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.
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).
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.
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.
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