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All Journal Manuju : Malahayati Nursing Journal PREPOTIF : Jurnal Kesehatan Masyarakat Sriwijaya Journal of Surgery Jurnal Masyarakat Mengabdi Nusantara Perigel: Jurnal Penyuluhan Masyarakat Indonesia Jurnal Pengabdian Masyarakat Bunda Delima Jurnal Abdimas Indonesia Ebers Papyrus Jurnal Muara Medika dan Psikologi Klinis Prosiding Seminar Nasional COSMIC Kedokteran Jurnal Serina Abdimas
Peter Ian Limas
Bagian Bedah, Fakultas Kedokteran Universitas Tarumanegara/Rumah Sakit Sumber Waras, Jakarta
Religion Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Kegiatan Pengukuran Komposisi Tubuh Dalam Rangka Deteksi Dini Obesitas Pada Populasi Lanjut Usia Limas, Peter Ian; Santoso, Alexander Halim; Warsito, Jonathan Hadi; Lumintang, Valentino Gilbert
Perigel: Jurnal Penyuluhan Masyarakat Indonesia Vol. 3 No. 2 (2024): Juni: Perigel: Jurnal Penyuluhan Masyarakat Indonesia
Publisher : Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/perigel.v3i2.1715

Abstract

Body composition refers to the various components that make up a person's body weight, such as lean mass (muscle, water, bones, ligaments, and tendons) and fat mass. As we age, significant changes occur in body composition, including increased fat mass and decreased muscle and bone mass, which often leads to sarcopenic obesity. This condition, which is common in older adults, is associated with frailty, disability, metabolic syndrome, reduced survival rates in certain cancers, and osteopenia/osteoporosis. This activity uses the PDCA (Plan-Do-Check-Act) method to measure the body composition of elderly participants at Hana Nursing Home, South Tangerang. A total of 40 participants underwent body composition examinations. The examination results showed that the average total body fat, visceral fat, subcutaneous fat, and skeletal muscle mass were 36.7% each; 8%; 27.6%; and 20.7%. We need to carry out routine body composition checks for early detection to provide timely management, ultimately improving long-term public health. Keywords: Body Composition, Early Detection, Elderly, Obesity, Sarcopenia
Kegiatan Penyuluhan Dan Penapisan Komposisi Tubuh Pada Kelompok Lanjut Usia Di Gereja St. Fransiskus Asisi Limas, Peter Ian; Kasvana Kasvana; Saerang, Stefanus Hnady; Satyanegara, William Gilbert; Wijaya, Dean Ascha; Santoso, Alexander Halim
jurnal ABDIMAS Indonesia Vol. 2 No. 2 (2024): Juni : Jurnal ABDIMAS Indonesia
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jurai.v2i2.1317

Abstract

Aging is associated with significant changes in body composition, specifically a decrease in lean body mass and an increase in fat mass. These changes contribute to the prevalence of obesity and sarcopenia in the elderly population, impacting quality of life, morbidity and mortality. A complex interaction between hormonal decline, chronic inflammation, nutritional deficiencies, and reduced physical activity underlies these changes. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for obesity and sarcopenia in the elderly at St. Mary's Church, Francis of Assisi. We use Bioelectrical Impedance Analysis (BIA) to measure body composition, which includes total body fat, visceral fat, subcutaneous fat, and muscle mass. Among 32 participants, the average total body fat, visceral fat, subcutaneous fat, and muscle mass were 36.5% each; 9.6%; 9.68%; and 21.5%. Body composition assessment using BIA is very important in managing the elderly's health. Preventive strategies, including tailored exercise programmes, nutritional counselling, and lifestyle modifications, are essential to maintain muscle mass and prevent excessive fat deposition, thereby improving quality of life and reducing morbidity and mortality. Keywords: Body Composition, Obesity, Sarcopenia, Elderly, Bioelectrical Impedance Analysis
Migration of the Plastic Clips of the Cystic Ducts to the Bile Duct Post-Laparoscopic Cholecystectomy: A Case Report Limas, Peter Ian; Barlian Sutedja
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.108

