Fashion designers in the world currently working on developing patterns that possible to be created as 3D printing fashion. Indonesia has many “ragam hias”, or can be called decorative pattern that can be developed using this technology. On our previous research, we tried to developed batik pattern, one of decorative pattern in Indonesia, using 3d printing technology. It turned out good but need to be developed more. This article report our next experiment that we've been working on to improve the pattern more and testing the strength of the created pattern, with ABS and PLA material to know the strength when applied on actual goods.

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.

Purpose: Obstetric anal sphincter injury is one of the most common complications during delivery. Simulation models with manikins can be used as an effective medical learning method to improve students’ abilities before encountering patients. The present study aimed to describe the development of an anal sphincter injury model and to assess residents’ satisfaction and self-confidence after a perineal repair workshop with an anal sphincter injury simulator in Indonesia.Methods: This was a cross-sectional study with evaluation of outcomes before and after the workshop. We created a silicone-latex simulation anal sphincter injury model. Then, we validated this simulation and used it as a simulation model for the workshop. We asked residents about their satisfaction with repairing anal sphincter injuries using a simulation model and residents’ self-confidence when practicing anal sphincter injury repair.Results: All residents felt the simulation-based workshop was valuable (100%). Most of the scores for the similarity of the simulation model were good (about 8 out of maximum 10). The self-assessment of confidence was measured before and after the workshop. Overall self-confidence increased significantly after the workshop in identifying the external sphincter ani (EAS) (P=0.031), suturing the anal mucosa (P=0.001), suturing the internal sphincter ani (P=0.001), suturing the EAS (P<0.001), and evaluating the sphincter ani tone (P=0.016).Conclusion: The anal sphincter injury simulator improved residents’ self-confidence in identifying the EAS, suturing the anal mucosa, suturing the internal sphincter ani, suturing the EAS, and evaluating sphincter ani tone.

Synthetic hydroxyapatite (HA) and polymethylmethacrylate (PMMA) are among biomaterials that individually has been used in bone defect restoration. Pure HA powder is bioactive and biocompatible material, but it was difficult to be shaped into certain geometry as needed in many cases of restoration. While, PMMA may cause necrosis at the bone-cement interface due to the heat released during polymerization. In shaping technology, a 3D Printer technology is capable to cope a complex geometry and shape, but it is recently only dedicated for the non-medical application. In this study, HA was composed with PMMA to form biocomposite that potentially applicable as a feeder material of the 3D Printer. PMMA powder was blended with various concentration of MMA liquid (40, 45, 50, 55 and 60% v/w) to form PMMA pasta. This pasta was then composed of HA (powder) in various ratios (10, 20 and 30% w/w) and cast into a specimen mold. Tests were performed to observe diametral tensile strength and solidification time relevant to the need of printing application. Results show that increasing MMA within PMMA could make longer solidification time and reduce its tensile strength. Although, HA within PMMA may reduce the composite tensile strength, but it could improve its solidification time and important to improve its bioactive and osteoconductivity and even to speed up solidification process that needed in faster printing.

The impact of advances in information technology is beginning to be felt in livestock farming. Poultry farms produce a significant amount of meat, with broiler chickens accounting for 67%, native/local chickens accounting for 23%, and other types of poultry accounting for the remaining meat. Because not all poultry farmer off-takers in Bali use information technology to manage their business processes, breeder business management is ineffective and inefficient. The goal of this study was to determine the interest and behavior of poultry farmer off-takers in Bali in adopting information technology in the form of PT XYZ's Agree application. The Unified Theory of Acceptance and Use of Technology (UTAUT) Framework was used as the research method in this study. Questionnaires were distributed to respondents in five Bali districts to collect research data. For data management, the partial least squares structural equation model is used. According to the study's findings, performance expectancy has a positive and significant influence on behavioral intention. Facilitating conditions and behavioral intention have a positive and significant influence on use behavior. The availability of facilities and performance influencing poultry performance are the research's novelty and utility.