ABSTRACT
Background: COVID-19 can infect anyone, but for some groups of people who have a higher risk of exposure to COVID-19, it can lead to death. Providing health services during a pandemic is a challenge for health workers. Midwives are one of the health workers who are at the forefront when serving pregnant and giving birth women during this pandemic so that midwives have a high risk of contracting the COVID-19 virus. Purpose: The purpose of the phenomenological study in this study was to identify and explore the experiences of midwives in providing delivery assistance to mothers with suspected and confirmed COVID-19 at Bhakti Dharma Husada Hospital, Surabaya. Method: This study uses a qualitative research design with a phenomenological approach, namely a study that describes or describes experiences or phenomena that occur or are experienced by someone who aims to understand a phenomenon in a natural social context by prioritizing a process of in-depth communication interaction between researchers and phenomenon under study. Results: From the results of research that has been conducted on midwives' experiences in providing delivery assistance to mothers with suspected and confirmed COVID-19, there are several things according to informants that need to be evaluated, namely PONEK service rooms, use of delivery chambers, transition rooms, less strategic service rooms and interprofessional communication. Conclusion: The conclusions obtained from qualitative research on "Midwives' Experience in Providing Birth Assistance to Mothers with suspected and confirmed COVID-19: Qualitative Phenomenological Studies" are midwives' perceptions, preparations in carrying out delivery assistance, delivery assistance by midwives, adaptation changes, support systems in services, expectations of midwives and evaluation of services. (English) [ FROM AUTHOR]
ABSTRACT
Introduction: In COVID-19 patients, Interleukin-6 (IL-6) will increase, and the production of antigens will be excessive, which will cause excessive inflammation of the tissues, especially the respiratory tract, which causes fibrosis in the lungs and can lead to death. Objective: To analyze IL-6 expression of lung tissue in COVID-19 patient severity. Methods: The study is an observational analytic design from July to December 2020. COVID-19 patient severity who died was examined for IL-6 expression on lung tissue. The lung tissue sampling uses the core biopsy method. Results: The total number of samples obtained was 38 samples. Characteristics of patients with a mean age of patients were 48 years, male, the most common chief complaint was shortness of breath, mean symptom onset was 5 days, patient length of stay was 10 days, the most common cause of death was a combination of septic shock and ARDS and the most common comorbid diabetes mellitus. There is an increased WBC, neutrophils, platelets, procalcitonin, CRP, BUN, creatinine serum, AST, ALT, and D-dimer. In this study, the average tissue IL-6 expression was 72.63, with the highest frequency of strong positive 47.4%. Conclusion: An increase in IL-6 expression on lung tissue showed the severity of COVID-19 infection.
ABSTRACT
BACKGROUND: COVID-19 is a virus that is spread by aerosol which can cause worsening of hypoxia and bronchoscopy procedures in COVID-19 patients may be considered. METHOD: The design of this study is a case series reported using the Preferred Reporting of Case Series in Surgery (PROCESS) 2020 Guideline. Data collection was carried out in the period January-April 2021. All participants underwent X-ray examination and blood gas analysis as well as signs of infection before and after bronchoscopy. RESULT: Three intubated patients with COVID-19 were confirmed from PCR nasopharyngeal swab present with worsening on chest X-ray. All three patients had a normal bronchial wall with some inflammation and thick mucus resulting in lung atelectasis and massive inhomogeneous opacity on chest X-ray. Patients showed improvement on chest X-ray after bronchoscopy intervention. CONCLUSION: The bronchoscopy procedure can improve the lung function of COVID-19 patients and if it is carried out by medical personnel who pay attention to universal precautions, it will minimize the occurrence of transmission.