COVID-19 has been declared a global pandemic affecting many countries, including Indonesia. The worsening of COVID-19 patients may go unnoticed because one of the clinical manifestations of COVID-19 is silent hypoxia, where the patients’ blood oxygen saturation drops with no visible symptoms. Blood gas analysis is needed to detect silent hypoxia. This study aims to confirm whether blood gas analysis results correlate with the mortality of critical COVID-19 patients. This was a retrospective cohort study, the samples were taken from the medical records of critical COVID-19 patients from May 2020-July 2021. The variables observed were gender, age, comorbidities, oxygen saturation (SaO2), partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), bicarbonate (HCO3-), and blood pH. Descriptive statistics, bivariate, and multivariate analyses were done. There were 210 samples, where 137 patients survived (65.24%) and 73 patients died (34.76%). The data analysis showed that comorbidities and blood pH significantly correlate with the mortality of critical COVID-19 patients, with p-values < 0.05; indicating that comorbidities and blood pH can be used as mortality predictors in critical COVID-19 patients. The RR for comorbidities and blood pH were 2.194 and 2>294, respectively, with CI 95% 1.202-4.833 for comorbidities and 1.151-5.295 for blood pH. The cut-off value used for blood pH was 7.310.
Universities and lecturers had been applying pedagogical approach for a very long time before it was decided that medical education should use the adult-learning approach a few decades ago. Applying adult-learning approach in medical school comes with a consequence: students must adapt to the new learning methods because they had only experienced pedagogical learning in elementary, middle school, and high school. This is a task for the educators – to help students’ transition from pedagogical learning to adult learning. To accomplish this task, the educators must know what are the students’ preferred learning strategies. This research aims to determine students’ most preferred learning strategies so that the educators can choose the right teaching methods to help the transition.
Puskesmas merupakan salah satu wahana dalam pembelajaran mahasiswa profesi dokter. Para preceptor yang ada di puskesmas diharapkan mampu membimbing dan mengarahkan mahawaiswa yang aedang menempuh pembelajaran disana agar bisa efektif. Pembelajaran terintegrasi semua bidang ilmu kedokteran yang diterapkan diharapkan mampu menyiapak lulusan dokter yang siap untuk terjun ke masyarakat. Pendekatan symptom and sign dianggap sebagai salah satu metode efektif dalam pembelajaran di puskesmas. Oleh karena itu kami bermaksud memberikan pelatihan pembelajaran klinik terintegrasi dengan menggunakan modul yang berbasis pendekatan symptom pada preceptor di puskesmas. Pengabdian masyarakat ini melibatkan 10 puskesmas yang berada di wilayah Boyolali dan Klaten. Kegiatan diawali dengan penggalian permasalahan yang ada saat membimbing mahasiswa profesi dokter yang belajar di puskesmas. Kemudian dilanjutkan dengan pengenalan cara pembimbingan dengan menggunakan panduan pembelajaran klinik dengan pendekatan sign and symptom dan diakhiri dengan evaluasi pelatihan. Para peserta kegiatan ini menerima pelatihan ini dan memberikan beberapa masukan terkait modul yang ada. Pendapat dan masukan dari preceptor puskesmas tersebut dijadikan sebagai bahan masukan untuk perbaikan modul yang telah disusun.
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