Pengembangan Usaha Ternak Ayam Pedaging Sistem Kemitraan Bagi Hasil Berdasarkan Aksesibilitas Peternak Terhadap Sumber Daya

Sistem kemitraan bagi hasil adalah sistem kerjasama yang dilakukan oleh dua orang atau lebih (antar-peternak) atau peternak sebagai pelaksana yang menjalankan usaha budi daya yang dibiayai atau dimiliki oleh perusahaan peternakan dan/atau perusahaan di bidang lain. Tujuan penelitian yaitu melakukan pemetaan sumber daya yang dapat diakses peternak dan model pengembangan usaha ternak ayam pedaging sistem kemitraan bagi hasil. Penelitian dilakukan pada bulan Januari-Juni 2018. Sebanyak 44 peternak ayam pedaging sistem bagi hasil di Kabupaten Malang, Jawa Timur. Analisis data menggunakan teknik SEM (Structural Equation Model) dengan SmartPLS 2.0. Hasil penelitian menunjukkan bahwa akses peternak terhadap sumber daya dan SDM peternak berpengaruh terhadap pengembangan usaha ternak ayam pedaging sistem bagi hasil sebesar 68,3%. Kesimpulan penelitian ini yaitu sumber daya yang dapat diakses peternak ayam pedaging sistem kemitraan bagi hasil adalah sumber daya finansial, teknologi, fisik, ekonomi, lingkungan, dan sosial. Peranan sumber daya tersebut penting untuk pengembangan usaha ternak

Unilateral high division of the Sciatic Nerve with divided Piriformis

Abstract While doing the routine dissection for the undergraduate students in the department of Anatomy, Nil Ratan Sircar Medical College, Kolkata, few variations were found in the gluteal region of a 70 years old male cadaver, in the year 2013. On the right side the sciatic nerve (SN) pierced the piriformis muscle dividing it into superior and inferior slips and then, after a short distance, divided into tibial and common peroneal nerves in the gluteal region. On the left side, sciatic nerve divided into two terminal branches (common peroneal and tibial nerves) in the lower part of the back of the thigh near the apex of the popliteal fossa as usual. This high division of the sciatic nerve may result in nerve injury during deep intramuscular injections in gluteal region, piriformis syndrome due to compression of the nerve, failed SN block in anesthesia and surgical complications

World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update

The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death and disability. Atrial fibrillation (AF) is one of these conditions and is an increasing problem due to ageing of the world’s population and an increase in cardiovascular risk factors that predispose to AF. The goal of the AF roadmap was to provide guidance on priority interventions that are feasible in multiple countries, and to identify roadblocks and potential strategies to overcome them.Since publication of the AF Roadmap in 2017, there have been many technological advances including devices and artificial intelligence for identification and prediction of unknown AF, better methods to achieve rhythm control, and widespread uptake of smartphones and apps that could facilitate new approaches to healthcare delivery and increasing community AF awareness. In addition, the World Health Organisation added the non-vitamin K antagonist oral anticoagulants (NOACs) to the Essential Medicines List, making it possible to increase advocacy for their widespread adoption as therapy to prevent stroke. These advances motivated the WHF to commission a 2020 AF Roadmap update. Three years after the original Roadmap publication, the identified barriers and solutions were judged still relevant, and progress has been slow.This 2020 Roadmap update reviews the significant changes since 2017 and identifies priority areas for achieving the goals of reducing death and disability related to AF, particularly targeted at low-middle income countries. These include advocacy to increase appreciation of the scope of the problem; plugging gaps in guideline management and prevention through physician education, increasing patient health literacy, and novel ways to increase access to integrated healthcare including mHealth and digital transformations; and greater emphasis on achieving practical solutions to national and regional entrenched barriers. Despite the advances reviewed in this update, the task will not be easy, but the health rewards of implementing solutions that are both innovative and practical will be great

Socio-economic factors determine maternal and neonatal outcomes in women with peripartum cardiomyopathy: a study of the ESC EORP PPCM registry

