11 research outputs found

    Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

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    : The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

    Kemitraan Sekolah dan Komite Sekolah dalam Meningkatkan Mutu Pendidikan di SDN 2 Aik Mual Tahun Ajaran 2021/2022

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    Masyarakat merupakan salah satu faktor pendukung peningkatan mutu pendidikan di sekolah, terlebih lagi ketika adanya virus covid-19 yang mengharuskan peserta didik belajar dirumah. Dari pembelajaran yang dilakukan di rumah tentu membutuhkan bantuan masyarakat. Karena kebanyakan peserta didik akan sering bermain di linkungan masyarakatnya ketika tidak diawasi oleh guru dan orang tuanya. Hal ini tentu mengakibatkan penurunan prestasi dibidang akademik dan non akademik peserta didik. Maka dari itu untuk mewadahi keikutsertaan masyarakat dalam meningkatkan mutu pendidikan dibentuklah yang namanya komite sekolah. Penelitian ini bertujuan untuk mengetahui kemitraan sekolah dan komite sekolah dalam meningkatkan mutu pendidikan dalam bidang akademik dan non akademik SDN 2 Aik Mual Lombok Tengah. Metode penelitian yang digunakan adalah kualitatif dengan pendekatan deskriptif, sedangkan teknik pengumpulan data menggunakan wawancara, obsevasi dan dokumentasi. Hasil penelitian menunjukkan bahwa dalam bidang akademik pihak sekolah dengan komite sekolah mebuat strategi yang dapat digunakan di dalam kelas supaya peserta didik mampu memahami materi dengan baik. Sedang dalam bidang non akademiknya mereka mampu membangun musholla dalam waktu tiga bulan untuk kegiatan imtaq jum'at dan sholat duha, melakukan pembinaan olahraga dan adanya pelatihan tilawatil qur'an, dimasyarakat untuk peserta didik SDN 2 Aik Mual. Dapat disimpulkan bahwa kemitraan sekolah dengan komite sekolah dalam meningkatkan mutu pendidikan melalui berbagai program yang dilakukan bersama-sama sehingga peserta didik dapat meraih prestasi-prestasi yang membanggakan

    Pelatihan PRA Bencana untuk Membentuk Desa Tanggap Bencana di Desa Sumberbrantas Jawa Timur

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    PRE-DISASTER TRAINING TO ESTABLISH DISASTER RESPONSE VILLAGES IN SUMBERBRANTAS VILLAGE, EAST JAVA. A disaster is an event that can interfere with human survival, disasters appear due to natural or human factors. Based on some of the data obtained, there are several problems which are described as follows: (1) Do not care about the environment; (2) lack of knowledge regarding pre-disaster preparation; (3) do not know the principle of disaster preparedness; (4) do not know first aid that must be done to oneself or others. This group will collaborate with SDN 03 Telungrejo. This training is intended to establish a disaster response village in the village of Sumberbrantas. The target of training participants is elementary school children who will be given knowledge about disasters and how to deal with when a disaster occurs. The purpose of this training is to form training participants who are ready to face unexpected disasters. The methods and techniques in this training are lectures, questions and answers, demonstrations and simulations. The facilitator for this training is BPBD Kota Batu
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