Ellen Wijaya
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Unika Atma Jaya

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IDENTIFIKASI DAN INTERVENSI GANGGUAN BELAJAR SPESIFIK PADA ANAK Ellen Wijaya
Bahasa Indonesia Vol 19 No 1 (2020): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v19i1.1279

Abstract

Introduction: Education is part of a child's learning process to form cognitive abilities and a good personality. Children who are unable to involve thinking skills, sensory and motor integration systems, as well as verbal and non-verbal functions, will experience learning disorders. The inability to read (dyslexia), write (dysgraphia), or arithmetic (dyscalculia) forms the domain of specific learning disorder in children. Identification and intervention of such cases require the full cooperation of parents, medical personnel, and teachers. Case: A boy, seven years of age, had been having barrier in reading based on six months of observation by school teacher since first-grade elementary school. The child did not have health problems, growth and development were according to age, and was able to engage in social interaction both at school and home environment. The patient fulfilled the reading domain criteria of specific learning disorder based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Patients received adequate intervention and are now successfully in the second grade of elementary school with the advancement in reading skills. Conclusion: The importance of early identification, intervention, and long term follow up in children with a specific learning disorder to achieve optimal quality of life.
PENGGUNAAN GAWAI DAN MEDIA SOSIAL PADA ANAK SEKOLAH DASAR DI JAKARTA UTARA Irene Rusli; Ellen Wijaya; Diandra Tatiana Gunawan; Andy Setiawan; Felicia Kurniawan
Bahasa Indonesia Vol 20 No 1 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i1.2533

Abstract

Background: The growth of gadgets and social media usage among children might affect their physical activity. It shows that high internet usage among elementary school children will incur low physical activity. It is an overweight risk factor for children that might lead into growth and/or development disorder. Methods: Observational analysis with a cross-sectional approach among elementary school children grades 4-6 in North Jakarta with purposive sampling. Physical activity was identified using Physical Activity Questionnaire of Children (PAQ-C). Nutritional status based on examination of height, weight and calculation of body mass index. The analysis was performed using the Spearman correlation test. Results: There were 322 children from 3 different elementary schools in North Jakarta consisting of 136 (42.2%) female and 186 (57.8%) male. Approximately 160 (47.5%) subjects have no parental supervision during gadgets usage and 54 (16.8%) have not had education in regards to the matter. There are 246 (76.3%) subjects have social media account with Facebook as the most frequently use application. Most of subjects (50.3%) using gadgets more than 4 hours per day. There were 256 (79.5%) subjects with low physical activity and 111 (34.5%) overweight children. The gadgets usage duration did not have a significant correlation with body mass index (p>0.05;r=0.21) but had a significant correlation with physical activity (p<0.05;r =0,33). Conclusion: Majority of elementary school children are social media active user and using gadgets with minimal parental supervision and assistance. This circumstance among children has significant correlation with their physical activities.
PEMBATALAN PEMBELIAN BARANG ONLINE KARENA TIDAK SESUAI DENGAN YANG DIPERJANJIKAN (STUDI PADA ZALORA) ELLEN WIJAYA
JURNAL CIVIL LAW USU Vol 1, No 2 (2019)
Publisher : University of North Sumatera

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (700.018 KB)

