The Right to a Prosperous Life Born and Inner: Gender Change Perspective

Gender change is the right of every citizen, but this invites pros and cons in society. Although the 1945 Constitution of the Republic of Indonesia has regulated human rights, there is no specific mention of human rights related to sex change. This study aims to determine, examine, and analyze the meaning of "the right to a prosperous life born and inner" as referred to in Article 28H paragraph (1) of the 1945 Constitution of the Republic of Indonesia and Article 9 paragraph (2) of the Human Rights Law, from the perspective of justice related to sex change in Indonesia. Indonesia. This research is a normative legal research with philosophical, legislative, conceptual, case and comparative approaches. The analysis technique uses descriptive, comparative, evaluative and argumentative techniques. The results of the study indicate that the meaning of the right to live in physical and spiritual prosperity in the perspective of gender change is the right to conditions in which an individual with a gender disorder gets health care, safety, and is free from all kinds of disturbances and suffering in order to develop physically, mentally, and physically. spiritual, and social so that the individual realizes his own abilities, can cope with pressure, can work productively, and is able to contribute to himself, his family, community, and society in his environment.

Health Equity and the Allocation of COVID-19 Provider Relief Funds

When the COVID-19 pandemic landed in the United States, and particularly once cases began to grow substantially in March, the entire health care system suffered, but the safety net was exceptionally hard hit. The “health care safety net,” an ill-defined term that encompasses public and some nonprofit hospitals that take care of the poor and uninsured, was on the front lines of taking care of the bulk of individuals who had contracted COVID-19. These hospitals tended to suffer from a lack of adequate supplies and relatively low reimbursement in a system that was already financially weak. (Am J Public Health. Published online ahead of print February 4, 2021: e1–e4. https://doi.org/10.2105/AJPH.2020.306127 )

CONTROL OF FINE MOTOR SKILLS IN WOMEN ENGAGED IN RECREATIONAL PHYSICAL CULTURE: BILATERAL INDICATORS

The issue of studying the features of movement control among elderly people and the disclosureof ways to reduce the negative impact of involutional processes on the body functions areup-to-dateand relevant in terms of ensuring long-term health care safety and wellbeingfor the population in that age group. The reduced mobility of central nervous system forces older people to spend more time preparing, organizing and managing their own actions. First of all, self-regulation processes of the finest movements weaken: the elderly become unable to effectively control the movements of hands and especially fingers. In this regard, the issue of studying the influenceof recreational physical cultureon the indicators of fine movements control among the elderly is of scientific interest.

209. Antibiotic Utilization During the COVID-19 Surge in Detroit

Background Antibiotic overutilization during the COVID-19 pandemic has been reported, despite relatively infrequent bacterial co-infection. We explored antibiotic utilization before, during and after the COVID-19 surge in Michigan. Methods Cross-sectional study at an 877-bed hospital in Detroit, Michigan from January 2019 through May 2020. Measures: Count of COVID-19 hospital admissions by day. Monthly antibiotic utilization for formulary agents used to treat pneumonia were measured using monthly days of therapy (DOT) per 1000 patient days present and the National Health Care Safety Network Standardized Antimicrobial Administration Ratio (SAAR). Descriptive analysis was utilized. Results The first COVID-19 case was detected March 11, 2020 and peaked in early April (Figure 1). Antibiotic utilization is demonstrated in Figure 2. The COVID-19 peak was associated with increased use of multiple antibiotics; notably, DOT per 1000 days present for ceftriaxone, cefepime and doxycycline were 85.43, 79.42 and 71.56, respectively in April. The institutional all-antibacterial SAAR was significantly reduced in May at 0.96, p=0.0022, after the COVID-19 surge. Figure 1 Figure 2 Conclusion We observed increased utilization of multiple antibiotics during the COVID-19 surge, and reduction in the all-antibacterial SAAR after the surge. More robust information is needed to promote optimal antibiotic use for patients with COVID-19 infections. Disclosures All Authors: No reported disclosures