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Understanding Precocious Puberty: When Childhood Ends Too Soon Muliana, Atriska Citra; Putri, Imey Pinasty Harianto; Prasetya, Rangga Cahya; Indratama, I Nyoman Yudayana; Athalia, Ihza Namira; Shafitri, Shira Shalsabina; Mertasari, Baiq Merna; Josafat, Gantha Narendra; Ilmiah, Janiya Abdila; As Shiddiq, Muhammad Hilmy; Aulia, Rashieka Salma; Ajmala, Indana Eva
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10337

Abstract

Precocious puberty is an endocrine disorder characterized by the premature development of secondary sexual characteristics, defined as occurring before the age of 8 in girls and 9 in boys. This literature review aims to understand precocious puberty: when childhood ends too soon. The article was compiled using a literature review method. Data were obtained through a search of various scientific sources, including international and national journals, textbooks, and clinical guidelines from the Indonesian Pediatrician Association (IDAI). Central precocious puberty, most often idiopathic in girls but associated with underlying pathology in boys, is caused by premature activation of the hypothalamic-pituitary-gonadal axis, while the peripheral form is caused by excess sex steroid production independent of gonadotropin stimulation. Clinical manifestations include early breast development, testicular enlargement, rapid linear growth, acne, and the early appearance of pubic or axillary hair. Diagnosis relies on a combination of careful history taking, physical examination, hormonal testing, bone age assessment, and imaging studies such as pelvic ultrasound or cranial MRI when indicated. Management strategies vary based on etiology, with gonadotropin-releasing hormone (GnRH) agonists being the standard treatment for central precocious puberty, while surgical or medical therapy is used for peripheral causes. In conclusion, precocious puberty is a childhood health issue of increasing concern due to its increasing global incidence. This condition not only impacts accelerated bone maturation and potential short stature in adulthood, but also impacts the child's psychological well-being and causes emotional distress to the family.
Case Study of Bilateral Ureteral Stones Complicated by Acute Kidney Injury in a 52-Year-Old Female Patient Ilmiah, Janiya Abdila; Putri, Imey Pinasty Harianto; Muliana, Atriska Citra; Athalia, Ihza Namira; Shafitri, Shira Shalsabina; Sari, Baiq Merna Merta; Aulia, Rashieka Salma; Prasetya, Rangga Cahya; Indratama, I Nyoman Yudayana; Shiddiq, Muhammad Hilmy As; Josafat, Gantha Narendra
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10344

Abstract

Bilateral ureteral stones are a rare clinical manifestation of renal colic, obstructing urine flow, and can cause severe acute kidney injury (AKI) within hours. This case study aims to provide information regarding the diagnosis and management of bilateral ureteral stones causing acute kidney injury in a 52-year-old female patient. This case study uses a descriptive method to describe the current situation, for further analysis and interpretation. Based on anamnesis and physical examination, the patient was diagnosed with Acute Kidney Injury (AKI) stage 3 with a differential diagnosis of Advanced Chronic Kidney Disease (ACKD) stage 4. This condition is caused by urinary tract obstruction due to bilateral ureterolithiasis (stones in both ureters) and proximal right ureteral stenosis, which inhibits urine flow and worsens kidney function acutely and chronically. Complaints of right and left abdominal pain, as well as a history of urinary tract infections (UTIs) and hypertension, support the formation of stones in the urinary tract. The conclusion is that the patient Wirni/P/52 years old/AKI stage 3 dd ACKD stage 4 dt obstructive uropathy + ureterolithiasis infection + normocytic normochromic anemia dt chronic disease + bilateral ureteral stones + right proximal ureteral stenosis.
Factors Associated with Compliance to Iron Supplementation Tablet Consumption Among Adolescent Girls in Coastal Area of West Lombok As Shiddiq, Muhammad Hilmy; Lestarini, Ima Arum; Restuningdyah, Novia Andansari Putri
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10188

