205 research outputs found

    Performance of rice under different water regimes and plant nutrient sources

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    Field experiment was carried out at the Soil and Irrigation Research Centre, University of Ghana, Kpong in 2015 and 2016 cropping seasons to evaluate the effect of different soil water condition and plant nutrient sources on the growth and yield of rice. The experiment was laid out in a split plot design with three replications. Water regime and nutrient source were the main and sub-plot factors, respectively. Water regimes included; continuous flooding (CS), alternate wetting and drying (AWD) and moist soil condition between field capacity and permanent wilting point (MC) while the nutrient fertilizer treatments included no fertilizer (N0), 90 kg N/ha mainly from urea fertilizer (N1), 90 kg N/ha from 12.8 tons of compost (N2) and 45 kg N/ha from urea fertilizer + 45 kg N/ha from 6.4 tons of compost (N3). Results from the study revealed that keeping the soil periodically in aerobic and anaerobic condition through AWD method of water management recorded similar growth and grain yield of rice as with complete submergence of paddy field. Combination of inorganic fertilizer and compost for each to supply 45 kg N/ha under AWD produced the highest rice growth and grain yield. There was a positive and significant correlation between grain yield and growth parameters (plant height, chlorophyll content and above ground biomass accumulation).

    Sustainable Small Ruminant Production in Low- and Middle-Income African Countries: Harnessing the Potential of Agroecology

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    The role of small ruminant production in achieving sustainable and resilient food systems in low- and middle-income countries (LMICs) is yet to be fully explored or incorporated into current agroecological practices and policies. This review examines the principles and practices of agroecology, focusing on circular food systems and the sociopolitical aspects of their implementation for small ruminant production in LMICs. It discusses Gliessman’s five levels of agroecological transition and eight principles for integrating small ruminant production into agroecology: input reduction, animal health, soil health, biodiversity, recycling, synergy, economic diversification, and co-creation of knowledge. The review highlights that, while there are differing interpretations in the scientific literature, there is a growing consensus that agroecological practices applied to small ruminant production have the potential to improve integration and self-sufficiency in farming systems, improve animal health, reduce reliance on external inputs, and promote circularity and biodiversity. This reinforces the view that agroecological approaches to small ruminant production can foster a sustainable and interconnected system that strengthens the relationships between animals, plants, and the environment and enhances circularity. To achieve successful implementation and widespread adoption of these approaches, it is crucial to facilitate greater collaboration and cocreation of knowledge among small ruminant farmers and stakeholders in the small ruminant livestock industry

    "The Great Event of the Fortnight”: Steamship Rhythms and Colonial Communication

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    This paper engages with Tim Cresswell’s ‘contellations of mobility’ in order to contribute some understanding of historical maritime rhythms. The empirical focus is upon a steamship mail service in the post-emancipation Caribbean. In examining this communications network, it is stressed that while those managing the network valorised predictable efficiency, ‘friction’ was prized by mercantile groups at the steamers’ ports of call. Thus, the different aspects of mobility signified differently across the network, and this historical case study reinforces the resonance of slowness and stoppage time. The synchronisation of steamship arrivals with sociocultural norms in the Caribbean colonies also necessitated the adaptation of mail service rhythms. Through a focus on shipping operations, this paper proposes to temper our understanding of the role of steamship technology in empire. The influence of colonies on the metropole encompassed an alteration of the rhythms of imperial circulation, and it is within the maritime arena that these realities came into sharp focus

    Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women

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    Publisher's version, source: http://doi.org/10.1186/s12884-016-0932-x.BACKGROUND Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital. METHODS Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Trust, Norway. A total of 485 women with no expressed preference for level of birth care, assessed to be at low-risk at onset of spontaneous labor were included. To assess the overall satisfaction with intrapartum care, the Labour and Delivery Satisfaction Index (LADSI) questionnaire, was sent to the participants 6 months after birth. To assess women’s experience with intrapartum transfer, four additional items were added. In addition, we tested the effects of the following aspects on satisfaction; obstetrician involved, intrapartum transfer from the midwifery unit to the obstetric unit during labor, mode of delivery and epidural analgesia. RESULTS Women randomized to the midwifery unit were significantly more satisfied with intrapartum care than those randomized to the obstetric unit (183 versus 176 of maximum 204 scoring points, mean difference 7.2, p = 0.002). No difference was found between the units for women who had an obstetrician involved during labor or delivery and who answered four additional questions on this aspect (mean item score 4.0 at the midwifery unit vs 4.3 at the obstetric unit, p = 0.3). Intrapartum transfer from the midwifery unit to an obstetric unit, operative delivery and epidurals influenced the level of overall satisfaction in a negative direction regardless of allocated unit (p < 0.001). CONCLUSION Low-risk women with no expressed preference for level of birth care were more satisfied if allocated to the midwifery unit compared to the obstetric unit. TRIAL REGISTRATION The trial is registered at www.​clinicaltrials.​gov NCT00857129. Initially released 03/05/2009

    The RESPITE trial: remifentanil intravenously administered patient-controlled analgesia (PCA) versus pethidine intramuscular injection for pain relief in labour: study protocol for a randomised controlled trial

