Anemia is a significant public health issue in Indonesia, particularly iron deficiency anemia, which has a relatively high prevalence among adolescent girls. Various factors can contribute to this condition, one of which is an irregular menstrual cycle. A deeper understanding of the contributing factors of anemia is essential for adolescent girls in order to prevent this condition. The aim of this study was to determine the correlation between menstrual patterns (frequency, cycle, and duration) and the occurrence of anemia. This research employed a quantitative analytic observational design with a cross-sectional approach. The study was conducted at SMA Darut Taqwa Purwosari. The sample size was determined using the Slovin formula and a simple random sampling technique, resulting in 253 female students as participants. Data collection was performed using the Fora 6 Plus device to measure hemoglobin levels, and a questionnaire to assess the respondents’ menstrual cycles. Data analyses were processed using SPSS software with the Chi-square test. The results showed that 39.1% of students experienced anemia, 32.8% had increased menstrual volume, 38.7% had prolonged menstrual cycles, and 48.2% had extended menstrual duration. The Chi-square test revealed a significant relationship between menstrual patterns (volume, cycle, and duration) and the incidence of anemia with a p-value < 0.001. The study concludes that there is a significant correlation between menstrual patterns and the occurrence of anemia among adolescent girls at the study site.

Introduction: Post-pandemic conditions demand new adaptations to medical students'learning methods for both pre-clinic and clerkship. The COVID-19 pandemic has disrupted educational institutions across the country, leading medical schools to implement online learning systems. We aim to evaluate the impact of the COVID-19 pandemic on medical education, as well as on the attitudes, practices, and mental health of medical students in Indonesia, three years after the pandemic. Methods: We applied a cross-sectional study to fifty-one private medical schools of the Association of Indonesian Private Medical Faculty from January to March 2023. A total of 11.603 medical students participated in this study purposively. We identified the impact on educational programs, well-being, interest, career plans, attitudes, and practice towards e-learning in medical education, and mental health, three years after the COVID-19 pandemic. Result: After three years of the COVID-19 pandemic, 16.9% of medical students reported experiencing financial problems, and 2% had to suspend their studies. Some students indicated that the pandemic had impacted their interests and future career plans. There was an increase in interest in the field of public health, while interest in infectious diseases tended to decline across all education levels. Most respondents (78.2%) reported using the internet regularly for their learning, with 80.7% using it to download materials related to their medical studies. Regarding mental health, nearly 50% of respondents exhibited symptoms of anxiety about various issues over several days, according to our research. Conclusion: After three years of the COVID-19 pandemic, most medical students have begun adapting to pre-pandemic learning methods. E-learning is still the main activity students use to support learning activities. Student mental health problems need to be the concern of all parties.

Biology is a dynamic and constantly developing science. The Ministry of Health of the Republic of Indonesia reported nine cases of childhood polio in East Java in January 2024. In addition, the Ministry of Health launched a pilot project to implement Wolbachia-infected mosquitoes as an innovation to control dengue fever in five big cities in Indonesia. This health problem is studied in biology lessons on viruses in senior high school. This paper aims to analyze the knowledge of the concepts of polioviruses and Wolbachia-infected mosquitoes in the biology teacher community in Sidoarjo. The respondents were 43 biology teachers in Sidoarjo. Respondents' prior knowledge was measured by pretest. After the respondent takes the pretest, the respondent gets the concept of the virus. After the material, respondents do a post-test. 11 pretest questions and 11 post-test questions are packaged in Google form. The results showed that all participants participated in the activity from start to finish, taking the pretest, listening to the material, and doing the post-test. The pretest mean score was 40.18, and the post-test mean score was 91.36. The highest pretest score was 81.81. The highest pretest score was 100. A total of 15 teachers (34.88%) were unsure that Wolbachia-infected mosquito was the best solution to reduce disease. Twenty-one respondents (48.83%) agreed mainly with society's concern that the Wolbachia-infected mosquito is dangerous for humans. Respondents' knowledge increased after receiving the concept of the virus

