THE CORRELATION OF MOBILITY TREND AND SITUATION OF COVID-19 BY COUNTRY, TERRITORY, AND AREA

Each country around the world has taken several approaches in order to stop the spreading of the virus. This study was conducted to correlate the mobility trend and the situation of COVID-19 by country, territory, and area. This research paper adopts an observational analytic study with a cross-sectional approach for 115 countries from February 17th to August 27th, 2020. Tajikistan (r=0,956) and Italy (r=0,931) has the highest positive correlation for retail and recreations. For grocery,the highest degree of positive correlation is Mongolia (r=0,945) and Tajikistan (r=0,933). Bostwana and Italy showed highest significant positive correlation among countries (r=0,985 and r=0,902, respectively) for transit stations and residential (r=0,994 and r=0,984). Bostwana also has the highest significant positive correlation for the park (r=0.980). Meanwhile, for the workplace, Mauritius (r=0,863) and Dominica (r=0,785) are countries with the highest degree of positive correlation with a cumulative case of COVID-19. Society's behavior plays an important role by following the government policy in order to slow down the spread of the virus. Retail and recreations, groceries and pharmacy stores, transit stations, parks, and workplaces found to have a significant positive correlation while residential have a significant negative correlation with cumulative cases of COVID-19 in most countries.

PERILAKU MAKAN DAN AKTIVITAS FISIK MAHASISWA PENDIDIKAN DOKTER DI MASA PANDEMI COVID-19

Indonesia berada pada peringkat ke-2 kasus konfirmasi tertinggi COVID-19 di ASEAN pada Agustus 2020. Obesitas merupakan salah satu risiko penyebab komplikasi akibat COVID-19. Perilaku makan yang tidak sehat dan tidak aktif berolahraga dapat menyebabkan obesitas. Pada masa pandemi, perkuliahan dilakukan secara daring untuk melindungi mahasiswa dari penularan. Penelitian ini bertujuan untuk mengetahui gambaran perilaku makan dan aktivitas fisik pada mahasiswa Pendidikan Dokter Fakultas Kedokteran di Palembang selama pandemi COVID-19. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan desain studi cross-sectional. Data didapatkan dari hasil pengisian kuisioner secara mandiri yang dibagikan kepada responden melalui Google Form. Sebanyak 276 orang mengisi kuesioner. Hasil penelitian menunjukkan bahwa responden mengalami penurunan aktivitas fisik (85,1%) dan duduk selama ?8 jam saat kuliah online (62,0%). Sebagian besar mengonsumsi karbohidrat <3 porsi/hari (63,0%), sayur <3 porsi/hari (84,1%) dan buah <2 porsi/hari (59,8%). Sebanyak 44,9% mahasiswa memiliki frekuensi makan utama 2 kali sehari dan frekuensi makan kudapan 3 kali sehari. Masih terdapat mahasiswa yang mengalami penurunan aktivitas fisik dan memiliki perilaku makan yang tidak sesuai anjuran Pedoman Gizi Seimbang selama masa pandemi COVID-19.

IMPACT OF SOCIAL DISTANCING IN CURBING COVID-19 PANDEMIC: A SYSTEMATIC REVIEW

Social distancing includes strategies to ban public gatherings and advise individuals to stay at their home or maintain distance to one another by at least 1-2 meters. This study aims to intend to assess all the available evidence of social distancing in decreasing COVID-19 transmission in the general population. We conducted an electronic search of published literature using MEDLINE/Pubmed, Science direct, PMC, Wiley, and Google Scholar and we use Joanna Briggs Institute (JBI) critical appraisal checklist to assess methodological qualities. A total of 7 articles were decided to be included in this study. Social distancing has curb down the number and saved approximately 10 thousand Brazilian lives. A study by VoPham et al on the association of social distancing and COVID-19 incidence found higher social distancing was associated with a 29% reduction of COVID-19 incidence (adjusted IRR 0.71;95% CI (0,57-0,87) and 35% reduction of COVID-19 mortality (adjusted IRR 0,65; 95% CI 0,55-0,76). Social distancing is one of the major policies implemented for long-term behavioral adjustment in managing the COVID-19 pandemic. Passive social distancing is not enough to drag down the number, there needs to be large scale testing, isolation, and contact tracing. However, we believe we have illuminated the impact of social distancing on the COVID-19 pandemic and add to the available literature the basis of social distancing in reducing transmission of COVID-19.

A CASE REPORT OF MODERATE COVID-19 AND MALARIA FALCIPARUM CO-INFECTION WITH THROMBOCYTOPENIA

The COVID-19 pandemic that attacks the world has made the attention of all medical personnel focused on this disease. The clinical picture is similar to other infectious diseases such as malaria, dengue, influenza, etc., which often leads to misdiagnosis. We report the case of a man, 31 years old, with a history of travel and complaints of high fever persisting for more than 7 days. On physical examination, the temperature was 39-40 C, others were within normal limits. Initial platelet count was 69 x 103/µL, leukocytes was 15.52 x 109/L, CRP was 96 mg/L. The blood smear found Plasmodium falciparum, and PCR SARS-CoV-2 was positive. Chest X-ray showed pneumonia. Dihydroartemisinin-piperaquine and primaquine therapies were administered for malaria, as well as favipiravir, azithromycin, and other symptomatic therapy for COVID-19. Platelets decreased to 38 x 103/µL while D-dimer level increased (> 20 mg/L). Anticoagulant was delayed. On monitoring after therapy, the platelets returned to normal, the D-dimer level decreased, and there was no bleeding. The co-infectious conditions of malaria and COVID-19 should be suspected in patients with suggestive symptoms and travel history from endemic areas, therefore both examinations should be performed. This co-infection has the potential to cause hyper inflammation and hypercoagulation and this is associated with a poor prognosis. Appropriate treatment is needed.