Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Factors Associated With Administration of Antiplatelet Therapy on The NIHSS Score in Acute Ischemic Stroke

Stroke is the highest cause of death in the world. Antiplatelet therapy is one of the important therapies in acute ischemic stroke patients. Antiplatelet works by inhibiting platelet aggregation. In the implementation of antiplatelet therapy administration, it was found that (26.9%) administration was done more than 6 hours since the doctor's program. To find out quantitative outcomes in stroke patients, the NIHSS examination was carried out. To determine the factors related to antiplatelet administration to the NIHSS score in acute ischemic stroke patients at "X" Hospital Yogyakarta. This study uses the correlation method with a retrospective approach. Documentation studies (secondary data) were used in collecting data. The number of samples was 64 respondents from a total population of 465 patients with an ischemic stroke diagnosis. The probability sampling technique was used with a simple random sampling technique in taking the sample. Of the total sample of 82 respondents, 64 samples passed for analysis. Non-parametric Spearman test was used for analysis. These results suggest that within the scope of this study, the timing, type, and dosage of antiplatelet therapy did not show a significant impact on the severity of stroke symptoms as measured by NIHSS scores among the patients studied at "X" Hospital in Yogyakarta

PENGEMBANGAN SISTEM SMS GATEWAY UNTUK PENGIRIMAN INFORMASI PERKULIAHAN KE JEJARING SOSIAL MENGGUNAKAN RASPBERRY PI

Short Message Service (SMS) is one of the favorite features and the most commonly used by cell phone users. SMS can be used to send and receive information, such as information about the course. To facilitate the dissemination of information, SMS Gateway system was built which makes sending and receiving SMS contains with information processed automatically. In addition, the development of internet based social networks also influence the way people interact and send information. Social networking has now become the place to share and get information quickly. The emergence of Raspberry Pi as a credit-card sized computer that can work like a regular desktop computer and can be implemented in a various purposes, such as a SMS Gateway server. This study aimed to develop a system of SMS Gateway on Raspberry Pi that can receive the course information from SMS then forwards it to a social network account like Facebook and Twitter. Based on the implementation and testing results, it can be concluded that the system is able to receive an SMS contains information about courses, stores to database and forwards them to social network, Facebook and Twitter