The COVID-19 pandemic is an ongoing problem in the world. The etiology of this disease is a group of coronaviruses that cause severe acute respiratory syndrome (SARS) and middle east respiratory syndrome (MERS CoV). This virus is still mutating and producing new variants that have the characteristics of faster transmission. The spread occurs rapidly and creates a new pandemic threat. The whole community is at risk of being infected, including the academic community, especially those who are in direct contact with patients. The population in this study is the academic community of the Faculty of Medicine Universitas Muhammadiyah Surakarta (UMS) with a sample of 47 people who have confirmed COVID-19 in the period January to June 2021. This study is an observational study, collecting data using an online form where we aim to find patterns of transmission of COVID-19, determine adherence to procedures among confirmed individuals, survivors' perceptions of where they contracted it. The outcome is expected to provide recommendations to other academics in order to minimize the risk of being exposed to COVID 19. The results obtained were 21 of the 47 respondents who were confirmed to have COVID-19, were students of the clinical clerkship. Many confirmed cases occurred in the first wave of the pandemic, this is in accordance with data that health workers have a higher risk of exposure to COVID-19 than the general public. However, further data results show that 40% clinical clerkship were confirmed to have COVID-19 while at home. Respondents were exposed due to study holidays or conducting online studies. Almost all clinical clerkship also admit that the source of their COVID-19 transmission is not from the patient but the family and the environment around their residence.
Mortalitas sepsis dan syok sepsis hampir 20% per tahun dari semua kematian global. Sepsis dan syok sepsis merupakan penyebab 50% pasien dirawat di Intensive Care Unit (ICU). Kristaloid menjadi terapi cairan yang tepat menurut “The Surviving Sepsis Campaign Bundle: 2018 (SSC 2018)”. Kristaloid terbagi menjadi dua jenis, yaitu balanced dan unbalanced crystalloids. Perbedaan kandungan elektrolit keduanya dapat memengaruhi outcome pasien. Penelitian ini bertujuan mengetahui perbedaan pengaruh balanced dan unbalanced crystalloids pada sepsis dan syok sepsis dalam aspek mortalitas, kejadian hiperkloremia, dan lama tinggal di rumah sakit (RS). Metode yang digunakan adalah systematic review. Tempat penelitian berupa pencarian artikel penelitian pada online database dengan waktu penelitian, yaitu artikel dari tahun 2017 hingga 2021. Seleksi studi menggunakan PRISMA, kirteria restriksi dan PICO. Telaah artikel didapatkan 6 dari 249 artikel yang memenuhi syarat. Hasil analisis adalah mortalitas lebih rendah pada grup balanced crystalloids, kejadian hiperkloremia lebih tinggi pada unbalanced crystalloids, namun lama tinggal di RS di kedua grup tidak ada perbedaan signifikan. Simpulan penelitian adalah balanced crystalloids lebih efektif daripada unbalanced crystalloids dalam aspek menurunkan mortalitas dan kejadian hiperkloremia, namun tidak mengenai lama tinggal.
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