Knowledge and confidence levels improvement among obstetrics residents regarding caesarean section training using video-mannequins combination.

Background: Cesarean section rates are increasing worldwide. Obstetrics and gynecology residents are required to be experts in this surgery to provide safe procedures. Because of the COVID-19 pandemic situation, an alternative teaching strategy is needed to achieve adequate cesarean section skills. The purpose of this study was to identify the effect of video, mannequins, and the combination of video mannequins on residents' knowledge and confidence regarding cesarean section. Method: A quasi-experimental study with pre-test and post-test designs was done. Based on stratified random sampling, 33 obstetrics and gynecology residents involved as study participant. Three groups were formed and received different interventions, learning using videos, mannequins, and a combination of video-mannequins. Two kinds of questionnaires were used to examine residents' knowledge and their confidence levels. The collected data were analyzed statistically. Results: Video (0.42(CI95%-0.11-0.9)), mannequin simulation (0.60(CI95%-0.04-1.25)), and the combination of video-mannequin (1.3(CI95%0.73-1.93)) significantly increased resident's knowledge regarding caesarean section skill. Study participant showed increased scores regarding confidence in their caesarean section skills according to all learning subjects (p < 0.05) but a difference in confidence level occurred in level C- 7th semester residents (p < 0.05). Conclusion: The combination of videos and mannequin simulations is the best method for increasing knowledge of cesarean sections, compared to single video and mannequin simulations. The confidence level has been shown to increase in all subject studies but the effectiveness at each level of resident needs to be investigated further.

PREGNANCY OUTCOME AT PRIMARY HEALTHCARE CENTERS WITH BASIC EMERGENCY NEONATAL OBSTETRIC SERVICES DURING COVID-19 PANDEMIC

Background: This unending Coronavirus Disease 2019 (COVID-19) pandemic which worsens by various mutation findings, has brought about several changes across various sectors, including in health service sectors. Meanwhile, in particular, antenatal visits and childbirth cannot be separated. Purpose: This study was conducted to compare the pregnancy outcome differences before and during the pandemic. Methods: This cross-sectional study investigated antenatal visits, obstetric complications, postpartum conditions, and maternal motivation to undertake antenatal visits reviewed from the birth reports and medical records of mothers who gave birth and took antenatal care at primary healthcare centers in Surabaya, Indonesia, during January to July 2019 and January to July 2020. The total sampling method included 381 samples out of 688 mothers. Mann-Whitney U test was used for analysis to perceive the differences in conditions before and during the pandemic. Results: Statistical analyses showed no significant differences (p-value > 0.05) in the number of antenatal visits (p = 0.09), obstetric complication (p = 0.10), postpartum condition (p = 1.00), and maternal motivation in undergoing antenatal visits (p = 0.87). The most common obstetric complication was postpartum hemorrhage. Conclusion: This study establishes that there are no differences in the incidence of complications, postpartum conditions, antenatal visits, and maternal motivation before and during the pandemic. (English) [ FROM AUTHOR] Latar belakang: Pandemi Coronavirus Disease 2019 (COVID-19) yang tidak diketahui kapan akan berakhirnya ini telah membuat perubahan dalam beberapa aspek kehidupan, termasuk pada bidang pelayanan kesehatan, sedangkan kunjungan antenatal dan persalinan merupakan dua hal yang tidak dapat dipisahkan. Tujuan: Studi ini dilakukan untuk membandingkan luaran persalinan sebelum dan saat pandemi. Metode: Studi cross-sectional ini mempelajari kunjungan antenatal, komplikasi obstetri, keadaan pascasalin, dan motivasi maternal dalam melakukan kunjungan antenatal yang didapatkan dari data register persalinan dan rekam medis ibu hamil yang bersalin dan melakukan kunjungan antenatal di Puskesmas PONED Surabaya pada bulan Januari hingga Juli 2019 dan Januari hingga Juli 2020. Metode total sampling digunakan dalam mendapatkan 381 sampel dari 687 populasi ibu. Analisis menggunakan uji beda Mann-Whitney U test dilakukan untuk mengetahui perbedaan kejadian antara sebelum dan saat pandemi. Hasil: Analisa statistik tidak menunjukkan adanya perbedaan yang signifikan (p-value > 0.05) dengan jumlah kunjungan antenatal sebesar (p = 0.09), komplikasi obstetri sebesar (p = 0.10), keadaan pascasalin sebesar (p = 1.00), dan motivasi maternal dalam melakukan kunjungan antenatal sebesar (p = 0.87). Komplikasi obstetri yang banyak ditemukan adalah perdarahan pascasalin. Kesimpulan: Studi ini menemukan bahwa tidak didapatkan perbedaan kejadian kunjungan antenatal, komplikasi obstetri, keadaan pascasalin, serta motivasi maternal pada masa pandemi. (Indonesian) [ FROM AUTHOR] Copyright of Jurnal Berkala Epidemiologi is the property of Universitas Airlangga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Comparison Epidemiology between Tuberculosis and COVID-19 in East Java Province, Indonesia: An Analysis of Regional Surveillance Data in 2020.

