Comparison of surgical incision complete closure versus leaving skin open in wound class IV in emergent colon surgery

2018 ◽  
Vol 216 (2) ◽  
pp. 240-244 ◽  
Author(s):  
Anand Dayama ◽  
Catherine A. Fontecha ◽  
Shahin Foroutan ◽  
Jonathan Lu ◽  
Sumit Kumar ◽  
...  
Keyword(s):  
Colon Surgery ◽  
Surgical Incision ◽  
Complete Closure ◽  
Wound Class ◽  
Class Iv

Appropriateness of Antibiotic Prophylaxis for Major Surgery in Korea

2007 ◽  
Vol 28 (8) ◽  
pp. 997-1002 ◽  
Author(s):  
Won Suk Choi ◽  
Joon Young Song ◽  
Jung Hae Hwang ◽  
Nam Soon Kim ◽  
Hee Jin Cheong
Keyword(s):  
Antibiotic Prophylaxis ◽  
Initial Dose ◽  
Medical Records ◽  
Colon Surgery ◽  
Major Surgery ◽  
Antibiotic Administration ◽  
Surgical Incision ◽  
Duration Of Surgery ◽  
Tertiary Hospitals ◽  
Gyeonggi Province

Objective.To determine the appropriateness of antibiotic prophylaxis regimens for major surgery in Korea.Design.Retrospective study using a written survey for each patient who underwent arthroplasty, colon surgery, or hysterectomy.Setting.Six tertiary hospitals in Seoul and Gyeonggi Province.Patients.From each hospital, a maximum of 150 patients who underwent each type of surgery were randomly chosen for the study.Results.Of 2,644 eligible patients, 1,914 patients were included in the analysis; 677 of these patients underwent arthroplasty, 578 underwent colon surgery, and 659 underwent hysterectomy. Nineteen patients were excluded from the analyses of the class and number of antibiotics used for prophylaxis because they underwent multiple surgeries at different sites. For each of the 1,895 remaining patients, antibiotic prophylaxis involved a mean ( ± SD) of 2.8 ± 0.9 classes of antibiotics. The most commonly prescribed agents were cephalosporins (prescribed for 1,875 [98.9%] of the patients) and aminoglycosides (1,404 [74.1%]). A total of 1,574 (83.1%) of patients received at least 2 classes of antibiotics simultaneously. Only 15 (0.8%) of 1,895 patients received antibiotic prophylaxis in accordance with published guidelines. Of 506 patients for whom the initial dose of antibiotics was evaluated, 374 (73.9%) received an appropriate initial dose. Of the 1,676 patients whose medical records included information about antibiotic administration relative to the time of surgery, only 188 (11.2%) received antibiotic prophylaxis an hour or less before the surgical incision was made. Of the 1,748 patients whose medical records included information about duration of surgery, antibiotic prophylaxis was discontinued 24 hours or less after surgery for only 3 (0.2%) of the patients.Conclusion.Most patients who had major surgery in Korea received inappropriate antibiotic prophylaxis. Measures to improve the appropriateness of antibiotic prophylaxis are urgently required.

751 Long-term benefit of a hospital based heart failure programme: downgrading the risk of class IV patients

2003 ◽  
Vol 2 (1) ◽  
pp. 161
Author(s):  
E RYAN ◽  
C OLOUGHLIN ◽  
M LEDWIDGE ◽  
B TRAVERS ◽  
M RYDER ◽  
...  
Keyword(s):  
Heart Failure ◽  
Term Benefit ◽  
Class Iv

PENERAPAN MODEL PEMBELAJARAN PAKEM DALAM MENINGKATKAN HASIL BELAJAR PADA MATERI SEPAK BOLA SISWA KELAS IVB SD NEGERI 013 MEKARSARI

2017 ◽  
Vol 6 (2) ◽  
pp. 472
Author(s):  
Aslinda Aslinda
Keyword(s):  
Data Collection ◽  
Student Learning ◽  
Learning Outcomes ◽  
Learning Process ◽  
Student Learning Outcomes ◽  
Learning Model ◽  
Oral Tests ◽  
Class Iv

This study aims to describe learning outcomes through the application of PAKEM learning model. The subjects of the study were the students of grade IVb SD Negeri 013 Mekarsari. Improvement of learning outcomes in terms of four categories, namely the ability to absorb, the effectiveness of learning, mastery of student learning both mastery of individual and classical completeness and mastery of learning outcomes. Instruments used for data collection are oral tests and written tests in the form of LKS conducted after the learning process. The results showed that the percentage of student completeness increased from 19.40% to 55.40% categorized well, the effectiveness of learning is categorized very effective with an average of 88.46%. While the completeness of student learning outcomes expressed. Based on the results of the study, it can be concluded that the application of PAKEM learning model can improve learning outcomes on the material of the students of class IV B grade SD Negeri 013 Mekarsari.

