Cerebral hypoxia is secondary injury which affects the mortality of clients with Trauma Brain Injury (TBI). One component of respiration that can be used to monitor the occurrence of cerebral hypoxia is oxygen saturation (SpO2). The purpose of this study was to analyze the accuracy of oxygen saturation as a predictor of mortality in head injury clients. This study is an analytic observational with retrospective cohort design. The population is all head injury medical records from January to December 2017 at the hospital. dr. Iskak Tulungagung. A total of 150 samples were selected according to inclusion and exclusion criteria. The dependent variable in this study was the mortality of the head injury client in seven days of treatment and the independent variable was the value of SpO2 in the ED triage data in the client's medical record. The results of the Mann-Whitney test analysis showed that the SpO2 variable had a significant relationship with the mortality of the head injury client (p value = 0.000). Logistic regression test shows that the SpO2 has sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), Positive Predictive Value (PPV) = 0.951 (95.1%), and Negative Predictive Value (NPV) = 0.787 (78.7%) with predictive accuracy capability = 90%. Oxygen Saturation is an accurate predictor (90% accuracy) of the mortality of the head injury client.Keywords: Mortality, Client Head Injury, Accuracy, Oxygen Saturation.

: The occurrence of open wounds often occurs in children in schools. The length of the process of healing open wounds is caused by one of the wrong handling by UKS officers (“dokter kecil”). The purpose of this study was to analyze the effect of health education with simulation methods on the knowledge and skills of dokter kecil in treating open wounds. This research is a Pre-Post Test Design Experiment. The population was all 20 small doctors in SDN 5 Bedali Lawang. The sampling method is total sampling. The independent variable was the provision of health education by simulation methods, the dependent variable was the score of knowledge and skills of dokter kecil in the management of open wounds. Based on the Wilcoxon Test results obtained each p value = 0,000, so that H0 is rejected, which means health education with simulation methods can increase the knowledge and skills of small doctors in handling open wounds. The use of simulation learning methods can improve the ability of participants to do social interaction and foster communicative relationships within the group. Student activities that are quite high in the learning process evoke feelings of direct involvement in learning, arouse imagination, improve critical thinking because the learning process requires students to be always active.Keywords : Health Education, Simulation, Open Wounds, Knowledge, Skills, Dokter KecilAbstrak : Kejadian luka terbuka sering terjadi pada anak-anak di sekolah. Lamanya proses penyembuhan luka terbuka disebabkan karena salah satunya penanganan yang salah oleh petugas UKS (dokter kecil). Tujuan dari penelitian ini adalah untuk menganalisis pengaruh pendidikan kesehatan dengan metode simulasi terhadap pengetahuan dan ketrampilan dokter kecil pada penanganan luka terbuka. Penelitian ini merupakan Pre Eksperimen Pre-Post Test Design. Populasinya adalah semua dokter kecil di SDN 5 Bedali Lawang sebanyak 20 siswa. Metode samplingnya adalah total sampling. Variabel independennya adalah pemberian pendidikan kesehatan dengan metode simulasi, variabel dependennya adalah skor pengetahuan dan ketrampilan dokter kecil pada penanganan luka terbuka. Berdasarkan hasil Uji Wilcoxon didapatkan p value masing-masing yaitu = 0.000, sehingga H0 ditolak yang artinya pendidikan kesehatan dengan metode simulasi dapat meningkatkan pengetahuan dan ketrampilan dokter kecil dalam penanganan luka terbuka. Penggunaan metode pembelajaran simulasi dapat meningkatkan kemampuan peserta melakukan interaksi sosial dan membina hubungan komunikatif dalam kelompoknya. Aktivitas peserta didik yang cukup tinggi dalam proses pembelajaran membangkitkan perasaan keterlibatan langsung dalam pembelajaran, membangkitkan imajinasi, meningkatkan berfikir secara kritis karena proses pembelajaran menuntut peserta didik untuk selalu aktif.Kata Kunci : Pendidikan Kesehatan, Simulasi, Luka Terbuka, Pengetahuan, Ketrampilan, Dokter Kecil

Measurement of severity and mortality predictions in cases of head injury is an important step to support appropriate, effective and efficient clinical decision-making. Glasgow Coma Score, Trauma Score, and Revised Trauma Score are physiologycal scoring systems that can be used as predictors of mortality of head injury patients. The objective of the study was to know which scoring systems had the best accuracy as a predictor of mortality of head injured patients. The observational analytic study with this retrospective cohort design approach was carried out at dr. Iskak Tulungagung on Medical Record. Data taken from all patient medical records from January 2016 to July 2017 amounted to 150 medical records. Variables used were GCS, RTS, and TS scores when patients were admitted to hospital IGD as well as patient mortality data within 7 days of treatment. The data obtained is then processed with SPSS 20 using Mann Whitney Test, logistic regression and ROC curve comparison. Based on the results of multivariate logistic regression analysis, GCS accuracy results: sensitivity= 0.7586, specificity= 0.7934, PPV= 0.468, NPV= 0.932; RTS accuracy: sensitivity= 0.766, specificity= 0.8, PPV= 0.489, and NPV= 0.932; TS accuracy: sensitivity= 0.7, specificity= 0.783, PPV= 0.4468, NPV= 0.9126. The comparison graph analysis of ROC curve showed no significant difference of AUC between GCS, RTS, and TS because the difference was too low (<15%). There was no significant difference of accuracy between RTS, GCS, and TS use in predicting head injury mortality

