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

Abstract 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

Imobilisasi Mikrokapsul Antibakteri Minyak Asiri Eucalyptus Globulus Pada Kain Kapas Dengan Metode Deep Coating

Imobilisasi mikrokapsul antibakteri minyak asiri Eucalyptus globulus pada kain kapas telah dilakukan dengan cara deep coating. Mikrokapsul yang berisi minyak asiri E. globulus dibuat dengan metode koaservasi kompleks menggunakan penyalut alginat-gelatin. Hasil pengukuran GC-MS terhadap minyak asiri E. globulus komersial menunjukkan komponen utamanya adalah isopropil miristat 63,69% dan 1,8-sineol sebesar 29,35%. Mikrokapsul dibuat dalam dua sampel, yang dibedakan dari penggunaan minyak asiri E. globulus dalam Sampel I yakni 4 g dan Sampel II yakni 6 g. Ukuran rata-rata mikrokapsul Sampel I sebesar 1,550 µm dan Sampel II sebesar 1,154 µm. Kandungan minyak asiri (Oil Content; OC) dan efisiensi enkapsulasi (Encapsulation Efficiency; EE) secara berurutan, yaitu OC 78,70%; 42,49% dan EE 75,19%; 51,54%. Morfologi mikrokapsul Sampel I terlihat bentuknya lebih membulat dibanding Sampel II. Hasil uji antibakteri terhadap S. aureus lebih tinggi dibandingkan dengan terhadap E. coli. Sampel I lebih aktif dibandingkan Sampel II

Student Traveler : Let’s Explore Indonesia

Learning English is a must-have skill, particularly for the millennial generation, which will compete globally with people from all over the world. Mastering English is no longer a choice; it is an unavoidable must. Language, particularly English, serves as a portal to the rest of the world. Reading and writing are essential skills for all students, especially as they strive to become more insightful students who will be fully useful and knowledgeable human beings in the future. As a result, students will have the insight and knowledge necessary to construct and govern this country as future leaders. Writing, in addition to reading, is a requirement for demonstrating students’ linguistic competence. Writing is one of our methods for ensuring the survival and continuance of our information. This book chapter includes information that will help everyone to travel either all around Indonesia or the world

Proceedings of the 3rd International Conference on Community Engagement and Education for Sustainable Development

This proceeding contains articles on the various ideas of the academic community presented at The 3rd International Conference on Community Engagement and Education for Sustainable Development (ICCEESD 2022) organized by the Universitas Gadjah Mada, Indonesia on 7th-8th December 2022.  ICCEESD is a biannual forum for sharing, benchmarking, and discussing HEI’s activities in developing Education for Sustainable Development towards community engagement. Education for Sustainability as a teaching strategy for resolving community challenges through formal, informal, or non-formal education is expected to benefit from various community service best practices by academics, researchers, and students. The 3rd ICCEESD has “Strengthening Education for Sustainability Towards Better Community Engagement” as its theme this year. It is expected that the 3rd ICCEESD will provide a forum for the presenters and participants to exchange best practices, policies, and conceptual implementation of Education for Sustainability towards better community engagement and explore ideas to address community needs.  Conference Title: 3rd International Conference on Community Engagement and Education for Sustainable DevelopmentConference Theme: Strengthening Education for Sustainability Towards Better Community EngagementConference Acronyms: ICCEESD 2022Conference Date: 7th-8th December 2022Conference Location: Grand Rohan Jogja Yogyakarta, IndonesiaConference Organizer: Universitas Gadjah Mada, Indonesi