participants were adult patients with kidney disease from stage III to end-stage who were given vitamin K supplementation, (4) the study reported coronary artery calcium scores pre- and post- vitamin K supplementation, (5) the study was published in English. Risk of bias of each study was evaluated using Cochrane Risk of Bias (RoB) 2 tool. Data were descriptively examined and narratively reported. In conclusion, our results do not suggest that vitamin K supplementation may affect vascular calcification as measured by the CAC score. Up till now there is no treatment to reverse vascular calcification in ESKD patients. The current clinical practice should focus on prevention and retardation of its progression.
EDUKASI KESEHATAN UNTUK MENINGKATKAN PENGETAHUAN TERKAIT PENYAKIT TIDAK MENULAR (DIABETES MELITUS) Limanan, David; Tjahyanto, Teddy; Destianti , Erika; Makarau, Erick; Eldy
Jurnal Serina Abdimas Vol 1 No 1 (2023): Jurnal Serina Abdimas
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jsa.v1i1.24539

Abstract

Non-communicable diseases, especially diabetes mellitus, are the main cause of death and disability globally. Data shows that the prevalence of diabetes mellitus in people aged 15 years and over has increased from 6.9% to 10.9%. This increase is due to educational and knowledge inequalities, poor health behaviors such as smoking, drinking heavy alcohol, physical activity, and unhealthy eating patterns. The purpose of this service activity is to increase knowledge and transfer insights to participants regarding non-communicable diseases diabetes mellitus. Community service activities begin with a coordination meeting with the community service implementation team, the results of the meeting determine educational activities on knowledge about diabetes mellitus to be carried out on November 14, 2022, and before and after education a pretest and post-test is carried out with a Google form containing questions on respondent characteristics and basic knowledge about diabetes mellitus. The diabetes mellitus educational counseling activity was held on November 14, 2022, at 12.00-16.00 with a total of 140 participants, consisting of 38 men and 102 women. The results of the pretest average score were 62.30 and the posttest average score was 82.29, so there was an increase in the knowledge of participants who took part in educational activities by 32.09%. This activity can be carried out regularly so that participants can become agents of change both for themselves and the people around them, especially those related to diabetes mellitus. Penyakit tidak menular (PTM) terutama yang disebabkan penyakit diabetes melitus menjadi penyebab utama kematian dan kecacatan secara global. Data menunjukan bahwa prevalensi diabetes mellitus pada penduduk berusia 15 tahun ke atas terjadi peningkatan dari 6,9% menjadi 10,9%. Peningkatan ini disebabkan ketidaksetaraan pendidikan dan pengetahuan, perilaku kesehatan yang kurang baik seperti merokok, minum alkohol berat, aktivitas fisik, dan pola makan yang tidak sehat. Tujuan kegiatan pengabdian ini menambah pengetahuan serta mentransfer wawasan kepada para peserta mengenai penyakit tidak menular diabetes melitus. Kegiatan pengabdian dimulai dengan rapat koordinasi dengan tim pelaksana pengabgdian, hasil rapat ditetapkan kegiatan edukasi pengetahuan mengenai diabetes melitus dilakukan pada tanggal 14 November 2022 serta sebelum dan sesudah edukasi dilakukan pretest dan post-test dengan Google form yang berisi pertanyaan karekteristik responden dan pengetahuan dasar mengenai diabetes melitus. Kegiatan penyuluhan edukasi penyakit diabetes melitus dilaksanakan tanggal 14 November 2022 pukul 12.00-16.00 dengan total peserta kegiatan sebanyak 140 peserta, terdiri dari 38 laki-laki dan 102 perempuan dapat berlangsung sesuai rencana dan diselenggarakan dengan baik. Hasil nilai rata-rata prestest sebesar 62.30 dan nilai rata-rata posttest adalah 82.29, maka terjadi peningkatan pengetahuan peserta yang mengikuti kegiatan edukasi sebesar 32,09%. Kegiatan ini dapat dilakukan secara rutin agar peserta dapat menjadi agen perubahan baik untuk dirinya dan juga orang-orang disekitarnya, terutama yang berkaitan dengan penyakit diabetes melitus
Impact of Socioeconomic Inequalities on the Incidence of Type 2 Diabetes Mellitus: A Systematic Review Sasongko, Calvin; Adrya, Jessica; Varsha, Srigita; Fatchurrahman, Sony A.; Hermawan, Galih Muchlis; Dhika, Veriantara Satya; Tjahyanto, Teddy
Medicinus Vol. 15 No. 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v15i2.10972

Abstract

ckground: Type 2 diabetes mellitus (T2DM) is a rising global burden, and socioeconomic inequalities may shape risk through differential resources, environments, and access to prevention and care. We synthesised evidence on the association between socioeconomic position (SEP) and incident T2DM. Methods: We conducted a PRISMA 2020–guided systematic review of PubMed, EMBASE, and Scopus (inception to 18 January 2026). Observational studies of adults without diabetes at baseline that measured SEP (education, income, occupation and/or area deprivation) prior to diagnosis and reported incident T2DM were eligible. Random-effects meta-analyses pooled relative risks (RRs), treating hazard ratios as approximations. Risk of bias was assessed (NOS). Result: From 1,580 records, 25 studies met inclusion criteria and 23 contributed to quantitative synthesis. Studies were mainly prospective cohorts or nested case–control designs, largely from high-income countries, with follow-up from 3 to 34 years and participants aged 18–86 years. Lower education was associated with higher T2DM incidence (least vs most educated: RR 1.55, 95% CI 1.37–1.75). Lower occupational position was also associated with increased risk (lowest vs highest: RR 1.60, 95% CI 1.25–2.05). Income was not statistically conclusive (lowest vs highest: RR 1.37, 95% CI 0.94–2.01). Conclusions: Socioeconomic disadvantage, particularly lower education and occupational status, is consistently associated with higher risk of incident T2DM. Prevention and screening should incorporate SEP to better target upstream determinants.