Abstract

Introduction: Migration of the cystic duct clip into the common bile duct is a rare but significant complication following laparoscopic cholecystectomy. This condition can cause biliary obstruction, cholangitis, and gallstone formation. Case presentation: A 60-year-old man presented with symptoms of cholangitis. His medical history included laparoscopic cholecystectomy with choledochoscopy and intraoperative cholangiography. MRCP showed stones and sludge in the common bile duct (CBD), but did not identify a migrated clip. Endoscopic retrograde cholangiopancreatography (ERCP) successfully extracted the migrated clip causing the obstruction. Conclusion: Migration of the clip into the common bile duct should be considered in the differential diagnosis of biliary obstruction following laparoscopic cholecystectomy. Early identification through careful imaging and ERCP can facilitate appropriate management and prevent further complications.
Comparison of the Incidence of Dumping Syndrome in Post-Bariatric Surgery Patients with Roux-en-Y Gastric Bypass (RYGB) Techniques and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) Gracienne; Limas, Peter Ian
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.109

Abstract

Introduction: Dumping syndrome (DS) is a common post-bariatric surgery complication. This study aims to compare the incidence of DS between Roux-en-Y gastric bypass (RYGB) and single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) at Sumber Waras Hospital, Jakarta, Indonesia. Methods: This single-center retrospective observational study included 187 patients who underwent RYGB or SADI-S between January 2018 and December 2023. Demographic, clinical, and DS-related data were collected from patients' medical records. Statistical analysis was carried out using SPSS version 25. Results: The overall incidence of DS was 21.4%, with 23.2% in the RYGB group (n=95) and 19.6% in the SADI-S group (n=92). There was no significant difference in the incidence of DS between the two groups (p = 0.56). Young age (OR 2.18; 95% CI 1.05-4.53; p = 0.04) and history of type 2 diabetes mellitus (OR 3.05; 95% CI 1.21-7.70; p = 0.02) is an independent risk factor for DS. Conclusion: There was no significant difference in the incidence of DS between RYGB and SADI-S. Young age and a history of type 2 diabetes mellitus are independent risk factors for DS.
Perbandingan Kejadian Sindrom Dumping pada Pasien Pasca-Bedah Bariatrik dengan Metode RYGB dan Sadi-S di Rumah Sakit Sumber Waras, Jakarta, Indonesia Gracienne, Gracienne; Limas, Peter Ian
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.15822

