The Livelihood Change of Fishermen Recipient Grant Program of Coalition Party in Lubuk Puding Village Buru District of Karimun Regency of Riau Islands Province

This study was conducted in January 2016 in the village of Lubuk Puding in the District of Buru Karimun Riau Islands Province. The objective of this study was to determine the characteristics of fishing grantees, to determine changes in fishing livelihoods after receiving the grant, and to determine the relationship characteristic of changes, livelihoods and grants program. The method used in this study was survey of 160 grantees fishermen population, in which this study taken as much as 15% of the 160 populations or 24 peoples.Based on the research result, the characteristics of grant recipient are productive fishermenage, low education and the number of family member of fishermen. The livelihood of fishermen grant recipients changed from the preparatory stage to the growth stage, while in food consumption and employment on a fixed income and sanitation and hygiene unchanged. Characteristics with real changes in the livelihoods of fishermen are age which have relationship with income and with the job opportunities, the number of family member has relationship with food consumption and grant, and food consumption have relationships with the grant

Hydrothermal deposition of CdS on vertically aligned ZnO nanorods for photoelectrochemical solar cell application

CdS/ZnO nanorods composite nanofilms were successfully synthesized via hydrothermal method on indium doped tin oxide glass substrates. Sequentially deposited CdS formed cauliflower like nanostructures on vertically aligned ZnO nanorods. The morphological, compositional, structural and optical properties of the films were characterized by field emission scanning electron microscopy, energy dispersive X-ray analysis, X-ray diffraction and ultraviolet–visible spectroscopy. Photoelectrochemical conversion efficiencies were evaluated by photocurrent measurements in a mixture of Na2S and Na2SO3 akaline aqueous solution. The amount of deposit, as well as the diameter and crystallinity of the CdS cauliflower were found to increase with growth time. CdS/ZnO nanorods composite exhibited greater photocurrent response than ZnO nanorod arrays. Besides, the composite film with 90 min of growth duration displayed the highest photocurrent density which is nearly four times greater than plain ZnO nanorods under the illumination of halogen light. The result exhibited remarkable photoconversion efficiency (η) of 1.92 %

Implementation of Standard Operating Procedures for Patient Care

This study aims to determine the application of standard operating procedures for patient care in the emergency room of dr. MM. Dunda Limboto, Gorontalo District. The research method used is a qualitative research approach with descriptive research type. The results showed that the Application of Standard Operating Procedures (SOP) for Patient Services in the IGD RSUD dr. MM. In general, Dunda Limboto Gorontalo District has not been implemented optimally. This can be seen from the 7 SOP indicators, only 4 have been implemented properly. As for the results of the research on these indicators are: 1) the procedure for registering patients in the ER has not been running optimally, 2) the procedure for receiving patients in the patient reception room has not been optimally carried out, 3) The doctor prepares for the examination including: Patient preparation , tools, washing hands and wearing PPE, the results of the study found that this procedure was carried out well, 4) The doctor carried out the examination including: history taking, physical examination and checking the patient's vital signs, supporting examinations, had not been carried out properly, 5) The doctor determined the diagnosis meanwhile, it has been carried out properly, 6) The doctor determines the treatment and medical action on the patient, this procedure has been carried out in accordance with the SOP, and 7) The doctor observes and evaluates the results of treatment or action, this procedure has been carried out in accordance with the existing SOP

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

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 RP. The study was sponsored by Queen Mary University of London