Usaha Kesehatan Sekolah/Madrasah (UKS/M) merupakan salah satu upaya untuk membina dan mengembangkan pola hidup sehat sekaligus upaya peningkatan kualitas kesehatan peserta didik di sekolah/madarasah khususnya di Sekolah Dasar Inklusi. Beragamnya sarana prasarana dan kegiatan UKS/M yang ada, nyatanya belum dilengkapi dengan system pencatatan dan manajemen kegiatan yang baik. Tujuan kegiatan pengabdian masyarakat ini adalah untuk meningkatkan kelengkapan administrasi dan tata kelola manajemen UKS di sekolah berbasis inklusi. Kegiatan pengabdian kepada masyarakat ini dimulai pada 14 - 20 Agustus 2022.  Fokus kegiatan dilaksanakan di tempat mitra yaitu di SDN Bedali 05 Lawang Malang. Pengabdian masyarakat ini dilakukan menggunakan metode seminar, pendampingan, serta pengadaan alat administrasi dan tata kelola manajemen UKS bagi mitra. Kegiatan seminar dan pendampingan pada program pengabdian masyarakat ini diikuti oleh Kader Dokter Kecil UKS sejumlah 19 siswa. Target luaran yang telah dicapai pada program pengabdian masyarakat ini berupa jasa dan produk. Jasa yang dimaksud adalah pemberian seminar dan pelatihan serta pendampingan tentang administrasi pelayanan UKS. Sedangkan Produk yang akan dihasilkan melalui kegiatan ini berupa modul sebagai sarana belajar mandiri bagi guru dan siswa untuk lebih menguasai tentang administrasi pelayanan UKS dan buku-buku pencatatan kegiatan UKS. Program pengabdian masyarakat ini terbukti dapat meningkatkan pengetahuan dan pemahaman Kader Dokter Kecil tentang pengertian pencatatan administrasi pelayanan UKS, manfaat pencatatan UKS, macam-macam pencatatan administrasi pelayanan UKS, pemanfaatan catatan administrasi layanan UKS untuk pengembangan program UKS sejumlah 50%. Peningkatan pengetahuan yang paling menonjol adalah pada sub materi macam-macam pencatatan administrasi pelayanan UKS. Ketrampilan Kader Dokter Kecil terkait pencatatan administrasi layanan UKS juga mengalami peningkatan sejumlah 35%. Peningkatan ketrampilan yang paling mencolok ada pada pencatatan anak sakit dan inventaris barang dan obat. Diharapkan Kader Dokter Kecil di SDN Bedali 05 Lawang dapat melaksanakan kegiatan ini secara berkelanjutan secara mandiri dan semoga dapat menginspirasi bagi UKS Sekolah Dasar berbasis inklusi di tempat lainnya.

Abstract. When assisting unconscious victims, the ability to perform High Quality Cardiopulmonary Resuscitation (HQ-CPR) is critical for optimizing rescue efforts. However, many factors contribute to achieving HQ-CPR, including the helper's BMI (body mass index). The aim of this study was to investigate the relationship between BMI and HQ-CPR proficiency. This study uses a correlational methodology. 101 nursing students from the Institut Teknologi, Sains, Dan Kesehatan (ITSK) RS Dr. Soepraoen who took part in Basic Trauma Cardiac Life Support (BTCLS) training in 2021 made up the population of this study. Purposive sampling was the sampling technique utilized, and 91 people were included in the sample. The BMI score of each CPR assistant serves as the independent variable in this study. The capacity for HQ-CPR is the dependent variable. On September 25 and 26, 2021, this study was conducted at ITSK RS Dr. Soepraoen. Given that the Kolmogorov-Smirnov correlation test analysis yielded a p-value of 0.000, it is possible to draw the conclusion that a person's BMI and their capacity to conduct HQ-CPR are related. The study's findings support the notion that a person's BMI has an impact on their capacity to execute HQ-CPR. A respondent who has a BMI in the mild to severe obesity range or a respondent with a BMI of extreme thinness is less likely to be able to conduct HQ-CPR than a respondent with a normal or mildly obese BMI. HQ-CPR is often maintained for the first two minutes of CPR by CPR providers with normal BMI. The fitness and weariness of a person are influenced by their BMI. A person with a healthy BMI usually has superior endurance because their heart and breathing processes, among other organ functions, are stronger.