Salim, Irfan Agus
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COVID-19 vaccine for adolescents with chronic disease or disabilities Tjahjono, Harjoedi Adji; Almiradani, Ayunda; Salim, Irfan Agus; Mutaqi, Fadilah; Ariani; Wulandari, Hajeng
Pediatric Sciences Journal Vol. 4 No. 2 (2023): (Available online: 1 December 2023)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v4i2.77

Abstract

Background: Indonesia has a relatively high number of COVID-19 cases and mortalities, including children and adolescents groups. Vaccination coverage for these groups is currently low, especially in the population of children with disabilities and special needs, due to the difficulty of assisting them. The objective of this study was to share the data on the COVID-19 vaccine for adolescents with chronic diseases or disabilities. Methods: This descriptive study uses data collected from two hospitals in September 2021. We analyzed the patients' characteristics, age groups, diagnoses, comorbidities, and adverse events following immunization (AEFI) of the adolescents injected with the COVID-19 vaccine. Results: From a total of 94 adolescents, 51 have disabilities, and 43 have chronic disease. Disabilities include children with special needs (54%), attention deficit and hyperactivity disorder (4%), autism (11%), cerebral palsy (4%), and Down syndrome (27%). The accompanying chronic diseases vary widely, such as diabetes mellitus (28%), asthma (14%), rheumatic heart disease (14%) and thalassemia (14%). There were 6 patients found to have AEFI. Three of them have diabetes mellitus, the other two patients have thalassemia, and the other one patient has Down syndrome. Varies AEFIs were found, including fever, drowsiness, weakness, dizziness, hunger, and itching. All symptoms were improved within hours and did not require hospitalization. Conclusion: Adolescents with disabilities and chronic diseases require special assistance and extra care during vaccination. The COVID-19 vaccine is relatively safe for adolescents in these groups without significant side effects.
The influence of cholestasis on the direction of children's growth at Dr. Saiful Anwar Hospital, Malang Alodia Theasonia; Wibowo, Satrio; Salim, Irfan Agus
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.78

Abstract

Background: Cholestasis is a disturbance in the flow of bile that can disrupt the body's digestive and metabolic processes, especially in infants and children. Good growth during childhood is important for optimal health and development. This study aims to determine the effect of cholestasis on changes in body weight and differences in growth direction in children with cholestasis and children who do not suffer from cholestasis at Dr. Saiful Anwar Hospital, Malang. Methods: The method used was a retrospective analytical observational study with a cross-sectional design approach. The Stratified Random Sampling approach randomly selected 12 children as research samples, including children suffering from cholestasis and healthy children. The Mann-Whitney statistical test was used to assess the data and determine whether there was a difference in means between the two sample groups. Results: These findings demonstrate significant differences in growth trajectory between children affected by cholestasis and children who are free of cholestasis. Children who suffer from cholestasis tend to have more severe growth disorders, especially in terms of weight. Conclusion: These findings suggest that cholestasis conditions significantly impact children's growth.