ABSTRACT
Background: Severe acute respiratory injury caused by COVID-19 (ARDS) is a serious emerging complication. ARDS results from a cytokine storm that occurs in the second week of the disease course and acute-onset hypoxemia can be seen with bilateral infiltrates on chest radiograph. This study aimed to relate the severity of symptoms and D-dimer level to the incidence of ARDS in COVID-19 at H. Adam Malik Hospital as the referral center for COVID-19 in North Sumatra. Method: This was a descriptive study with a retrospective cohort design. The sample of this study was secondary data from medical records of positive RT-PCR COVID-19 patients from November 2020 to April 2021. The inclusion criteria were patients with moderate to critical COVID-19 cases with D-dimer examination taken from the first day of admission. Subjects were then followed up until discharge from the hospital to assess for ARDS episodes which were confirmed by the results of PaO2/FiO2 in arterial blood gases and bilateral infiltrations in chest X-Ray. The exclusion criteria were incomplete medical records.
ABSTRACT
COVID-19 is a new global disease. Over time, COVID-19 shows itself not only as a disease that causes illness, death, and economic downturn but also social impacts. In this mini-review, the authors will discuss how stigmatization has occurred following the occurrence of COVID-19 and has afflicting not only patients and their families but also medical personnel who are struggling to save those affected. It is recommended that stigmatization must be stopped because if this continues that it will worsen the situation of the COVID-19 pandemic by organizing mentoring health services for patients, providing accurate and credible information, and, at the same time, encouraging the community’s social cohesion to care for others. © 2020 Sorimuda Sarumpaet, Fotarisman Zaluchu, Putri Chairani Eyanoer, Novita Hasiani Simanjuntak.
ABSTRACT
It is known that women experience heavier physical and psychological burdens more than men. This is closely related to the traditional role of women because of the absence of women’s authority in themselves. In the coronavirus disease (COVID)-19 pandemic situation, the role of women has increased, namely taking on a protective role. With this additional burden, the physical and psychological burden on women becomes heavier and has the potential to create health problems in the future. In this mini review, the authors discuss the potential impact of implementing the COVID-19’s prevention protocol on women’s lives. It was concluded that there were serious and very large potential consequences for women, in terms of physically, psychologically, or emotionally;thus, early anticipations are really needed.
ABSTRACT
BACKGROUND: In Indonesia, a new behavior has been introduced in the community to prevent COVID-19 transmission following 3 months of the COVID-19 outbreak. The Ministry of Health, Republic of Indonesia, names this new concept as “the adaptation of new behavior.” However, preventive measures and health protocols encouraged by the government have not yet yielded a significant impact on reducing the COVID-19 positivity rate. This unsuccessful outcome indicates that infective circulation is still occurring caused by incompliant to the health protocol. AIM: This study aimed to measure community perceptions against COVID-19 at the individual level. METHODS: A cross-sectional study with a total of 1687 respondents was performed. Questionnaires distributed thru sharing online links which contain questions on perception of vulnerability and severity of COVID-19. Chi-square test used in analysis to determine the difference in perception with respondents’ behavior. RESULTS: A total of 81.7% of respondents who had a perception of “susceptible to contract” performed behavior suited to recommendations and 81.2% study population had a perception of “COVID-19 is severe” executed behavior suited to the recommendation. CONCLUSION: This study demonstrated the establishment of government recommendations for COVID-19 infection did not guarantee the actual health practice/behavior in the community. The existing misconception of the perspective of seriousness/severity and susceptibility would prevent the country from flattening the curve.
ABSTRACT
BACKGROUND: Coronavirus (CoV) is a type of virus that can cause interference with the respiratory tract. The development of CoV disease (COVID)-19 is happening fast in the world, especially in Indonesia. In Medan, the highest number of COVID-19 cases was spread in the Medan Selayang sub-district. One of the steps taken by the government to reduce transmission of COVID-19 is by implementing prevention and social distancing behavior. Community behavior is influenced by various factors such as age, sex, physical nature, level of education, and socioeconomic to culture. AIM: The aim of this study was to find out the factors that influence the community behavior of Medan Selayang people in the effort to prevent COVID-19. METHODS: This cross-sectional study was conducted on 102 respondents. Data collection methods, in the form of primary data, are carried out by distributing and filling out questionnaires through the Google form media. RESULTS: One hundred two respondents were found that 90.2% of respondents had good behavior in COVID-19 prevention efforts. The multinomial logistic regression found sig. (P) on the variables of gender, age, education level, and employment status, respectively, 0.360, 0.772, 0.860, and 0.878 (p > 0.05). CONCLUSIONS: In this study, no significant relationship was found between sex, age, education level, and employment status on COVID-19 preventive behavior.