Analysis of Blood Availability During the COVID-19 Pandemic Period in Blood Bank Dr. Wahidin Sudirohusodo Hospital

2021 ◽  
Vol 28 (1) ◽  
pp. 36
Author(s):  
Antariksa Putra ◽  
Raehana Samad ◽  
Sri Julyani ◽  
Rachmawati Adiputri Muhiddin
Keyword(s):  
Waiting Time ◽  
Large Scale ◽  
Elective Surgery ◽  
Test Sample ◽  
Blood Bank ◽  
P Value ◽  
Restriction Policy ◽  
Significant Difference ◽  
Social Restriction ◽  
Precautionary Measures

Blood Bank's challenge during the COVID-19 era is securing and protecting blood supplies even though countries aretaking precautionary measures with social distancing to prevent or reduce the number of infections caused by COVID-19.This study aimed to compare blood availability before and during the COVID-19 pandemic at the blood bank of Dr. WahidinSudirohusodo Hospital. A Descriptive-analytic study with an observational approach using the Shapiro-Wilk test todetermine the normality of the sample and the paired T-test. Sample data was taken between March-August 2019 andMarch-August 2020. A significant difference was found in blood demand (p-value=0.004), amount of blood transfusion(p-value=0.006), stock and reference report (p-value=0.005), blood service report (p-value=0.005), cito waiting time(p-value=0.002) and regular waiting time (p-value=0.016). There was no significant difference in blood indicator Packed RedCell (PRC) (p-value=0.119). The Large-Scale Social Restriction Policy (PSBB) and reduction of elective surgery in hospitalsaffect the fulfillment of Blood Bank and faster attendance time of blood during the pandemic. The decrease in a number ofblood demands during the COVID-19 pandemic affected the number of blood transfusions, blood service reports, stocks,referrals, and cito and regular waiting time services.

scholarly journals Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during COVID-19 Pandemic in Indonesia (Case Studies: Five Cities/Districts in East Java Province)

2021 ◽  
Author(s):  
Aldio Yudha Trisandy ◽  
Muhammad Azmi Maruf ◽  
Ririh Yudhastuti ◽  
Muhammad Farid Dimjati Lusno ◽  
Hari Basuki Notobroto
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Quantitative Research ◽  
Large Scale ◽  
Hemorrhagic Fever ◽  
Wilcoxon Test ◽  
P Value ◽  
Significant Difference ◽  
Social Restriction ◽  
The Government ◽  
The One

The first positive case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the positive cases have continued to increase. This condition prompted the government to adopt the Large-Scale Social Restriction (LSSR)/Pembatasan Sosial Berskala Besar (PSBB). Some areas included in endemic regions for dengue face two problems: overcoming COVID-19 and Dengue Hemorrhagic Fever (DHF) simultaneously. Five economic growth center cities/districts in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and dengue fever. This was a quantitative research with a comparative design study using the Wilcoxon test to compare the cases of DHF pre-COVID-19 and during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference with a p-value of 0.319 (p-value>0.05). It can be concluded that DHF still becomes a problem in five cities/districts in East Java Province even though LSRR was applied. Extra attention is needed to overcome DHF. One of the efforts to prevent and control DHF during the COVID-19 pandemic is to build community independence through the one house one health cadres’ movement.

scholarly journals The Effect of the Covid-19 Free Operation Path Protocol on the Incidence of Lung Complications in Postoperative Elective Patients at dr. Moewardi Hospital Surakarta

2021 ◽  
Vol 5 (11) ◽  
pp. 1030-1036
Author(s):  
Galih Aktama ◽  
Henky Agung Nugroho ◽  
Muhammad David Perdana Putra
Keyword(s):  
Cancer Patients ◽  
Elective Surgery ◽  
Pulmonary Complications ◽  
P Value ◽  
Chi Square ◽  
Elective Surgical Procedures ◽  
Significant Difference ◽  
Before And After ◽  
Chi Square Test ◽  
Elective Patients

The pandemic that began in late 2019, COVID-19, affects all patients, including cancer patients. Patients with cancer that continues to spread and  there is no other effective alternative treatment must undergo surgery so that cancer does not get worse. Given this problem, many health care centers have developed a protocol system in the form of a COVID-19-free surgical route. This study is a retrospective cohort study comparing the incidence of pulmonary complications in patients undergoing elective cancer surgery at dr. Moewardi Surakarta before and during the COVID-19 pandemic. The study sample was adult patients  aged ≥ 18 years which underwent elective surgical procedures with the aim of curative cancer starting before COVID-19 (March 2019-February 2020) until the time the COVID-19 pandemic emerged (March 2020 - February 2021). The data obtained were 768 patients. Of these patients, 384 were classified as having a COVID19-free operation route during the pandemic, and 384 others underwent elective surgery in the pre-pandemic period. Based on the Chi-Square test, a p-value of 0.850 was obtained (P>0.05) which shows that there is significant difference between cases of pulmonary complications in surgical patients before and after the pandemic who were carried out through the COVID-19-free protocol route. In conclusion, there is no significant change in effect of the covid-19 free operation path protocol on the incidence of lung complications in postoperative elective patients at dr. Moewardi Hospital Surakarta, although this patented and mandatory protocol can reduce cancer patients’ morbidity and mortality who undergoing elective surgery during a pandemic.

