ABSTRACT
Covid-19 patients with comorbidities, such as hypertension, diabetes, and respiratory diseases, have a higher risk for severe disease and mortality compared to patients without comorbidities. Some data shows that the administration of high dose vitamin C (1-2 g/day) can reduce the amount of the inflammatory mediators and shorten the length of hospital stay. This study aimed to determine the relationship between vitamin C administration and of length of hospital stay for Covid-19 patients with comorbidities. This study was a retrospective observational study on consecutively sampled medical record data of UNS Hospital patients from July 2020 to January 2021. A total of 78 patient medical records were included of this study. The inclusion criteria were all medical records of patients who suffered from Covid-19 with comorbidities admitted to the hospital while the exclusion criteria were medical records of patients who did not get oral or intravenous vitamin C. The chi-square bivariate test was used to determine the relationship between the administration of vitamin C and the length of hospital stay for Covid-19 patients with comorbidities. Of the 78 subjects only 52 subjects were included in the statistical analysis. Medical records were divided into two groups: group 1, that consisted of medical records of patient who received more than 1000mg Vitamin C, and group 2, who received less than 1,000mg Vitamin C. Results demonstrated that the administration of high dose vitamin C of more than 1,000 mg was not associated with the length of hospital stay (p=0.677). Thus, high dose of vitamin C is not associated with the length of hospital stay for Covid-19 patients with comorbidities, such as hypertension, diabetes, and respiratory disease.
ABSTRACT
COVID-19 has been a global problem that affects various aspects of life. Hospital management is mostly affected by the COVID-19 pandemic.The COVID-19 pandemiccauses patients to be reluctant to go to the hospital. Universitas Sebelas Maret (UNS) Hospital, Indonesia has been trying to increase patient trust in the hospital and maintain the quality of service. This case study aims to report the efforts made by UNS Hospital to maintain numbers of hospital outpatient visits during the COVID-19 pandemic. The aim of this case study is to determine the number of outpatient visits at UNS Hospital in 2020 and the patients’ satisfaction rate. The number of outpatient visits of the UNS hospital decreased during this pandemic. The satisfaction survey shows that the patients feel very satisfied about the quality of services at UNS Hospital. COVID-19 does affect the outpatient clinic services. UNS hospital has to be able to develop innovations and improve the quality of services in order to survive during this pandemic. © 2022 UPM Press. All rights reserved.
ABSTRACT
Introduction: Frontline health workers dealing with the coronavirus disease-2019 (COVID-19) pandemic face numerous mental health problems ranging from extreme pressure and apprehension to severe depression. It has been reported that 2003 SARS pandemic had psychological impact on health care workers. The aim of this study is to investigate the depression, anxiety, and stress level among nurses at Universitas Sebelas Maret (UNS) Hospital post one year of COVID-19 pandemic. Methods: This is a cross sectional study that was conducted using the Google-form based DASS-42 questionnaire. The subjects were nurses in the COVID-19 and non-COVID-19 wardrooms. Results: : The average age of the subjects was 25.59+2.64 for the COVID-19 nurses and 27.58+3.38 for the non-COVID-19 nurses. The maximum scores obtained were 16 which is classified as moderate depression, 20 which is classified as very severe anxiety, and 16 which is classified as moderate stress level. The scores for depression, anxiety, and stress levels were 4.24+3.94;3.06+3.57;and 4.27+4.52, respectively, while the nurses in the COVID-19 ward were 5.32+5.47;5+5.93;and 5.85+6.18. Statistical analysis revealed that there was no difference of depression with a p value of 0.35, anxiety with a p value of 0.087, and stress levels with a p value of 0.224, between nurses in COVID-19 wards and non-COVID-19 wards. Conclusion: The depression, anxiety, and stress level are not statistically different between the two groups. © 2022 UPM Press. All rights reserved.
ABSTRACT
Coronavirus disease 2019 (COVID-19) is closely related to Systemic Lupus Erythematosus (SLE). COVID-19 can cause SLE with the formation of autoantibodies. SLE patients have dysregulation and weakness in the immune system, so they are vulnerable to COVID-19 infection. A 29-year-old man came to the Emergency Unit with fever and weakness complaints. Follow-up examination revealed thrombocytopenia, increased neutrophil to lymphocyte ratio, and elevated hsCRP. A chest X-ray showed pneumonia, PCR examination showed a positive result for the SARS-CoV-2 virus, the ANA IF level was 1/320, and the ANA profile test was positive for PCNA antibodies. Diagnosis and treatment of SLE patients with COVID-19 coinfection become problematic because COVID-19 is a hyperinflammatory disease like SLE. Immunosuppressant drugs in SLE will cause weakness of the immune system and broader spread of the virus, so it needs strict evaluation and proper timing of drug administration. © 2022 UPM Press. All rights reserved.