Among other health issues, Mojokerto struggles with high infant mortality as well as high prevalence of TB and HIV. With our ultrasound curriculum, we hope to address, educate, and raise awareness of these issues. Our obstetrics ultrasound lessons may be vital to saving expectant mothers with high risk pregnancies. Furthermore, by teaching the FASH scan, an efficient and low-cost ultrasound technique to diagnosing Tuberculosis and HIV co-infections, we hope to teach local providers the skills to save lives and prevent the spread of infection.
COMPARISON OF ULTRASOUND-MEASURED PROPERTIES OF THE COMMON CAROTID ARTERY TO TOBACCO SMOKE EXPOSURE IN A COHORT OF INDONESIAN PATIENTS
With over 72% of adult males using tobacco products, Indonesia has some of the highest rates of smoking in the world. Smoking is known to have negative effects on arteries and increase risk of events such as heart attack or stroke. In this study, we will attempt to use ultrasound imaging as a low-cost and quick way to measure properties of the common carotid artery, focusing on the thickness of the artery as well as the elasticity of the arterial wall. The values will be compared across different people–smokers, nonsmokers, individuals with or without heart problems, for example–to determine how these values change across different cohorts. We will also try to measure the effect of secondhand smoke on these arterial properties. We hope that our study will shed more light on the harmful consequences of smoking and convince more people, in Indonesia and abroad, to quit smoking.
KIDNEY SIZE AND PATHOLOGY SCREENING STUDY
Indonesia has a high prevalence of chronic kidney disease in urban and semi-urban areas. We seek to image the kidney in a series of patients and to look for kidney pathology. Furthermore, we hope to demonstrate that ultrasound is a viable instrument in the detection of kidney pathologies.
EDUCATIONAL STUDY ASSESSING EFFICACY OF OUR TEACHING CURRICULUM
This study will quantify the success of an introductory curriculum designed by UCI medical students for medical students in Indonesia. The primary objective of this research study is to assess the short term efficacy of a 4-week ultrasound curriculum: “Ultrasound Basics” taught to medical students in Indonesia. The secondary objective is the long-term efficacy of the “Ultrasound Basics” course based on knowledge retention, which will be obtained the following year, after the course is initially given. To assess the short term efficacy of the “Ultrasound Basics” curriculum, the participating medical students will be given a pre-test assessing their previous knowledge of the subject matter covered in the courses and an identical post-test to quantify how much information they retained from the course. They will also be given a practical assessment. To assess the long term efficacy of the “Ultrasound Basics” curriculum, the medical students from the course will be tested with the identical final from the previous year and comparison of performances will be done to assess information retention.
INDONESIAN NATIONAL HEALTHCARE SURVEY
In 2014, Indonesia introduced a national healthcare plan named Jaminan Kesehatan Nasional (JKN), which is the largest universal healthcare plan in the world. Today, the landscape of healthcare and healthcare policy in the world is rapidly changing. We wish to survey Indonesian patients and physicians on their perceptions of the effectiveness of the new Indonesian national healthcare plan (JKN) and whether they believe that this has increased or decreased healthcare costs for patients, physicians, and hospitals.
CENTRAL LINE ULTRASOUND SURVEY
Currently, in the United States, it is the standard of care to use ultrasound visualization when placing a catheter in the external jugular vein. Usage of ultrasound visualization when placing a catheter into the EJV helps increase accuracy and decrease patient discomfort and complications due to errors during placement. We wish to survey Indonesian physicians to find out the prevalence of ultrasound used in Indonesia for placement of EJV catheters, their attitudes toward this application, and further information such as perceived barriers to more widespread adoption.