Implementation of Article 64 Paragraph (1) Law Number 22 of 2009 Concerning Road Traffic and Transport for Rice Mill Car in District of Ponorogo

The provisions concerning the approval of vehicles to be allowed path has been set in the LawNo. 22 Year 2009 on Road Traffic and Road Transportation. In Article 64 Paragraph (1) statesthat every motor vehicle must be registered. Today in Ponorogo, there are new types of motorvehicles are driven without any prior registration process. The vehicle called rice mill car. Policehave not been able to implement this registration rule because there are no special regulations forrice mill car in Ponorogo. These regulations may contain about the type of test that later allowedthe vehicle to be driven on the road.Key Word: Registrastion, vehicles

Strengths, Weaknesses, Opportunities and Threats of a Community-based Egg Program in Rural Honduras

Background Young children living in poor rural areas in Honduras are susceptible to suffering from undernutrition. About 1 in every 4 children under age 5 have stunting. Stunting during early childhood has negative consequences on an individual\u27s life that can have short-term and lasting effects. This study\u27s purpose was to explore the perceptions of the mothers of children that participate in a community-based nutrition-agriculture program that offers 1 egg daily to all children ages 6 to 24 months in 13 communities. Methods Using community-engaged methods, we implemented a SWOT analysis to identify strengths, weaknesses, opportunities, and threats using a semi-structured guide to conduct in-depth interviews in n = 14 participating mothers in the Hens Hatching Hope project (ClinicalTrials.gov Identifier: NCT04721197). Interviews were performed by a local community health worker in Spanish, translated to English, and analyzed via content analysis by a researcher. Main themes were identified and synthesized. Results Some of the identified strengths were the “improved community access to eggs” and “financial assistance that offset burdening household expenses”. For weaknesses “expansion of program age eligibility to accommodate multi-child households” and “no control over parent\u27s use of eggs”. For opportunities “Implementation of external community resources” and “improve water and sanitation initiatives”, for threats “changes in political climate” and “frail farm infrastructure”. Conclusions Perception of the program is positive among all mother participants. This analysis identified multiple strengths and opportunities to 1) improve the program locally, and 2) expand the program\u27s scope and reach. Further, this analysis identified weaknesses and potential threats that will serve to modify and improve the delivery and uptake of the intervention. Key messages • Explore program strengths, weaknesses, opportunities, and threats perceived by particpating mothers of a community-based nutrition agriculture program that provides 1 egg a day to their child\u27s diet. • The swot analysis of participating mothers’ interviews serves in the developing contingency plans to continue the Hens Hatching Hope program

Multi-echo quantitative susceptibility mapping: how to combine echoes for accuracy and precision at 3 Tesla

