ABSTRACT. The Tri Dharma Perguruan Tinggi or The Three Pillars of Higher Education is a common principle attached to university students in Indonesia. Out of the three, giving back to the community resonates greatly with medical students, especially when aligned with the Hippocratic Oath. Although, since the COVID-19 pandemic started, students pondered how such face-to-face limitations could be deterred to still give back to the society. This experience tells a brief recount of creative efforts made by students from the faculty of medicine, Universitas Indonesia (FMUI) in finding ways to empower the community in such drastic times. Kampung Lio is a village directly taken care of by the faculty. Before the pandemic, efforts made to develop the community include conducting free general checkups and health assessments which is later used as baseline data for our community development program. Efforts to continue development during COVID-19 utilized many different virtual mediums in conducting online-based events. Health promotion was conducted using e-booklets sent via WhatsApp groups filled by the villagers from Kampung Lio.Telehealth also played a huge role in our intervention, as we succeeded in conducting a hybrid intervention - combining remote painting classes while calling and providing an ear for them to listen. Despite intervention still being possible, a proper assessment of the community’s ability to utilize such online platforms is recommended before execution. Furthermore, to maximize engagement with the community, building a good rapport is necessary which could be achieved through small interactions prior to the intervention even through online means.
Introduction: The lingering Severe Acute Respiratory System-Coronavirus-2 (SARS-CoV-2) pandemic worldwide has called scientists to accelerate vaccine production and reduce the spread of the virus. The inactivated virus vaccine has been administered widely due to its potency. Following its recent public use, we aim to summarize the efficacy and safety of the inactivated vaccine, especially following Indonesia’s settlement on the SinoVac vaccine. Materials and Methods: A systematic review was performed, searching for randomized controlled trials, according to the PRISMA statement throughout four online databases with studies published up to 2 February 2021. Critical appraisal was further conducted utilizing the Cochrane Risk of Bias Tool 2.0. Results and Discussions: The search yielded six phase ½ clinical trials with a total of 3251 subjects. The outcome was obtained in seroconversion rates (%) after two doses of vaccine. Four studies administered the CoronaVac inactivated vaccine and resulted in a high seroconversion rate, ranging from 89—90%. The other two studies administered the BBV152 and BBIBP-CorV inactivated vaccine and showed similar results. Furthermore, a dose dependent relation is shown with higher doses showing higher seroconversion rates. The safety analysis reported injection site pain as an insignificant but most prevalent local adverse reaction, with other adverse reactions being mild to moderate respiratory tract infections Conclusion: The inactivated vaccine’s efficacy has been proven to stimulate antibody response regardless of dosage, period of administration, and age, with insignificant adverse effects. Further phase 3 clinical trials and widespread administration with the help of non-governmental and medical student organizations are recommended
Introduction: Patients with dementia experience painful, confusing, frustrating, and amnesialike emotional distress and instability because of their brain’s inability to correlate their emotions with the memory that causes the emotion. Moreover, the dependency of dementia patients also results in an additional emotional, physical, and financial burden to their families and caregivers. In addition, the COVID-19 pandemic forces drastic self-isolation, which are hard to comprehend for dementia patients, increasing their feeling of anxiety, loneliness, and frustration. Music therapy has gained popularity amongst other therapy alternatives for dementia for its easy accessibility, previously proven effectiveness to reduce dementia symptoms and its positive impact on the caregivers. Method: A systematic review was performed, searching for randomized controlled trials, according to the PRISMA statement, throughout five international databases with published studies up to 18 April 2021. Critical appraisal was further conducted utilizing the Cochrane Risk of Bias Tool 2.0. Results: The search yielded eight randomized controlled trials with a total of 534 subjects. The intervention conducted was in individual or group music therapy. The outcomes were measured using various indicators, and significant improvements found in agitated behaviour, behavioural and psychological symptoms, and general mood of the patient. Conclusion: Music therapy is a highly potential alternative therapy for elderly patients with dementia, showing significant and effective improvements to reduce dementia-related symptoms. Further studies in coherence with implementations of the therapy are urgently needed to aid the increasing prevalence of dementia worldwide, especially in Indonesia.
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