D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19

Moch Syahrial Pramudia Tarmidi — 2024-12-05

Background: Since WHO declared COVID-19 a pandemic, Indonesia, including RSUD Gambiran Kediri, has experienced a sharp increase in morbidity and mortality. The global incidence of acute stroke in COVID-19 patients is 1.4%, with symptoms varying from mild to severe, including death. Elevated serum D-dimer in COVID-19 patients can be a biomarker to predict severe complications.

Objective: This study aims to determine the relationship between elevated serum D-dimer levels (mild, moderate, severe) with mortality in acute stroke patients with COVID-19.

Methods: Observational analytic study with a cross-sectional method using secondary data from medical records of patients admitted to RSUD Gambiran Kediri from March 2020 to June 2023. Patients were categorized based on serum D-dimer levels: normal (<0.5 mg/L), mild (<1 mg/L), moderate (1-2 mg/L), and severe (>2 mg/L).

Results: Of 101 acute stroke patients with COVID-19, 52.48% were male. A total of 90 patients had elevated D-dimer levels, with 44 patients dying. Spearman correlation test and Chi-square test showed no significant association between D-dimer levels and mortality (p>0.005).

Conclusion: There is no association between elevated serum D-dimer levels and mortality in acute stroke patients with COVID-19.

The Relationship Between Unsafe Action Of Gadget Use And Subjective Complaints Of Eye Fatigue Among Psychology Students At Jambi University In 2023

Meisya Dwi Anggi Marta Anggi — 2024-12-05

In the 4.0 Revolution Era, technology is becoming increasingly advanced, impacting eye fatigue. This study aimed to analyze the relationship between unsafe actions of gadget use and subjective complaints of eye fatigue among Psychology students at Jambi University in 2023. This was a cross-sectional study with a sample of 106 students using stratified random sampling. The research was conducted from March 2023 to February 2024 at the Psychology Study Program, Jambi University. Univariate and bivariate analyses were performed using the Chi-square test with 95% confidence level. The dependent variable was subjective complaints of eye fatigue measured by the DES-Q, while the independent variables were glasses use, viewing duration, viewing distance, and gadget use position. 60.4% had subjective eye fatigue complaints. Variables associated with subjective eye fatigue complaints were long gadget viewing duration (PR: 1.945 (95%CI; 0.936-4.042)) and short smartphone viewing distance (PR: 1.532 (95%CI; 1.092-2.151)). No association was found for glasses use (PR: 0.986 (95%CI; 0.657-1.479)), laptop viewing distance (PR: 0.892 (95%CI; 0.649-1.227)), and gadget use position (PR: 1.027 (95%CI; 0.697-1.514)). Long gadget viewing duration >4 hours and short smartphone viewing distance <30 cm were risk factors for subjective eye fatigue complaints. Students are advised to take eye breaks every 2 hours.

Saintika Medika

D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19

The Relationship Between Unsafe Action Of Gadget Use And Subjective Complaints Of Eye Fatigue Among Psychology Students At Jambi University In 2023