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Developmental Behavioral & Community Pediatrics

                                              P-DBCP-015
                     Risk Factors of Mental Health Problems in Pediatric Residents
                     at Universitas Sam Ratulangi During The COVID-19 Pandemic

                                Lidya Lustoyo Putrajaya, Lydia Wangke, Hesti Lestari
             Department of Child Health, Faculty of Medicine Universitas Sam Ratulangi/Prof. Dr. R. D. Kandou General Hospital,
                                       Manado, North Sulawesi, Indonesia

                                               Abstract
            Background The COVID-19 is widely spreading all over the world, causing mental health problems for most
            people including medical workers. Objective To know risk factors for mental health problems in pediatric
            residents at Universitas Sam Ratulangi during the COVID-19 pandemic. Methods This cross sectional
            study was performed on May 2021 to the whole active pediatric residents at Universitas Sam Ratulangi,
            Manado. They were given DASS-42 questionnaire along with the demographic data and then filled in
            according to their current condition. The DASS-42 is to measure depression (dysphoria, hopelessness and
            anhedonia), anxiety (autonomic arousal, skeletal muscle effect and situational anxiety) and stress (difficulty
            relaxing, nervous arousal and impatient). Results A total of 84 residents consisting of 31 (36.9%) males
            and 53 (63.1%) females were participated in this study. It showed 14 (16.67%) residents had depression, 52
            (61.9%) had anxiety and 74 (88.09%) had stress. With daily exposure to COVID-19 patients, intermediate
            and senior pediatric resident had increased the risk for depression by 7.22 folds (P=0.035). The one who
            had past medical history increased the risk for depression by 4.27 folds (P=0.035). Married residents and
            who had children increased the risk for anxiety by 3.77 and 3.11 folds respectively (P=0.005 and P=0.039).
            Male residents also increased the risk for stress by 4.86 folds (P=0.021). Conclusion Daily exposure, past
            medical history, marital status, having children and gender were risk factors for depression, anxiety and
            stress level of the residents.
                            Keywords: risk factors; mental health; pediatric residents; COVID-19


                                              P-DBCP-016
               Correlation Immunization Performance with Patients Confirmed Covid -19
                              Hospitalized at M. Djamil Padang Hospital

                                           Riana Youri, Asrawati
                    Department of Child Health, Faculty of Medicine Universitas Andalas/Dr. M. Djamil Hospital,
                                        Padang, West Sumatera, Indonesia
                                               Abstract
            Background The highest prevalence rate more than 20 % of COVID-19 was found in Padang city. Almost
            18.7 million children were not given routine immunization. Data 2019 one of the  lowest immunization
            performance is in West Sumatera (less than 45 %). Objective To describe correlation between immunization
            performance with patients confirmed COVID-19. Methods This research was a retrospective-prospective
            study with a cross-sectional design using medical record of patients in yellowzone (Y) and redzone (R)
            (antigen swab was positive)  hospitalized at M. Djamil Hospital period 21 April 2021-9 June 2021. Results
            A total of 215 children were included in this study, most respondents are boy (R vs. Y: 19(8,8%) vs. 106
            (49,3%); P= 0.943). Age 1-5 years old were mostly found in both group (R vs. Y: 15 (7%) vs. 77 (35.8%);
            P= 0,028). Respiratory diagnosis were mostly found (R vs. Y: 30 (8,6%) vvs.s 131 (37.6%); P= 0.021).
            Haematology Oncology cases were found significant in both group (R vs. Y: 1 (0,3%) vs. 35 (10%);
            P=0.022). There is significant correlation between immunization status and confirmed COVID-19 ( R vs. Y :
            incomplete 23 (10.7%) vs. 68 (31.6%); P= 0.002. But mortality case no significant (R vs. Y: 13 (48.1%) vs.
            8 (61,5%); P=0.132). Conclusion Significant correlation were found between immunization performance
            with confirmed Covid-19.
                            Keywords: children; confirm; COVID-19; immunization; performance








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