Objective: Internet addiction has become a major problem worldwide, especially for adolescents. Adolescents are considered vulnerable and at risk of internet addiction due to the immature self-control, easy access, and flexible schedule. Parenting style has a significant influence on the incidence of internet addiction in adolescents. This study aimed to analyze the relationship between paternal and maternal parenting style toward internet addiction level of adolescents at one of junior high Schools in Surabaya, Indonesia. Method: In this cross-sectional study, a total of 114 adolescents (44 boys and 70 girls) aged ranging from 12 to 15 in a junior high school in Surabaya, Indonesia, were recruited by stratified random sampling method in November 2019. The Internet Addiction Test (IAT) and Parental Authority Questionnaire (PAQ) were used to measure internet addiction level, and maternal and paternal parenting style of adolescents. The data were analyzed using Pearson correlation and multiple regression tests with IBM SPSS Statistics 25 to adjust the relationship between paternal and maternal parenting style toward internet addiction level of adolescents. Results: a total of 77.2% of adolescents were internet addicts and the majority experienced ‘mild’ internet addiction level (52.60%). Furthermore, the Pearson correlation results indicated that paternal permissive and authoritarian parenting styles were positively correlated with internet addiction level of adolescents. The multiple regression analysis results indicated that paternal permissive parenting style significantly predicted adolescents’ internet addiction level. Conclusion: This study highlighted the significant role of paternal permissive and authoritarian parenting styles among adolescents’ internet addiction.

Background: Internet addiction has become a serious problem in the world, especially for adolescents. Temperament plays an important role in influencing internet addiction in adolescents. Purpose: The aim of this study was to analyze the relationship between students’ characteristics and temperament with their internet addiction levels in one of the junior high schools in Surabaya, Indonesia. Methods: This was a cross-sectional study, which used primary data that was obtained from students who filled out a questionnaire. The study sample included 114 students in one of the junior high schools in Surabaya. The dependent variable was the internet addiction level; the dependent variables were gender, age, student grade, and temperament. An Internet Addiction Test (IAT) and an Early Adolescents Temperament Questionnaire-Revised (EATQ-R) were the tools used for data collection. Data was collected in November 2019. The sample selection was done through the stratified random sampling technique. The data was subsequently analyzed using the Fisher’s exact and Spearman correlation tests. Results: There was a significant positive correlation between age (p<0.01), student grade (p<0.05), negative affectivity (p<0.01), and surgency (p<0.05) toward internet addiction levels. There was a significant negative correlation observed between effortful control (p<0.05) and internet addiction levels. Conclusion: There was a significant relationship between age, student grade, negative affectivity, surgency, and effortful control and adolescents’ internet addiction levels.

Introduction: Dengue virus infection is caused by the dengue virus and transmitted through the bites of infected Aedes aegypti or Aedes albopictus mosquitoes. The spectrum of clinical manifestations is varied from asymptomatic, undifferentiated fever, dengue fever, dengue hemorrhagic fever, dengue shock syndrome, to expanded dengue syndrome. Data from 2016 in Indonesia revealed that dengue virus infection is common in the population, with a total of 333.821 cases of dengue hemorrhagic fever. Methods: This was a descriptive study with a cross-sectional design. The subjects in this study were children under 1-year-old, diagnosed with dengue virus infection, and had a complication. The number of subjects used is 60 infants. Results: Infection of dengue virus in infants is often found in the 7-9 month age group (36,6%). Clinical manifestations found were fever (100%), vomiting (62%), diarrhea (43%), petechiae (22%), bleeding (12%), and irritable (5%). Thrombocytopenia and leukopenia were found in 93,3% and 26,6% of infants respectively. Complications were found in the form of pleural effusion (66%), hypoalbuminemia (62%), hyponatremia (51%), liver involvement (49%), hypocalcemia (43%), hypokalemia (23%), bleeding (21%), brain involvement (21%), kidney involvement (13%), and ascites (11%).Conclusion: The most common clinical manifestations are fever, diarrhea, and vomiting, while the most common complications are pleural effusion, hypoalbuminemia, hyponatremia, liver involvement, and hypocalcemia.

Background: Health workers as role models play a key role in increasing immunization coverage. The coverage of complete basic immunization in the city of Surabaya is 98.1%, a figure not similar to the incidences of infectious diseases that can be prevented by immunization. This study aims to determine the risk factors for incomplete immunization of the children of health workers. Methods: A case-control questionnaire study comparing incompletely immunized children (case group) and completely immunized children (control group) was done. Participants were children of health workers at a tertiary referral hospital in Surabaya. We conducted interviews and distributed and collected questionnaires from December 2021 to April 2022. Bivariate and multivariate analyses were conducted using the Pearson chi-square test and binary logistic regression. Results: Overall, 148 questionnaires were distributed, 33 of which were excluded due to incomplete data. Therefore, 115 health workers’ children were eligible participants. 62 participants (53.9%) made up the case group, while the control group consisted of 53 participants (46.1%). The average age of the children was 12.5 months, 51.3% were boys and 48.7% were girls. The parental age, parental knowledge, mother's education, and the presence of the coronavirus disease 2019 (COVID-19) pandemic has a significant association with the children’s immunization status with p-values of 0.043, 0.005, 0.002, and p < 0.001, respectively. The children of health workers with a low level of knowledge are 4.8 times more likely to be incompletely immunized (OR 4.887, 95% CI 1.346–35.152). In addition, the possibility of the incomplete immunization of a child is eight times higher for a low-income family (OR 8.679; 95% CI 1.429–52.701). Conclusions: Low levels of parental knowledge and income are associated with the occurrence of incomplete immunization among the children of health workers at a tertiary referral hospital in Surabaya.

Neutropenia that occurs in hematologic malignancies or solid tumors may increase the risk of infection and lead to morbidity and mortality. This study aims to investigate the microbiological profile and antibiotic susceptibility pattern in children with malignancy and febrile neutropenia (FN). A cross-sectional study was conducted from January 2017 to June 2021 using medical records from the pediatric inpatient hematology-oncology ward of Dr. Soetomo General Hospital. The inclusion criteria are children with malignancy aged ≤ 18 years, experiencing a febrile episode of neutropenia, and were examined for blood culture at the onset of FN. A total of 291 children were eligible patients. Out of 291, 65 of them had a bacterial infection from blood cultures. Out of 65, almost 57% were dominated by Gram-negative bacteria (GNB). Gram-positive bacteria (GPB) that are often recognized are Staphylococcus hominis, Staphylococcus epidermidis, and Staphylococcus aureus. Meanwhile, the GNB are Pseudomonas aeruginosa and Klebsiella pneumoniae ESBL+. The majority of GNB is almost 100% resistant to ampicillin meanwhile, GPB also reported resistance to β-lactamase. We found no correlation between microorganism infection and malignancy. GNB and GPB are partially resistant to commonly used antibiotics, especially β-lactamases and ampicillin. Alternative therapies are needed to resolve this matter.