scholarly journals RELASI MASJID DAN PASAR: KAJIAN SOSIOLOGI HUKUM TERHADAP KEBIJAKAN PENERAPAN PEMBATASAN SOSIAL BERSKALA BESAR SAAT PANDEMI COVID 19

2020 ◽  
Vol 1 (2) ◽  
pp. 120-131
Author(s):  
Indra Budi Jaya
Keyword(s):  
Large Scale ◽  
Public Awareness ◽  
Modern Society ◽  
Social Engineering ◽  
Sociology Of Law ◽  
Restriction Policy ◽  
Social Restriction ◽  
The Government ◽  
The Impact ◽  
The Relationship

Islam as a religion wants its people to always maintain a balance between religiosity (al din) and worldly problems (al dunya). The relationship between the two describes something that is separate but inseparable (harmony). However, for modern society, this condition often creates contradictions, this condition was seen at the time of the Covid 19 pandemic. The implementation of Large-Scale Social Restrictions by the government in an effort to overcome the spread of the impact of Covid 19 to the community by limiting activities in mosques and allowing activities in the market to continue in fact responded by the community differently. The methodology used is qualitative by using social policy analysis. This paper tries to examine social policies towards the application of large-scale social restrictions on mosques and markets. In this paper, the sociology of law theory is used, namely Law is a social engineering tool which emphasizes that law becomes the commander who must bring change to society. The results obtained in the research are that the community responds to the large-scale social restriction policy differently, where the purpose of the policy is for the community to be expected to make changes by complying with the rules that have been set by the government, the conditions for rejection and various responses are caused by disharmony between implementation of policies with public awareness of the law.Keyword : Policy, large-Scale Restrictions and the sociology of law. AbstrakIslam sebagai agama mengkhendaki umatnya agar senantiasa menjaga keseimbangan antara religiusitas (al din) dan masalah keduniaan (al dunia). Hubungan keduanya menggambarkan sesuatu yang terpisah namun tidak bisa dipisahkan (harmoni). Namun bagi masyarakat modern kondisi tersebut seringkali justru menimbulkan pertentangan, kondisi tersebut nampak pada saat terjadinya pandemi Covid 19. Penerapan Pembatasan Sosial Berskala Besar oleh pemerintah dalam upaya penanggulangan penyebaran dampak Covid 19 kepada masyarakat dengan membatasi aktivitas di masjid dan membiarkan kegiatan di pasar tetap berjalan nyatanya direspon oleh masyarakat secara berbeda. Metodologi yang digunakan adalah kualitatif dengan menggunakan analisis kebijakan sosial, Tulisan ini mencoba menelaah kebijakan sosial terhadap penerapan pembatasan sosial berskala besar terhadap masjid dan pasar. Dalam penulisan ini dipergunakan teori sosiologi hukum yaitu Law is a tool social engineering yang menegaskan bahwa hukum menjadi panglima yang harus membawa perubahan terhadap masyarakat. Hasil yang diperoleh dalam penelitian adalah Masyarakat merespon kebijakan pembatasan sosial berskala besar tersebut secara berbeda, dimana tujuan kebijakan tersebut adalah untuk masyarakat diharapkan dapat melakukan perubahan dengan mematuhi aturan yang telah di tetapkan oleh pemerintah, kondisi penolakan dan respon beragam tersebut di sebabkan oleh ketidak harmonisannya antara penerapan kebijakan dengan kesadaran masyarakat terhadap hukum.Kata Kunci : Kebijakan,  Pembatasan Sosial Berskala Besar dan Sosiologi Hukum

scholarly journals Optimalisasi Penggunaan Teknologi Informasi dan Komunikasi bagi Anggota Keluarga di Masa Pandemi Covid-19

2021 ◽  
Vol 2 (2) ◽  
pp. 50-54
Author(s):  
Fera Tri Wulandari ◽  
Vita Andriyani
Keyword(s):  
Information And Communication Technology ◽  
Communication Technology ◽  
Large Scale ◽  
Learning Activities ◽  
Work From Home ◽  
Restriction Policy ◽  
The Family ◽  
Social Restriction ◽  
Information And Communication ◽  
Almost All

