Background The COrona Virus Disease (COVID-19) pandemic has radically changed the possibilities for vascular surgeons and trainees to exchange knowledge and experience. The aim of the present survey is to inventorise the e-learning needs of vascular surgeons and trainees as well as the strengths and weaknesses of vascular e-Learning. Methods An online survey consisting of 18 questions was created in English, with a separate bilingual English-Mandarin version. The survey was dispersed to vascular surgeons and trainees worldwide through social media and via direct messaging from June 15th to October 15th 2020. Results 856 records from 84 different countries could be included. Most participants attended several online activities (>4: n=461, 54%; 2-4: n=300, 35%; 1: n=95, 11%) and evaluated online activities as positive or very positive (84.7%). In deciding upon participation, the topic of the activity was most important (n=440, 51.4%), followed by the reputation of the presenter or the panel (n=178, 20.8%), but not necessarily receiving accreditation or certification (n=52, 6.1%). The survey identified several shortcomings in vascular e-Learning during the pandemic: limited possibility to attend due to lack of time and increased workload (n=432, 50.5%), no protected/allocated time (n=488, 57%) and no accreditation or certification, while technical shortcomings were only a minor problem (n=25, 2.9%). Conclusions During the COVID-19 pandemic vascular e-Learning has been used frequently and was appreciated by vascular professionals from around the globe. The survey identified strengths and weaknesses in current e-Learning that can be used to further improve online learning in vascular surgery.

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COVID-19 disease has emerged worldwide, and recently COVID-19 vaccination has become the most powerful weapon to overcome this pandemic. Indonesia has begun their COVID-19 vaccination program since this January 13, 2021, with President Joko Widodo as the first participant in this program. However, the cumulative COVID-19 cases in Indonesia is still increasing, with the 939,948 confirmed cases per January 21, 2021, with 8,000 – 14,000 cases in single day within last week report. This issue will lead to higher morbidity and mortality rates, if the moderate to severe COVID-19 cases are not properly treated. One morbidity in vascular problem in COVID-19 is the hypercoagulability issue.

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Background: Cardiac arrest mostly happens in out hospital setting. Bystander CPR improves survival after out-of-hospital cardiac arrest.In 2018 BSMI Jakarta Raya started the Mosque lifesaver training as basic life support training for laypersons’ in Indonesia, optimizing mosques as the center of community activities. The aim of this study is to evaluate the effect of “mosque lifesaver training” for the laypersons’ knowledge and willingness to perform basic life support.Methods: There are 247 people from twelve mosques that participated in this research. The participants were given fifteen multiple-choice preposttest questioners in basic life support knowledge, one full day two-direction training, one-by-one practicing in small group for adult and pediatric CPR (Cardio-Pulmonary Resuscitation), and CPR skill test. Data was collected and statistically analyzed with SPSS 24 Software by IBM.Results and discussion: From 247 participants, 32 were excluded due to lack of data. For rest of 215 participants, 32.1% was housewife, mean value of age was 39.1 ± 0.9 SD years, educational background was bachelor in 44.7% participants. Mean value of pre-test and post-test were 28.70 ± 16.8 SD and 55.73 ± 19.30 SD, respectively. The post-test result has significant correlation of profession (p=0.003), but no significant correlation of age (p=0.08) and educational background (0.51). Marginal homogeneity test for pre and post test data brought p<0.001 significance. Before the training, only 57.2% participants had willingness to perform cardiopulmonary resuscitation. After the training, 91.2% participants have willingness to perform cardiopulmonary resuscitation if witness sudden cardiac arrest of unknown people.Conclusion: Participants who enrolled the training were predominantly by housewife, productive age with bachelor educational background. Mosque lifesaver training show significant improvement in laypersons’ knowledge and willingness to perform basic life support.International Journal of Human and Health Sciences Vol. 05 No. 02 April’21 Page: 202-206

Indonesia merupakan negara yang luas dengan populasi beragam pulau berpenghuni membutuhkan banyak pelatihan Bantuan Hidup Dasar (BHD) bagi tenaga kesehatan. Organisasi kemanusiaan non pemerintahan yaitu Bulan Sabit Merah Indonesia (BSMI) Jakarta Raya menyelenggarakan pelatihan tunggal di sejumlah Rumah Sakit Umum Daerah (RSUD) di seluruh Indonesia. Tujuan pelatihan yang dilakukan untuk meningkatkan ketersediaan tenaga ahli kesehatan dalam kemampuan BHD di Indonesia. Studi ini merupakan penelitian operasional yang dilakukan untuk mengukur karakteristik dan efektivitas pelatihan BHD pada tenaga kesehatan. Data yang digunakan adalah seluruh peserta pelatihan dari RSUD. Pemilihan RSUD dilakukan sesuai dengan kriteria inklusi, sedangkan pemilihan peserta pelatihan dipilih oleh komite lokal di RSUD setempat dengan metode simple consecutive sampling. Data dianalisa menggunakan perangkat lunak statistik. Karakteristik peserta didominasi perempuan, tenaga kesehatan perawat dan bidan, tingkat pendidikan terakhir diploma dan belum pernah mengikuti pelatihan BHD. Hasil evaluasi pelatihan menunjukan peningkatan signifikan antara nilai test sebelum dan sesudah pelatihan. Kesimpulan pelatihan BHD tunggal dalam satu hari penuh mencakup ujian teori dan praktikum RJP dinilai efektif untuk tenaga kesehatan. Pelatihan BHD ini diselenggarakan dapat meningkatkan kualitas tenaga kerja di RSUD di Indonesia. Kata kunci: BHD, Pelatihan, Rumah Sakit, Tenaga Kesehatan, Indonesia

In the last decade, the chimney EVAR (CHEVAR) has rapidly evolved. It started as a bailout option to save aortic branches in case of inadvertent coverage during EVAR and developed within 10 years of published evidence to a valid endovascular treatment option of complex abdominal aortic pathologies. Recently, the technique was included in the ESVS 2019 guidelines for treatment of abdominal aortic aneurysms (AAA).4 Despite this tremendous evolution from a bailout approach to a therapeutic modality a gutter-related endoleaks remain the Achilles heel of the technique.