Tuberculosis and COVID-19 are among the infectious diseases that constitute a public health concern. Therefore, this study aims to examine the recent epidemiology of tuberculosis and COVID-19 in East Java Province, Indonesia, in 2020. Case-based surveillance data were acquired with a retrospective design between January and December 2020 by the East Java Health Officer. The data were analyzed using Quantum Geographic Information System (QGIS) for mapping, and Microsoft Excel for recording. Furthermore, the statistical analysis (Spearman correlation test) was carried out via Statistical Package for Social Science (SPSS) applications. A total number of 38,089 confirmed cases of tuberculosis was recorded, with an incidence rate of 95.49/100,000 population, a case fatality rate (CFR) of 3.6%, and an average treatment success rate of 87.78%. COVID-19 is a new viral disease, with a total of 84,133 confirmed COVID-19 cases in East Java, with an incidence rate of 232.9/100,000 population. The highest incidence rate was found in Mojokerto city, while the lowest was found in Sampang. Furthermore, the CFR values of tuberculosis and COVID-19 were 1.4% and 6.8%, respectively. The regional survey in East Java Province showed that the incidence of tuberculosis remains high. This indicated that the search for active cases and preventive promotion was not completed. Therefore, inter-sectoral collaboration can be adapted to provide suitable tuberculosis health care.

Simulation-based training using a novel Surabaya hysterectomy mannequin following video demonstration to improve abdominal hysterectomy skills of obstetrics and gynecology residents during the COVID-19 pandemic in Indonesia: a pre- and post-intervention study.

PURPOSE: During the coronavirus disease 2019 (COVID-19) pandemic, the number of abdominal hysterectomy procedures decreased in Indonesia. The existing commercial abdominal hysterectomy simulation model is expensive and difficult to reuse. This study compared residents' abdominal hysterectomy skills after simulation-based training using the Surabaya hysterectomy mannequin following a video demonstration. METHODS: We randomized 3rd- and 4th-year obstetrics and gynecology residents to a video-based group (group 1), a simulation-based group (group 2), and a combination group (group 3). Abdominal hysterectomy skills were compared between before and after the educational intervention. The pre- and post-tests were scored by blinded experts using the validated Objective Structured Assessment of Technical Skills (OSATS) and Global Rating Scale (GRS). RESULTS: A total of 33 residents were included in the pre- and post-tests. The OSATS and GRS mean differences after the intervention were higher in group 3 than in groups 1 and 2 (OSATS: 4.64 [95% CI, 2.90-6.37] vs. 2.55 [95% CI, 2.19-2.90] vs. 3.82 [95% CI, 2.41-5.22], P=0.047; GRS: 10.00 [95% CI, 7.01-12.99] vs. 5.18 [95% CI, 3.99-6.38] vs. 7.18 [95% CI, 6.11-8.26], P=0.006). The 3rd-year residents in group 3 had greater mean differences in OSATS and GRS scores than the 4th-year residents (OSATS: 5.67 [95% CI, 2.88-8.46]; GRS: 12.83 [95% CI, 8.61-17.05] vs. OSATS: 3.40 [95% CI, 0.83-5.97]; GRS: 5.67 [95% CI, 2.80-8.54]). CONCLUSION: Simulation-based training using the Surabaya hysterectomy mannequin following video demonstration can be a bridge to learning about abdominal hysterectomy for residents who had less surgical experience during the COVID-19 pandemic.

Mental fatigue and its associated factors among coal mining workers after one year of the COVID-19 pandemic in Indonesia

Mental fatigue among coal mining operators was related to driving activities that require high concentration. This study aimed to determine factors that contributed to mental fatigue among coal mine operators in Indonesia specifically in Kalimantan and Sumatra after a one-year COVID-19 pandemic. This cross-sectional study was conducted among 480 operators from two companies and seven sites. A self-administrated questionnaire in the Google Form was used to measure mental fatigue, the non-work-related factors (age education marital status residence and stress level) and work-related factors (working periods shift pattern type of shift and work area in mining). The data analyzed using Chi-square and binomial logistic regression showed that the prevalence of mental fatigue was 32.3%. Operators with moderate stress and working in the pit area demonstrated a significant association with mental fatigue (p-value<0.001). Multivariable analysis showed that medium stress (ORadj: 2.11 95% CI: 1.41 to 3.15) and working in the pit (ORadj: 2.27 95% CI: 1.45 to 3.57) had a positive association with mental fatigue. Thus the pit condition and stress levels were the dominant factors influencing mental fatigue and became points to manage mental fatigue in coal mining operators in Kalimantan and Sumatra.