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Background: Indonesia has a great potential in the development of digital health technologies. However, several challenges might also arise in hand with the development of telemedicine. Aims: We aimed to conduct a literature review of the use of telemedicine in Indonesia in order to know how the start is, the development, and future considerations of its usage. Methods: From the digital databases of PubMed, Google Scholar, and Neliti (Indonesia's Research Repository), each author completed literature searches of telemedicine in Indonesia from 1985 to 2021. Results: A total of 8 studies were included in current literature review. In 1985-1987, Indonesia undertook the first satellite-based telemedicine. During the early twenty-first century, rapid improvements in information technology have expanded to other industries, including health care through telemedicine. Covid-19 dilemma compels physicians to adopt. Through telemedicine, many is experienced the benefit during the pandemic. However, in developing telemedicine system for the future, the use of telemedicine has several challenges, namely related to human resources, infrastructure and ethical regulations. Conclusion: When telehealth is successfully implemented in Indonesia, it will benefit both the developer and the consumer. Despite the benefits, the challenge of implementing and developing a comprehensive eHealth environment in Indonesia might be seen as tremendous, given that the country is currently developing its infrastructure. © 2022, The authors.
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Background: Indonesia has not met its vaccination rate target, falling short of 25% in 2021. This study aims to assess all the contributing factors towards vaccine acceptance, hesitance, and refusal in a single vaccination center in Jambi, Indonesia. Materials and methods: We collected primary data from respondents directly through a structured questionnaire. This was a cross-sectional study with total sampling. We included adults vaccinated for the first dose with CoronaVac in Puskesmas Putri Ayu. The data was collected between March 15th and June 3rd, 2021. Multivariate logistic regression analysis was done to analyse the predictive models. Results: There are 522 respondents included in this study. Nearly half of the respondents are male (52.1%) and mostly in the age category of 36–45 years old (21.1%). A total of 443 respondents (84.9%) are “vaccine acceptance,” while the rest constitutes “vaccine hesitance and refusal.” Multivariate analysis reveals that respondents who obtain permission from work or school to get vaccinated are more likely to be “vaccine acceptance” with an odds ratio (OR) of 1.76 (95% confidence interval [CI] 1.08–2.91;p-value 0.025), and respondents with ≥ 2 comorbidities are less likely to be “vaccine acceptance” with an OR of 0.09 (95% CI 0.01–0.64;p-value 0.015). Conclusions: There is a high vaccine acceptance in this study. Difficulties in getting a work permit and the presence of ≥ 2 comorbidities decrease the willingness to be vaccinated for COVID-19.
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BACKGROUND Several studies have reported pediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS) cases with their cardiac manifestations, but only few studies synthesize the cardiovascular characteristics in children with PIMS-TS. However, detecting cardiac abnormalities is crucial in improving patients' outcomes and reducing mortality. This review aimed to summarize the overall symptoms, laboratory, and workup findings in PIMS-TS patients, focusing on cardiovascular manifestations. METHODS We searched 4 medical databases (PubMed, Science Direct, Medline, and Scielo) and 4 preprint databases (Medrxiv, Research Square, SSRN, and Biorxiv). The literature search was done on November 8, 2021. All case reports, case series, crosssectional studies, cohort studies, and possible clinical trials published from December 2020 onward that studied PIMS-TS on cardiac manifestation (aged 0-18 years) were included. Studies on multisystem inflammatory syndrome in children, animal studies, and studies without full-text availability were excluded. This review was registered in PROSPERO (CRD42021194468). RESULTS 59 studies were included with a total of 698 patients. The most common cardiovascular findings were the presence of cardiogenic shock (37%) and hypotension (8.5%). Almost all laboratory values were deranged. Cardiac computed tomography scan mostly showed normal results (56%), followed by cardiomegaly with pericardial effusion (14%). Electrocardiography showed normal findings (46%), ST-segment abnormalities (32%), and abnormal T wave (12%). Echocardiography findings showed left ventricle dysfunction (40.6%), which can be considered most significant, followed by pericardial effusion together with pericarditis (11.4%) and tricuspid regurgitation (6.9%). CONCLUSIONS This review found various cardiac abnormalities that may develop during PIMS-TS. Due to these findings, we should be more vigilant and not underestimate the consequences in pediatric COVID-19 patients.