Abstract

ABSTRACT Obesity has become a global problem for years. It is predicted in 2030, 1 in 20 men and 1 in 11 women will have a BMI >30 kg/m². After years of medical treatments failing to treat obesity, bariatric surgery has proven to be effective in curing obesity. Regardless of its effectiveness, there are still side effects from bariatric surgery, one of which is Dumping Syndrome. There are various methods of bariatric surgery, two of them are Roux-en-Y Gastric Bypass (RYGB) and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S). RYGB is thought to have a higher risk of Dumping Syndrome than SADI-S due to RYGB not preserving the pyloric sphincter. This study aims to compare the incidence of Dumping Syndrome in patients after bariatric surgery using the RYGB and SADI-S methods in Sumber Waras Hospital. This research was an analytical observational study with a cohort-retrospective design consisting of 74 post-bariatric surgery patients. Dumping Syndrome was assessed using Sigstad Scoring, then analyzed using chi-square analysis with the assistance of SPSS software. This study found that the prevalence of Dumping Syndrome in patients after RYGB is 58,2%, compared to SADI-S is 42,1%. This study found no significant relationship between the prevalence of Dumping Syndrome and bariatric methods. (p-value = 0,345; RR = 0,724; CI 95% = 0,408 – 1,283). RYGB is more likely to cause Dumping Syndrome than SADI-S. Bariatric methods, in this case RYGB and SADI-S, have no significant association with the incidence of Dumping Syndrome. Keywords: Dumping syndrome, Bariatric, Roux-en-Y Gastric Bypass, Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, Obesity  ABSTRAK Obesitas menjadi masalah global selama bertahun-tahun. Diprediksikan hingga tahun 2030, 1 dari 20 laki – laki dan 1 dari 11 perempuan akan memiliki BMI >30 kg/m². Setelah bertahun-tahun penanganan medis gagal menangani obesitas, bedah bariatrik terbukti efektif menyembuhkan obesitas. Terlepas dari keefektivitasannya, terdapat efek samping dari bedah bariatrik, salah satunya yaitu Sindrom Dumping. Terdapat berbagai jenis bedah bariatrik, dua diantaranya yaitu Roux-en-Y Gastric Bypass (RYGB) dan Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S). RYGB dipercaya lebih memungkinkan untuk mengalami Sindrom Dumping dibandingkan SADI-S diakibatkan sfingter pilorus yang tidak dipertahankan.  Studi ini bertujuan untuk membandingkan kejadian Sindrom Dumping pada pasien pasca-bedah bariatrik dengan metode RYGB dan SADI-S di Rumah Sakit Sumber Waras. Penelitian ini merupakan penelitian analitik observasional dengan desain studi cohort-retrospective yang terdiri dari 74 responden pasca bedah bariatrik. Sindrom Dumping dinilai menggunakan Skoring Sigstad, lalu dianalisis menggunakan analisis chi-square dengan bantuan software SPSS. Penelitian ini menemukan prevalensi Sindrom Dumping pada pasien pasca RYGB sebesar 58,2%, dibandingkan dengan SADI-S sebesar 42,1%. Penelitian ini tidak menemukan hubungan yang signifikan antara prevalensi Sindrom Dumping dan metode bariatrik. (p-value = 0,345; RR = 0,724; CI 95% = 0,408 – 1,283). Didapatkan metode RYGB lebih mungkin menyebabkan Sindrom Dumping dibandingkan SADI-S. Metode bariatrik RYGB dan SADI-S tidak mempunyai hubungan yang signifikan dengan kejadian Sindrom Dumping Kata Kunci: Sindrom Dumping, Bariatrik, Roux-en-Y Gastric Bypass, Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, Obesitas
EXPLORING THE ROLE OF APOLIPOPROTEIN A AS A PREDICTIVE BIOMARKER FOR FECAL INCONTINENCE SEVERITY IN THE ELDERLY: A FOCUS ON LIPID-IMMUNE INTERACTIONS Wijaya, Bryan Anna; Limas, Peter Ian; Firmansyah, Yohanes; Sari, Triyana; Santoso, Alexander Halim
Prosiding Seminar Nasional COSMIC Kedokteran Vol 3 (2025): Edisi 2025
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Fecal incontinence (FI) is a common problem among the elderly, affecting their quality of life. Identifying reliable biomarkers like Apolipoprotein A (Apo-A) could improve management strategies, as its anti-inflammatory properties may help predict the severity of FI. This study aims to assess Apo-A as a lipid biomarker for predicting the severity of fecal incontinence, using the Fecal Incontinence Severity Index (FISI) for measurement. This cross-sectional study involved 93 elderly participants at Bina Bhakti Nursing Home, who exhibited varying FI levels. The severity was evaluated using the FISI, while serum lipid profiles were analyzed to measure Apo-A levels. We assessed Apo-A’s predictive ability for FI severity through the area under the curve (AUC) from the receiver operating characteristic (ROC) curve. The state variable was set at 0 on the FISI scale, indicating the absence of FI. The AUC for Apo-A was found to be 0.631, with a p-value of 0.031, indicating that higher Apo-A levels are significantly linked to the absence of fecal incontinence. Apo-A is a promising biomarker for predicting FI severity, although its predictive capacity is limited. Future studies should investigate combining Apo-A with other inflammatory markers to enhance prediction accuracy.
Edukasi dan Deteksi Dini Kadar HDL dan Kolesterol dalam Rangka Menjaga Kualitas Kesehatan pada Populasi Lansia di Panti Werda Hana Limas, Peter Ian; Santoso, Alexander Halim; Gunaidi, Farell Christian; Teguh, Stanislas Kotska Marvel Mayello; Gracienne Gracienne
Jurnal Masyarakat Mengabdi Nusantara Vol. 4 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat
Publisher : STIPAS Tahasak Danum Pambelum Keuskupan Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58374/jmmn.v4i2.342