Abstract

Anemia remains a major health problem among adolescent girls in Indonesia, with significant implications for reproductive health and productivity. Since 2014, the government has implemented an iron supplementation program through schools, yet compliance remains low. This study aimed to analyze the relationship between family support, teacher support, peer support, and socioeconomic status with compliance to iron tablet consumption among adolescent girls at SMAN 1 Lembar. This was an analytical observational study with a cross-sectional design. A total of 84 students were selected using purposive sampling. Data were collected through a validated and reliable online questionnaire and analyzed using the Chi-Square test. The results showed significant associations between teacher support (p<0.05) and peer support (p<0.05) with compliance to iron tablet consumption, while family support and socioeconomic status showed no significant associations (p>0.05). In conclusion, compliance with iron tablet consumption among adolescent girls is more strongly influenced by teacher and peer support than by family or socioeconomic factors. Strengthening school involvement and peer influence may serve as effective strategies to improve adherence and enhance anemia prevention programs.
Innovations in Elementary School Health Promotion Programs: An Integrative Review Muhammad Hilmy As Shiddiq; Gunawan Gunawan; Hamsu Kadriyan; Baik Nilawati Astini; Ni Made Yeni Suranti
Indonesian Journal of Elementary and Childhood Education Vol. 6 No. 4 (2025): Edisi Desember 2025
Publisher : Indonesian Publication Center

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Abstract

Elementary schools represent a strategic setting for instilling healthy behaviors early in life, as children are in a critical period of habit and character formation. Along with the evolution of educational practices, conventional health education methods have shifted toward more interactive, participatory, and holistic approaches. This study aims to explore and synthesize recent innovations and strategies in implementing health programs in elementary schools. An integrative review design was applied by analyzing 44 selected articles, including quantitative, qualitative, and experimental studies. The reviewed literature focuses on interventions related to physical health, mental health, and dental health among elementary school students. The findings identify four main clusters of program innovation: the use of creative media and gamification to enhance health knowledge, classroom-based mental health interventions such as deep breathing and mindfulness, the integration of physical education to address obesity prevention and character development, and comprehensive school health management that emphasizes the role of teachers and supportive school policies. The review concludes that health programs in elementary schools are shifting from one-way counseling toward more engaging and participatory interventions, with multidimensional approaches demonstrating greater effectiveness in improving student health outcomes.
Persepsi dan Kesiapan Guru terhadap Pendidikan Kesehatan Mental: Studi Survei Awal di Kecamatan Alas, Kabupaten Sumbawa Hamsu Kadriyan; Gunawan Gunawan; Muthia Cenderadewi; Ni Made Yeni Suranti; Marisa Syavitri Dilaga; Muhammad Hilmy As Shiddiq; Lalu Hizrian Zikri Hamdi
Jurnal Pendidikan dan Pengabdian Masyarakat Vol. 9 No. 2 (2026): Mei
Publisher : FKIP Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppm.v9i2.12252

