Preface

The Faculty of Social Sciences, Universitas Negeri Yogyakarta in collaboration with the Department of Geography of the Universiti Pendidikan Sultan Idris (UPSI) Malaysia, the Geography Department of Chulalongkorn University (CU) Thailand, the Geography Department of the University of Muhammadiyah Surakarta (UMS) Indonesia, and the Indonesian Geographical Association held The 2nd International Conference on Hazard Mitigation in Geographic and Education Perspectives (The 2nd ICHMGEP) on "Disaster Management for Enhancing Resilience, Risk Reduction and Sustainable Development Goals". This conference continues the tradition of scientific meetings (The 1st ICHMGEP) organized in 2018, which successfully gathered hundreds of participants and published conference papers in international publication outlets. The 2nd ICHMGEP 2020 provides a platform for researchers, lecturers, students, practitioners, and scientists to showcase their latest findings in areas of expertise, including geoscience, environment, science and technology innovation, mapping, and technological innovation. In addition, it aims to disseminate original research results, new ideas, innovations, practical experiments to promote scientific progress and achieve sustainable development goals. The 2nd ICHMGEP 2020 had formerly been planned to be organized in an offline format. However, it was conducted online on September 11-12, 2020 mainly due to the Covid-19 pandemic impacts. The increasing number of Covid-19 positive cases in Yogyakarta Province since March 2020 forced the government to carry out various restrictions on activities gathering many people like a conference. This is supported by the issuance of the Covid-19 emergency response period in Yogyakarta, Indonesia from March 20 - May 29 2020. Moreover, the emergency response period was extended on May 30 - June 30 2020, 1 - 31 July 2020, 1 - 31 August 2020, and 1 - 30 September 2020. In addition, the Covid-19 pandemic offered uncertainty and was difficult to be predicted when it would end. Therefore, the organizing committee decided to change the offline format into an online format as the conference would provide great benefit for the wider community including giving solutions to cope with covid-19 related problems. Also, many supportive platforms such as zoom dan live youtube could facilitate the implementation of the online conference List of Rundown The 2nd International Conference On Hazard Mitigation In Geographic And Education Perspectives (ICHMGEP) 2020, Room Distribution For Parallel Session 12 September 2020, Platform: Zoom, Images, Committee of The 2nd ICHMGEP 2020 are available in this pdf.

1407. The Latent Tuberculosis Infection Cascade of Care during the COVID-19 Pandemic Response in a Mid-Sized US City

Background The COVID-19 pandemic response may unintendedly disrupt multiple public health services, including tuberculosis control programs. We aimed to assess the cascade of care of latent tuberculosis infection (LTBI) in an urban US city during the COVID-19 pandemic response. Methods We conducted a retrospective cohort study of adult patients who presented for LTBI evaluation at the Hamilton County Public Health Tuberculosis Clinic in Ohio between 2019 and 2020. We defined 01/2019 to 02/2020 as the pre-COVID-19 response period, and 04/2020 to 12/2020 as the COVID-19 pandemic response period. We reviewed electronic medical records and extracted sociodemographic information, medical history, and follow-up and treatment data to define steps within the LTBI cascade of care. Logistic regressions were used to assess factors associated with LTBI treatment acceptance and completion, adjusted by potential confounders and COVID-19 period. Results Data from 312 patients were included. There was a significant decrease in the number of monthly LTBI referrals (median, 18 vs. 8, p=0.02) and LTBI evaluations (median, 17.5 vs. 7, p< 0.01) during COVID-19. There was a decrease in the proportion of immigrants as indication for LTBI testing (30% vs. 9%; p< 0.01), and an increase in LTBI diagnoses based on interferon-gamma release assay (IGRA; 30% vs. 49%; p< 0.01) during COVID-19. The proportion of people who were recommended LTBI treatment was similar before and during COVID-19 (76% vs. 81%, p=0.41), as well as the LTBI treatment acceptance rates (56% vs. 64%, p=0.28), and LTBI treatment completion rates (65% vs. 63%, p=0.85). In multivariate analysis, LTBI treatment acceptance was associated with Hispanic ethnicity, younger age, male sex, IGRA use, no comorbidities, and non-healthcare occupation, independent of COVID-19 period. LTBI treatment completion was associated with taking a rifamycin-containing regimen, independent of COVID-19 period. Conclusion We observed a significant decline in the number of monthly LTBI referrals and evaluations during COVID-19. Our findings indicate an unintended negative impact of the COVID-19 response in LTBI screening efforts in our region. LTBI treatment acceptance and completion rates were not affected during COVID-19. Disclosures All Authors: No reported disclosures

The Impact of Seasonality and Response Period on Qualifying the Relationship between Ecosystem Productivity and Climatic Factors over the Eurasian Steppe

