ABSTRACT
The world is fighting against coronavirus disease 2019. Cancer patients are highly immunocompromised by cancer treatment. The conditions potentially increase the mortality and morbidity of head and neck cancer patients. This study aims to identify head and neck cancer prevalence in the Department of Otorhinolaryngology-Head and Neck Surgery Hasan Sadikin General Hospital, Bandung, from the intended year before and during the pandemic. Data were obtained from the hospital database of all head and neck cancer patients from 2018-to 2020. Head and neck cancer patients were compared between 2018-2020 based on outpatients, inpatients, and treatment using the Wilcoxon test to analyze the association between variables. There was a significant decrease in the number of patients and treatment in Hasan Sadikin General Hospital during the pandemic. This study showed a significant decline in patients, treatments, and procedures during the head and neck cancer pandemic. During this crisis and uncertainty, extraordinary measures must ensure the best treatment possible for oncological care. Patients must be transferred to another health facility hospital. The screening of coronavirus disease 2019 must be implemented for every patient to ensure the trust and safety of the patients. © 2022 MEDIC SCIENTIFIC. All rights reserved.
ABSTRACT
The implementation of policy in the budget for the COVID-19 pandemic in Bekasi City has not been fully achieved effectively. The Bekasi City Government and its ranks comprehensively have not been optimal in implementing accelerated measures to deal with COVID-19. This will certainly be very inhibiting the acceleration of handling COVID-19 in the Bekasi City Government in handling the field of health, handling economic impacts and providing social safety net. The research method used in is descriptive analysis with the type of approach being qualitative case study methods. The results of the study are that there are several factors that cause the implementation of policy kin budgeting for COVID-19 pandemic in Bekasi City has not been fully effective, namely communication factors and policy factors. so that it can interfere with the acceleration of pandemic handling in the city of Bekasi. To streamline this, the Mayor of Bekasi ordered the Local Government Budget Team (TAPD) to immediately make adjustments to the Regional Revenue and Expenditure Budget (APBD) in 2020 by refocusing the budget both revenue and spending and then re-allocation of the budget in Unexpected Spending to be used to accelerate the handling of the COVID-19 pandemic adequately. and increase capacity and coordinate with the Regional Leadership Communication Forum (Forkopimda), community organizations as well as community / religious leaders to socialize and appeal to the public to avoid the spread of COVID-19. The realization of implementation of budgeting policy for COVID-19 pandemic in Bekasi City effective by the Bekasi City Government includes support from all parties to the policy in budgeting for COVID-19 pandemic food in Bekasi City, COVID-19 through the policy of implementing the Rukun Warga Siaga program can be said to be effective, the synergy of TAPD and Regional Devices in supporting the Mayor's commitment Bekasi, strengthening the coordination and synchronization of pandemic management policies between stakeholders and community non-compliance with government appeals from both the Central Government and the Regional Government of Bekasi City can be avoided.
ABSTRACT
Purpose This research aims to test the relationships between organisational mindfulness, social learning and opportunistic behaviour of small business leaders during the COVID-19 pandemic. Design/methodology/approach Semi-structured interviews were conducted with six small business leaders from various sectors to explore and better grasp the unprecedented phenomenon. An online survey on small business owners and managers in Indonesia was then employed as the main study, resulting in 291 valid responses for further analysis. The data were analysed using regression on SmartPLS 3.0 software. Findings This research finds that organisational mindfulness and social learning have positive and significant associations with the ability of small business leaders to discover and exploit opportunities. The path analysis suggests that organisational mindfulness plays a pivotal role as it also partially mediates the relationship between social learning and opportunistic behaviour. Originality/value This is the first paper to test the relationships between organisational mindfulness, social learning and opportunistic behaviour, particularly in the context of COVID-19 pandemic. This work also contributes by emphasising the critical linkages between internal and external capabilities triggered by small business leaders to survive the pandemic.