Background: Treating STEMI with PCI not only has a positive impact on patients, but also the risk of complications. A complication that can occur is AKI. The aim of this case report is to increase clinician awareness by analyzing the risk of AKI after PCI in order to reduce patient morbidity and mortality rates. Case: A 58-years old-man, with a history of diabetes mellitus, dyslipidemia, and a previous heart attack, came to the emergency department because of chest pain. The patient experienced STEMI and received fibrinolytic therapy. After 3 days of treatment, the condition worsened and the patient experienced shortness of breath (pulmonary edema). The patient was referred to RSUD Dr. M. Soewandhie Surabaya to undergo PCI. Two days after PCI, there were clinical signs of AKI. The patient was prepared for Renal Replacement Therapy (RRT), but the patient experienced cardiac arrest and was declared dead. Discussion: AKI after PCI involves various complex mechanisms. Several factors that can increase the probability of AKI after PCI in this case are a history of diabetes mellitus, previous decline in kidney function, and pulmonary edema. Technique factors such as transfemoral PCI and the amount of contrast volume used also have an influence on the incidence of AKI after PCI and need to be studied further. Risk factors in patients can be used to determine clinical scores, such as the Mehran, ADVANCIS, or ACEF-MDRD scores to predict the probability of AKI after PCI. Conclusion: AKI after PCI is a frequent complication and calculations using clinical scores can be applied to predict this event.

Latar belakang: Tingkat kepuasan pasien berkaitan secara linier dengan tingkat kualitas pelayanan sebuah rumah sakit sehingga dalam menentukan pemanfaatan pelayanan kesehatan, konsumen akan cenderung untuk melakukan berbagai pertimbangan sebelum mengambil keputusan untuk memilih pelayanan tersebut. Salah satu indikator yang dapat menjadi pertimbangan adalah merek yang merupakan identitas dari produk tersebut. Untuk mengetahui kuat tidaknya suatu merek dapat diketahui dengan mengukur brand equity rumah sakit tersebut. Tujuan dari penelitian ini untuk mengidentifikasi hubungan antara brand equity dengan kepuasan pasien Rumah Sakit Wiyung Sejahtera, Surabaya. Metode: Penelitian menggunakan metode kuantitatif dengan pendekatan observasional analitik dan rancangan penelitian Cross-sectional. Penelitian dilaksanakan pada Agustus hingga Oktober 2023 di poli rawat jalan Rumah Sakit Wiyung Sejahtera Surabaya. Variabel dependen adalah kepuasan pasien dan variabel independen adalah brand equity. Data yang digunakan merupakan data primer melalui pembagian kuesioner kepada 100 responden yang dipilih secara systematic random sampling, kemudian dilakukan uji Spearman.Hasil: Didapatkan hasil korelasi Spearman Rank Test pada variabel loyalitas merek diperoleh nilai p=0,000 dan nilai r=0,613. Hasil korelasi Spearman Rank Test pada variabel kesadaran merek diperoleh nilai p=0,002 dan nilai r=0,308. Hasil korelasi Spearman Rank Test pada variabel persepsi kualitas diperoleh nilai p=0,000 dan r=0,509. Hasil korelasi Spearman Rank Test pada variabel asosiasi merek diperoleh nilai p=0,000 dan r=0,439. Kesimpulan: Terdapat hubungan yang signifikan antara keempat variabel brand equity dengan kepuasan pasien Rumah Sakit Wiyung Sejahtera Surabaya Kata Kunci: Brand equity, Kepuasan pasien, Rumah sakit Background: The patient satisfaction level has a linear relationship with the quality of service. Therefore, in determining the utilization of healthcare services, consumers are likely to consider various factors before deciding on choosing a particular service. One indicator that can be taken into consideration is the brand, which serves as the identity of the product. The strength of the brand of a hospital can be determined by measuring its brand equity. The objective of this research was to examine the relationship between brand equity and patient satisfaction at Wiyung Sejahtera Hospital in Surabaya.Methods: The researchers use quantitative study methods alongside observational analytics and Cross-sectional design. The research was conducted from August to October 2023 at the outpatient clinic of Wiyung Sejahtera Hospital, Surabaya. The dependent variable was patient satisfaction, while the independent variable was brand equity. Data used were considered primary data, collected using a questionnaire and was answered by 100 respondents that were chosen with systematic random sampling. The collected data were analyzed statistically using Spearman test.Results: The Spearman Rank Test results for the variable of brand loyalty yielded a p-value of 0.000 and an R-value of 0.613. For the variable of brand awareness, the Spearman Rank Test resulted in a p-value of 0.002 and an R-value of 0.308. The variable of perceived quality obtained a p-value of 0.000 and an R-value of 0.509. Finally, the Spearman Rank Test for the variable of brand association produced a p-value of 0.000 and r value of 0.439.Conclusions: There was a significant correlation between the four brand equity variables and patient satisfaction at Wiyung Sejahtera Hospital, Surabaya.Keywords: Brand equity, Hospital, Patient satisfaction

