Pada pasien COVID-19 dengan ARDS terjadi gangguan oksigenasi dan ventilasi. Menurut kriteria Berlin ARDS, oksigenasi diukur dengan PaO2/FiO2, namun tidak mengukur ventilasi alveolar yang diukur dengan dead space yang dapat terjadi akibat kondisi, seperti kerusakan endotel, mikrotrombus, dan penggunaan ventilator yang berlebih. Tujuan penelitian ini menganalisis penggunaan ventilatory ratio (VR) dan dead space fraction (Vd/Vt) sebagai prediktor mortalitas pasien COVID-19 ARDS. Penelitian ini adalah analitik kohort retrospektif. Data dikumpulkan dari rekam medik pasien COVID-19 yang dirawat di RIK RSUD Dr. Soetomo periode Juni–September 2020 dengan teknik total sampling terhadap subjek yang memenuhi kriteria inklusi dan tidak termasuk eksklusi. Data yang dikumpulkan adalah nilai VR dan Vd/Vt (diambil dari data laboratorium), kondisi klinis pasien dan pengaturan ventilator 24 jam pertama setelah terintubasi. Penelitian ini didapatkan 77 dari 80 subjek yang memenuhi kriteria. Nilai VR berhubungan dengan mortalitas secara signifikan dengan nilai p 0,001; cut off 1,84; sensitivitas 84,2%; spesifisitas 85%; RR 30,22; CI 95%: 7,31–124,89. Vd/Vt dan mortalitas menunjukkan hubungan yang signifikan terhadap mortalitas dengan nilai p 0.001. Uji analisis Spearman VR dengan Vd/Vt didapatkan hasil korelasi yang kuat dengan koefisien korelasi 0,704 dan p 0,001. Simpulan, nilai VR dan Vd/Vt dapat digunakan sebagai prediktor mortalitas pasien COVID-19 dengan ARDS dan keduanya mempunyai korelasi yang kuat. VR dapat menggantikan Vd/Vt.

Air bersih adalah salah satu komoditas paling penting untuk kehidupan sehari hari. Dalam kehidupan sehari hari kita membutuhkan air untuk minum, mandi, memasak, mencuci dll. karena itu, air  harus bisa  dikelola sebagaimana mestinya. Ketersediaan sarana dan prasarana pada suatu desa akan berdampak pada kualitas air dan kesehatan di desa tersebut. Hal ini mengartikan bahwa sarana dan prasarana adalah kebutuhan hal yang paling penting yang secara langsung maupun tidak langsung berpengaruh pada kesejahteraan dan kesehatan masyarakat. Tingkat kenyamanan suatu rumah tangga dalam bertempat tinggal salah satunya ditandai dengan terpenuhinya kebutuhan sarana dan prasarana diantaranya tersedianya sarana dan prasarana sanitasi air. Sanitasi merupakan tindakan untuk membina dan menciptakan suatu keadaan yang baik pada kesehatan masyarakat. Sarana sanitasi air bersih merupakan bangunan beserta peralatan dan perlengkapan yang menyediakan dan mendistribusi air bersih kepada masyarakat. Sarana sanitasi air bersih harus memenuhi persyaratan kesehatan, agar tidak mengalami pencemaran sehingga dapat diperoleh kualitas air yang baik sesuai dengan standar kesehatan. Hal ini yang menjadi focus tim pengabdian masyarakat untuk memberikan penyuluhan terkait pengolahan sanitasi air bersih

Introduction: Enhanced Recovery After Surgery (ERAS) protocol is a perioperative multimodal service program designed to achieve a faster surgical recovery period and a better outcome, the key in reducing morbidity in surgery is by reducing the “surgical injury” and reducing the body’s stress response caused by the surgery. The success of the ERAS protocol depends on the interpretation and collaboration of the multidisciplinary team, therefore though the protocol is carried out in a hospital that has sufficient facilities and resources, the obstacle in the implementation of ERAS can still happen. The implementation of ERAS protocol in the non-permanent hospital service facility becomes a challenge in itself. Case Reports: From the two case reports of the implementation of ERAS protocol in the Ksatria Airlangga Floating Hospital (RST-KA) it is obtained that the key success of the anesthesia in ERAS protocol above lies on the administration of opioid-sparring therapy where it will reduce the use of opioid. Although there are many obstacles obtained in the RST-KA, the use of ERAS protocol can be conducted by making effective use of opioid-sparring combined with the administration of multimodal analgesia. Conclusion: Therefore, it can be concluded that the ERAS protocol can be applied in the social service concept in the non-permanent health facility.

Introduction: In the last 10 years, Mount Bromo has erupted four times; 2004, 2010, 2015 and 2019. However, it is unique that people at Tengger are reluctant to evacuate even though Mount Bromo is erupting and releasing volcanic material such as stones and dust.Methods: This research is a quantitative study, using correlative analytic observational design and cross sectional approach with pourposife sample of 120 taken from online questionare results of bivariate analysis using gamma correlation test obtained the results of knowledge factors (p=0.005; r=0.27) attitude (p=0.000; r=0.45), means of infrastructure (p=0.000; r=0.58), and android application (p=0.000; r=0.59) for health preparedness. Results: Knowledge, attitude, infrastructure and android application factors can influence health preparedness in disaster risk reduction in Bromo area.Using the smartphone application as the Mount Bromo information facilities are one of an effort so that people and tourists can activate if an eruption occurs. There is important health preparedness about features made in the application such as distribution shelters, evacuation routes, health centres, photos, videos, and primary health care information.Conclusion: Assessment results to the application interface, the information conveyed, and the features offered showed that the application was very useful and gives a new perspective in conveying accurate information to the public and also tourists. The health preparedness community level is also quite good with the services provided by the Bromo alert application.

Based on data from the United Nations Agency for International Disaster Risk Reduction Strategy (UN-ISDR), Indonesia is designated as one of the countries most prone to disasters. The threat of disasters in the form of tsunamis, volcanoes, and also floods. Many needs are needed when a disaster occurs, one of which is food for disaster victims. With limited conditions, it is necessary to have food that is easily available and contains sufficient nutritional value and carbohydrates. These criteria can be obtained from processed flour from cassava, namely Mocaf flour (modified cassava flour) which can be processed into various forms of processed food. The purpose of this study was to determine the feasibility and nutritional content of Mocaf flour (modified cassava flour) as disaster emergency food. The methodology of study is a literature review with the keywords “Mocaf”, “Emergency food”, “Disaster Resilience” in several databases such as ProQuest, SAGE, Science Direct, Scopus, Springer link, and Google Scholar. The results of this study indicate that Mocaf flour (modified cassava flour) can be used as an emergency food as well as a source of carbohydrates when a disaster strikes. Mocaf flour (modified cassava flour) can be processed into various preparations such as snack bars, biscuits, and noodles which have high nutritional content, and are suitable as food ingredients during disaster emergencies.