BACKGROUND: Coronavirus disease 2019 (COVID-19) pandemic has caused significant health problems globally. COVID-19 should be considered a systemic disease since it involves multiple systems, including the hematopoietic system and the immune system. AIM: This study sought to determine the relationship between the lymphocyte levels and the severity of COVID-19 patients in Indonesia. METHODS: A cross-sectional study was conducted among COVID-19 patients at Dr. Zainoel Abidin Hospital Banda Aceh Indonesia from August 27, to September 20, 2021. The subjects were recruited using consecutive sampling method and the data were obtained at their admission to the hospital. Chi-squared test was used to assess the association between lymphocyte levels and the severity of patients. RESULTS: A total of 280 COVID-19 patients included of which 56.9% (91/160) of the patients with moderate severity, 76.1% (51/67) with a severe condition, and 84.9% (45/53) with critical severity had lymphopenia. There were no patients with lymphocytosis found in this study (0%). The Chi-squared test suggested that the lymphocyte level was significant associated with the severity of COVID-19 patients with p < 0.001. CONCLUSION: Our study suggests that the lower the lymphocyte level, the higher the severity of COVID-19 patients. The level of lymphocyte is therefore potentially to be used as predictor for the disease severity and needs to be monitored regularly in COVID-19 patients.
The purpose of this study was to determine the effect of providing education on increasing knowledge, attitudes, and behavior of medical officers in solid medical waste management at the Regional General Hospital dr. Zainoel Abidin Banda Aceh, Indonesia. The research design used was a quasi experiment with the Wilcoxon comparison test. The research sample was the medical officer of dr. Zainoel Abidin Banda Aceh as many as 94 people who were divided into treatment and control groups. Knowledge, attitude, and the behavior of medical personnel was measured by interview using a questionnaire. The results showed that there was an effect of educational interventions on increasing the knowledge, attitudes, and behavior of medical personnel in the management of medical solid waste in the treatment and control groups (p <0.05). The results of the Wilcoxon test between the treatment groups on knowledge, attitudes, and behavior before and after the educational intervention showed a significant difference (p = 0.000), whereas in the control group between before and after the educational intervention did not show a difference with the p-value of knowledge (p = 0.102); attitude and behavior (p = 0.157). In the control group, the level of knowledge, attitudes and behavior tends to remain at a sufficient level. The conclusion of this study shows that educational interventions can provide an increase in the knowledge, attitudes and behavior of medical personnel in implementing solid medical waste management at dr. Zainoel Abidin Banda Aceh.
Peningkatan penggunaan produk obat herbal terutama pada lansia menimbulkan kekhawatiran akan keamanannya. Tujuan dari penelitian ini adalah untuk mensurvei penggunaan obat herbal lansia sehingga dapat dipantau penggunaannya. Penelitian ini merupakan studi observasional dengan desain potong-lintang pada pasien usia lanjut (≥60 tahun) yang berobat di sepuluh puskesmas di Banda Aceh. Pengambilan data dilakukan melalui wawancara terpimpin menggunakan kuesioner. Sebanyak 294 responden tergabung dalam penelitian ini. Hasil yang didapatkan menunjukkan bahwa 40% responden menggunakan tanaman obat herbal daripada resep dokter, 49% responden mengakui bahwa resep dokter belum tentu lebih mahal daripada tanaman obat herbal, 56% responden percaya bahwa obat herbal mempunyai efek lebih baik daripada resep dokter. Sejumlah responden sudah teredukasi terkait tanaman obat herbal, dimana 48% responden tidak setuju bila tanaman obat herbal dapat dikonsumsi tanpa batasan dosis, dan 67% responden menyebutkan tidak semua tanaman obat herbal terbukti ilmiah dapat mengobati penyakit. Berdasarkan pengakuan responden didapatkan bahwa 66% responden setuju bahwa penggunaan tanaman obat herbal tetap memerlukan obat resep dokter dan 67% responden merasa perlu memberitahukan dokter tentang tanaman obat herbal yang digunakan. Kesimpulan dalam penelitian ini bahwa pasien geriatri dengan penyakit degeneratif dan kronis yang menggunakan obat herbal sudah teredukasi
Disasters caused by natural hazards may harm the health sector. It needs physician preparedness as a significant step in disaster risk reduction efforts and is expected to obtain an adequate response when a disaster occurs. This study aimed to determine the level of physician preparedness at the public health center (PHC) to face a tsunami caused by an earthquake based on the vulnerability zones. This research method is observational analytic with a cross-sectional design using a questionnaire developed by LIPI-UNESCO/ISDR adjusted to the core competencies and sub-competencies for disaster medicine and public health. The samples were collected in total sampling. The results show that most respondents have a preparedness index with categories almost prepare and not prepare, each of 12 respondents from a total of 42 people who participated in this study (28.56%). The physician from zone III has the best preparedness, and the physician from zone I are at least prepared for disasters. Statistical analysis using the Kruskal Wallis test obtained p-value 0.646 (p 0.05). The conclusion was found that there was no significant difference between the levels of physician preparedness at the PHC facing tsunami disasters based on the tsunami vulnerability zone in Banda Aceh.
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