The relationship between history of COVID-19 disease with anxiety and symptoms of obsessive compulsive disorder (OCD) in adolescents age 20-24 years

Background: The COVID-19 pandemic has sparked anxiety and worry in society. Active cases have continued to grow since the government announced the first patient of COVID-19 in Indonesia. In the midst of this spread, adolescents are one of the dominant groups in society infected with COVID-19. This condition can trigger worry and fear of being infected again. Coupled with the transition of activities that were originally carried out outside the home, they had to change from home only. This situation can affect the psychological condition of adolescents. This study aims to analyze the relationship between the history of COVID-19 and anxiety and symptoms of Obsessive Compulsive Disorder (OCD) in adolescents aged 20-24 years in Surabaya. Subjects and Method: A cross-sectional study was conducted in Surabaya City from October to November 2022. As many as 100 youth aged 20-24 years in Surabaya were the subjects of this study. The dependent variable is anxiety and obsessive compulsive disorder (OCD) symptoms. The independent variable is adolescents aged 20-24 years with a history of COVID-19. The instruments used were questionnaires and PCR swab evidence collection. Research data were analyzed using Pearson's correlation. Results: The results showed that 74 subjects (74%) had mild anxiety. Meanwhile, there were 16 subjects (16%) who had symptoms of OCD. Analysis of the chi-square correlation test between history of COVID-19 disease and anxiety showed that there was no relationship between the two variables with a p value = 0.704. Analysis of the chi-square correlation test between history of COVID-19 disease and OCD symptoms showed that there was no relationship between the two variables with a p value = 0.086. Conclusion: There is no relationship between history of COVID-19 disease and anxiety in adolescents aged 20-24 years in Surabaya and there is no relationship between history of COVID-19 disease and symptoms of Obsessive Compulsive Disorder in adolescents aged 20-24 years in Surabaya.

The Impact of Public Activity Restriction during COVID-19 to Air Quality in Urban Area of Bandung Measured Using Mobile Monitoring

The COVID-19 outbreak impacted the people's lives in the world. Lockdown is one way of controlling the spread of the virus. In Indonesia, the government would rather implement public activity restriction than lockdown. The detailed comprehension of the effect of lockdown or similar policies on air pollution is valuable for making future policies about the control of pandemics as well as its effect on air quality. To understand the effect of public activity restriction (PAR) and its correlation with air pollution, mobile monitoring (MM) of particulate matter (PM2.5) was performed in the urban area of Bandung, Indonesia, in July 2021. Based on MM using a bicycle, we found that a PAR had an impact on air pollution. Our result showed that there was a decrease between 20% and 30% in 3 of 6 sub-districts. The advantage of MM was highlighted by the prominent visualization of the concentration of PM2.5 MM data at the level of the road. Localization of polluted roads could be seen clearly through the MM method. The uncovering effect of PAR on air pollution using the MM method will provide important insights for government and policymakers to develop future policy that controls air pollution for better citizen health. © 2023, AAGR Aerosol and Air Quality Research. All rights reserved.

Coconut Bonsai Decoration Plants with Batik Patterns in the Modern Era

The Covid-19 pandemic has limited people's mobility which has led to increased interest in gardening at home. One type of ornamental plant that is being discussed a lot is the coconut bonsai ornamental plant which has its own uniqueness, its resistance to environmental conditions is quite high, and its maintenance method is easy. The innovation of coconut bonsai with batik motifs is not only profit-oriented but also as an effort to preserve batik, which is the culture of the Indonesian nation. This study aims to determine the criteria of consumers who are interested in coconut bonsai and its innovations and the state of competitors of batik coconut bonsai. This study uses a descriptive approach to explain the study. The data in this study came from Facebook, Instagram, and Google Trends. The results showed that consumers who are interested in coconut bonsai and its innovations, the majority are male, with an age of over 30 years. The top 5 regions based on the large number of coconut bonsai enthusiasts and their innovations are Palembang, Medan, Semarang, Surabaya, and Jakarta. Content related to how to make and care for coconut bonsai on social media attracts coconut bonsai enthusiasts to buy. Meanwhile, the majority of batik coconut bonsai competitors are on the islands of Java and Bali. They sell coconut bonsai with various innovations, but they have not made batik coconut bonsai innovations. The price of coconut bonsai that they offer is above 200 thousand rupiah, with a bonsai age of 8 months - 1 year. © 2023 American Institute of Physics Inc.. All rights reserved.