Abstract

Perkembangan dalam transaksi e-commerce merupakan akibat dari pertumbuhan di bidang teknologi internet karena tanpa adanya jaringan internet, transaksi e-commerce juga tidak akan berkembang. Maraknya transaksi online menyebabkan terjadinya ketidakpuasan masyarakat atas pelayanannya sehingga tidak dapat dipungkiri bahwa terkadang penjual lalai dalam melakukan kewajibannya, oleh karena itu, muncul salah satu solusi untuk mengatasi kelalaian tersebut, yaitu dengan membatalkan perjanjian jual beli yang telah disepakati oleh para pihak. Dari hal inilah diangkat permasalahan pada skripsi ini yaitu bagaimana proses perjanjian dan pelaksanaan transaksi jual beli dalam e-commerce, bagaimana bentuk perlindungan konsumen dalam transaksi e-commerce, dan bagaimana akibat hokum dari pembatalan pembelian barang online dalam transaksi e-commerce. Metode yang digunakan dalam pembahasan rumusan masalah tersebut adalah metode penelitian hokum normative dengan mengkaji dan menganalisa data sekunder berupa bahan hukum primer, bahan hokum sekunder, bahan hokum tersier. Seluruh data tersebut dikumpulkan dengan menggunakan teknik studi kepustakaan dan dianalisis secara normatif. Pembatalan perjanjian jual beli online atau dalam transaksi e-commerce hanya dapat dilakukan apabila para pihak yang melakukan transaksi tersebut sepakat, contohnya, dalam took online Zalora, pembatalan transaksi dapat dilakukan baik oleh pihak pembeli ataupun pihak penjual.Pembatalan transaksi tersebut dapat berupa pengembalian barang, pengembalian dana, dan penggantian barang sesuai dengan ketentuan-ketentuan yang berlaku dalam perjanjian oleh kedua belah pihak.   Kata Kunci :Transaksi E-Commerce, Jual Beli Online
Pengetahuan, Sikap, dan Perilaku Bidan Terkait Deteksi Dini dan Tata laksana Gagal Tumbuh pada Bayi Air Susu Ibu Eksklusif Aylicia Aylicia; Ellen Wijaya
Sari Pediatri Vol 24, No 2 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.2.2022.75-82

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Latar belakang. Gagal tumbuh (growth faltering) ditandai dengan perlambatan laju pertumbuhan karena ketidakseimbangan antara asupan energi dengan kebutuhan biologis untuk pertumbuhan. Bidan merupakan salah satu tenaga kesehatan lini pertama untuk menemukan kejadian gagal tumbuh sejak dini.Tujuan. Mengetahui pengaruh pengayaan materi terhadap pengetahuan, sikap, dan perilaku bidan dalam deteksi dini dan tata laksana gagal tumbuh pada bayi.Metode. Duapuluh pertanyaan berupa kuesioner diuji validitas dan reliabilitas . Kuesioner yang valid dibagikan kepada bidan yang bekerja di puskesmas wilayah Samarinda dalam studi eksperimental crossover selama bulan Juni-Oktober 2021 sebelum dan sesudah pengayaan materi. Pengetahuan dinilai melalui kuesioner, sedangkan sikap dan perilaku dinilai melalui pencatatan penimbangan dan keterangan dalam data buku kohort bayi yang memenuhi kriteria inklusi, yaitu bayi cukup bulan, berat badan lahir normal, diberikan asi eksklusif, dan usia kronologis kurang dari enam bulan. Data dianalisis dengan SPSS 22.Hasil. Terdapat 13 dari 20 pertanyaan kuesioner yang memenuhi nilai r >0,3783. Terdapat 18 bidan dibagi dalam dua kelompok. Terdapat peningkatan rerata nilai kuesioner sebesar 3,22±1,72 (IK95% 1,90-4,54) dan 2,89±1,05 (IK 95% 2,08-3,70). Keduanya menunjukkan peningkatan bermakna pada uji T berpasangan setelah dilakukan intervensi pengayaan materi. Pada hasil ketepatan tata laksana yang dinilai dari 543 data bayi yang memenuhi kriteria inklusi, diperoleh perbedaan bermakna antara kelompok A dan B pada pengambilan data kedua (sebelum crossover) dengan p=0,002. Terdapat 77/138 (55,8%) bayi dengan gagal tumbuh yang berhasil mengalami peningkatan berat badan signifikan setelah penelitian selesai dilakukan. Namun, 36/138 (26,1%) bayi tetap memiliki status gagal tumbuh sampai penelitian selesai.Kesimpulan. Pengetahuan, sikap, dan perilaku bidan berpengaruh terhadap deteksi dini dan tata laksana gagal tumbuh pada bayi ASI eksklusif. Pentingnya materi pengayaan terkait gagal tumbuh yang berfokus pada upaya tata laksana serta penanganan kendala yang ditemukan dalam praktik sehari-hari untuk menurunkan angka kejadian bayi dengan gagal tumbuh.
Subclinical hypothyroidism and digit span test performance in children: a systematic review and meta-analysis Nadhea Debrinita Surya; Nicolas Daniel Widjanarko; Theressa Kristiayu Permatasari; Yuliana Yosephine; Ellen Wijaya
Paediatrica Indonesiana Vol 62 No 5 (2022): September 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.5.2022.324-32