Background: Hypnoanesthesia is a state of anesthesia achieved through hypnosis techniques. Meanwhile, local anesthesia is anesthesia carried out by injecting local anesthetic drugs in or around the surgical site which causes temporary obstruction to the conduction of afferent impulses. Objective: This research was conducted to prove that there is no difference between hypnoanesthesia and local anesthesia in minor surgical procedures, with the indication of pain relief. Methods: The research subjects were patients with benign soft tissue tumors consisting of 40 people who were divided into 2 groups, namely treatment and control. Minor surgical procedures with hypnoanesthesia were performed in the treatment group, while in the control group, minor surgical procedures were performed with local anesthesia using 2% lidocaine. Pain is measured with FPS (Face Pain Scale) and monitored with a vital sign monitor. The intervention process was recorded with camcorder video. Changes in serum levels of excitatory neurotransmitters (Glutamic Acid and Substance P) and inhibitory (Beta Endorphin, Enkephalin, and Serotonin) before and after intervention were analyzed using ELISA (Enzym-Link Immunosorbent Assay) in both groups. Results: In the treatment group, it was discovered that patients did not feel pain after undergoing hypnoanesthesia intervention by providing suggestions for the relief of pain in the area where surgery would be performed. In the control group, patients also did not feel pain after local anesthetic intervention in the area to be operated on. However, the results of research and statistical tests showed that there was no significant difference in changes in Beta Endorphins, Enkephalin, and Serotonin as inhibitory neurotransmitters (p > 0.05) or Glutamic Acid and Substance P as excitatory neurotransmitters (p > 0.05) before and after the intervention in both groups of research subjects. Conclusion: the results of this study show that there is no significant difference between the treatment and control groups, they have equality in the final result, namely the relief of pain.

One biological strategy for controlling mosquito vectors is using larvivorous fish as larvae predators. Larvivorous fish are an alternative to overcome the problem of larval resistance to temephos. Among the many varieties of Betta fish, the specific predation rates associated with each variety and their behavior in different water volumes remain unclear. This study aims to analyze the differences in predation time for halfmoon and a multicolor plakatof varieties of Betta fish against Aedes aegypti larvae in different water volumes.. The research was conducted as a laboratory experiment using a post-test-only design with five replications. Four treatment groups were established, each consisting of one aquarium filled with a specific water volume, one fish, and 25 Ae. aegypti larvae. The tests began at 12:00 WIB, and the predation time was recorded until all larvae were consumed. The findings showed that all All varieties of Betta fish can typically predate Ae. aegypti larvae. Halfmoon and multicolor plakat have the same predation ability against Ae. aegypti larvae (p > 0.05). The Mann Whitney's results indicated that Betta fish placed in water with a water volume of 1 and 3 liters had no significantly different predation against Ae. aegypti larvae (p > 0.05). However, the Kruskall-Wallis test results showed a significant difference in predation abilities between the two varieties when exposed to different water volumes (p < 0.05) . The multicolor plakat variety displayed the fastest predation time in 1 liter of water, whereas the halfmoon variety predated more quickly in 3 liters of water.