MRI; Multi-echo QSM; Quantitative susceptibility mappingImágen por resonancia magnética; QSM de ecos múltiples; Mapeo cuantitativo de susceptibilidadImatge per ressonància magnètica; QSM de ressò múltiple; Mapeig quantitatiu de susceptibilitatPurpose To compare different multi-echo combination methods for MRI QSM. Given the current lack of consensus, we aimed to elucidate how to optimally combine multi-echo gradient-recalled echo signal phase information, either before or after applying Laplacian-base methods (LBMs) for phase unwrapping or background field removal. Methods Multi-echo gradient-recalled echo data were simulated in a numerical head phantom, and multi-echo gradient-recalled echo images were acquired at 3 Tesla in 10 healthy volunteers. To enable image-based estimation of gradient-recalled echo signal noise, 5 volunteers were scanned twice in the same session without repositioning. Five QSM processing pipelines were designed: 1 applied nonlinear phase fitting over TEs before LBMs; 2 applied LBMs to the TE-dependent phase and then combined multiple TEs via either TE-weighted or SNR-weighted averaging; and 2 calculated TE-dependent susceptibility maps via either multi-step or single-step QSM and then combined multiple TEs via magnitude-weighted averaging. Results from different pipelines were compared using visual inspection; summary statistics of susceptibility in deep gray matter, white matter, and venous regions; phase noise maps (error propagation theory); and, in the healthy volunteers, regional fixed bias analysis (Bland–Altman) and regional differences between the means (nonparametric tests). Results Nonlinearly fitting the multi-echo phase over TEs before applying LBMs provided the highest regional accuracy of and the lowest phase noise propagation compared to averaging the LBM-processed TE-dependent phase. This result was especially pertinent in high-susceptibility venous regions. Conclusion For multi-echo QSM, we recommend combining the signal phase by nonlinear fitting before applying LBMs.Supported by the UK Engineering and Physical Sciences Research Council (EPSRC), award number: 1489882 (e.b.); by the EPSRC-funded UCL Centre for Doctoral Training in Medical Imaging, grant EP/L016478/1 (a.k.), and the Department of Health's National Institute for Health Research funded Biomedical Research Centre at University College London Hospitals (a.k.); by the UCL Leonard Wolfson Experimental Neurology Centre, grant PR/ylr/18575 (d.l.t) The Queen Square MS Centre, where part of the MRI scans for this work were performed, is supported by grants from the UK MS Society and by the National Institute for Health Research University College London Hospitals Biomedical Research Centre (UCLH/BRC). F. Grussu was supported by PREdICT, a study at the Vall d'Hebron Institute of Oncology in Barcelona funded by AstraZeneca (f.g.), and funding from the postdoctoral fellowships program Beatriu de Pinós (2020 BP 00117), funded by the Secretary of Universities and Research, Government of Catalonia (f.g.

Invigorasi Benih Padi Gogo Lokal untuk Meningkatkan Vigor dan Mengatasi Permasalahan Dormansi Fisiologis Pascapanen

The objective of this research was to evaluate the effect of seed invigoration on improving seed viability and vigor, and to overcome problems of postharvest physiological dormancy of upland rice seed. The research was conducted from February to June 2011 at Agrotechnology Laboratory, Faculty of Agriculture, Halu Oleo University. The experiment used randomized complete design which consisted of 13 treatments, i.e control (G0), Hidration-Dehidration (G1), Matriconditioning using ground brick (G2), Matriconditioning using ground burned-rice husk (G3), Bacillus CKD061 (G4), P. fluorescens PG01 (G5), Serratia CMN175 (G6), Biomatriconditioning using ground brick + Bacillus CKD061 (G7), Biomatriconditioning using ground brick + P. fluorescens PG01 (G8), Biomatriconditioning using ground brick + Serratia CMN175 (G9), Biomatriconditioning using ground burned-rice husk + Bacillus CKD061 (G10), Biomatriconditioning using ground burned-rice husk + P. fluorescens PG01 (G11), Biomatriconditioning using ground burned-rice husk + Serratia CMN175 (G12). Each treatment was replicated three times, therefore, overall there were 36 experimental units. Data obtained were analyzed using analysis of variance and followed with Duncan's Multiple Range Test. The research results showed that bio-invigoration treatments integrated with rhizobacteria were effective to overcome the problems of postharvest physiological dormancy when local upland rice seeds were harvested. In addition, this treatment was also able to increase viability and vigour of the seed. Among treatments tested, the use of Bacillus sp. CKD061 or P. fluorescens PG01, either independently or integrated with matriconditioning using ground brick or ground burned- rice husk was more effective in improving viability and vigour of local upland rice seed compared to other treatments

Introduction of organised mammography screening in tyrol: results of a one-year pilot phase