Non-comorbid Respiratory Factor and Work of Breathing in Pediatric COVID-19 Patient: How is Their Synergistic Correlation with the Level of Care?

Background: Work of breathing (WOB) and non-comorbidities factors in the respiratory system are the two probable findings in pediatric COVID-19 patients. However, the association of those factors with level of care was not well reported. Purpose: This study aimed to identify the relation between potential predictors including comorbidity, low nutritional fulfillment, infectious disease, shock, cough, O2 saturation reduction, abnormal blood gas analysis and sore throat with the level of care among pediatric COVID-19 patients. We also analyzed the synergistic correlation of non-comorbidities factors in the respiratory system and work of breathing to predict level of care in pediatric COVID-19 patients. Methods: A cross-sectional study was conducted in the six referral hospitals from July to September 2020 in four provinces in Indonesia. An observation checklist was used to collect data from the medical records of pediatric patients with COVID-19, including medical diagnosis, demographic, and clinical manifestation. This study included 423 participants aged from 0 to 18. The multivariate logistic regression was performed to test the adjusted odds ratios (AORs) with the 95% confidence intervals (CIs) of the association between WOB, non-comorbid respiratory, and level of care. Moreover, dummy variables (2x2) were made to analyze synergistic correlation of non-comorbid respiratory disease and WOB. The AOR with the 95% CIs was applied in the association between the complication of non-comorbid respiratory diseases and high work of breathing with level of care among pediatric patients with COVID-19. Results: Results showed that age, presence of comorbidity, nutritional fulfillment, infectious disease, shock, work of breathing, O2 saturation reduction, abnormal blood gas analysis, sore throat, and convulsive meningeal consciousness were significantly associated with the level of care (p<0.05). Pediatric patients with non-comorbid respiratory and increased work of breathing had a 15.59 times higher risk of requiring PICU care level (p<0.01). Meanwhile, pediatric patients who experienced both non-comorbid respiratory and increased work of breathing had a 5.76 times risk of requiring an intermediate level of care (p<0.05), and 9.32 times higher risk of requiring a PICU level of care (p<.05). Conclusion: It was found that both non-comorbid respiratory and increased WOB had a significant relationship with the level of care for pediatric patients with COVID-19. Nurse should take into account those clinical findings to increase the awareness in monitoring clinical deterioration in pediatric COVID-19 patients. © 2022 Nurse Media Journal of Nursing. All rights reserved.

Availability of Infrastructure and Covid-19 Prevention Behavior in Public Place

Public places or facilities are places that can be the locus of the spread of Covid-19. Previous research shows that the application of health protocols in public places is still low in the discipline. The purpose of this study is to find out how the availability of infrastructure impacts the behavior of preventing Covid-19 in public places. This research is a cross-sectional study, with the independent variable being the availability of infrastructure in public places and the dependent variable being the behavior of preventing Covid-19. It took time in 2021. Public places, include malls/shopping centers, traditional markets, places of worship, and public service places. The sample is 264 people with incidental sampling techniques. Data collection was through the distribution of online questionnaires. Data were analyzed by univariate and bivariate with the Chi-Square test (α <0.05). There is a relationship between the availability of infrastructure and behavior in preventing Covid-19 in public places. Public Places with adequate infrastructure are more supportive of the implementation of the behavior of Covid-19 prevention. The government, community leaders, and public place managers must monitor the availability of infrastructure to prevent the spread of Covid-19. There needs to be special attention to the implementation of Covid-19 prevention in public places, especially in traditional markets or street vendors. © 2022, Universitas Negeri Semarang. All rights reserved.

Association between the levels of muscle-specific creatinine kinase (CK-MM) and the incidence of persistent myalgia in COVID-19 survivors