Abstract

Kesehatan mental merupakan salah satu aspek penting dalam menciptakan lingkungan belajar yang kondusif dan mendukung perkembangan peserta didik. Guru memiliki peran strategis dalam mengenali, memahami, dan memberikan dukungan awal terhadap berbagai permasalahan kesehatan mental yang dialami siswa. Namun, keterbatasan pengetahuan dan keterampilan guru dalam bidang kesehatan mental masih menjadi tantangan di lingkungan sekolah. Kegiatan pengabdian kepada masyarakat ini diawali dengan survei kebutuhan sebagai dasar penyusunan program pelatihan edukasi kesehatan mental bagi guru di Kecamatan Alas, Kabupaten Sumbawa. Survei dilakukan menggunakan pendekatan deskriptif kuantitatif terhadap 47 guru dari jenjang TK/PAUD, SD/MI, dan SMP/MTs. Data dikumpulkan melalui kuesioner yang mencakup aspek pemahaman dasar kesehatan mental, pengalaman guru dalam menangani permasalahan psikologis siswa, serta kebutuhan pelatihan kesehatan mental. Hasil survei menunjukkan bahwa guru memiliki persepsi positif terhadap pentingnya kesehatan mental di sekolah, ditunjukkan oleh tingginya skor pada aspek lingkungan belajar yang aman dan suportif (3,69) serta peran guru dalam mendukung kesehatan mental siswa (3,62). Meskipun demikian, guru masih mengalami kesulitan dalam mengenali dan menangani permasalahan emosional siswa. Selain itu, terdapat kebutuhan yang tinggi terhadap pelatihan kesehatan mental, khususnya terkait strategi penanganan siswa dengan masalah emosional, komunikasi empatik, dan manajemen stres. Temuan ini menjadi dasar dalam merancang program pelatihan kesehatan mental yang relevan dan aplikatif guna meningkatkan kapasitas guru dalam mendukung kesejahteraan psikologis peserta didik serta menciptakan lingkungan sekolah yang sehat dan inklusif.
Development Trends of E-Modules in Science Education for Fostering 21st-Century Skills: A Narrative Review Gunawan Gunawan; Lovy Herayanti; Muhammad Hilmy As Shiddiq
Indonesian Journal of STEM Education Vol. 8 No. 1 (2026): Edisi Januari-Juni 2026
Publisher : Indonesian Publication Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67434/ijse.v8i1.1933

Abstract

The post-pandemic integration of technology in education has accelerated the transformation of teaching materials from print to digital formats. This study aims to provide a narrative review of current trends in the development of electronic modules (E-Modules) in science education, specifically focusing on fostering 21st-century skills. By analyzing recent literature (2021–2025), this review identifies a shift from mere content digitalization to the creation of complex interactive media. Key findings indicate that: (1) Current E-Module development is dominated by the integration of active pedagogical models, particularly Problem-Based Learning (PBL) and STEM (Science, Technology, Engineering, and Mathematics) approaches; (2) There is a distinctive trend of merging digital technology with local wisdom (Ethnoscience) to enhance learning relevance; and (3) The primary learning outcomes targeted are critical thinking, science literacy, and problem-solving skills. This review concludes that modern E-Modules no longer function solely as passive reading resources but as interactive learning environments that effectively bridge scientific conceptual understanding with future competency demands.
Gamification In Science and Technology Education: A Narrative Review of Implementation Trends and Educator Perspectives Gunawan Gunawan; Lovy Herayanti; Imran Imran; Fathoroni Fathoroni; Rahmatullah Rahmatullah; Muhammad Hilmy As Shiddiq; Fahmi Yahya
Indonesian Journal of Applied Science and Technology Vol. 6 No. 2 (2025): Edisi Juli-Desember 2025
Publisher : Indonesian

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Abstract

Gamification has emerged as a transformative pedagogical approach in science and technology education. This narrative review explores current implementation trends and educator perspectives by analyzing 28 selected articles published between 2016 and 2024. The study identifies key technological trends, including the integration of Virtual Reality (VR), game-based physics simulations, and Education 4.0 tools. The findings indicate that gamification significantly enhances student motivation, academic achievement, and engagement in complex scientific subjects. Furthermore, the review highlights educator perspectives, revealing that while teachers generally perceive gamification as a potent methodology, its adoption is often hindered by barriers such as limited digital self-efficacy, technical constraints, and the need for specialized training. The synthesis suggests that a successful gamified ecosystem requires a balance between immersive technology and robust pedagogical support. This review provides valuable insights for educators and policymakers seeking to integrate gamified strategies into STEM curricula to foster 21st-century skills.
Factors Affecting Adherence to Iron-Folic Acid Supplementation Among Adolescent Girls: An Integrative Review Muhammad Hilmy As Shiddiq; Ima Arum Lestarini; Novia Andansari Putri Restuningdyah
Indonesian Journal of Applied Science and Technology Vol. 6 No. 1 (2025): Edisi Januari-Juni 2025
Publisher : Indonesian

