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Association between Rainy Season and Diarrhea in 13- to 24-Month-Old Toddlers Jeceline Sutarto; Edward Surjono
Majalah Kedokteran Bandung Vol 52, No 4 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n4.2139

Diarrhea is the second leading cause of death in children under five year and is considered a prevailing problem in many developing countries, including in Indonesia. Diarrhea is a multifactorial disease and season is suggested as one of the attributing factors of this disease. This study aimed to identify the association between the rainy season and diarrhea in 13- to 24-month-old toddlers. This was a cross-sectional analytical observational study on medical records of 13- to 24-month-old-toddlers with infectious diarrhea who visited Penjaringan I Sub-district Public Health Center, North Jakarta, Indonesia from 2016 to 2019 that included three cycles of the rainy and dry seasons. Data collection was performed in March 2020 and 286 medical records were included in the study. The relationship between the independent and dependent variables was analyzed using chi-square. Of the total cases, 83 cases occurred in rainy season and 203 cases occurred in dry season (p=0.291). Diarrhea was seen in girls aged13–16 months. There is no significant association between rainy season and diarrhea.Hubungan Musim Hujan dengan Diare pada Balita Usia 13–24 Bulan Diare merupakan penyebab kematian balita nomor dua di dunia yang masih menjadi masalah pada banyak negara berkembang, termasuk Indonesia. Diare adalah sebuah penyakit multifaktorial. Musim merupakan salah satu faktor yang mempengaruhi diare melalui dampaknya pada lingkungan. Penelitian ini bertujuan mengetahui hubungan musim hujan dengan kejadian diare pada usia 13–24 bulan. Penelitian ini merupakan penelitian analitik observasional dengan metode potong lintang. Pengumpulan data dilakukan pada bulan Maret 2020 di Puskesmas Kelurahan Penjaringan I, Jakarta Utara, dengan menggunakan rekam medis periode tahun 2016–2019, yang meliputi masing-masing tiga siklus musim hujan dan musim kemarau. Sampel penelitian adalah usia 13–24 bulan yang didiagnosa dengan diare infeksi. Hubungan antara variabel independen dan dependen diuji menggunakan chi-square. Dari 286 rekam medis yang digunakan, 83 kasus terjadi sewaktu musim hujan dan 203 kasus terjadi sewaktu musim kemarau (p=0,291). Kejadian diare paling tinggi pada perempuan kelompok usia 13–16 bulan. Tidak terdapat hubungan bermakna antara musim hujan dengan kejadian diare.

Parental Knowledge, Attitude, and Behavior towards Basic Immunization Vicky Sagita Hanka; Edward Surjono
Majalah Kedokteran Bandung Vol 53, No 2 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v53n2.2208

Immunization, which is usually done by giving vaccinations, is the process of forming immunity in individuals against infectious diseases. The target in the Strategic Plan of the Ministry of Healht of the Republic of Indonesia in 2015-2019 aimed for 93 % of coverage. However, according to the report of the Indonesian Basic Health Survey (IBHR), there is actually a decrease in basic immunization coverage for the period of 2012–2015 when compared to the previous period. This study aimed to determine the correlation between parental knowledge, attitudes, and behavior towards complete course of basic immunization among parents of an elementary school in North Jakarta, Indonesia, in 2018 and 2019. This was a cross-sectional analytical descriptive study involving 110 respondents. Data were obtained through a questionnaire that was distributed to parents that included questions on knowledge, attitude, and behavior towards complete basic immunization. Out of 110 respondents, 70% stated that their child received the full basic immunization course while the remaining 30% stated that their child only received some of the vaccines required in the basic immunization course. There was no correlation, based on the bivariate analytical test, between parental behavior (p = 0.868), parental attitude (p = 0.647), and full course of basic immunization. In contrast, parental knowledge influences whether the child will receive the full course of basic immunization or not (p=0.000).