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BACKGROUND: Reverse transcriptase-polymerase chain reaction (RT-PCR) is the primary diagnostic tool to confirm coronavirus disease 2019 (COVID-2019) due to its high specificity. However, it has relatively low sensitivity and time consuming. In contrast, chest computed tomography (CT) has high sensitivity and achieves quick results. It may, therefore, play a critical role in screening and diagnosing COVID-19. A cross-sectional study was done in 212 patients with confirmed cases and patients under surveillance for COVID-19 tested for RT-PCR and chest CT scan. Statistical analysis was performed using SPSS Version 23 (Statistical Package for the Social Sciences, IBM Corp., Armonk, NY, USA). AIM: We aim to investigate the diagnostic value of chest CT in correlation to RT-PCR in Indonesia. METHODS: A cross-sectional study was done in 212 patients with confirmed cases and patients under surveillance for COVID-19 tested for RT-PCR and chest CT scan. Statistical analysis was performed using SPSS Version 23 (Statistical Package for the Social Sciences, IBM Corp., Armonk, NY, USA). RESULTS: From a total of 212 patients, 92% of them were diagnosed as confirmed cases of COVID-19. It was found that the sensitivity of CT scan for COVID-19 patients was 72.3% (65.5% and 78.5%) with positive predictive value (PPV) of 93.9% (90.9% and 96.0%) and the sensitivity and PPV improve in symptomatic patients. Typical chest CT scan lesions were 8.0 times which were more likely (3.9–16.4;p <0.001) to be detected in symptomatic patients while patients with severe CT scan findings were 4.4 times more likely (3.0–6.5;p <0.001) to be admitted to the intensive care unit. CONCLUSION: A high PPV suggests that a chest CT scan can detect COVID-19 lesions, but the absence of the lesions would not exclude the disease’s presence.
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Purpose: Consumers have unique behaviors that are classified based on their interests and considerations before buying. They are predicted will change due to the pandemic of COVID-19. This study provides insights for retailers about the dynamic of consumer behavior before and during the pandemic, including future predictions. Research design, data and methodology: The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement was applied in this study. Seven studies that were selected from five databases meet the criteria for cohort and cross-sectional analyses of gender, age, store types, and environmental concerns. Results: Consumer’s gender and age contribute to consumer behavior change. Both offline and online stores can be integrated as omnichannel rather than substitute each other. Product distribution and consumer budget need to be reevaluated by retailers, while internet security is the most essential factor when developing their online transactions. Conclusions: COVID-19 pandemic has a significant impact on changing consumer behavior in most countries. Retailers are encouraged to adapt to the changes by modifying their business model with technology. However, it is still speculated and cannot be generalized due to different cultural and contextual factors. Future studies are always needed to synchronize along with the transition of consumers’ behavior. © Copyright: The Author(s) This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://Creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Background: Breast milk is the best nutrition for most infants, and current recommendations encourage mothers to keep giving breast milk during the COVID-19 pandemic. Subjects and Method: This is an analytic cross-sectional study involving mothers giving birth since March 2020 and their infants aged under 6 months. An online-based questionnaire, including the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), was distributed through social media from April to September 2020. The dependent variable was exclusive breastfeeding rate, and the independent variables were BSES-SF score, mother working status, educational level, place of birth, birth method, and COVID-19 status.
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AIM: Recently, the subject of reopening schools has raised several concerns, especially on the possibility of new coronavirus disease 2019 (COVID-19) cluster cases. Parent’s role is essential in this matter. Therefore, this study aims to understand the parents’ knowledge, attitude, and behavior toward COVID-19 in Indonesia. METHODS: A cross-sectional study was conducted on 206 Indonesian parents. A 55-items questionnaire was used to assess the knowledge, attitude, and behavior of subjects. In this study, median split tests, Kruskal–Wallis, Cronbach’s α, and Pearson correlation test were used. RESULTS: Subjects were found to have high levels of knowledge, especially in the knowledge of COVID-19 as a contagious viral disease (98.5%), and the necessity for children to maintain personal hygiene to prevent COVID-19 (98.5%). Subjects’ attitudes were highest at understanding how to prevent COVID-19 (95.1%) and teaching children how to avoid COVID-19 (98.1%). Subjects’ attitude was lowest at hearing the news of the death of COVID-19 scares them (72.8%), and on how their children are getting bored at home because of COVID-19 (69.9%). Subjects’ are shown to have high levels of behavior in every question. This study found a significant correlation between socioeconomic status and subjects’ knowledge (p = 0.007). CONCLUSION: This study revealed a lack of understanding of prevention strategies among low-income households. Hence, there is a need for targeted messaging and health education in low-income settings that consider the challenges they may face when attempting their children to practice COVID-19 prevention procedures if schools reopen.
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Background: The impact of COVID-19 towards psychology and mental health is anticipated to be significant and may affect the population disproportionately, especially adolescent as the vulnerable category. We aimed to analyze the impact of COVID-19 towards adolescents’ mental health. Main body: A systematic search was conducted from Cochrane, Google Scholar, Scielo, and PubMed. Inclusion criteria included all types of studies which observed the effect of COVID-19 and its related causes, such as lockdown, on adolescents’ mental health. All studies were assessed for its level of evidence according to Oxford 2011 criteria and Newcastle Ottawa Scale (NOS). Three studies (Seçer and Ulaş, Int J Ment Health Addict: 1–14, 2020;Zhou et al., Eur Child Adolesc Psychiatry 29:749–58, 2020;Qu et al., Lancet: 1–17, 2020) showed that COVID-19 was a risk factor for mental health problems in adolescents while Oosterhoff et al. (J Adolesc Health 67: 179–185, 2020) showed that adolescents who preferred to stay at home during this pandemic reported less anxiety and depressive symptoms Conclusion: COVID-19 has been found to be associated with mental health changes in adolescents which meant management of COVID-19 should also focus on mental health as well. © 2020, The Author(s).