Heavy metals in water and sediment of Cikijing River, Rancaekek District, West Java: Contamination distribution and ecological risk assessment.

The Cikijing River is one of the rivers of the Citarik River Basin, which empties into the Citarum River and crosses Bandung Regency and Sumedang Regency, Indonesia. One of the uses of the Cikijing River is as a source of irrigation for rice fields in the Rancaekek area, but the current condition of the water quality of the Cikijing river has decreased, mainly due to the disposal of wastewater from the Rancaekek industrial area which is dominated by industry in the textile and textile products sector. This study aims to determine the potential ecological risks and water quality of the Cikijing River based on the content of heavy metals (Cr, Cu, Pb, and Zn). Sampling was carried out twice, during the dry and rainy seasons at ten different locations. The selection of locations took into account the ease of sampling and distribution of land use. Based on the results of this study, it was found that the water quality of the Cikijing River was classified as good based on the content of heavy metals (Cr, Cu, Pb, and Zn) with a Pollution Index 0.272 (rainy season) and 0.196 (dry season), while for the sediment compartment of the Cikijing River, according to the geoaccumulation index (Igeo) were categorized as unpolluted for heavy metals in rainy and dry seasons Cr (-3.16 and -6.97) < Cu (-0.59 and -1.05), and Pb (-1.68 and -1.91), heavily to very heavily polluted for heavy metals Zn (4.7 and 4.1) . The pollution load index (PLI) shows that the Cikijing River is classified as polluted by several heavy metals with the largest pollution being Zn> Cu > Pb > Cr. Furthermore, the results of the analysis using the Potential Ecological Risk Index (PERI) concluded that the Cikijing River has a mild ecological risk potential in rainy season (93.94) and dry season (96.49). The correlation test results concluded that there was a strong and significant relationship between the concentrations of heavy metals Pb and Zn and total dissolved solids, salinity, and electrical conductivity in the water compartment.

Does elective orthopaedic surgery in pandemic era increase risk of developing COVID-19? A combined analysis of retrospective and prospective study at Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

BACKGROUND: To date, no recommendations have been published on when and how to start again carrying out elective, non-urgent surgery on COVID-19-negative patients after the epidemic peak has been reached in a given country or region and the pressure on healthcare facilities, healthcare workers and resources has been released by so far that elective surgery procedures can be safely and ethically programmed again. This study aims to investigate whether elective orthopaedic surgery will increase the risk of developing COVID-19. MATERIALS AND METHODS: This was a combined retrospective and prospective studies performed at a national tertiary hospital in Jakarta, Indonesia. Subjects were patients who underwent elective orthopaedic surgeries at our institution from April to May 2020. Those who were previously infected with COVID-19 from polymerase chain reaction (PCR) reverse transcriptase (RT) examination obtained via nasopharynx and oropharynx swab, as well as those who were reluctant to participate were excluded from the study. RESULTS: A total of 35 subjects (mean age 32.89 ± 17.42) were recruited. Fifteen (42.9%) subjects were male, and 20 subjects (57.1%) were female. Mean duration of surgery was 240 min with the longest and shortest duration of 690 and 40 min, respectively. General anaesthesia was performed in the majority of cases in 18 surgeries (51.4%) with local anaesthesia as the least in 2 surgeries (5.7%). Length of stay of our study was 6 days of average. None of the patients developed symptoms suggestive of COVID-19 infection. CONCLUSION: We found that elective orthopaedic surgery may not be associated with increased cases of COVID-19 cases. However, our study was limited by short duration of follow-up. Further studies are required in order to investigate the affect of undergoing elective surgery and the number of COVID-19 cases.