Sindrom metabolik (SM) merupakan suatu kumpulan faktor risiko metabolik yang berkaitan langsung terhadap terjadinya penyakit kardiovaskular aterosklerosis. Tingginya penyebab kematian penyakit kardiovaskular dengan faktor risiko sindrom metabolik menjadi perhatian untuk dilakukan upaya pencegahan. Gereja Bethel Indonesia (GBI) Diaspora Sejahtera Surabaya memiliki visi membawa keselamatan bagi semua orang dengan filosofi memperhatikan keselamatan dan kebutuhan sesama. Salah satu kebutuhan saat ini adalah kesehatan jemaat. Banyaknya jumlah jemaat dan lansia berpotensi mengalami penurunan kesehatan akibat gangguan metabolisme. Risiko gangguan metabolisme kurang dipahami oleh masyarakat awam termasuk jemaat GBI Diaspora Sejahtera Surabaya. Permasalahan yang dihadapi jemaat di GBI Diaspora Sejahtera Surabaya adalah kurangnya pengetahuan tentang pencegahan dan penanganan penyakit akibat gangguan metabolisme. Solusi yang ditawarkan melalui pengabdian masyarakat di GBI Diaspora Sejahtera Surabaya adalah edukasi penyakit terkait akibat gangguan metabolisme, pemeriksaan darah yang meliputi kolesterol, asam urat, gula darah serta konsultasi, serta deteksi dini penyakit diabetes melalui pemberian buku diary metabolisme yang diumumkan kepada peserta. Buku harian metabolisme ini berisi informasi skrining, pencegahan, dan penanganan gangguan metabolisme. Capaian dari pengabdian masyarakat ini adalah meningkatnya pengetahuan komunitas terhadap sindrom metabolik dan upaya mandiri untuk mencegah sindrom metabolik.

Dengue fever (DF) is a viral disease transmitted by the Aedes aegypti (Linnaeus) mosquito, which has the fastest spreading cases. Drug and vaccines are still unavailable, so the Government is focusing on mosquito control. One method of biological control is to use betta fish (Betta splendens) as predators of Ae. aegypti larvae. Betta fish have various varieties, which may have different abilities in preying on Ae. aegypti larvae. The study aimed to analyze the potential for controlling Ae. aegypti larvae using three varieties of B. splendens fish (multi-colored plakat koi, xanthic morph plakat, and halfmoon varieties) during the day and evening. The test was carried out by inserting 25 Ae. aegypti larvaes into an aquarium containing B. splendens fish. Testing starts at 12.00 and 15.00 WIB and replicated five times. Observations started from the fish started preying on larvae until the fish ate all larvae. The predation ability of each variety of B. splendens fish based on predation time was analyzed using the one-way ANOVA test and the unpaired data t-test. The analysis showed that the multi-colored koi plakat variety preyed Ae. aegypti larvae faster than the xanthic morph plaque variety (P < 0.05) and not significantly different from the halfmoon variety (P > 0.05). There was no difference in the ability of B. splendens fish to prey larvae during the day and evening (P > 0.05). B. splendens fish, the multi-colored koi plaque variety, and the halfmoon variety can be biological predators of Ae. aegypti larvae.

