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Health workers and various other sectors are currently busy with handling world health cases of the Sars Cov-2 virus pandemic. The transmission of COVID-19 is very easy and dangerous, which is the cause of the increasing number of deaths. The large percentage of mortality rates for COVID-19 sufferers can be caused by internal factors and external factors. The purpose of this study was to analyze various factors that caused the death of COVID-19 sufferers. This scientific report uses observational analytics with a retrospective study design. The research target of Covid-19 patients in the isolation room of the Graha Medika hospital in August - December 2020 was 437 respondents. The research sample amounted to 305 respondents who were selected with simple random sampling technique. The instruments that the researchers used in data collection were writing instruments and medical records of patients in the COVID-19 isolation room. Most of the respondents were female, namely 161 respondents (52.8%), Almost half of the respondents aged >60 years, namely 119 respondents (39%), Almost all respondents underwent treatment for 1-5 days, namely 251 respondents (82.3% ), and most of the respondents had comorbidities, namely 228 respondents (74.8%). Factors of age, sex, comorbidities, had a statistical value (p0.05). The most comorbid disease experienced by respondents was diabetes mellitus, and contributed to the death rate of 72 respondents (23.6%). Immediate handling and appropriate intervention for elderly COVID-19 sufferers of various genders and especially those with comorbidities to minimize the mortality rate of COVID-19 sufferers.

Introduction: The process of labor physiologically causes the mother feeling pain. Heavy painful labor that cannot be tolerated by the mother can cause complications in labor. Labor pain can be overcome with non-pharmacological therapy including endorphin massage therapy and Al-Quran Murottal. The purpose of this literature review was to determine the effectiveness of combination of endorphin massage with murottal auditory on stage I labor pain. Method: This study was a literature review by searching articles method using PICOT question on Google Scholar and Garuda Portal database. Searches were limited to full text articles, in Indonesia and English, which were published in 2010-2020 and found 192 articles and were identified and screened.Result: Researcher found 20 articles that in accordance with the inclusion and exclusion criteria. 12 articles used endorphin massage therapy and 8 articles used Al-Quran murottal. The entire journal articles proved that endorphin massage therapy and Al-Quran murottal can affect the quality of stage I labor pain. Conclusion: Endorphin massage and Al-Quran murottal can be used as an alternative therapy for labor pain, so both of them can be collaborated to produce more effective therapy.