Abstract

Hypercholesterolemia is one of the health problems that is often experienced by the elderly and has a major impact on their quality of life, especially because it increases the risk of cardiovascular diseases such as coronary heart disease, stroke, and peripheral vascular disorders. This condition often does not show symptoms, but the process of atherosclerosis can develop slowly and cause serious complications if not treated early. The Community Service Program (PKM) implemented at Panti Werdha Hana aims to increase awareness among the elderly of the importance of early detection of Cholesterol and High Density Lipoprotein (HDL) levels as part of efforts to prevent heart disease. This activity applies the Plan-Do-Check-Act (PDCA) approach, including total cholesterol and HDL examinations using the Point-of-Care Testing (POCT) method, as well as interactive education about risk factors and healthy lifestyles. The results of the activity showed that out of 76 participants, 38 people (50%) had total cholesterol levels above normal, while 22 people (28.95%) had low or very low HDL levels. Early detection through screening has proven effective in identifying cardiovascular risks earlier and providing a basis for timely medical and educational interventions. Through this activity, it is hoped that the elderly can understand their health conditions better and take preventive steps to maintain lipid levels within normal limits, to improve the quality of life and reduce the risk of cardiovascular complications in the future.
ASSESSING THE PREDICTIVE ROLE OF LIPID PROFILE AND DIABETES MELLITUS PANEL ON FECAL INCONTINENCE SEVERITY Limas, Peter Ian; Santoso, Alexander Halim; Wijaya, Bryan Anna; Putra, Muhammad Dzakwan Dwi; Jaya, I Made Satya Pramana; Firmansyah, Yohanes
Jurnal Muara Medika dan Psikologi Klinis Vol. 4 No. 1 (2024): Jurnal Muara Medika dan Psikologi Klinis
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmmpk.v4i1.34328

Abstract

Latar Belakang: Inkontinensia fekal (FI) adalah masalah umum di kalangan lansia yang secara signifikan mempengaruhi kualitas hidup mereka. Ini terkait dengan tantangan fisik dan psikologis. Disregulasi kadar glukosa dan lipid telah terlibat dalam FI, dengan obesitas dan hiperlipidemia berkontribusi pada peradangan sistemik dan kerusakan jaringan. Memahami faktor metabolik yang mempengaruhi FI dapat membantu dalam mengembangkan intervensi yang ditargetkan. Tujuan: Studi ini mengeksplorasi hubungan antara profil lipid, indikator diabetes mellitus, dan tingkat keparahan FI pada individu lanjut usia. Metode: Studi analitik cross-sectional dilakukan dengan 93 orang lanjut usia dari Panti Jompo Bina Bhakti. Indeks Keparahan Inkontinensia Fekal (FISI) digunakan untuk menilai keparahan FI. Profil lipid dan panel diabetes mellitus diperoleh melalui tes darah vena. Analisis statistik termasuk Spearman's Rho dan analisis regresi berganda. Hasil: Studi ini menemukan korelasi negatif yang signifikan antara kadar LDL dan keparahan FI, menunjukkan peran protektif LDL dalam menjaga integritas jaringan anorektal. Demikian pula, kadar HbA1c berhubungan terbalik dengan keparahan FI, menunjukkan bahwa kontrol glikemik yang lebih baik terkait dengan gejala FI yang berkurang. Parameter lipid dan indikator glikemik lainnya tidak menunjukkan dampak signifikan pada keparahan FI. Kesimpulan: Temuan ini menunjukkan bahwa manajemen lipid dan kontrol glikemik sangat penting dalam mengelola FI pada lansia. LDL dan HbA1c muncul sebagai penanda potensial untuk menilai risiko dan keparahan FI. Untuk meningkatkan hasil bagi pasien lanjut usia dengan FI, pendekatan multifaktorial, termasuk intervensi diet dan farmakologis, harus diprioritaskan.
ASSOCIATION OF GLOMERULAR FILTRATION RATE AND DIABETES PARAMETERS WITH SYMPTOMATIC GERD IN THE ELDERLY POPULATION Martin, Alfianto; Limas, Peter Ian; Santoso, Alexander Halim; Setiawan, Fiona Valencia; Khoto, Anthon Eka Prayoga; Cendi, Sylvia; Firmansyah, Yohanes
Jurnal Muara Medika dan Psikologi Klinis Vol. 4 No. 1 (2024): Jurnal Muara Medika dan Psikologi Klinis
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmmpk.v4i1.34339