Stress on students can cause a decrease in sleep quality and potentially reduce academic achievement. Understanding the effect of stress-induced sleep quality on academic achievement allows for selecting the most appropriate intervention. This study aimed to determine the impact of sleep quality due to stress on the academic achievement of medical students at Universitas Ciputra Surabaya. The method used in this study is quantitative research in the form of analytic observational with a cross-sectional approach. Sampling was done by using a random sampling technique. The population is 80 students from the Faculty of Medicine at the Universitas Ciputra Surabaya, third year and fourth year medical students. The sample size in this study was 63 students. Data was collected using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality. Sampling was only done with the consent of the respondent. The data analysis used was the correlation test which was carried out to determine the relationship between sleep quality and stress levels; the linear regression test was carried out to assess the effect of sleep quality due to stress on academic achievement. All respondents experienced stress and sleep disturbance to various degrees. The highest proportion was mild stress and moderate sleep disturbance, respectively, 50.8% and 73%. Correlation test results showed a significant relationship between sleep disturbances and stress levels (r= 0.29; p= 0.021), and the linear regression test results showed no effect of sleep quality due to stress on academic achievement (p= 0.241). Based on the data analysis, it can be concluded that the decrease in sleep quality due to stress does not affect academic achievement in medical students.

Salah satu masalah yang rentan terjadi di kalangan lansia yaitu gangguan tidur atau insomnia yang dapat disebabkan dari berbagai faktor. Berdasarkan hasil pengisian Insomnia Rating Scale (IRS) yang dilakukan sebelum intervensi, menunjukkan bahwa 100% peserta pengabdian masyarakat ini mengalami insomnia. Solusi yang dilakukan yaitu kegiatan intervensi berupa senam, jalan sehat, dan permainan kognitif yang bertujuan untuk menurunkan tingkat insomnia para lansia di Wilayah Sidokerto terletak di Desa Peniwen, Kabupaten Malang, Jawa Timur. Setelah dilakukan intervensi berupa jalan sehat, senam sebanyak 3 kali dan permainan kognitif, tingkat insomnia lansia di Wilayah Sidokerto, Desa Peniwen, Kabupaten Malang, mengalami penurunan yang signifikan yaitu sebanyak 56% lansia sudah tidak mengalami insomnia.

Comprehensive holistic health services are a form of improving the quality of health services by measuring IKM. The result of a survey by BPJS Kesehatan is that the IKM has not reached targeted satisfaction in 2016 and 2017. Public Health Center X has an index value that exceeds the existing IKM target, but the index value is lower than the index value in 2016. This study will analyze the decrease in the satisfaction index of BPJS participants towards First-Level Healthcare Facilities (FKTP). Then the low satisfaction index of BPJS participants getting their treatments in Public Health Center X. The study aims to understand the relationship between comprehensive holistic service and the satisfaction of outpatients at Public Health Center X. The research was an analytical observational study with a cross-sectional design. The samples obtained in this study were 242 respondents. The data were next processed using the PLS-SEM application. The results show that comprehensive holistic services affect satisfaction (t=7.983). The holistic service affects loyalty (t=6.112). The customer value affects satisfaction (t=2.155) and loyalty (t=3.527). Satisfaction affects loyalty (t=4.488). This research concludes that comprehensive holistic service and customer value affect satisfaction and loyalty. In addition, satisfaction has a direct effect on loyalty.

Kualitas pelayanan kesehatan dapat mempengaruhi tingkat kepuasan pasien. Tujuan dilakukannya penelitian ini yaitu untuk mengetahui faktor kepuasan masyarakat akan pelayanan kesehatan dengan melakukan analisis pada puskesmas X pada tahun 2019. Faktor kepuasan masyarakat ini dilihat dari lima dimensi service quality yang terdiri dari tangibility, assurance, reliability, emphaty, dan responsiveness. Penelitian ini menggunakan jenis penelitian cross sectional dengan sampel sebanyak 80 orang, diambil secara non-random sampling. Analisis data dengan deskriptif dan analisa bivariat dengan korelasi spearman. Hasil penelitian ini menyatakan hasil kurang puas pada dimensi tangibility, yang dilihat dari faktor karyawan, peralatan, dan fasilitas fisik. Pada dimensi responsiveness didapatkan hasil yang sangat memuaskan, diikuti dengan 3 dimensi lainnya yang memilihi hasil kepuasan yang cukup baik. Dimensi reliability memiliki hubungan yang sangat kuat dan hasil yang bermakna. Dari hasil kepuasan yang didapat, pada tahun 2019 mengalami penurunan dengan hasil kepuasan 55%.