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    Background The commonest opioid used for pain relief in labour is pethidine (meperidine); however, its effectiveness has long been challenged and the drug has known side effects including maternal sedation, nausea and potential transfer across the placenta to the foetus. Over a third of women receiving pethidine require an epidural due to inadequate pain relief. Epidural analgesia increases the risk of an instrumental vaginal delivery and its associated effects. Therefore, there is a clear need for a safe, effective, alternative analgesic to pethidine. Evidence suggests that remifentanil patient-controlled analgesia (PCA) reduces epidural conversion rates compared to pethidine; however, no trial has yet investigated this as a primary endpoint. We are, therefore, comparing pethidine intramuscular injection to remifentanil PCA in a randomised controlled trial. Methods/design Women in established labour, requesting systemic opioid pain relief, will be randomised to either intravenously administered remifentanil PCA (intervention) or pethidine intramuscular injection (control) in an unblinded, 1:1 individual randomised trial. Following informed consent, 400 women in established labour, who request systemic opioid pain relief, from NHS Trusts across England will undergo a minimised randomisation by a computer or automated telephone system to either pethidine or remifentanil. In order to balance the groups this minimisation is based on four parameters; parity (nulliparous versus multiparous), maternal age (<20, 20 < 30, 30 < 40, 40+ years), ethnicity (South Asian (Pakistani/Indian/Bangladeshi) versus Other) and induced versus spontaneous labour. The effectiveness of pain relief provided by each technique will be recorded every 30 min after time zero, until epidural placement, delivery or transfer to theatre, quantified by Visual Analogue Scale. Incidence of maternal side effects including sedation, delivery mode, foetal distress requiring delivery, neonatal status at delivery and rate of initiation of breastfeeding within the first hour of birth will also be recorded. Maternal satisfaction with her childbirth experience will be determined by a postpartum questionnaire prior to discharge from the delivery ward. Discussion The RESPITE trial’s primary outcome is the proportion of women who have an epidural placed for pain relief in labour in each arm. Trial Registration Current Controlled Trials registration number: ISRCTN29654603. Registered on 23 July 2013

    Towards a Common Lexicon for Equity, Diversity, and Inclusion Work in Academic Medicine

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    Differential rewarding of work and experience has been a longtime feature of academic medicine, resulting in a series of academic disparities. These disparities have been collectively called a cultural or minority tax, and, when considered beyond academic medicine, exist across all departments, colleges, and schools of institutions of higher learning-from health sciences to disciplines located on university campuses outside of medicine and health. A shared language can provide opportunities for those who champion this work to pool resources for larger impacts across the institution. This article aims to catalog the terms used across academic medicine disciplines to establish a common language describing the inequities experienced by Black, Latinx, American Indian/Alaska Native and Native Hawaiian/Other Pacific Islander, Women, and other underrepresented people as well as queer, disabled, and other historically marginalized or excluded groups. These ideas are specific to academic medicine in the United States, although many can be used in academic medicine in other countries. The terms were selected by a team of experts in equity, diversity, and inclusion, (EDI) who are considered national thought leaders in EDI and collectively have over 100 years of scholarship and experience in this area

    Remifentanil patient controlled analgesia versus epidural analgesia in labour. A multicentre randomized controlled trial

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    Contains fulltext : 109349.pdf (publisher's version ) (Open Access)ABSTRACT: BACKGROUND: Pain relief during labour is a topic of major interest in the Netherlands. Epidural analgesia is considered to be the most effective method of pain relief and recommended as first choice. However its uptake by pregnant women is limited compared to other western countries, partly as a result of non-availability due to logistic problems. Remifentanil, a synthetic opioid, is very suitable for patient controlled analgesia. Recent studies show that epidural analgesia is superior to remifentanil patient controlled analgesia in terms of pain intensity score; however there was no difference in satisfaction with pain relief between both treatments. METHODS/DESIGN: The proposed study is a multicentre randomized controlled study that assesses the cost-effectiveness of remifentanil patient controlled analgesia compared to epidural analgesia. We hypothesize that remifentanil patient controlled analgesia is as effective in improving pain appreciation scores as epidural analgesia, with lower costs and easier achievement of 24 hours availability of pain relief for women in labour and efficient pain relief for those with a contraindication for epidural analgesia.Eligible women will be informed about the study and randomized before active labour has started. Women will be randomly allocated to a strategy based on epidural analgesia or on remifentanil patient controlled analgesia when they request pain relief during labour. Primary outcome is the pain appreciation score, i.e. satisfaction with pain relief.Secondary outcome parameters are costs, patient satisfaction, pain scores (pain-intensity), mode of delivery and maternal and neonatal side effects.The economic analysis will be performed from a short-term healthcare perspective. For both strategies the cost of perinatal care for mother and child, starting at the onset of labour and ending ten days after delivery, will be registered and compared. DISCUSSION: This study, considering cost effectiveness of remifentanil as first choice analgesia versus epidural analgesia, could strongly improve the care for 180.000 women, giving birth in the Netherlands yearly by giving them access to pain relief during labour, 24 hours a day. TRIAL REGISTRATION NUMBER: Dutch Trial Register NTR2551, http://www.trialregister.nl
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