As climate change intensifies, surface vegetation productivity and carbon exchange between terrestrial ecosystems and the atmosphere are significantly affected by the variation of climatic factors. Due to the sensitivity of grasslands to these climatic factors, it is crucial to understand the response of vegetation greenness, or carbon exchange within grasslands, to environment factor dynamics. In this study, we used solar-induced chlorophyll fluorescence (SIF), precipitation (P), vapor pressure deficit (VPD), evaporative stress (ES), and root zone soil moisture (RSM) derived from remote sensing, reanalysis, and assimilation datasets to explore the response of vegetation greenness within Eurasian Steppe to climatic factors. Our results indicated deseasonlization based on the Seasonal-Trend decomposition using Loess (STL) method, which was an effective means to remove the seasonality disturbances that affect the qualification of the relationship between SIF and the four climatic factors. The response of SIF had a time lag effect on these climatic factors, and the longer the response period, the greater the impact on the correlation of SIF with P, VPD, ES, and RSM. We also found, among the four factors, that the response of SIF to ES was the timeliest. The findings of this study emphasized the impact of the seasonality and time lag effect on the dynamic response between variables, and provided references to the attribution and monitoring of vegetation greenness and ecosystem productivity.

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures during the Coronavirus Disease 2019 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

BACKGROUND: The changes of lifestyle and mobility during the coronavirus disease 2019 (COVID-19) pandemic may influence the epidemiology of traumatic fractures. AIM: This study aimed to investigate the epidemiology of traumatic fractures in Yogyakarta Special Region (Daerah Istimewa Yogyakarta [DIY]) during the COVID-19 emergency response period and compare the data with the similar period in the previous year. METHODS: This was a retrospective study involving five secondary referral hospitals and one tertiary referral hospital. We included all patients who presented to the emergency departments or orthopedic clinics who were then diagnosed with new-onset fractures. We compared the data during the emergency response period (COVID group) with a similar period in 2019 (control group). RESULTS: There were 1249 patients with 1428 fractures included in this study. There was 47.68% reduction of patients during the emergency response period. There was no significant difference in proportion of gender and mean of age (control group vs. COVID group: 55.9% vs. 54.8%, p = 0.717 for male gender; 42.64 ± 24.03 years vs. 42.20 ± 23.34 years, p = 0.886 for mean of patients’ age). There were significant increases in the proportions of patients experiencing low-energy injuries (38.0% vs. 30.8%, p = 0.012), injuries occurring at home (34.0% vs. 23.8%, p = 0.001), and surgically treated closed fractures (51.8% vs. 45.3%, p = 0.038), along with decrease of patients’ referrals (1.6% vs. 4.1%, p = 0.018) during the pandemic. The difference in proportions of fracture type, osteoporotic fractures, and multiple trauma was not significant (control group vs. COVID group: 19.2% vs. 17.4%, p = 0.418 for open fracture; 15.4% vs. 14.7%, p = 0.750 for osteoporotic fracture; and 9.0% vs. 7.0%; p = 0.217 for multiple trauma). CONCLUSIONS: During the COVID-19 emergency response period in DIY, there were nearly half reduction of patients with fractures, increased proportion of patients injured at home, reduced proportion of patients referred to another hospital, and increased proportion of surgically treated closed fractures. The knowledge about this epidemiological trend may help in developing preventive programs and treatment policy for fractures and other injuries during the current pandemic.

A Comparative Multicenter Study on the Epidemiology of Traumatic Fractures During the COVID-19 Early Emergency Response Period in Yogyakarta Special Region, Indonesia

Background: The changes of lifestyle and mobility during the Coronavirus Disease 2019 (COVID-19) pandemic may influence the epidemiology of traumatic fractures. This study aimed to investigate the epidemiology of traumatic fractures in Yogyakarta Special Region (Daerah Istimewa Yogyakarta/DIY) during the COVID-19 emergency response period and compare the data with the similar period in the previous year.Methods: This was a retrospective study involving five secondary referral hospitals and one tertiary referral hospital. We included all patients who presented to the emergency departments or orthopedic clinics who were then diagnosed with new onset fractures. We compared the data during the emergency response period (COVID group) with a similar period in 2019 (control group).Results: There were 1,249 patients with 1,428 fractures included in this study. There was almost half reduction of patients during the emergency response period. There was no significant difference in proportion of gender and mean of age between patients in the control group and the COVID group. During the emergency response period, there was significant increases in the proportions of patients experiencing low energy injuries (38.0% vs. 30.8%), injuries occurring at home (34.0% vs. 23.8%), and surgically treated closed fractures (51.8% vs. 45.3%), along with decrease of patients’ referrals (1.6% vs. 4.1%). The difference in proportions of fracture type, osteoporotic fractures, and multiple trauma was not significant across the groups. Conclusions: During the COVID-19 emergency response period in DIY, there were nearly half reduction (47.68%) of patients with fractures, increased proportion of patients injured at home, reduced proportion of patients referred to another hospital, and increased proportion of surgically treated closed fractures. The knowledge about this epidemiological trend may help in developing preventive programs and treatment policy for fractures and other injuries during the current pandemic.

