COVID-19 at Dumai Sea: One Year Study on a Commerce Ship

Background: Being highly contagious through person-to-person transmission, COVID-19 can easily spread within multinational populations of ships and to land communities. The purpose of this study is to report on the prevalence of COVID-19 infections in the Commerce fleet over a two year period and to discuss measures to prevent and overcome the outbreak of COVID-19 on ships. Materials and methods: All possible cases of COVID-19 among crew on six merchant vessels were registered during 2021 by onboard medical facilities. The patients remained isolated for up to 6 days after taking a PCR test. Vulnerable contacts were identified and offered post-exposure measures. The nationality of the crew, the number of contacts vaccinated, and the cost of direct treatment were noted. Results: Across the year of 2021, there were six ships with registered COVID-19 cases (132 crew), and one out of the six ships had COVID-19 cases appearing less frequently than 1 per day, consisting of a total of 12 patients. This ship sails under the flag of the Indonesian state. Of the other five ships, among the crew, 111 caught COVID-19 (85.1% of crew cases were from Indonesia, and 21 (15.9%) of were from subtropical/tropical countries, namely India). Conclusions: All ships have to deal with cases of COVID-19 or outbreaks on board every few years. Any case of COVID-19 could start an outbreak, and thus trigger time-consuming and expensive containment measures, including isolation and mass vaccination of susceptible contacts. Mandatory pre-contract proof of COVID-19 immunity from all seafarers or from subgroups, noting their position or nationality may be worth considering. In order for sailors to be immune to COVID-19, they must be able to get COVID-19 vaccinations and valid documentation when sailing.

Analysis of Supporting Factors Associated with Exclusive Breastfeeding Practice in the Urban Setting during the COVID-19 Pandemic.

Breastfeeding mothers have had limited access to breastfeeding support throughout the COVID-19 pandemic. This study aims to investigate breastfeeding practices during the COVID-19 period and to determine the factors associated with supporting exclusive breastfeeding. A sequential explanatory mixed methods approach was adopted, including a quantitative method in the first phase and qualitative method in the second phase. Mothers whose babies were aged over 6 months to 24 months old from July to September 2021 in Pekanbaru City were selected as research subjects. Data analysis was performed with multivariate and deductive content analysis. Of 156 participants, 97 mothers (62.2%) exclusively breastfed their babies. Of those, mothers who delivered exclusive breastfeeding worked less than eight hours per day, were aged 17-25 and had low education. Though by using exclusive breastfeeding practice as a reference, associated supports, including emotional, instrumental, appraisal and information regarding exclusive breastfeeding practice were insignificant; however, mothers who practice exclusive breastfeeding had higher information support. During the COVID-19 pandemic period, the informational support factor was found to be important to achieve the successful exclusive breastfeeding practice.

The Quality of Life of Coronavirus Disease Survivors Living in Rural and Urban Area of Riau Province, Indonesia.

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.

The Impact of Covid-19 Pandemic on the Effect of Earnings Per Share on Price to Book Value with Firm Size as Intervening Variable

The objective of this research is to examine and analyze the effect of Earning Per Share on Price to Book Value with Firm Size as intervening variable. Population of research is 45 go-public firms in LQ45 Index that are listed at Indonesia Stock Exchange on period of 2017-2019. Sampling technique is purposive sampling that produces 36 samples but there are 9 firms that do not submit periodical financial statements to LQ45 Index on period of 2017-2019. Analysis technique is PLSSEM supported by computer application of WarpPLS 7.0. Result of research shows that Earning Per Share has significant effect not only on Price to Book Value but also on Firm Size. The effect of Earning Per Share on Price to Book Value is significant. The result also indicates that Firm Size is the intervening variable in partial mediation. The increase of Earning Per Share is always followed by the increase of Price to Book Value. High level of Earning Per Share is delivering high level of profitability and conversely, small earnings is giving low profitability. The result proves that Firm Size is a factor needed for assessing profitability.