Background: Efficiency and efficacy of organised mammography screening programs have been proven in large randomised trials. But every local implementation of mammography screening has to check whether the well established quality standards are met. Therefore it was the aim of this study to analyse the most common quality indices after introducing organised mammography screening in Tyrol, Austria, in a smooth transition from the existing system of opportunistic screening. Methods: In June 2007, the system of opportunistic mammography screening in Tyrol was changed to an organised system by introducing a personal invitation system, a training program, a quality assurance program and by setting up a screening database. All procedures are noted in a written protocol. Most EU recommendations for organised mammography screening were followed, except double reading. All women living in Tyrol and covered by social insurance are now invited for a mammography, in age group 40-59 annually and in age group 60-69 biannually. Screening mammography is offered mainly by radiologists in private practice. We report on the results of the first year of piloting organised mammography screening in two counties in Tyrol. Results: 56,432 women were invited. Estimated participation rate was 34.5% at one year of follow-up (and 55.5% at the second year of follow-up); 3.4% of screened women were recalled for further assessment or intermediate screening within six months. Per 1000 mammograms nine biopsies were performed and four breast cancer cases detected (N = 68). Of invasive breast cancer cases 34.4% were ≤ 10 mm in size and 65.6% were node-negative. In total, six interval cancer cases were detected during one year of follow-up; this is 19% of the background incidence rate. Conclusions: In the Tyrolean breast cancer screening program, a smooth transition from a spontaneous to an organised mammography screening system was achieved in a short time and with minimal additional resources. One year after introduction of the screening program, most of the quality indicators recommended by the European guidelines had been reached. However, it will be necessary to introduce double reading, to change the rule for BI-RADS 3, and to concentrate on actions toward improving the participation rate

European guidelines for quality assurance in colorectal cancer screening and diagnosis: overview and introduction to the full supplement publication

Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010. They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines.Fil: Arrossi, Silvina. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: von Karsa, Lawrence. International Agency for Research on Cancer; FranciaFil: Patrick, J.. NHS Cancer Screening Programmes Sheffield; Reino Unido. University of Oxford; Reino UnidoFil: Segnan, N.. International Agency for Research on Cancer; Francia. AO Città della Salute e della Scienza di Torino; ItaliaFil: Atkin, W.. Imperial College London; Reino UnidoFil: Halloran, S.. University of Surrey; Reino UnidoFil: Saito, H.. National Cancer Centre; JapónFil: Sauvaget, C.. International Agency for Research on Cancer; FranciaFil: Scharpantgen, A.. Ministry of Health; LuxemburgoFil: Schmiegel, W.. Ruhr-Universität Bochum; AlemaniaFil: Senore, C.. AO Città della Salute e della Scienza di Torino; ItaliaFil: Siddiqi, M.. Cancer Foundation of India; IndiaFil: Sighoko, D.. University of Chicago; Estados Unidos. Formerly International Agency for Research on Cancer; FranciaFil: Smith, R.. American Cancer Society; Estados UnidosFil: Smith S.. University Hospitals Coventry & Warwickshire NHS Trust; Reino UnidoFil: Suchanek, S.. Charles University; República ChecaFil: Suonio, E.. International Agency for Research on Cancer; FranciaFil: Tong, W.. Chinese Academy of Sciences; República de ChinaFil: Törnberg, S.. Stockholm Gotland Regional Cancer Centre. Department of Cancer Screening; SueciaFil: Van Cutsem, E.. Katholikie Universiteit Leuven; BélgicaFil: Vignatelli, L.. Agenzia Sanitaria e Sociale Regionale; ItaliaFil: Villain, P.. University of Oxford; Reino UnidoFil: Voti, L.. Formerly International Agency for Research on Cancer; Francia. University of Miami; Estados UnidosFil: Watanabe, H.. Niigata University; JapónFil: Watson, J.. University of Oxford; Reino UnidoFil: Winawer, S.. Memorial Sloan–Kettering Cancer Center; Estados UnidosFil: Young, G.. Flinders University. Gastrointestinal Services; AustraliaFil: Zaksas, V.. State Patient Fund; LituaniaFil: Zappa, M.. Cancer Prevention and Research Institute; ItaliaFil: Valori, R.. NHS Endoscopy; Reino Unid

Breast cancer screening in the Czech Republic: time trends in performance indicators during the first seven years of the organised programme