Cost-effectiveness of moderate-to-severe psoriasis biologic treatments in Brazilian private healthcare system: cost-per-responder results derived from a network metanalysis

Objective: To assess the cost-per-responder (CpR) of biologic therapies available in Brazil to treat moderate-to-severe plaque psoriasis (PsO) from the private healthcare system’s perspective. Methods: Number needed to treat (NNT) and (CpR) analyses were performed to evaluate biologic therapies’ cost-effectiveness for moderate-to-severe PsO available in Brazil. The effectiveness of biologic treatments for moderate-to-severe PsO was assessed based on a previously published metanalysis, which included studies considering PsO patients and outcomes of interest (PASI 75, 90, and 100). The clinical efficacy data in terms of estimated NNT based on the network metanalysis (NMA) results were combined with drug treatment costs to determine the CpR for each treatment arm in 3-time horizons: the primary response period, 1-year, and 2-years. Results: Risankizumab was the most cost-effective option when NMA base case scenario data was used to calculate NNT in all PASI response for both the primary response period and 1- and 2-years follow-up durations. Differences in CpR between risankizumab and other biologic drugs increased with more significant PASI improvements. CpR sensitivity analysis also confirmed these findings, indicating that risankizumab has a better performance for PASI 100, and both risankizumab and guselkumab are very similar in terms of cost per additional PASI 75 and PASI 90 responder. Conclusions: Risankizumab was estimated to have a lower cost per PASI 75, 90, and 100 responders in most simulated scenarios (primary response period [12-16 weeks], 1-year and 2-years), among the evaluated biologic therapies.

Pupil Constrictions and Their Associations With Increased Negative Affect During Responses to Recalled Memories of Interpersonal Stress

Pupil diameter change is indicative of emotional processing. Most previous findings regarding pupillary response and emotion have reported that the pupil enlarges in response to the presentation of emotional perceptual stimuli (e.g., visual images) within several seconds. It is considered that such stimuli activate the sympathetic nervous system, leading to pupil dilation. In order to examine the effects of emotions similar to daily emotional experiences of mood, the present study examined pupil diameter changes and their relationships with subjective emotional changes while recalling a topic of stressful interpersonal events in daily life. The data of 20 university students (11 males, Mage = 20.36 ± 2.38 years; 9 females, Mage = 22.33 ± 3.57) were analyzed. In the experimental task, participants were instructed to recall their memories concerning the topic through instructions and questions presented on a monitor, which proceeded at their own pace, through a key press. Subsequently, after baseline and instruction periods, participants were instructed to freely recall their memories. They were then asked to respond silently to a series of questions concerning the freely recalled memories. In the analysis, we compared the pupil diameters between these different periods and observed that pupil diameters significantly decreased during the response period relative to the free recall or baseline periods. Furthermore, pupil constrictions during the response period were negatively correlated with increases in negative affect scale scores. Pupil constriction, which is indicative of decreased arousal level and parasympathetic activation, was presumably caused by multiple factors including less cognitive difficulty and a relatively long experimental task period. As the result of a less tonic mode in the response period, the attention of participants might be more successfully focused on ongoing tasks, which might lead to optimal performance in recalling memories, possibly leading to correlations between pupil diameter and negative emotional changes.

ANALISIS JEJARING SOSIAL PADA KOORDINASI KLASTER KESEHATAN DALAM TANGGAP DARURAT BENCANA BANJIR BANDANG GARUT 2016

Disaster is the real threat for national security. Flash flood in Garut 2016 was the biggest disaster in West Java during 2016 as well as the worst flash floods in history in Garut regency. Health service efforts during the emergency response period should be undertaken to protect human security. Lack of coordination becomes one of obstacles in the health service efforts during the emergency response period of flash flood in Garut 2016. Therefore, this study aims to see the structure and the key actor of inter-agency coordination of health cluster in emergency response of flash flood Garut 2016. Research design of this study is mix method that used social network analysis as a method of analysis in quantitative approach and Miles & Huberman analysis as a method of analysis in qualitative approach. The study involved 32 respondents who represented 29 health cluster institutions consisting of government, NGO, professional and private organization. The results showed the type of structure of inter-agency coordination of health cluster during the emergency response of flash flood Garut 2016 is lead agency with network density 3%. The problem is the coordination chain is quite long because it requires 3-6 liaison agencies, but Garut regency does not have contingency plans that can arrange it. The results also showed that the key actor of inter-agency coordination of health cluster during emergency response in flash flood Garut 2016 was Health Office of Garut regency. Therefore, Health Office of Garut Regency needs to make an MoU with NGOs to help the government as a liaison agency in the coordination network. Local governments, communities and private sector should also work together in making contingency plans for floods in Garut for future convenience.