Abstract

Background The digit span (DS) test is one of the most commonly used neuropsychological tests to assess certain cognitive domains, i.e., short-term verbal memory, working memory, and attention. Subclinical hypothyroidism (SH) may be associated with a risk of cognitive impairment in children and adolescents. Objective To evaluate the association between SH and DS test performance in children. Methods Eligible studies evaluating SH and DS test performance were included in this systematic review and further assessed for risk of bias using the Newcastle Ottawa Scale. We carried out a meta-analysis using the random effects model to determine mean difference with 95% confidence interval (95%CI) for continuous data. This systematic review was conducted according to the Preview Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results Out of 1,511 participants in the five included studies, 129 had SH and 1,382 were euthyroid. The quality of all studies were fair to good. Three studies were extracted for meta-analysis, with results showing a trend toward a poorer DS test performance in the SH group compared to controls, although this difference was statistically insignificant (IV -0.57; 95%CI -1.61 to 0.46; P=0.28). There was no significant heterogeneity among the included studies (I2=0%; P=0.69). Conclusion No significant association was noted between SH and the domains of cognitive function assessed using the DS test. Several intrinsic and extrinsic factors and inability of the DS test to detect subtle impairment may limit its usefulness in children.
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

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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.
Association between parental stress and adolescent behavior mediated by parenting style in public junior and senior high school students in North Jakarta Valerie, Valerie; Wijaya, Ellen; Setiawan, Andy; Astiarani, Yunisa; Surya, Junita Elvira Pandji
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.61-70

Abstract

Background Parental/ primary caregivers’ stress levels and parenting styles can impact parental behavior towards adolescent children, leading to potential shifts in the children's behavior. Parenting styles are classified into three types: authoritarian, authoritative, and permissive. Authoritarian parenting enforces strict rules with one-way communication, limiting children's creativity and independence. Authoritative parenting fosters two-way communication, balancing clear expectations with reasoning. Permissive parenting emphasizes open communication with minimal discipline, granting children greater decision-making freedom. Objective To explore the association between parental stress, parenting style, and adolescent behavioral problems. Methods This cross-sectional study was conducted on 981 adolescents and their primary caregivers. Parental stress, parenting style, and adolescents’ behavior were assessed through questionnaires. The distribution of respondents’ characteristics was obtained by univariate analysis. Bivariate analysis was performed using direct effect of path analysis to look for associations between the two categorical variables. Multivariate analysis used path analysis to determine all variables’ direct and indirect relationships. Results Of 981 adolescent respondents, 665 behaved normally (67.85%) and 552 (56.3%) received authoritative parenting.  Of 981 primary caregivers, 690 had moderate stress levels (70.3%). The study found a significant correlation between parental stress levels and various aspects of child behavior (P<0,05), including emotional symptoms, behavioral issues, hyperactivity, peer relationship difficulties, and prosocial behavior. Parental stress levels were negatively associated with authoritative parenting (P<0.05). Authoritarian parenting was associated with peer problems and behavioral problems (p<0.05) in adolescents. In the gender segmentation test, authoritarian parenting had a positive relationship with behavior problems in boys (P<0.05) and peer problems in girls (P<0.05). Conclusion Most adolescents had normal behavior and received authoritative parenting. Parental stress had a positive  association with adolescents’ behavior. Children who experienced authoritarian parenting tended to have peer and behavioral problems. Boys who experienced high authoritarian parenting are at higher risk of abnormal behavioral problems. Girls who experienced authoritarian parenting are at higher risk of peer problems. Parenting style was not a mediator between parental stress and adolescent behavior.