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All Journal Respiratory Science Sanus Medical Journal
Erlina, Andi
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Evaluation of Mortality Risk Factors of COVID-19 in Jakarta Tertiary Hospital During Peak of Second Wave and Predictive Utility of Community RT-PCR Low CT Values Putra, Andika Chandra; Burhan, Erlina; Aufa, Akhdan; Bur, Rika; Pangestu, Hendri; Bahri, Syukrini; Souvriyanti, Elsye; Muchtiar, Mulyadi; Erlina, Andi; Aditama, Tjandra Yoga; Yuliwulandari, Rika; Kusuma, Indra; Suciati, Yulia; Rifqatussaadah, Rifqatussaadah; Jalal, Fasli; Gusnanto, Arief; Utomo, Ahmad Rusdan H
Respiratory Science Vol. 4 No. 2 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i2.133

Abstract

Background: The Delta variant of SARS-CoV-2 led to a surge in COVID-19 cases in Indonesia. This study aimed to assess the demographic profile and mortality rates of hospitalized COVID-19 patients in YARSI referral hospital, Jakarta, comparing pre-Delta and Delta wave periods. The study also investigated whether low CT values in RT-PCR tests indicated heightened viral transmission before the Delta wave surge. Method: A retrospective analysis was conducted on 1,457 COVID-19 patients hospitalized at YARSI (January-August 2021) and 25,279 RT-PCR test results from walk-in patients (April-August 17, 2021). Differences were evaluated using Chi-square or Fisher’s Exact Tests while binary logistic regression was used to assess mortality risk factors. Results: There were increased proportions of pregnant women, patients aged 20-29 and those with coronary artery disease during the Delta wave. This period also showed a significant increase in mortality rates, with the highest seen in patients >60 years old or those with multiple comorbidities. Notably, most of the deceased patients (131 of 139) were unvaccinated. Analysis of RT-PCR data showed rising percentages of positive results with low CT values (below 21 or 15) from April to June. Conclusion: The Delta wave saw a higher risk of hospitalization among young individuals and pregnant women, despite their low mortality risk. The unvaccinated and those with multiple comorbidities faced higher mortality risks. Increases in RT-PCR positivity with low CT values preceded the July COVID-19 case surge.
Integrasi Nilai Syariah dalam Pelayanan Medis: Analisis Persepsi dan Praktik Tenaga Kesehatan Muhammad, Fauzia; Astiwara, Endy Muhammad; Erlina, Andi
Sanus Medical Journal Vol. 7 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. Dr. Hamka (UHAMKA Press)

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Based on the Decree of the National Sharia Council–MUI No. 13/DSN-MUI/III/2017, Sharia-compliant medical service standards include recitation of basmallah and hamdallah, maintaining patient modesty, same-gender medical procedures, scheduling elective surgeries outside prayer times, Islamic communication and education, and informed consent for non-halal pharmaceutical products. This study aims to analyze the relationship between medical personnel's perception of Sharia-based medical service standards and their implementation, as well as to identify the most influential factors. The research was conducted at YARSI Hospital Jakarta using a mixed-method explanatory design, collecting quantitative data from 76 medical staff via Likert-scale questionnaires and qualitative data through in-depth interviews with general medical specialists. The results showed that medical personnel had a positive perception of Sharia-compliant medical services, which was also reflected in good implementation. The most dominant factors were a supportive work environment, followed by training and spiritual conviction. A strong positive perception can overcome barriers and challenges, positively impacting implementation quality.   Berdasarkan Keputusan Dewan Syariah Nasional–MUI No.13/DSN-MUI/III/2017, standar pelayanan medis sesuai syariah mencakup pembacaan basmallah dan hamdallah, penjagaan aurat, prosedur medis sesuai gender, penjadwalan operasi tidak terbentur waktu salat, komunikasi edukasi Islami, serta informed consent untuk produk non-halal. Penelitian ini menganalisis hubungan persepsi tenaga medis terhadap standar pelayanan medis syariah dengan implementasinya, serta mengidentifikasi faktor dominan yang memengaruhinya. Dilakukan di RS YARSI Jakarta dengan mixed-method explanatory design, menggunakan kuesioner dari 76 tenaga medis dan wawancara dengan dokter spesialis medik dasar. Hasil menunjukkan persepsi tenaga medis yang baik berpengaruh pada implementasi yang baik. Faktor dominan adalah lingkungan kerja yang mendukung, pelatihan, dan keyakinan spiritual. Persepsi positif mampu mengatasi hambatan, berdampak pada kualitas implementasi yang baik.
Co-Authors Aufa, Akhdan Bahri, Syukrini Elsye Souvriyanti, Elsye Endy Muhammad Astiwara Erlina Burhan Fasli Jalal Gusnanto, Arief Indra Kusuma Muchtiar, Mulyadi Muhammad, Fauzia Pangestu, Hendri Putra, Andika Chandra Rifqatussaadah, Rifqatussaadah Rika Bur Rika Yuliwulandari Tjandra Yoga Aditama Utomo, Ahmad Rusdan H Yulia Suciati