TEKNIK PELAKSANAAN PROGRAM SAHABAT PERPUSTAKAAN DI SMA NEGERI 1 GUNUNGHALU KAB. BANDUNG BARAT

This study discusses the Design of "Library Friend" Program in the School Library Development at the Library of SMA Negeri 1 Gununghalu. The purpose of this study is to determine human resource management, the activities and techniques of "Library Friend" program implementation. The method used is a qualitative method of action research. The data were collected by interview, observation, library research and the collection of documentation. The Informants in this study are the coordinator of the library, library staff, teachers, and the students of SMAN 1 Gununghalu. The members involved in the program are the students and the library staff. The activities of the program are making competitions, such as: reading poetry competition, scientific work competition, storytelling, writing Sundanese short stories contest (culture), and an exhibition of the library. The technical implementation of the Library Friend program will have several stages of implementation such as: socialization, counseling together, inauguration, work-meeting, the implementation of activities, job evaluation and work reports of the Library Friend program.  Penelitian ini membahas Desain Program "Perpustakaan Teman" dalam Pengembangan Perpustakaan Sekolah di Perpustakaan SMA Negeri 1 Gununghalu. Tujuan dari penelitian ini adalah untuk menentukan manajemen sumber daya manusia, kegiatan dan teknik pelaksanaan program "Perpustakaan Teman". Metode yang digunakan adalah metode kualitatif penelitian tindakan. Data dikumpulkan melalui wawancara, observasi, studi pustaka dan pengumpulan dokumentasi. The Informan dalam penelitian ini adalah koordinator perpustakaan, staf perpustakaan, guru, dan siswa SMAN 1 Gununghalu. Anggota yang terlibat dalam program ini adalah mahasiswa dan staf perpustakaan. Kegiatan dari program ini membuat kompetisi, seperti: kompetisi membaca puisi, lomba karya ilmiah, cerita, menulis Sunda cerita lomba pendek (budaya), dan pameran perpustakaan. Teknis pelaksanaan program Teman Perpustakaan akan memiliki beberapa tahapan implementasi seperti: sosialisasi, konseling bersama-sama, peresmian, pertemuan, pelaksanaan kegiatan, evaluasi pekerjaan dan laporan kerja dari program Perpustakaan Teman

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)