Knowledge of pediatrician on gastroesophageal reflux/gastroesophageal reflux disease in children: a preliminary study Edward Surjono; Agus Firmansyah; Jose R. L. Batubara
Paediatrica Indonesiana Vol 50 No 6 (2010): November 2010
Publisher : Indonesian Pediatric Society

Background Gastroesophageal reflux (OER) is involuntary movement of gastric content into esophagus due to transient lower esophageal sphincter relaxation. This condition usually ignored by physician. Many GER cases have severe complication before properly managed. Ten years after incorporating GER into Indonesia pediatric training curriculum, the knowledge of GER among pediatrician need to be measured.Objectives To measure pediatrician's knowledge of GER/GERD in children.Methods This was a cross sectional study using questionnaire and interview.Result There were 387 respondents who filled the questionnaire and being interviewed. The majority of respondents were between 25-45 years old (33.6%). Respondents who graduated before the year 2000 were 48.3%, and after 2000 were 51.7%. Majority of respondents were general pediatrician (90.2%) and 41.3% working in teaching hospitals Among pediatricians graduated after year 2000,6 6%,5 0.5% and 57.5% could gave more than 80% correct answer to questions about general knowledge, diagnosis and management of GERD as compared to 49.2%, 42.2% and 47% subjects graduated before year 2000. More pediatricians graduated before year 2000 answered the questions on general knowledge, diagnosis and management < 60% correctly compared to those graduated after year 2000 (42.2%, 25.2% and 28.3% vs. 14%,11.5% and 12%, respectively). Fifty five of 160 (34.4%) respondents who working in teaching hospital gave more than 80% correct answer to questions about GERD. Compared to those working in non-teaching hospitals, only 17.6% were able to correctly answer more than 80% of questions.Conclusions Better knowledge about GER/GERD are found among pediatricians graduated after the topics has been introduced to the curriculum and among those practicing in teaching hospitals.

Parental knowledge, attitude, and behavioral factors in immunization response following a diphtheria outbreak in children in 2018-2019 Nabila Arfimita; Edward Surjono
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Background A diphtheria outbreak was declared at the end of 2017. The outbreak response immunization (ORI) was a key Indonesian government strategy to control diphtheria in three outbreak areas. This strategy was implemented starting December 11, 2018. Parents' positive knowledge, attitude, and behavior regarding diphtheria and the diphtheria ORI may influence the coverage of diphtheria ORI in Indonesia. Objective To assess for relationships between parental knowledge, attitude, and behavior to coverage of diphtheria ORI in children. Method This cross-sectional study was conducted at Kapuk Muara Public Elementary School 03, North Jakarta from November 2018 to August 2019. The respondents were parents of the schoolchildren. Parents filled questionnaires about their knowledge, attitude, and behavior with regards to diphtheria ORI coverage in children. Results The coverage of diphtheria ORI in children was 61.8%. From 110 respondents, 40.9% of parents had at least sufficient knowledge, 73.8% had good attitude, and 55.5% had good behavior regarding diphtheria and diphtheria ORI. Parental knowledge had no significant association to coverage of diphtheria ORI in their children. However, there were significant relationships between parental attitude and behavior to coverage of diphtheria ORI in their children. Conclusion The coverage of diphtheria ORI needs improvement. Most parents have sufficient level of knowledge, good attitude, and good behavior towards diphtheria and diphtheria ORI. There is no association between parental knowledge about diphtheria and diphtheria ORI to coverage of diphtheria ORI, but there are significant association of parental attitude and behavior toward diphtheria ORI coverage.

Role of Maternal Factors in Low Birth Weight: Peran Faktor Ibu dalam Kejadian Berat Bayi Lahir Rendah Gita S. Candijaya; Edihan Mardjuki; Edward Surjono
Indonesian Journal of Obstetrics and Gynecology Volume 9 No. 4 October 2021
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v9i4.1513