ABSTRACT
Medical waste management due to the COVID-19 pandemic is important and urgent. An approach is needed to assess the weight of medical waste and to design appropriate waste management. The research was conducted in 2020 when the pandemic was still ongoing and had not yet reached the peak of the outbreak. Thus, the analysis was built based on assumptions and available data. The research was quantitative. Data were collected digitally (by big data retrieval and web survey) on the COVID-19 referral hospitals in Jakarta Province. The results showed that before the pandemic the weight of inpatients' medical waste was 1.57 kg/bed/day, while for COVID-19 inpatients was 1.84 kg/bed/day. The last number was processed with a limited projection of Jakarta population in 2020, then tested using two scenarios. First scenario was a pandemic condition without treatment. Second scenario was a pandemic condition plus vaccinations on D11. First scenario resulted that on D75, almost all residents of Jakarta would be infected with the SARS-COV2 virus and the maximum capacity of hospital incinerators in Jakarta was reached on D11. Second scenario resulted that the plague rate is resolved so that it does not infect all residents of Jakarta, but the capacity of hospital incinerators in Jakarta is still not adequate (limit on D11). Research has implications for environmental management budget planning in dealing with infectious disease outbreaks. The research recommendation is to calculate the weight of COVID-19 medical waste according to current conditions, which includes parameters such as the maximum hospital occupancy rate and the availability of large-scale incinerators belong to third-party.
ABSTRACT
Background: Inflammation plays an important role in the pathogenesis of COVID-19 and can be an important factor in the prognosis. The innate immune response to a respiratory infection is characterised by an influx of neutrophils to the lungs, particularly the alveoli. A sustained release of anti-inflammatory cytokines may lead to widespread apoptosis of lymphocytes, resulting in lymphopenia. Hs-CRP is an indicator of COVID-19 inflammation. The aim of this study was to analyse Neutrophilto-Lymphocyte Ratio (NLR) and Hs-CRP in order to predict mortality in COVID-19 patients. Research methods: This research was conducted at Moewardi Hospital in July 2020. The subjects were COVID-19 patients. NLR is neutrophils divided by lymphocytes using a haematology analyser. The examination of Hs-CRP was conducted utilizing the ELISA method. Statistical test with an independent T-test and cox proportional hazard analysis with p <0.05 was also used. Results: The results showed that Hs-CRP and NLR increased in COVID-19 patients who later died and obtained lower levels of surviving (p = 0.001 and p = 0.11). Hs-CRP increased the risk of death for COVID-19 patients (p = 0.18;HR = 1.036) and NLR also increased the risk of death for COVID-19 patients (p = 0.08;HR = 1.34) Conclusion: Neutrophil-to-Lymphocyte Ratio and Hs-CRP predicted mortality in COVID-19 patients
ABSTRACT
Purpose: The aim of this study to analyse Neutrophil-to-Lymphocyte Ratio (NLR) and Hs-CRP to predicts mortality in COVID-19 patients Research Methodology: This research was conducted at Moewardi Hospital in July 2020. The inclusion criteria were COVID-19 patients. NLR is neutrophil divided by lymphocytes using a haematology analyser. Examination of HsCRP by ELISA method. Statistical test with an independent T-test and cox proportional hazard analysis with p <0.05. Results: The results showed that HsCRP and NLR increased in COVID-19 patients who later died and obtained lower levels in survivors (p = 0.001 and p = 0.11). HsCRP increased the risk of death for COVID-19 patients (p = 0.18;HR = 1.036) and NLR also increased the risk of death for COVID-19 patients (p = 0.08;HR = 1.34) Limitations: this study were not randomized controlled trial, but retrospective study, which is the only studies available during this pandemic. And because of lack of access to individual data, we were unable to perform multivariable regression analyses to adjust for potential confounders in the nonsurvival vs survival group. Contribution: it will be an input for clinicians when there are high Hs-CRP and NLR to get more intensive care.
ABSTRACT
COVID-19 has not only an impact on health aspects but also other issues, including the economy. At times of crisis that is full of challenges, individuals who prefer to compelled to do what needs to protected from the negativity caused by the disaster. One who managed to save himself in times of crisis caused a panic of buying that happens a lot in retail stores. Companies must study the efforts made by buyers related to panic buying that is happening around them. Companies can explore these insights through sentiments formed from social media user posts on social media platforms. This research explores consumer sentiment related to panic purchases using qualitative analysis with NVivo software. The results of a study of 647 posts on Twitter microblogging revealed that panic buying contained negative attitude. Based on the results of this analysis, there are tactical steps that can be taken by companies in supporting individual efforts to protect themselves from losses caused by the COVID-19 outbreak.