Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Determining types of workplace incivility and their relationship to counterproductive work behaviors: Towards the development of HR interventions

This present descriptive exploratory research aimed to determine and explore the relationship between all types of supervisor Workplace Incivility and dimensions of Counterproductive Work Behaviors (CWB). A total sample of N=221 Filipino employees from different industries answered the replicated and translated in Filipino version of Workplace Incivility Scale (WIS) and 45-item Counterproductive Work Behavior – Checklist. Pearson-R correlation results revealed that there was a significant positive linear relationship between all types of incivility and all dimensions of CWB. Demographics of high and low scorers on types of incivility and CWB were also reported. The qualitative interviews supplemented the quantitative data and provided suggestions for leadership, management and development of HR Interventions. These findings have contributed to the literature of workplace incivility and CWB as the second reference of cross- cultural evidence from the Philippines on incivility and the first to provide evidences from new gender groups (LGBTQ)

The difference on the verbal knowledge of expert chess players in tactical ability, positional judgment, and endgame knowledge

The goal of this study was to find out the differences of chess-specific verbal knowledge among expert chess players of different skill levels through think-aloud protocol. Nine (9) expert chess players with an ELO rating ranging from 1800 to 2600 were asked to verbally report their solution, evaluation, and judgment towards chess board puzzles intended to measure one\u27s tactical ability, positional judgment, and endgame knowledge respectively. The results of the study showed that there are differences in the verbalized organization of thought processes among expert chess players in Tactical Ability, Positional Judgment and Endgame Knowledge

An e-learning outreach program for public schools: Findings and lessons learned based on a pilot program in Makati City and Cabuyao City, Laguna, Philippines

The E-Learning Outreach Program (ELOP) is a multisectoral, collaborative, and commitment-driven action research that focuses on providing relevant and useful computer and Internet literacy short courses for public elementary students. This study presents the critical action plans of setting up a pilot e-Learning station in Hen. Pio del Pilar Elementary School in Makati City and in Pulo Elementary School in Cabuyao City, Laguna, Philippines. The school\u27s computer laboratory was converted to an E-Learning station with additional devices and technical support from De La Salle University (DLSU). The study aims to account for a process-based heuristic approach in laying down the different phases of the program, specifically to: (1) coordinate and orient parents, pupils, teachers and school administrators, (2) set-up an e-Learning environment (3) design and write course modules (4) assess learning skills and experience of pupils, and (5) evaluate the program based on research team\u27s observation and results of the focus group discussion (FGD) with teachers and student-participants. In Pulo Elementary School, a pretest and posttests were conducted with results showing that the program has improved participants’ e-Learning knowledge and skills except for advance skills in hardware utilization. The participants also showed a strong positive attitude towards the ELOP. © 2020 Elsevier Lt