Penelitian ini bermaksud memberikan gambaran mengenai proses pembelajaran siswa dari daring ke luring pada saat pademi covid-19, praktik pembelajaran luring setelah pandemi, dan dampak yang terjadi pada siswa setelah pembelajaran daring. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara dan dokumentasi. Adapun hasil dari penelitian ini ialah proses perubahan pembelajaran dari daring ke luring yang dirasakan dari pihak sekolah terletak pada perubahan sikap dan perilaku siswa yang semakin berkurang terhadap rasa hormat serta taat aturan. Praktek pembelajaran luring di masa new normal ini dilakukan di ruang kelas dengan jumlah siswa satu kelas sekitar 25 orang yang terdiri dari 3 rombel kelas VII, 3 rombel kelas VIII, dan 3 rombel kelas IX dengan jumlah siswa 218 orang. Dampak yang dirasakan siswa dengan adanya perubahan proses pembelajaran dari daring ke luring ini pada prestasi belajar, siswa merasa prestasinya meningkat pada saat pembelajaran luring diterapkan karna siswa lebih mudah memahami apa yang dijelaskan guru dibanding pada saat pembelajaran daring kemarin.

Background: The advent of mesh was a breakthrough in the field of hernia surgery. Mechanical methods of mesh fixation are hypothesized to cause more tissue trauma than nonmechanical methods. The present study was conducted to study the outcomes of mesh fixation using fibrin glue, a nonmechanical method versus tackers in totally extraperitoneal repair (TEP) of unilateral inguinal hernia. Methods: A randomized controlled single blinded study was conducted in India from June 2017 to March 2019. Patients diagnosed with unilateral uncomplicated inguinal hernia with a hernial sac of size not more than 5 cm were invited to participate in the study. Sample size was 60 patients randomized into groups just before mesh fixation. In group A mesh was fixed using tackers while in group B mesh was fixed using fibrin glue. Patients were followed-up prospectively for 3 months. Results: There was no statistical difference between the two groups with respect to operating time. Average hospital stay and pain scores at all follow-ups were better for fibrin glue group. There was no difference in the incidence of postoperative urinary retention, seroma formation and hematoma formation between the two groups. Patients of fibrin glue group had early restart of daily activities at 15 days follow-up when compared to tacker group. Conclusion: Fibrin glue fixation technique should be advocated over tackers for mesh fixation in TEP considering the better outcomes and cost-effectiveness of the technique.

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