Almost all countries in the world have been affected by the Covid-19 virus pandemic, including Indonesia. The Indonesian government established a Large-Scale Social Restriction policy in an effort to break the chain of spreading the covid-19 virus. The limited movement of people makes information and communication technology play a very important role as well as a solution to overcome these restrictions. Technology helps parents to keep working and finish their work from home, shop from home and children can learn from home so that effective and efficient distance learning activities can be realized. Optimizing the use of information and communication technology in the family provides more benefits for all family members during the Covid-19 pandemic due to the imposition of social restrictions that require all to stay at home.

scholarly journals The Effect of the Covid-19 Free Operation Path Protocol on the Incidence of Lung Complications in Postoperative Elective Patients at dr. Moewardi Hospital Surakarta

2021 ◽  
Vol 5 (4) ◽  
pp. 940-946
Author(s):  
Galih Aktama ◽  
Hengky Agung Nugroho ◽  
Muhammad David Perdana Putra
Keyword(s):  
Cancer Patients ◽  
Elective Surgery ◽  
Pulmonary Complications ◽  
P Value ◽  
Chi Square ◽  
Elective Surgical Procedures ◽  
Significant Difference ◽  
Before And After ◽  
Chi Square Test ◽  
Elective Patients

The pandemic that began in late 2019, COVID-19, affects all patients, including cancer patients. Patients with cancer that continues to spread and  there is no other effective alternative treatment must undergo surgery so that cancer does not get worse. Given this problem, many health care centers have developed a protocol system in the form of a COVID-19-free surgical route. This study is a retrospective cohort study comparing the incidence of pulmonary complications in patients undergoing elective cancer surgery at dr. Moewardi Surakarta before and during the COVID-19 pandemic. The study sample was adult patients  aged ≥ 18 years which underwent elective surgical procedures with the aim of curative cancer starting before COVID-19 (March 2019-February 2020) until the time the COVID-19 pandemic emerged (March 2020 - February 2021). The data obtained were 768 patients. Of these patients, 384 were classified as having a COVID19-free operation route during the pandemic, and 384 others underwent elective surgery in the pre-pandemic period. Based on the Chi-Square test, a p-value of 0.850 was obtained (P>0.05) which shows that there is significant difference between cases of pulmonary complications in surgical patients before and after the pandemic who were carried out through the COVID-19-free protocol route. In conclusion, there is no significant change in effect of the covid-19 free operation path protocol on the incidence of lung complications in postoperative elective patients at dr. Moewardi Hospital Surakarta, although this patented and mandatory protocol can reduce cancer patients’ morbidity and mortality who undergoing elective surgery during a pandemic.

scholarly journals STUDI KOMPARASI: EFEKTIFITAS PSIKOEDUKASI TERHADAP ADAPTASI PASIEN FRAKTUR DI RSUD JOMBANG

2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa
Keyword(s):  
Intervention Group ◽  
Public Health Problem ◽  
Test Sample ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Major Public Health Problem ◽  
Control Group Design ◽  
Significant Difference ◽  
Before And After

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.

scholarly journals Effectiveness Comparison of Using Macintosh Blade and Mccoy Blade For Endotracheal Intubation In Anesthesia Residents

2021 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Christya Lorena ◽  
Agustina Salinding ◽  
Prananda Surya Airlangga
Keyword(s):  
Blood Pressure ◽  
Elective Surgery ◽  
Pain Scale ◽  
Mechanical Trauma ◽  
P Value ◽  
Noxious Stimulation ◽  
Macintosh Blade ◽  
Significant Difference ◽  
Speed Up ◽  
Anesthesia Residents