Implikasi Manajemen Keperawatan Dalam Penanganan Pasien Corona Virus Disease 19 (COVID-19): Literatur Review

Profesi perawat selama masa pandemi Corona virus diseasen19 (COVID-19) mendapatkan tantangan untuk memberikan asuhan keperawatan yang profesional dengan resiko tertular bahkan menjadi korban COVID-19. Oleh karena itu keterlibatan manajemen keperawatan sangat diperlukan agar pelayanan keperawatan tetap bisa berlangsung dengan tetap menjaga perawat terhindar dari penularan COVID-19. Tujuan: Literatur review ini bertujuan untuk melakukan telaah implikasi manajemen keperawatan dalam penanganan pasien COVID-19 dari berbagai jurnal. Metode: Penelusuran artikel dalam jurnal penelitian didapatkan dari Google scholar, Sciencedirect, Ebscohost dan Wiley lalu dikelompokkan berdasarkan issue, metodologi, dan persamaan lingkup pembahasan. Artikel penelitian lain yang masuk dalam daftar penelusuran seperti dari Elsavier dan CDC. Diperoleh artikel sebanyak 940 buah terdiri dari jurnal keperawatan maupun jurnal kesehatan dengan kata kunci Implikasi, Perawat, Manajemen, COVID-19. Setelah itu dilakukan proses penyaringan berdasarkan kriteria inklusi menggunakan PICOT (population, Intervention, Comparasion, Outcome dan Time) diperoleh 15 artikel yang memenuhi kriteria. Hasil : Sebagai hasil analisa 15 artikel dalam jurnal penelitian terpilih diperoleh data yang dibagi menjadi 3 kelompok yaitu: Pertama, pelatihan bagi perawat dan pasien. Perawat dalam menangani pasien COVID-19 membutuhkan tambahan pelatihan seperti manajemen pemberian infus efektif dan penggunaan Artificial Inteligence . Demikian juga pasien perlu diberikan beberapa intervensi berupa latihan seperti latihan otot progresif dan rehabilitasi pernafasan untuk meningkatkan kondisi kesehatan pasien COVID-19 . Kedua, pengelolaan tenaga dan sarana keperawatan seperti kapasitas tenaga dengan jumlah shift yang seimbang, serta kecukupan alat pelindung diri. Ketiga, aspek psikologi perawat dalam menangani pasien COVID-19 diberikan dalam bentuk dukungan psikologis dari keluarga dan tim kesehatan. Kesimpulan: Keterlibatan manajemen keperawatan dalam penatalaksanaan pasien COVID-19 antara lain;Pelatihan bagi perawat dan pasien, pengeloaan ketenagaan dan sarana serta aspek psikologis perawat Kata kunci: Implikasi, Manajemen Keperawatan, COVID-19

Optimal control on a mathematical model to pattern the progression of coronavirus disease 2019 (COVID-19) in Indonesia.

Background: Understanding the pattern of COVID-19 infection progression is critical for health policymakers. Reaching the exponential peak of cases, flattening the curve, and treating all of the active cases are the keys to success in reducing outbreak transmission. The objective of this study was to determine the most effective model for predicting the peak of COVID-19 in Indonesia, using a deterministic model. Methods: The SEI2RS model considers five strategies for control, namely: large-scale social restriction ( u1 ), contact tracing ( u2 ), mass testing ( u3 ) , case detection and treatment ( u4 ), and the wearing of face masks ( u5 ). Three scenarios were developed, each differentiated by the controls. The model used April 10, 2020, and December 31, 2020, as the initial and final times. Results: The simulation results indicated that the peak of COVID-19 cases for scenarios 1, 2, and 3 occur on the 59th day with 33,151 cases, on the 38th day with 37,908 cases, and on the 40th day with 39,305 cases. For all of the scenarios, the decline phase shows a slow downward slope and about 8000 cases of COVID-19 still active by the end of 2020. Conclusion: The study concludes that scenario 2, which consists of large-scale social restriction (u1), contact tracing (u2), case detection and treatment (u4), and the wearing of face masks (u5), is the most rational scenario to control COVID-19 spreading in Indonesia.