Introduction: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARSCoV-2) infection, may result in musculoskeletal tissue injury and is assumingly regulated through central and peripheral pathways. Muscle-specific creatinine kinase (CK-MM) is a specific biomarker used to indicate the presence of musculoskeletal tissue damage. This study aimed to investigate the correlation between the levels of CK-MM and the incidence of persistent myalgia in patients with post-COVID-19 syndromes.Methods: A cross-sectional study was conducted among COVID-19 survivors at the Faculty of Medicine and Clinical Pathology Laboratory, Universitas Airlangga, Surabaya from June - August 2022. The degree of pain of the myalgia was assessed using a visual analog scale (VAS), while CK-MM level was measured using a sandwich enzyme-linked immunosorbent assay (ELISA). Pearson correlation test at alpha=0.05 was used to identify the correlation between the levels of CK-MM and the incidence of persistent myalgia in patients with post-COVID-19 syndromes.Results: A total of 84 participants were enrolled in the study and half (50%) of them reported persistent myalgia postCOVID-19 recovery. Fatigue was the patients' most common persistent symptom (63%). Of the total 42 patients with persistent myalgia, more than half (56%) had mild pain intensity (VAS score: 1-3), and almost all of them (41 patients) experienced myalgia during the COVID-19 diagnosis. All the patients with post-COVID-19 myalgia had normal levels of CK-MM (mean: 32.7 ng/mL;range: 12-93 ng/mL), suggesting no musculoskeletal tissue damage. Anova test suggested no significant different of CK-MM levels between those with and without myalgia in patients with post-COVID-19 syndromes p=0.054).Conclusion: There was no significant association between CK-MM levels and the incidence of persistent myalgia in patients with post-COVID-19 syndromes.

Performance of Two Rapid Antigen Detection Tests for Detecting COVID-19 Compared to RT-PCR in Indonesia

Antigen tests to screen coronavirus disease 2019 (COVID-19) is effective in symptomatic patients, leading to its wide usage in informing whether the person is COVID-19 positive or negative. Our current work had an objective to investigate the diagnostic performance of two antigen-detecting rapid diagnostic tests (Ag-RDTs) which are commonly used in Indonesia. A cross-sectional study was carried out to compare specificity, sensitivity, as well as expected predictive values of Anhui Ag-RDT and Lungene Ag-RDT by comparing the results with that obtained from real-time reverse transcription-polymerase chain reaction (RT-PCR) assay. A total of 98samples were tested for both Ag-RDTs and RT-PCR. The median value of the patients age obtained to be 41.78 years old (interquartile range: 1 to 91 years old). The proportion between female and males was: 52.53% vs 47.47%. The sensitivities of Anhui Ag-RDT and Lungene Ag-RDT were 55.56% and 51.58%, where both Ag-RDTs had specificity of 100%. In conclusion, sensitivity values of Lungene Ag-RDT and Anhui Ag-RDT are similar, where both possess 100% specificity with zero false-positive results. Both of the investigated Ag-RDTs are useful since positive results are likely to be COVID-19 positive. Copyright © 2022 Oriental Scientific Publishing Company. All rights reserved.

Zoom Fatigue during the COVID-19 Pandemic: Is it Real?

The coronavirus disease 2019 (COVID-19) pandemic has caused drastic changes to social lives moreover the activities done outside, such as work and school. The policy of large-scale social restrictions (LSRR)/Pembatasan Sosial Berskala Besar (PSBB), which makes people stay at home, also plays an important role in changing the face-to-face activity online. As a solution to the major change, people use video conferencing to keep in touch and still feel like doing "offline" activities. The increasing use of video conferencing has raised concerns about the resulting fatigue, termed "Zoom fatigue." This study aimed to describe Zoom fatigue during the COVID-19 pandemic and the factors contributing to it. This study used a cross-sectional design with 376 participants. Data were gathered by completing a 45-item online questionnaire, which was analyzed using univariate, bivariate (Chi-square), and multivariate (binomial logistic regression) analyses. It was found that 68.6% of respondents experienced Zoom fatigue at a moderate to a high level. Respondents complained of se veral symptoms related to activity, motivation, and physical weakness after using the video platform. In brief, Zoom fatigue is real, and the frequency of video platform use is related to the incidence of Zoom fatigue.

Development of Premium Ecotourism in the Outermost Islands

The tourism sector is the economic sector hardest hit during the Covid-19 pandemic. A breakthrough is needed in line with health protocols to maintain physical and social distance. Tourism on the outermost islands is an alternative solution. As the largest archipelagic country globally, Indonesia has the potential for the outermost islands that can be used as tourist destinations. A breakthrough policy is needed in the management of ecotourism in the outermost islands related to the limited capability of the Government, such as the high costs for transportation and logistics arrangements in the outermost islands. Tourism in the outermost islands must be directed towards premium tourism. Its market share is middle to upper-class tourists who want a new atmosphere and challenges and are willing to pay quite a lot of money. This study presents a management model that divides each government agency’s duties in managing ecotourism in the outermost islands with a premium scheme and the National Border Management Agency being the operator. The model is expected to encourage the formulation of targeted policies for the management of the outermost islands, including the presence of cruise ships.