Objective : To determine the correlation between body mass index, age, parity, gestational weight gain and low birth weight at Atma Jaya Hospital in 2016-2019.Methods : This was a cross-sectional study of 111 sample medical records of pregnant women who gave birth at Atma Jaya Hospital in 2016-2019 and met the inclusion and exclusion criteria. Data management was performed using the Chi-square test and multivariate logistic regression test.Results: Most of the mothers were in the group with normal BMI (60.4%), the G1 age group (21-29 years old) (45.9%), the low multiparity group (parity 1-3 times) (57.7%). The analysis showed that there was a significant relationship between parity group grand multipara (p=0.028; OR=5.206; 95% CI=1.195-22.686) with the incidence of LBW. There was no significant relationship between BMI group lean (p=0.303; OR=1.646; 95% CI=0.638-4.246), group normal (p=0.532), group fat (p=0.440; OR=1.957; 95% CI=0.357-10.737), maternal age group G1 (p=0.141), group G2 (p=0.587; OR=1.327; 95% CI=0.478-3.687), group G3 (p=0.111; OR=0.262; 95% CI=0.050-1.360), parity group nulliparity (p=0.494; OR=0.669; 95% CI=0.212-2.117), group low multiparity (p=0.051), and gestational weight gain group low (p=0.955; OR=1.028; 95% CI=0.396-2.667), group normal (p=0.986), group high (p=0.897; OR=0.917; 95% CI=0.245-3.424) with the incidence of LBW.Conclusion : There is a significant relationship between parity with the incidence of low birth weight. There is no relationship between body mass index, age, and gestational weight gain with the incidence of low birth weight.Keywords: age, BMI, gestational weight gain, LBW, parity. Abstrak Tujuan: Mengetahui apakah terdapat hubungan antara indeks massa tubuh, usia, paritas, dan pertambahan berat badan ibu hamil terhadap kejadian berat bayi rendah di Rumah Sakit Atma Jaya tahun 2016-2019.Metode: Penelitian ini merupakan penelitian analitik potong lintang dengan menggunakan rekam medis sebanyak 111 sampel ibu hamil yang melangsungkan persalinan di RS Atma Jaya pada tahun 2016-2019 dan memenuhi kriteria inklusi dan eksklusi. Pengelolaan data dilakukan dengan menggunakan uji Chi-square dan uji regresi logistik multivariat.Hasil : Didapatkan sebagian besar ibu berada pada kelompok dengan indeks massa tubuh normal (60,4%), kelompok usia G1 (21-29 tahun) (45,9%), kelompok paritas low multiparity (paritas 1-3 kali) (57,7%), dan kelompok pertambahan berat badan normal (47,7%). Hasil analisis menunjukkan terdapat hubungan antara paritas kelompok grand multipara (p=0,028; OR=5,206; 95% CI=1,195-22,686) terhadap kejadian BBLR. Tidak terdapat hubungan signifikan antara indeks massa tubuh kelompok kurus (p=0,303; OR=1,646; 95% CI=0,638-4,246), kelompok normal (p=0,532), kelompok gemuk (p=0, 440; OR=1, 957; 95% CI=0, 357-10.737), usia ibu hamil kelompok G1 (p=0,141), kelompok G2 (p=0,587; OR=1,327; 95% CI=0,478-3,687), usia kelompok G3 (p=0,111; OR=0,262; 95% CI=0, 050-1,360), paritas kelompok nulliparity (p=0,494; OR=0,669; 95% CI=0,212-2,117), kelompok low multiparity (p=0.051), pertambahan berat badan ibu hamil kelompok kurang (p=0.955; OR=1.028; 95% CI=0.396-2.667), kelompok sesuai (p=0.986), dan kelompok lebih (p=0.897; OR=0.917; 95% CI=0.245-3.424) dengan kejadian BBLR.Kesimpulan : Terdapat hubungan yang signifikan antara paritas dengan kejadian berat bayi lahir rendah. Tidak terdapat hubungan antara indeks massa tubuh, usia, dan pertambahan berat badan ibu hamil dengan kejadian berat bayi lahir rendah.Kata kunci: BBLR, IMT, paritas, pertambahan berat badan, usia.

Association Between Parenting Styles, Children’s Nutritional Status, and Quality of Life among Children Ages 8-12 Years Vivian Angelina Harsono; Edward Surjono; Ellen Wijaya; Andy Setiawan
Majalah Kedokteran Bandung Vol 54, No 3 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v54n3.2615

Nutritional status and parenting styles are two factors that are thought to affect children’s quality of life. This study aimed to assess the relationship between parenting styles, nutritional status, and quality of life of children aged 8-12 years. This cross-sectional observational analytic study used data collected from November 2020 to January 2021 using the Parenting Styles and Dimensions Questionnaire (PSDQ) and Pediatric Quality of Life Inventory (PedsQL) that were distributed in the form of e-questionnaire . The analysis tests used were the Spearman and logistic regression tests with a level of significance of 0.05. The results of the Spearman test showed that there was no correlation between parenting style and quality of life (p = 0.882) and between the nutritional status and quality of life (p = 0.568). The results of the logistic regression analysis showed that the variables of parenting (p = 0.437; 95% CI = 0.607–3.174; OR = 1.388) and nutritional status (p = 0.432; 95% CI = 0.504–1.341; OR = 0.822) were not associated with quality of life. Thus, there is no significant relationship between parenting patterns and children's nutritional status on the quality of life of children aged 8-12 years.