<p>Abstract</p> <p>Background</p> <p>The Czech Breast Cancer Screening Programme (CBCSP) was initiated in September 2002 by establishing a network of accredited centres. The aim of this article is to describe progress in the programme quality over time after the inception of the organised programme.</p> <p>Methods</p> <p>The CBCSP is monitored using an information system consisting of three principal components: 1) the national cancer registry, 2) a screening registry collecting data on all screening examinations, further assessments and final diagnoses at accredited programme centres, and 3) administrative databases of healthcare payers. Key performance indicators from the European Guidelines have been adopted for continuous monitoring.</p> <p>Results</p> <p>Breast cancer incidence in the Czech Republic has steadily been increasing, however with a growing proportion of less advanced stages. The mortality rate has recently stabilised. The screening registry includes 2,083,285 records on screening episodes between 2002 and 2008. In 2007-2008, 51% of eligible women aged 45-69 were screened. In 2008, the detection rates were 6.1 and 3.7 per 1,000 women in initial and subsequent screening respectively. Corresponding recall rates are 3.9% and 2.2%, however, it is necessary to pay attention to further assessment performed during the screening visits. Benign to malignant open biopsy ratio was 0.1. Of invasive cases detected in screening, 35.6% was less than 10 mm in diameter. Values of early performance indicators, as measured by both crude and standardized estimates, are generally improving and fulfil desirable targets set by European Guidelines.</p> <p>Conclusions</p> <p>Mammography screening in the Czech Republic underwent successful transformation from opportunistic prevention to an organised programme. Values of early indicators confirm continuous improvement in different aspects of process quality. Further stimulation of participation through invitation system is necessary to exploit the full potential of screening mammography at the population level.</p

Knowledge and attitudes of primary health care physicians and nurses with regard to population screening for colorectal cancer in Balearic Islands and Barcelona

<p>Abstract</p> <p>Background</p> <p>Primary health care (PHC) professionals play a key role in population screening of colorectal cancer. The purposes of the study are: to assess knowledge and attitudes among PHC professionals with regard to colorectal cancer screening, as well as the factors that determine their support for such screening.</p> <p>Methods</p> <p>Questionnaire-based survey of PHC physicians and nurses in the Balearic Islands and in a part of the metropolitan area of Barcelona.</p> <p>Results</p> <p>We collected 1,219 questionnaires. About 84% of all professionals believe that screening for colorectal cancer by fecal occult blood test (FOBT) is effective. Around 68% would recommend to their clients a colorectal cancer screening program based on FOBT and colonoscopy. About 31% are reluctant or do not know. Professionals perceive the fear of undergoing a colonoscopy as the main obstacle in getting patients to participate, and the invasive nature of this test is the main reason behind their resistance to this program. The main barriers to support the screening program among PHC professionals are lack of knowledge (nurses) and lack of time (physicians). On multivariate analysis, the factors associated with reluctance to recommend colorectal cancer screening were: believing that FOBT has poor sensitivity and is complicated; that colonoscopy is an invasive procedure; that a lack of perceived benefit could discourage client participation; that only a minority of clients would participate; thinking that clients are fed up with screening tests and being unaware if they should be offered something to ensure their participation in the programme.</p> <p>Conclusions</p> <p>Two in every three PHC professionals would support a population screening program for colorectal cancer screening. Factors associated with reluctance to recommend it were related with screening tests characteristics as sensitivity and complexity of FOBT, and also invasive feature of colonoscopy. Other factors were related with patients' believes.</p

Annex to Quirke et al. Quality assurance in pathology in colorectal cancer screening and diagnosis: annotations of colorectal lesions

Multidisciplinary, evidence-based European Guidelines for quality assurance in colorectal cancer screening and diagnosis have recently been developed by experts in a pan-European project coordinated by the International Agency for Research on Cancer. The full guideline document includes a chapter on pathology with pan-European recommendations which take into account the diversity and heterogeneity of health care systems across the EU. The present paper is based on the annex to the pathology chapter which attempts to describe in greater depth some of the issues raised in the chapter in greater depth, particularly details of special interest to pathologists. It is presented here to make the relevant discussion known to a wider scientific audience