Background Peripartum cardiomyopathy (PPCM) is a global disease with substantial morbidity and mortality. The aim of this study was to analyze to what extent socioeconomic factors were associated with maternal and neonatal outcomes. Methods In 2011, >100 national and affiliated member cardiac societies of the European Society of Cardiology (ESC) were contacted to contribute to a global PPCM registry, under the auspices of the ESC EORP Programme. We investigated the characteristics and outcomes of women with PPCM and their babies according to individual and country-level sociodemographic factors (Gini index coefficient [GINI index], health expenditure [HE] and human developmental index [HDI]). Results 739 women from 49 countries (Europe [33%], Africa [29%], Asia-Pacific [15%], Middle East [22%]) were enrolled. Low HDI was associated with greater left ventricular (LV) dilatation at time of diagnosis. However, baseline LV ejection fraction did not differ according to sociodemographic factors. Countries with low HE prescribed guideline-directed heart failure therapy less frequently. Six-month mortality was higher in countries with low HE; and LV non-recovery in those with low HDI, low HE and lower levels of education. Maternal outcome (death, re-hospitalization, or persistent LV dysfunction) was independently associated with income. Neonatal death was significantly more common in countries with low HE and low HDI, but was not influenced by maternal income or education attainment. Conclusions Maternal and neonatal outcomes depend on country-specific socioeconomic characteristics. Attempts should therefore be made to allocate adequate resources to health and education, to improve maternal and fetal outcomes in PPCM

Model of Resources Development in Partnership System of Broiler Farming Business

Accessibility of resources in theory can affected the development of broiler farming in a region. This research was conducted with the objectives of: 1) to formulate indicators of resource use on the development of partnership system of broiler farming business, and 2) to find the model of the development of resources use accessibility to partnership system of broiler farming business. The research was conducted in August 2017 up to January 2018 in Malang Regency of East Java Province, Indonesia. 100 respondents as partnership system of broiler farmer was participated in this study who was determined by total sampling. The research variables consist of: a) financial resources, b) technology resources, c) physic resources, d) economic resources, e) environmental resources, f) social resources, g) human resources, and h ) business development. The data was analyze used by SEM with SmartPLS 2.0 analysis tool. The results indicate that: 1) The development of partnership system of broiler farming business is directly influenced by the financial resources of 2.421, the physic resources is 1.821, the economic resources 2.445, and the human resources 2.904, but the development of partnership system of broiler farming business direct are not affected by technology resources, environmental resources, and social resources; 2) The development of partnership system of broiler farming business is indirect with quality of human resources is influenced by the financial resources of 2.629, technology resources of 6.092, physic resources of 2.308, and economic resources of 2.312, but the development of partnership system of broiler business is indirectly with the quality of human resources are not influenced by environmental resources and social resources

Using microcontroller based solar power system for reliable power supply

This paper has been demonstrated by implementing renewable energy-based solar power for a reliable power supply controlled by the  Node MCU microcontroller. The microcontroller is controlled the system by programming. Here also use an inverter, Node MCU, Battery, Solar Charge Controller. The main task of this Scheme  is that when the sun reflects on this solar panel, it will charge and save its battery. Two AC loads will run from the battery to the inverter, which can control via the Internet. DC will be converted to AC through the inverter and load. The main objective of this research is to use solar sources for load control and monitoring through the Internet. &nbsp

The Role of Food Insecurity and Dietary Diversity on Recovery from Wasting among Hospitalized Children Aged 6-23 Months in Sub-Saharan Africa and South Asia