Pneumonia Clinical Features in Under-Five Children Treated in Atma Jaya Hospital in 2017-2020 Rachel Roselany; Edward Surjono
Majalah Kedokteran Bandung Vol 55, No 1 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n1.2966

Pneumonia is the leading cause of infection-related death among children and still remains a global health problem, especially for children under five. This study aimed to identify the clinical features of pneumonia in under-five chilren treated at Atma Jaya Hospital during the period of 2017-2020. This was a cross-sectional retrospective descriptive study on all under-five patients diagnosed with pneumonia treated in Atma Jaya Hospital. Data were collected from November 2021-January 2022 from the medical records of these children (n=148) and analyzed using the univariate analysis. Results showed that most subjects of this study were boys (60.8%), in the age group of 1-4 years old (62.2%), with fever as the most common pnemonia clinical symptom (93.9%). Physical examinations revealed that the average pulse of the subjects were 131.2 beats/minute and the average temperature was 37.1°C. Other signs and symptoms identified during physical examinations were tachypnea (20,3%), retractions (56.1%), crackles (82.4%), and wheezing (22,3%). The laboratory findings presented a mean hemoglobin of 11.0 g/dL, a mean hematocrit of 32.5%, and a mean CRP of 13.2 mg/dL, while most subjects had normal leukocyte (58.1%) and platelet counts (52.0%). The most common chest X-ray finding of pneumonia in these children was infiltrate (92.6%) and the average length of stay was 4 days. Most under-five children experiencing pneumonia recovered after treatment (97.3%).

Hubungan Pola Asuh Orangtua terhadap Perkembangan Bahasa dan Bicara pada Anak Usia 18 – 72 Bulan di Era Pandemi dengan Denver secara Daring: Sebuah Studi Pendahuluan Clifford Peter Anthony; Andy Setiawan; Edward Surjono; Ellen Wijaya
Sari Pediatri Vol 25, No 1 (2023)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.1.2023.20-6

Latar belakang. Pola asuh orangtua diduga memiliki hubungan yang kuat dengan perkembangan bahasa dan bicara anak. Tujuan. Penelitian dilakukan untuk menilai hubungan pola asuh orangtua terhadap perkembangan bahasa dan bicara pada anak usia 18-72 bulan serta menilai kesesuaian antara uji Denver II daring dengan uji Kuesioner Pra Skrining Perkembangan.Metode. Penelitian ini dilakukan dengan menggunakan desain penelitian analitik observasional dengan pendekatan potong lintang. Pengambilan data dilaksanakan pada bulan Januari 2021 sampai Juli 2021. Kuesioner dibagikan secara daring kepada orangtua dan dilakukan panggilan video dengan perangkat lunak melalui aplikasi Whatsapp® untuk pemeriksaan Denver II daring dan Kuesioner Pra Skrining Perkembangan. Hubungan antara pola asuh dan perkembangan dianalisis menggunakan uji Chi square (x2), sedangkan uji kesesuaian antara Denver II daring dengan Kuesioner Pra Skrining Perkembangan menggunakan nilai kappa.Hasil. Uji Chi square menunjukan hubungan yang bermakna menggunakan Denver II daring (p=0,00) dan menunjukan hubungan yang tidak bermakna menggunakan Kuesioner Pra Skrining Perkembangan (p=0,84). Nilai kappa antara Denver II daring dan Kuesioner Pra Skrining Perkembangan bernilai 0,49.Kesimpulan. Terdapat hubungan antara pola asuh orangtua terhadap perkembangan bahasa dan bicara pada anak usia 18-72 bulan tahun 2020 serta terdapat kesesuaian yang baik antara Denver II daring dengan Kuesioner Pra Skrining Perkembangan.

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