Abstract

Background: Gastroesophageal reflux disease (GERD) is common in the elderly, with diabetes and impaired kidney function being potential contributing factors. Poor blood glucose control and declining glomerular filtration rate (GFR) may influence GERD symptoms through metabolic disturbances, delayed gastric emptying, and esophageal dysfunction. Purpose: This study aims to analyze the relationship between GFR, diabetes parameters, and symptomatic GERD in the elderly population to provide insights into their clinical significance. Methods: A cross-sectional study was conducted in 2024 with 93 elderly residents of Bina Bhakti Nursing Home, recruited through total sampling. Symptomatic GERD was assessed using the GERD-Q questionnaire, while GFR was estimated using the CKD-EPI equation. diabetes parameters, including fasting blood glucose, HbA1c, and fasting insulin, were measured via venous blood sampling. Spearman’s correlation test was used to determine associations between these variables. Results: Fasting blood glucose significantly correlated with GERD-Q scores (r = 0.223, p = 0.031), indicating that higher glucose levels were associated with more severe GERD symptoms. However, eGFR (r = 0.034, p = 0.750), HbA1c (r = 0.106, p = 0.310), and fasting insulin (r = -0.075, p = 0.475) demonstrated weak and statistically insignificant correlations with GERD severity. Age also had no significant relationship with GERD-Q scores (r = 0.015, p = 0.884). Conclusion: Poor blood glucose control is significantly associated with GERD severity in the elderly, whereas kidney function and other diabetes parameters show weaker correlations. Optimizing glycemic control may help reduce GERD symptoms and improve overall health outcomes in the elderly population.
Skrining Gizi pada Remaja Sekolah Menengah Atas: Nutrition Screening in High School Adolescents Limas, Peter Ian; Santoso, Alexander Halim; Gunaidi, Farell Christian; Dewanto, Paulus Gegana Thery; Amertha, Anak Agung Ngurah Putrayoga
Jurnal Pengabdian Masyarakat Bunda Delima Vol 4 No 2 (2025): EDISI AGUSTUS
Publisher : Akademi Keperawatan Bunda Delima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jpmbd.v4i2.97

Abstract

Masalah gizi pada remaja menjadi perhatian penting dalam kesehatan masyarakat, mengingat fase ini merupakan masa pertumbuhan pesat yang memerlukan asupan gizi optimal. Di sisi lain, perubahan pola makan, gaya hidup sedentari, serta kurangnya kesadaran akan kesehatan menyebabkan meningkatnya risiko gizi kurang, obesitas, dan penyakit tidak menular (PTM). Pengukuran antropometri sederhana seperti lingkar lengan atas (LILA), lingkar perut, lingkar panggul, dan rasio pinggang-pinggul (waist-to-hip ratio/WHR) menjadi metode efektif untuk deteksi dini status gizi dan risiko metabolik. Kegiatan dilaksanakan di SMA Tarakanita, Citra Raya, dengan melibatkan 144 siswa sebagai responden. Pengukuran dilakukan secara langsung oleh tim dengan alat pita pengukur. LILA diukur pada lengan nondominan, sedangkan lingkar perut dan panggul diukur sesuai standar WHO. WHR dihitung menggunakan rumus: lingkar pinggang dibagi lingkar panggul. Data dianalisis secara agregat tanpa mencantumkan identitas individu. Sebagian besar responden berusia 16 tahun (55,6%), diikuti usia 15 tahun (42,4%), dan 17 tahun (2,1%) dengan rerata 15,6 tahun. Sebanyak 54,2% adalah perempuan dan 45,8% laki-laki. Rerata LILA adalah 26,58 cm, dengan 4,9% responden memiliki LILA <22 cm. Rerata lingkar perut laki-laki lebih tinggi (83,08 cm) dibanding perempuan (69,52 cm), begitu pula WHR (0,88 vs 0,78), mendekati ambang risiko obesitas sentral. Skrining ini menunjukkan adanya risiko status gizi tidak seimbang pada sebagian remaja. Intervensi lanjutan berupa edukasi gizi, promosi gaya hidup aktif, dan pemantauan rutin sangat disarankan sebagai upaya preventif berbasis sekolah.
Co-Authors Amertha, Anak Agung Ngurah Putrayoga Andhita, Rafa Hasna Barlian Sutedja Cendi, Sylvia Destra, Edwin Dewanto, Paulus Gegana Thery Gracienne Gracienne Gracienne Gracienne, Gracienne Gunaidi, Farell Christian Jap, Ayleen Nathalie Jaya, I Made Satya Pramana Kasvana Kasvana Khamila, Shifa Khoto, Anthon Eka Prayoga Lumintang, Valentino Gilbert Martin, Alfianto Putra, Muhammad Dzakwan Dwi Saerang, Stefanus Hnady Santoso, Alexander Halim Sari, Triyana Satyanegara, William Gilbert Setiawan, Fiona Valencia Teguh, Stanislas Kotska Marvel Mayello Warsito, Jonathan Hadi Wijaya, Bryan Anna Wijaya, Dean Ascha Yohanes Firmansyah