Pelatihan Maintenance Korosi pada Baling Baling Kapal Klotok Balikpapan-Penajam Pasir Utara (PPU)

Community service is one of the tri dharma of higher education which is the duty of lectures college students, therefore in this servicewe rised the issue of how to maintain corrosion on klotok ship propellers for the Balikpapan-PPU routeand how to conduct optimal training activities so that theactors, owners and operators are orderly and take good care. The method of implementation is the form of training for 2 days and mentoring for 3 consecutive months. This training activity involved 2 lectures and 3 college students. This ship propeller maintenance training was attendedby 30 people consisting of 10 ship owners and 20 klotok ship operators. Implementation of on august 31st – September 1st 2018 with the hope that the owners and operators of the klotok ships can understand the importance of their klotok care so thath people who use sea transportation, especially the people of Balikpapan and Penajam Pasir Utara feel safe and confortable while in the klotok ship. This training makes it easier for ship owners to monitor operators directly and carryng our their klotok and operators also do not arbitrarily runklotok without maintenance. Keywords :klotok ships, maintenance, ship propellers, ship operators, training. &nbsp

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Kuluttajabarometri maakunnittain 2000, 2. neljännes

Suomen virallinen tilasto (SVT

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

This was an investigator-initiated study funded by Nestle Health Sciences through an unrestricted research grant and by a National Institute for Health Research (UK) Professorship held by R.P. The study was sponsored by Queen Mary University of London