Introduction: Laryngoscopy is one of the critical points in the intubation process and a mechanical trauma that provides noxious stimulation, affecting cardiovascular, respiratory, and intracranial changes. Practitioner competence is a significant factor that supports laryngoscope intubation procedures. That can influence the intubation duration and amount of mechanical trauma besides caused by laryngoscope type. Objective: To analyze the effectiveness of using Macintosh blade compared to McCoy blade in intubation laryngoscopy by Anesthesia Residents. Materials and Methods: This research is an experimental study in adult patients who underwent elective surgery at GBPT Dr. Soetomo Hospital. Intubation did by Anesthesia Residents at levels 5-9 using Macintosh or McCoy Laryngoscope and chosen randomly.  The data of laryngeal visualization (Cormack Lehane), hemodynamics (blood pressure, pulse), pain scale (qNOX), intubation time length, and pain scale data (VAS) after extubation were taken during intubation laryngoscope. Result and Discussion: The study was conducted on 28 samples that met the criteria. Anesthesia Resident's competence levels based on the semester in both groups laryngoscopes were not different (p 0.868). Based on laryngeal visualization data laryngoscopy, the McCoy's blade had better visualization with CL 1 at 85.7% of the samples and p-value 0.020. This good visualization makes it possible to speed up the laryngoscope-intubation in the McCoy blade group with a significant difference of time compared to the Macintosh blade group. Hemodynamic parameters, there were significant differences for hemodynamics increase. In the Macintosh blade group, the blood pressure and pulse were significantly increased after laryngoscopy intubation. The pain scale during the intubation procedure, which was rated based on the qNOx score, showed a significant increase in the Macintosh blade group with a p-value of 0.003. The postoperative pain scale (VAS) was smaller in the McCoy blade group compared to the Macintosh group (p-value <0.001). Conclusion: The ability to use both laryngoscopes at some levels of Anesthesia residents was equally good, and the use of McCoy Blade is more effective than Macintosh Blade in the intubation laryngoscopy procedure.

Racial disparities in immune-related adverse events (irAE) of immune checkpoint inhibitors (ICPi) and association with survival based on clinical and biochemical responses.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 7025-7025
Author(s):  
Monica Peravali ◽  
Cristiane Gomes-Lima ◽  
Eshetu Tefera ◽  
Mairead Baker ◽  
Mamta Sherchan ◽  
...  
Keyword(s):  
Large Scale ◽  
Checkpoint Inhibitors ◽  
Stage Iv ◽  
Positive Association ◽  
Progression Free Survival ◽  
P Value ◽  
Eligibility Criteria ◽  
Kaplan Meier ◽  
Comparison Results ◽  
Significant Difference

7025 Background: ICPi cause various irAE with thyroid dysfunction as a commonly reported abnormality. There is increasing evidence showing positive association with development of irAE and survival. However, prior trials with ICPi had underrepresentation of minorities with <5% African Americans (AA). Methods: We retrospectively reviewed patients (pts) with stage IV solid malignancies treated with PD1/PDL1 blockers between 1/2013-12/2018 across MedStar Georgetown Cancer Institute facilities. Pts treated with CTLA-4 inhibitors were excluded. Progression free survival (PFS) and overall survival (OS) were primary endpoints and were calculated using Kaplan-Meier methods and Wilcoxon rank sum test for comparison. Results: 293 pts met eligibility criteria. 91 pts (31%) had any grade irAE; most common AE were endocrine (40.7%) specifically TSH elevation, dermatological (23.1%) and rheumatologic (18.7%). Proportion of irAE was significantly higher in Caucasians versus AA (60.4% vs 30.8%), in pts with low PDL1, lower LDH, older age, and those who had more treatment cycles with ICPi. Rate of progression was lower in pts with irAE (30.8% vs 46.0%, p-0.0140). Median PFS (5.8 vs 3.0 months (mo), p- 0.0204) and OS (17.1 vs 7.2 mo, p value- <0.0001) were higher with irAE. Statistically significant difference in OS (17.1 vs 8.6 mo, p- 0.0002) but not in PFS (5.8 vs 3.3 mo, p: 0.0545) was noted with endocrine irAE. No differences in survival were observed among other commonly reported irAE. Differences in survival among subgroups of pts with irAE are detailed in table. Conclusions: Development of irAE positively correlated with improved PFS and OS as reported in previous studies. To our knowledge, this is the first study observing differences in OS favoring endocrine AE and Caucasian race. These factors may be potential surrogate markers of prognosis pending replication of these results in large-scale studies. [Table: see text]

scholarly journals The Impact of Corona Virus Outbreak Regarding the Large-Scale Social Restriction Policy on Economic Attitudes in Makassar

2020 ◽  
Vol 8 (5) ◽  
pp. 83
Author(s):  
Patta Rapanna SE MSi ◽  
Edy Jumady, S.E., M.Si
Keyword(s):  
Qualitative Research ◽  
Large Scale ◽  
Economic Factor ◽  
Phenomenological Approach ◽  
Economic Attitudes ◽  
Corona Virus ◽  
Restriction Policy ◽  
The Social ◽  
Social Restriction ◽  
The Impact

Types of qualitative research through the phenomenological approach, the results showed that Corona virus outbreak affects all sectors, one of which is the economic factor where many people become victims of termination of employment from the company they work besides large-scale social restriction policies or lock down impacts the limited activities, especially the social and economic movements of the community, while the , this is because of many people who do not have a domicile letter because of displacement that is temporary (not settled), this condition affects social gaps, criminal figures, social jealousy, etc.

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