BACKGROUND: Current guidelines for the management of childhood wasting primarily focus on the provision of therapeutic foods and the treatment of medical complications. However, many children with wasting live in food-secure households, and multiple studies have demonstrated that the etiology of wasting is complex, including social, nutritional, and biological causes. We evaluated the contribution of household food insecurity, dietary diversity, and the consumption of specific food groups to the time to recovery from wasting after hospital discharge. METHODS: We conducted a secondary analysis of the Childhood Acute Illness Network (CHAIN) cohort, a multicenter prospective study conducted in six low- or lower-middle-income countries. We included children aged 6-23 months with wasting (mid-upper arm circumference [MUAC] ≤ 12.5 cm) or kwashiorkor (bipedal edema) at the time of hospital discharge. The primary outcome was time to nutritional recovery, defined as a MUAC > 12.5 cm without edema. Using Cox proportional hazards models adjusted for age, sex, study site, HIV status, duration of hospitalization, enrollment MUAC, referral to a nutritional program, caregiver education, caregiver depression, the season of enrollment, residence, and household wealth status, we evaluated the role of reported food insecurity, dietary diversity, and specific food groups prior to hospitalization on time to recovery from wasting during the 6 months of posthospital discharge. FINDINGS: Of 1286 included children, most participants (806, 63%) came from food-insecure households, including 170 (13%) with severe food insecurity, and 664 (52%) participants had insufficient dietary diversity. The median time to recovery was 96 days (18/100 child-months (95% CI: 17.0, 19.0)). Moderate (aHR 1.17 [0.96, 1.43]) and severe food insecurity (aHR 1.14 [0.88, 1.48]), and insufficient dietary diversity (aHR 1.07 [0.91, 1.25]) were not significantly associated with time to recovery. Children who had consumed legumes and nuts prior to diagnosis had a quicker recovery than those who did not (adjusted hazard ratio (aHR): 1.21 [1.01,1.44]). Consumption of dairy products (aHR 1.13 [0.96, 1.34], p = 0.14) and meat (aHR 1.11 [0.93, 1.33]), p = 0.23) were not statistically significantly associated with time to recovery. Consumption of fruits and vegetables (aHR 0.78 [0.65,0.94]) and breastfeeding (aHR 0.84 [0.71, 0.99]) before diagnosis were associated with longer time to recovery. CONCLUSION: Among wasted children discharged from hospital and managed in compliance with wasting guidelines, food insecurity and dietary diversity were not major determinants of recovery

Hypertensive disorders in women with peripartum cardiomyopathy: insights from the ESC EORP PPCM Registry

Aims: Hypertensive disorders occur in women with peripartum cardiomyopathy (PPCM). How often hypertensive disorders co-exist, and to what extent they impact outcomes, is less clear. We describe differences in phenotype and outcomes in women with PPCM with and without hypertensive disorders during pregnancy. Methods: The European Society of Cardiology PPCM Registry enrolled women with PPCM from 2012-2018. Three groups were examined: 1) women without hypertension (‘PPCM-noHTN’); 2) women with hypertension but without pre-eclampsia (‘PPCM-HTN’); 3) women with pre-eclampsia (‘PPCM-PE’). Maternal (6-month) and neonatal outcomes were compared. Results: Of 735 women included, 452 (61.5%) had PPCM-noHTN, 99 (13.5%) had PPCM-HTN and 184 (25.0%) had PPCM-PE. Compared to women with PPCM-noHTN, women with PPCM-PE had more severe symptoms (NYHA IV in 44.4% and 29.9%, p<0.001), more frequent signs of heart failure (pulmonary rales in 70.7% and 55.4%, p=0.002), higher baseline LVEF (32.7% and 30.7%, p=0.005) and smaller left ventricular end diastolic diameter (57.4mm [±6.7] and 59.8mm [±8.1], p<0.001). There were no differences in the frequencies of death from any cause, re-hospitalization for any cause, stroke, or thromboembolic events. Compared to women with PPCM-noHTN, women with PPCM-PE had a greater likelihood of left ventricular recovery (LVEF≥50%) (adjusted OR 2.08 95% CI 1.21-3.57) and an adverse neonatal outcome (composite of termination, miscarriage, low birth weight or neonatal death) (adjusted OR 2.84 95% CI 1.66-4.87). Conclusion: Differences exist in phenotype, recovery of cardiac function and neonatal outcomes according to hypertensive status in women with PPCM