Background: The World Health Organization has declared that COVID-19 is a global pandemic. To prevent its spread, academic activities in Indonesia have been shifted to distance learning methods. This change resulted in students having to adapt to these new methods and deal with the additional stress. The inability of students to adapt contributed to the new conditions causing the additional stress. Objectives: This study aimed to analyze the effect of online teaching and learning activities during the COVID-19 pandemic on stress at the Faculty of Medicine, Ciputra University, Surabaya Indonesia. Methods: The quantitative method used was in the form of analytical observations with a cross-sectional approach. The respondents consisted of 63 people, selected using simple random sampling. Data analysis used linear regression tests to determine the effect of the second variable. Results: The results showed that there was no significant effect (p= 0.052) between Online Teaching and Learning Activities During the COVID-19 Pandemic Period on Stress in the Medical Faculty Students, Ciputra University, Surabaya, Indonesia. Students have started to become accustomed to the strategies to deal with the additional stress and its effects. Other supporting factors in the implementation of online learning are flexibility, time efficiency, low learning costs, and learning materials which can be accessed at any time with technological applications, using simple storage of learning materials. Conclusions: There was no significant influence found from the online learning on student stress.

Emotional support is one of the social supports given by parents to children, in various ways, one of which is education. Emotional support for medical students is needed in undergoing learning in lectures. The aim of this study is to perceive the relationship of parental emotional support and academic achievement of students at the Faculty of Medicine, Ciputra University. The method used was cross sectional analytic. The sampling was done using census techniques or total sampling on 42 students of the Faculty of Medicine, Ciputra University batch 2018. The results showed that 29 respondents (69%) received high emotional support from their parents and 18 respondents (42.9%) have good academic achievement. Based on the Spearman rank test, the correlation coefficient was 0.117 and the significance value was 0.461. Based on the research that has been done, it can be concluded that there is no significant relationship between the relationship of parental emotional support to the academic achievement of students at the Faculty of Medicine, Ciputra University.

Elderly is any person aged 60 years or more, who physically looks different from other age groups. A person experiences some decline in body functions. Mental disorders are also often experienced by the elderly, including stress, depression, and anxiety so that the elderly have the potential to hurt themselves. Therefore, elderly counseling and elderly exercise are expected to be the solution. The purpose of counseling about physical activity and mental health of the elderly and elderly gymnastics is to improve the mental health of the elderly in Kertorejo Village, Malang Regency, East Java Province. The methods used during the activity are active participation, lectures, question and answer discussions, document searches, and literature studies. The stages of this community service are (1) Data collection of elderly profiles in Kertorejo (2) Counseling on physical activity and mental health of the elderly, (3) Filling out pre-intervention questionnaires, (4) Elderly exercise, and (5) filling out post-intervention questionnaires. The result of this community service activity was a decrease in the level of mental health of the elderly in Kertorejo after the intervention was measured by comparing the results of pre and post intervention questionnaires.

Desa Wage kecamatan Taman kabupaten Sidoarjo adalah tempat strategis, karena dikelilingi oleh perusahaan besar. Perekonomian desa Wage mayoritas dari sektor perniagaan seperti menjual kuliner. Saat pandemic Covid-19 agar dapat tetap melakukan kegiatan perekonomian maka masyarakat harus betul-betul menjalankan Pola Hidup sehat. Untuk itu Universitas Ciputra bekerja sama dengan BUMDes Wage Bersinar melaksanakan kegiatan sebagai berikut: pertama menjadikan pengurus Bumdes sebagai role model menjalankan protokol Kesehatan dan menjadikan mayarakat desa Wage sadar akan pentingnya pola hidup sehat agar tetap dapat menjalankan perekonomian. Dalam mengelola taman budaya, maka harus menggunakan protokol Kesehatan, mengingat taman ini adalah multi fungsi selain sebagai sentra kuliner juga sebagai wadah kegiatan masyarakat seperti berolah raga dan pertemuan lain. Metode yang digunakan adalah (1) sosialisasi untuk memberikan pemahaman kepada masyarakat akan pentingnya 3M., (2) pelatihan dan demonstrasi mengenai cara mencuci tangan yang benar, (3) stimulan empowering dengan memberikan spanduk, poster, masker dan tangki tempat cuci tangan, dan (4) asset based community development dengan memperkuat kapasitas masyarakat mengidentifikasi prioritas, peluang untuk mendorong dan mempertahankan perubahan lingkungan yang positif. Keberhasilan gerakan mengelola Taman Budaya Dewata dengan protokol Kesehatan dan aman digunakan untuk menunjang kegiatan desa dan menjalankan ekonomi setempat, serta dapat menjadi contoh bagi lokasi lain yang memiliki sarana yang sama

