Prevalence of Coronavirus Disease 2019 in Rheumatic Patients and Evaluation of The Effect of Disease-Modifying Anti-Rheumatic Drugs

Background: One of the most controversial issues among rheumatologists is the best approach to managing a rheumatic patient (RP) with coronavirus disease 2019 (COVID-19).Objectives: This study aims to evaluate the prevalence of COVID-19 in RPs and compare it to thegeneral population (healthy individuals). Besides, it assesses the incidence of COVID-19 based on rheumatologic diseases (RDs) categories and immunosuppressive (IS) drug history.Methods: In a cross-sectional study, all RPs of the rheumatology clinic of Shahid BeheshtiHospital, Qom, Iran were included (the case group), and the prevalence of COVID-19 was compared to that in healthy individuals (the control group), between December 1, 2019, andFebruary 29, 2020. Qom city was the first city in Iran in which COVID-19 was identified and spread rapidly. The participants were recruited from hospital records for the case group and QomHealth Network’s database for the control group.Results: The prevalence of COVID-19 is significantly less in RPs than in the healthy population.Moreover, patients who were under treatment with biologic diseas-modifying anti-rheumatic drugs(DMARDs) and IS drugs had milder symptoms in the case of COVID-19. Two RPs died from COVID-19, both of whom had granulomatosis and polyangiitis (GPA).Conclusion: The prevalence of COVID-19 in the RPs was lower than the general population, which was determined to be associated with more adherence to the quarantine and social distancing rules by RPs. Besides, using leflunomide (a DMARD) and IS drugs might have a protective effect against severe COVID-19.

Warm Compress Of Pain Level In Patients Elderly Who Suffers Rematic

The background based on data found at the society health center of Bontonyeleng, district of Gantarang, the regency of Bulukumba.it received 45 rheumatic patients in 2017. The aim of this research is to find out the influence of warm compress to decrease the pain degree of rheumatic patients qat society health center of Bontonyeleng, district of Gantarang, the regency of Bulukumba. The method has taken in this research was experimental research ( pre-experimental design) using the one-group pretest-posttest design. The population sample in this research was 30 respondent, it was taken using shack formula. Data analyse result using T-test match with value p 0,000. the research result gained before applying warm compress ton lo pain degree patients are 2 respondents or (6.7%) medium paint degree patient is 28 respondents or (93,3). While the result after applying a warm compress for low pain degree patients is 20 respondents or (66.7%) medium pain degree patient is 10 respondents or (33.3%). Based on explanations above, we can conclude that there is the influence of warm compress to decrease pain degree for the rheumatic patient especially for old society at society heald center of Bontonyeleng, district of Gantarang, the regency of Bulukumba so that is why people in bukit harapan village, district of Gantarang, regency of Bulukumba suggests for those who feel the pain that indicates rheumatic should not ignore and do an action like applying warm compress immediately using correct tools to decrease the pain or doing health check as soon as possible to nearby medical care.