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

Pengaruh Orientasi Kewirausahaan terhadap Keunggulan Kompetitif pada UKM Industri Kreatif dengan Kapasitas Inovatif sebagai Faktor Mediasi dalam Masa Pandemik Covid-19

A dynamic business environment that includes entrepreneurs must adapt in order to gain competitive advantage. One thing that must be considered is the entrepreneurial orientation and innovative capacity to increase competitive advantage in companies engaged in the creative industry. The method used is by distributing questionnaires to 30 entrepreneurs who run creative industries in the Fashion sector in Tanah Abang Market in order to be sampled. The results show that entrepreneurial orientation and innovative capacity directly and positive influence the company's competitive advantage

Faktor-faktor yang Mempengaruhi Minat Beli Makanan Organik

Penelitian ini bertujuan untuk mengetahui apakah Tingkat Kesadaran Kesehatan, Perhatian terhadap Keamanan Pangan, dan Persepsi Nilai memiliki pengaruh terhadap Minat Beli makanan organik di Jakarta. Metode pengumpulan data yang digunakan dalam penelitian ini adalah kuesioner dengan pendekatan kuantitatif. Sampel yang digunakan dalam penelitian ini adalah 40 responden yaitu anggota Gold's Gym di  Mal Ciputra Jakarta yang pernah membeli dan mengkonsumsi makanan organik di Jakarta. Teknik pengumpulan sampel yang digunakan non-probability sampling dengan metode convenience sampling. Hasil dalam penelitian ini menunjukkan :1) tingkat kesadaran kesehatan berpengaruh terhadap minat beli makanan organik. 2) perhatian terhadap keamanan pangan berpengaruh terhadap minat beli makanan organic.3) persepsi nilai berpengaruh terhadap minat beli makanan organic

Analisis Rasio Profitability, Financial Stability, Capital Turnover, Financial Leverage, Dan Asset Composition Terhadap Fraudulent Financial Statement

Tujuan penelitian ini adalah untuk mengetahui perbedaan dari nilai rata-rata antara rasio profitability, financial stability, capital turnover, financial leverage, dan asset composition terhadap terjadinya fraudulent financial statement pada Perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia periode 2017-2019. Penelitian ini menggunakan 49 data Perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia dengan metode pemilihan sampel berdasarkan purposive sampling. Alat analisis hipotesis yang digunakan dalam penelitian ini adalah independent t-test yang dibantu dengan program SPSS 23.0 dan Microsoft Excel 2010. Hasil penelitian ini menyatakan bahwa financial stability memiliki perbedaan yang signifikan terhadap fraudulent financial statement, sedangkan profitability, capital turnover, financial leverage, dan asset composition tidak memiliki perbedaan yang signifikan terhadap fraudulent financial statement