Vaksinasi bertujuan untuk memberikan kekebalan spesifik terhadap suatu penyakit tertentu sehingga apabila suatu saat terpajan dengan penyakit tersebut maka tidak akan sakit atau hanya mengalami sakit ringan. Indonesia menjadikan pelaksanaan vaksinasi COVID-19 sebagai bagian dari strategi penanggulangan pandemi COVID-19, dengan pelaksanaan vaksinasi COVID-19 bertujuan untuk melindungi masyarakat dari infeksi SARS-CoV-2 yang dapat menyebabkan kesakitan dan kematian akibat COVID-19. Program vaskinasi dilaksanakan oleh pemerintah dalam 4 tahap dilakukan oleh Puskesmas sebagai perpanjangan tangan dari Dinas Kesehatan setempat. Puskesmas menjadi ujung tombak pelaksanaan program vaksinasi ke masyarakat. Puskesmas Made Surabaya membawahi beberapa Institusi Perguruan Tinggi di wilayahnya. Dalam melakukan pelaksanaan vaksinasi tahap 2 dengan cakupan lebih besar membutuhkan bantuan tenaga kesehatan dan tempat pelaksanaan yang memudahkan akses pelayanan. Kegiatan Vaksinasi tahap dua merupakan program pemerintah dan puskesmas Made membutuhkan dukungan tenaga kesehatan dan tempat layanan yang memudahkan akses pelayanan vaksinasi. Solusi berupa bantuan tenaga kesehatan dan tempat pelaksanaan vaksin yang memudahkan akses pelaksanaan menjadi hal yang penting dalam mensukseskan program Vaksinasi COVID-19. Metode yang dilakukan adalah persiapan melalui pendaftaran petugas vaksin, mengikuti pelatihan petugas vaksin dan mendapat sertifikat vaksinator, koordinasi teknis pelaksanaan vaksin dengan Puskesmas Made, Pelaksanaan, dan evaluasi pelaksanaan Vaksinasi. Hasil kegiatan tercapainya vaksinasi di pos Vaksin Universitas Ciputra bagi tiga institusi perguruan tinggi yang ada di wilayah kerja Puskesmas Made dengan baik.

Pendampingan dan pelatihan pembuatan dan penggunaan E-Learning bertujuan untuk menciptakan inovasi pembelajaran yang berkelanjutan di era industry 4.0. E-Learning merupakan salah satu inovasi teknologi yang dikombinasikan dengan pembelajaran berbasis student center learning. Metode pelaksanaan pendampingan dan pelatihan diawali dengan observasi awal kebutuhan Dosen dan Mahasiswa, tahap selanjutnya adalah sosialisasi awal dan pengantar pembelajaran daring. Tahap ke tiga dan keempat adalah pelatihan penggunaan hingga pengoperasian LMS Moodle. Hasil dari pelatihan ini adalah peserta pelatihan, dalam hal ini Dosen, sudah mempunyai akun E-Learning melalui platform LMS Moodle. Selain itu Dosen dapat membuat dan meng unggah materi, penugasan, kuis, dan hasil evaluasi secara online di LMS Moodle. Dosen juga dapat mengolah hasil nilai dengan menjadikan hasil penilaian sebagai evaluasi pada semester berikutnya