PENGGUNAAN DIRECT INSTRUCTION MODEL UNTUK MENINGKATKAN HASIL BELAJAR IPA PADA MATERI TUMBUHAN DAN FUNGSINYA SISWA KELAS IV A SDN 015 SUNGAI SALAK KECAMATAN TEMPULING

2016 ◽  
Vol 5 (1) ◽  
pp. 14
Author(s):  
Garnawati Siregar
Keyword(s):  
Student Learning ◽  
Learning Outcomes ◽  
Science Learning ◽  
Instructional Improvement ◽  
Mastery Learning ◽  
Fourth Grade ◽  
Student Learning Outcomes ◽  
Fourth Grade Students ◽  
The Subject ◽  
Class Iv

Problems in the Classroom Action Research (PTK) is the low learning outcomes IPA A fourth grade students of SDN 015 Sungai Salak Kecamatan Tempuling. This study addressed the problem by applying direct instrucsion models. The problem of this research is "Is the direct application of the model intruction IPA can improve learning outcomes in grade IV A SDN 015 Sungai Salak Kecamatan Tempuling ?. The purpose of this study is to improve science learning outcomes in class IV A SDN 015 Sungai Salak Kecamatan Tempuling by way of direct intruction models. Direct intruction A model of fourth grade students of SDN 015 Sungai Salak, Kecamatan Tempuling can improve learning outcomes significantly. At first the student learning outcomes pre-cyclye is 36.00 categorized as very unfavorable; in the first cycle was 61.00 with category; and the results of the second cycle is 81.50 with very good category. Mastery learning individually and classical increases; pre-cyclye 4 students and 20.00 (not finished); in the first cycle is 12 students and 60.00% (not finished) and the second cycle is 19 students or 95% (complete). Based on observations of fourth grade students of SDN 015 A Sungai Salak Kecamatan Tempuling, activity in the first cycle an average of 72% or better and the second cycle of activity is 82% or better at all. Students seem to understand the direct intruction models and they can understand the subject matter properly and appropriately. Based on the research results with direct instructional improvement intruction models managed to fix the problem of low student learning outcomes SDN 015 class IV A Sungai Salak Kecamatan of Tempuling. 

UPAYA MENINGKATKAN HASIL BELAJAR ILMU PENGETAHUAN ALAM DENGAN PENERAPAN METODE DEMONSTRASI SISWA KELAS IV SD NEGERI 010 BANJAR PANJANG KECAMATAN KERUMUTAN

2017 ◽  
Vol 5 (3) ◽  
pp. 307
Author(s):  
Deden Kusdinar
Keyword(s):  
Student Learning ◽  
Learning Outcomes ◽  
Preliminary Data ◽  
Student Learning Outcomes ◽  
Natural Sciences ◽  
Research Data ◽  
Science Students ◽  
Experience Teaching ◽  
Improving Student Learning ◽  
Class Iv

Based on the author's experience teaching for this in SD Negeri 010 Banjar PanjangKerumutan, and based on observation and early reflections by the author seen low creativityof students in learning that ultimately ends up in the low student learning outcomesthemselves, especially on the subjects of Natural Sciences. After many tests on the midtermturns lower student learning outcomes. Completeness class only reach 50% or 10 out of 20students, KKM for subjects of Natural Sciences which has been set in the class IV SD Negeri010 Banjar Panjang Kerumutan is the number 70. As Judge things that cause children lowvalue, from the aspect of teachers are: teacher always using methods lectures, learningachievement of children have been considered equally by teachers, and the learning processis dominated by the teacher. This research is a classroom action research (PTK). Class actionresearch through the stages of planning, implementation, observation and reflection. Fromthe research data is a result of learning of natural science at the top can be seen learningoutcome science students from the action on the preliminary data for the first cycle to thesecond cycle by improving student learning outcomes that menigkat are significant, the initialdata of students who achieve mastery only 50 % and cycle to the first increase has reached70% and the thoroughness of the class in the second cycle reaches 85%.

PENERAPAN TEKNIK MEMBACA SEKILAS UNTUK MENENTUKAN GAGASAN POKOK SISWA KELAS IV SDN 015 PAGARAN TAPAH DARUSSALAM

2017 ◽  
Vol 5 (3) ◽  
pp. 72
Author(s):  
Mariyana '
Keyword(s):  
Action Research ◽  
Preliminary Data ◽  
Achievement Test ◽  
Research Instrument ◽  
Student Activity ◽  
Classroom Action Research ◽  
Class Iv ◽  
Low Ability

This research is motivated by the idea of the low ability determining principal grade IV SDN015 Pagaran Tapah Darussalam. Goals to be achieved in this research is to determine ideagrade IV principal of SDN 015 Pagaran Tapah Darussalam through the application of thetechniques implemented for 1 month. This research was conducted in SDN 015 PagaranTapah Darussalam. Classes are meticulous researchers are class IV by the number ofstudents as many as 24 people. This classroom action research was started in early August2016. This form of research is classroom action research. The research instrument consists ofinstruments teacher and student activity sheets and achievement test. Based on the research,the conclusion to this research the skills of students in the ability to determine the main ideahas increased. On preliminary data low category with a percentage of 54.2% while in sikus Ifirst encounter increased to 65.1% low category, at a second meeting to 68.8% and thesecond cycle increased to 81.3% categorized as moderate and kemablai increased in thesecond meeting be 85.7% higher category

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