Digital revolution has an important impact in the education strategy as in many other fields. This impact also led to radical changes in the field of education, such as in terms of teaching and learning approaches. Flipped classroom is a new learning strategy. This learning strategy is increasingly developing with technological advancements, such as internet access and other supporting software. In traditional learning educators deliver material, then to increase understanding of the material then students will do the assignments at school and given homework. On flipped classroom, students participate in preparing learning through video viewing, understanding powerpoints and accessing learning resources provided by educators through online media such as e-learning. Several studies have shown that the application of Flipped classroom can improve students' learning motivation

The development of technology information in the 4.0 revolution era also affected to education. Higher education is demanded to develop curriculum based on digital literacy and technology literacy. The use of blended learning combines face-to-face methods with Google classroom in the Modul Pengantar Pembelajaran Kedokteran. The purpose of this study is to find out at the learning experiences of students using blended learning. Methods: This is descriptivestudy with cross sectional design. The study sample was first semester students at the Faculty of Medicine at Baiturrahmah University. Data collected through online questionnaire using Google form. Results: The number of respondents was 56 students. As many as 83.9% of students are familiar with the term e-learning or blended learning, 92.9% stated they did not experience difficulties when using google classroom,as many as 92.9% of students recommend google classroom as an effective media to e-learning. Conclusion: the benefits of blended learning can be felt by students, the media deliver learning resources and discussion with students and examine the results of student assignments quickly, and improve student discipline

Background: The National board of medical examination (“UKMPPD) has been implemented since August 2014 and has emerged a new challenge for medicine faculty in Indonesia in which there are 2769 “UKMPPD CBT” retakers in November 2017. It is the same challenge for Faculty of medicine, university of baiturrahmah (FMUNBRAH) where there are 82 CBT retakers in February 2018. The “UKMPPD” as a determinant of graduation should represent the process of conducting competency-based curriculum during preclinical and clinical program. Thus the GPA as a measure of student performance in conducting the curriculum is expected to correlate in  achieving the “UKMPPD CBT”. Aims: To determine the correlation between preclinical GPA score of students with achieving the “UKMPPD CBT”.  Methods: It was cross sectional design consisting subject of 749 students who joined “UKMPPD CBT” as firstaker since November 2014-February 2018. Data obtained were preclinical GPA and the results of “UKMPPD CBT”. GPA data was grouped into three categories with satisfying, very satifying, and cum laude predicate. The results of “UKMPPD CBT” were grouped by achieving and not achieving. Furthermore, the data was analyzed using Sommers'd correlation test. Results: The median value of preclinical GPA were 3.00 (2.35-3.76). There is a weak negative correlation between preclinical GPA with achieving of “UKMPPD CBT” (p <0.001; value r = -0.221). Conclusion: There is a weak negative correlation between GPA with the accomplishement of UKMPPD CBT. This result can provide feedback to institutional managers regarding the process of implementing the curriculum based competency.

<p><em>Peningkatan jumlah penduduk lansia menjadi tantangan sendiri. Pemenuhan fasilitas, sistem serta peran dari pemerintah dan masyarakat dengan tujuan meningkatkan kualitas hidup lansia.. Salah satu aspek yang terkait dengan proses penuaan adalah penurunan fungsi yang mencakup psikologis, sosiologis dan biologis. Salah satu perubahanan yaitu penurunan fungsi kognitif. Penuruan fungsi pada lansia juga menjadi faktor yang mempengaruhi tingkat kemandirian dari lansia. Tujuan penelitian ini adalah untuk menilai hubungan tingkat kemandirian dan gangguan kognitif pada lansia. Penelitian ini menggunakan desain cross-sectional dengan teknik pengumpulan sampel convenience-sampling. Sampel penelitian ini merupakan pasien prolanis. Pengumpulan data menggunakan kuesioner Moca-Ina versi Indonesia untuk menilai fungsi kognitif dan Indeks Barthel untuk menilai tingkat kemandirian. Untuk menilai keadaan sosiodemografi dinilai melalui wawancara. Hasil penelitian ini didapatkan hasil hubungan tingkat kemandirian dan gangguan kognitif pada lansia dengan hasil p=0.209. Untuk hasil tingkat kemandirian didapatkan hasil tingkat mandiri (92%), fungsi kognitif umumnya berada pada mild kognitif (76%). Dari penelitan ini disimpulkan hubungan tidak bermakna tingkat kemandirian dengan gangguan kognitif.</em></p>

Objectives: Although stroke is often viewed as occurring primarily in the elderly, it also strikes infants, children, young adults. Stroke in children are rare but increasingly important conditions due to the severity of their complications and diverse diagnostic differentials. It is not yet clearly understood and with multifactorial etiologies. When it comes to stroke, children are not just little adults. Stroke risk factors, symptoms, prevention efforts, and treatment are often different in children than in adults. Up to 80 % of children with ischemic stroke have cardiovascular disease. Case report: RS, An infant, aged two and half years old was admitted to DR. M. Djamil hospital Padang, with right hemiplegy and developed aphasia after activity. One year ago, he had history of cyanotic skin but neglected by his parents and never sought medical treatment. Physical findings on this patient are cyanosis and clubbing fingers. Cardiac auscultation revealed a pansystolic murmur grade III-IV best heard at the upper left sternal border. Chest radiograph showed a characteristic “bootshaped” heart, which is a reflection of Right Ventricular (RV) hypertrophy. The ECG showed right axis deviation. Brain CT Scan revealed a large hypodense lesion on the left cerebral hemisphere suggested as large brain infarction. Echocardiogram revealed tetralogy of fallot with a larged malaligned ventricular septal defect (VSD) with 60 % aortic override. Patient was managed conservatively. After two weeks of admission, patient was discharged with improvement.Conclusion : Ischemic stroke in this infant with tetralogy of fallot occurred via paradoxical embolism mechanism.