Approximately 10-15% of COVID-19 patients become severely ill and require intensive care. One of the laboratory tests used in monitoring patients in the ICU is D-dimer. Elevated levels of D-dimer can predict the disease severity and mortality. The aim of this study was to analyze the relationship between D-dimer levels and ICU length of stay in patients with COVID-19.This was an analytical observational study with a cross-sectional design and a retrospective approach. The secondary data were in the form of confirmed COVID-19 patients at Dr. Soetomo General Hospital Surabaya from April 2020 to March 2021.The median of continuous variables was compared with the Mann-Whitney U test. The correlation was determined using the Spearman's Rank Correlation Coefficient test. Based on the criteria, it was obtained a sample of 120 patients with the median of initial D-dimer 2225 (855 -6122.5) ng/mL FEU and the median duration of the ICU stay 9 (1 -32) days. The result of the comparative analysis of the initial D-dimer levels on clinical outcomes indicated a p-value of 0.012. Patients with life clinical outcomes showed a relationship between initial D-dimer levels and the length of ICU stay (p = 0.328; (r 2 ) = 0.309) while in patients with death clinical outcomes was (p =0.023; (r 2 ) = -0.219). Elevated D-dimer levels as a marker of thrombosis were reported. Increased D-dimer levels correlated with mortality. Thus, there was a correlation between initial D-dimer levels and length of ICU stay in COVID-19 patients with death clinical outcome.

Based on data from the Ministry of Health of the Republic of Indonesia and the Central Statistics Agency in 2019, Jember is the city with the second highest percentage of stunting cases in East Java, so reducing the stunting rate is one of the main programs of the Jember regional government as the second indicator of the SDGs. Stunting data in Lengkong experienced a very drastic decline, in February 2022 as many as 329 children were stunted, but in June 2022 the number was only 4 children. The cadres had not been able to calculate age, conduct anthropometric measurements, and interpret the measurement results on the graph correctly. The problem-solving plan was to conduct cadre training on stunting and anthropometric measurements. On the first day, the training was by the presentation. The pre-test and post-test methods were used to determine the effect of giving presentations on the cadre's knowledge, then the Shapiro-Wilk and Wilcoxon Signed Ranks Test test was performed. On the second day, the anthropometric measurement demonstration was conducted. The first day was attended by 29 cadres. The descriptive analysis result of the pretest was (Mean = 76.55; SD = 11,109; Median = 80; IQR = 20) and the post-test was (Mean = 92.07; SD = 11,142; Median = 100; IQR = 10). Wilcoxon Signed Ranks Test test results, Z score = -4.237; p-value = 0.000 (<0.05) it means that between the pre-test and post-test groups there is a significant difference, so the presentation about stunting and anthropometry positively and significantly increased the cadre's knowledge. The second day was attended by 19 cadres. After the demonstration, the cadres can perform anthropometric measurements and interpret the data using growth charts correctly.

Penurunan stunting menjadi target utama SDGs pada point kedua. Berdasarkan data tahun 2019, Kabupaten Jember menjadi kota dengan persentase tertinggi kedua untuk kasus stunting di Jawa Timur. Data stunting di Desa Lengkong mengalami penurunan sangat drastis yakni pada perhitungan Februari 2022 sebanyak 329 anak, dan pada Juni 2022 jumlahnya menjadi 4 orang saja. Kader posyandu di Desa Lengkong belum dapat melakukan penghitungan usia, pengukuran antropometri, serta menginterpretasikan hasil pengukuran pada grafik dengan benar. Rencana pemecahan masalah adalah mengadakan pelatihan kader tentang stunting dan pengukuran antropometri. Pada hari pertama dilakukan pemaparan materi. Metode pre-test dan post-test digunakan untuk menyelidiki apakah ada pengaruh pemberian materi terhadap pengetahuan, selanjutnya uji normalitas Shapiro-Wilk dikerjakan untuk mengetahui distribusi data, lalu dilakukan uji Wilcoxon. Pada hari kedua dilakukan demonstrasi pengukuran antropometri. Hari pertama dilaksanakan pada hari kamis, 28 Juli 2022 dan diikuti oleh 29 kader. Hasil analisis deskriptif pre-test didapatkan nilai (Mean = 76,55; SD = 11,109; Median = 80; IQR = 20) dan post-test didapatkan nilai (Mean = 92,07; SD= 11,142; Median= 100; IQR = 10). Hasil uji Wilcoxon, Z score = -4,237; p-value = 0,000 (< 0,05) artinya terdapat perbedaan bermakna antara kelompok pre-test dan post-test. Sehingga pemberian materi stunting dan antropometri secara positif dan signifikan mempengaruhi peningkatan pengetahuan kader mengenai stunting dan antropometri. Hari kedua dilakukan pada hari Jum’at, 29 Juli 2022 dan diikuti oleh 19 kader. Setelah dilakukan demonstrasi para kader dapat melakukan pengukuran antropometri dan  menginterpretasikan data hasil pengukuran antropometri menggunakan grafik pertumbuhan dengan benar.