Implementation of Blended Learning During COVID-19 Pandemic on Civic Education Subjects in Millenial Generation Era

This article was written related to the Indonesian government's policies during the COVID-19 emergency, triggering innovation in learning. The complexity of implementing distance learning (PJJ) in the 4.0 era creates new problems, especially for the education of students in secondary schools. The learning process has changed drastically. Blended learning in education is not only face-to-face but also integrated online learning from home. The purpose of this article is to discuss the application of blended learning-based learning during the COVID-19 pandemic subject matter for Pancasila and Civic Education (PPKn) for millennial generations students of Junior High School Muhammadiyah 1 Kroya with character. This research is qualitative. The research subjects consisted of the principal, 2 PPKn teachers, and 46 grade 8 students of SMP Muhammadiyah 1 Kroya. Data collection techniques in the study used interview, documentation, and observation techniques. Data analysis techniques are reduction, collection, presentation of data, and conclusions. The implementation of blended learning during the COVID-19 pandemic at SMP Muhammadiyah 1 Kroya was carried out in several stages, namely presentation/planning, implementation, student discussion guidance, practice, elaboration, demonstration, and student evaluation related to PPKn

Primary aortoenteric fistula following disseminated bacillus Calmette-Guérin infection: a case report

The aim of this paper is to illustrate a rare case of primary aortoenteric fistula in the presence of disseminated infection and review the critical decision-making process. A clinical case was reviewed for its initial presentation, planning of treatment strategy and outcome. A secondary literature search for discussion on current accepted recommendations for primary aortoenteric fistula was then completed. Aortoenteric fistulas are rare pathologies with highly morbid potential. Their diagnosis requires a high index of suspicion and prompt intervention is critical to patient survival. In conclusion, aortoenteric fistula most commonly arises from large atherosclerotic aneurysms but can be caused by systemic infection. In the case of the latter, extra-anatomic repair appears to be the treatment of choice.