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Abstract

Adherence to Iron-Folic Acid (IFA) supplementation is a critical strategy in preventing and overcoming anemia among adolescent girls. However, compliance rates remain inconsistent across various regions. This integrative review aims to identify and synthesize the multi-dimensional factors influencing adherence to IFA supplementation among adolescent girls. A total of 28 relevant studies, including quantitative, qualitative, and systematic reviews, were analyzed. The findings indicate that adherence is determined by several key factors: (1) Individual factors, including knowledge of anemia, attitudes towards supplements, and personal motivation; (2) Social and environmental support, particularly the crucial roles of family (parents) and school environments (teacher supervision); and (3) Programmatic interventions, such as culture-based nutrition education and the use of digital health applications. Barriers such as fear of side effects and lack of consistent information were also identified. This review concludes that a multi-sectoral approach involving schools and families, supported by innovative educational media, is essential to improve compliance and ensure the success of anemia prevention programs.
Anatomical Variations and Therapeutic Approaches of Choledochal Cysts Muhammad Hilmy As Shiddiq; Imey Pinasty Harianto Putri; Luthfiya Nur Fadhila; Muhammad Fathir Rahadian Ansary; Aulia Putri Mussyafa; I Nyoman Yudayana Indratama; Siti Raodatul Jannah Tunairin; Muhammad Rifki; Arif Zuhan
Indonesian Journal of Health and Medical Education Vol. 1 No. 1 (2026): Edisi Januari-Juni 2026
Publisher : Indonesian Publication Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67434/ijhme.v1i1.1835

Abstract

Choledochal cysts are congenital anomalies characterized by abnormal dilatation of the bile ducts, either intrahepatic or extrahepatic. This condition can lead to serious complications, including cholangitis, pancreatitis, and malignancy. Choledochal cysts are more prevalent in Asian populations compared to Western populations and are more commonly observed in females. Timely diagnosis is crucial to prevent further complications. This study aims to conduct a literature review on the anatomical variations and available therapeutic methods for managing choledochal cysts, as well as to evaluate the effectiveness of various treatment approaches. A systematic literature review methodology was employed, involving database identification, keyword selection, article screening, and the use of recent publications from reputable scientific databases such as PubMed, Google Scholar, and Scopus. This review identifies five types of choledochal cysts based on the Todani classification, with Type I being the most common. The primary treatment for choledochal cysts involves complete cyst excision, usually followed by biliary reconstruction using Roux-en-Y hepaticojejunostomy. In more advanced cases, complex surgical procedures such as pancreaticoduodenectomy may be required. Biliary reconstruction following cyst excision, particularly through Roux-en-Y jejunostomy, has been proven effective and is considered the gold standard in choledochal cyst management. Surgical approaches should be tailored to the cyst type to achieve optimal clinical outcomes.
Prognostic Factors in Pediatric Glioma Imey Pinasty Harianto Putri; I Nyoman Yudayana Indratama; Muhammad Hilmy As Shiddiq; Gantha Narendra Josafat; Bambang Priyanto
Indonesian Journal of Health and Medical Education Vol. 1 No. 1 (2026): Edisi Januari-Juni 2026
Publisher : Indonesian Publication Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67434/ijhme.v1i1.1836

Abstract

Gliomas are the most common type of central nervous system neoplasms in children, exhibiting distinct clinical and biological characteristics compared to adult gliomas. Pediatric gliomas encompass various histological and molecular subtypes, ranging from low-grade gliomas (LGG) to high-grade gliomas (HGG) and diffuse intrinsic pontine glioma (DIPG), each with differing clinical presentations, treatment responses, and prognoses. This literature review discusses the definition, etiology, epidemiology, pathophysiology, clinical manifestations, diagnostic approaches, treatment modalities, and prognostic factors of pediatric gliomas. Advances in imaging and molecular technologies have enabled more precise diagnostic and therapeutic strategies. Treatment options include surgery, chemotherapy, radiotherapy, and targeted molecular therapies, tailored according to tumor grade and location. A comprehensive understanding of the biological and clinical aspects of pediatric gliomas is essential for improving patient prognosis and quality of life.