PENGGANTIAN BUNGKIL KEDELAI DENGAN PRODUK GELATINISASI CAMPURAN JAGUNG GILING-UREA DALAM RANSUM TERHADAP METABOLISME NITROGEN KAMBING KACANG (Replacement of soybean meal with gelatinized corn-urea mix in ration on nitrogen metabolism of kacang goats)

The objective of this experiment was to evaluate replacement of soybean meal with corn mixed urea gelatinize product in concentrate as supplement of goats that supress nitrogen excretion and increase N metabolism. Sixteen Kacang goats (12.839±0.49 kg of live weight) were used in Completely randomized design with four treatments and four replication. The animals were randomly allocated to receive one of the following experiment diets Gliricidia + concentrate with ratio of soybean meal and product of gelatinize mixed corn-urea that: 1) 100:0 (P0), 2) 75:25 (P1), 3) 50:50 (P2) and 4) 25:75 (P3). Ration were formulated to contain 12% CP with ratio 60 % gliricidia and 40% concentrates. The result showed that total dry matter intake was significantly influenced of treatments and average of DMI each treatment was, P2 (467.99±2.19 g/h/d), P1 (441.20±2.10 g/h/d), P0 (440.08±2.29 g/h/d) and P3 (430.43±6.11 g/h/d). Dry matter and crude protein digestibility from each treatment was, P2 (76.45±0.39% and 80.63±0.37%), P1 (67.85±0.24% and 70.10±0.18%), P0 (67.85±0.74% and 70.68±0.42%) and P3 (60.62±0.41% and 61.96±0.69%). Treatment P2 highest than other treatments. Nitrogen retention and biological value significantly influenced of the treatment. Excretion of feces and urine lowest at P2  than P1, P0 and P3. N consumption, Total N Excretion and N digested not significantly influenced of the treatment but P2 better of other treatment. It could be concluded that 50% replacement soybean meal by product gelatinize of mixed corn-urea in concentrate has positive effects on nitrogen metabolism of Kacang goats

KOMBINASI DAUN GAMAL (Gliricidia sepium) DAN DAUN PAPAYA (Carica papaya) DALAM RANSUM TERNAK KAMBING KACANG (Combination of gamal (Gliricidia sepium) and papaya (Carica papaya) leaves in ration supplement of kacang goat)

This study examined the effect of the use of gliricidia leaves and papaya leaves in rations on the growth of kacang goats. The male Kacang goat, growth age (1 - 1.5 years) as many as 12 tails with an initial body weight of 13.55 ± 0.036 kg (BW ± standard error) were used as experimental animals. The experimental design used is a complete randomized design of factorial patterns 2 x 2 with two factors, namely, gliricidia leaf factor (A) with two levels of giving (a1 15% and a2 30%), papaya leaf factor (B) with two levels of giving (b1 5% and b2 10%) so that 4 treatment combinations are formed. The combination of treatments is, a1b1, a1b2, a2b1 and a2b2. The treatment was repeated 3 times to form 12 experimental units. The parameters tested were the consumption and digesting of dry matter as well as ration nutrients, weight gain and efficiency of ration use. The data was analyzed using analysis of variance (ANOVA) and followed by the Duncan test to compare between treatments. The results showed that there was no significant interaction (P >0.05) on all the parameters measured. The response of goat to parameters is more influenced by the single effect of gliricidia leaves and papaya leaves. The response to the use of gliricidia leaves is 30% and papaya leaves are 10% higher than the level of use below. It was concluded that the use of gliricidia leaves and papaya leaves can increase goat growth but the combination has not provided a significant interaction for it requires further study with a combination of higher levels

PEMANFAATAN PRODUK UREA LEPAS LAMBAT BERBASIS TEPUNG PUTAK DALAM RANSUM SAPI BALI DI KELOMPOK PETERNAK DESA BAUMATA UTARA, KABUPATEN KUPANG

Permasalahan mitra kelompok tani ternak di desa Baumata Utara adalah rendahnya pengetahuan akan penyediaan pakan sapi yang bermutu dan dapat memenuhi kebutuhannya. Tujuan kegiatan ini adalah memberikan penyuluhan dan pelatihan tentang pembuatan produk pemasakan urea dengan tepung putak dan penggunaannya dalam pakan konsentrat sebagai suplemen ransum ternak sapi. Metode kegiatan adalah, 1) penyuluhan tentang teknologi pemasakan urea dengan tepung putak dan pemanfaatannya dalam ransum sapi; 2) praktek, pembuatan produk pemasakan urea dengan tepung putak, praktek pencampuran produk tersebut dalam pakan konsentrat dan penerapan pemberiannya sebagai pakan suplemen pada ternak sapi dan 3) evaluasi kegiatan secara umum bersama mitra untuk mendapatkan input dan feedback bagi kegiatan di waktu mendatang. Hasil kegiatan menunjukkan 1) peternak mitra sangat  antusias menerima inovasi baru di bidang penyediaan pakan bagi ternak sapi; 2) Hasil diskusi dan evaluasi verbal maupun praktek menunjukkan mitra paham dan dapat mengaplikasikannya; 3) Adanya harapan untuk keberlanjutan kegiatan sejenis di waktu mendatang. Disimpulkan bahwa kegiatan ini sangat diapresiasi oleh peternak mitra karena teknologi pemasakan urea-tepung putak dan penggunaannya dalam ransum konsentrat bagi ternak sapi yang diinformasikan ini memberi wawasan bagi peningkatan sistem pemeliharaan ternak sapi dalam pemenuhan kebutuhan gizinya. Adanya keterbukaan mitra dalam menerima inovasi baru ini. Kata kunci: Inovasi, Suplemen, Urea Lepas Lambat, Tepung Putak, Sapi Bali ABSTRACT The problem with the partners of the livestock farmer groups in Baumata Utara village is the lack of knowledge about the supply of quality cattle feed that can meet their needs. The purpose of this activity is to provide counseling and training on the manufacture of urea cooking products with putak flour and its use in concentrate feed as a supplement for cattle rations. The methods of activity are, 1) counseling on the technology for cooking urea with putak flour and its use in cow rations; 2) practice, manufacture of urea cooking products with putak flour, practice mixing these products in concentrate feed and applying it as supplementary feed for cattle and 3) general evaluation of activities with partners to get input and feedback for future activities. The results of the activity show 1) partner breeders are very enthusiastic about receiving new innovations in the field of providing feed for cattle; 2) The results of the discussion and evaluation of verbal and practice show that partners understand and can apply it; 3) There is hope for the sustainability of similar activities in the future. It is concluded that this activity is highly appreciated by partner breeders because the technology for cooking urea-putak flour and its use in concentrate rations for cattle provides insight into improving the system for raising cattle in meeting its nutritional needs. There is openness partners in accepting this new innovation Keywords: Innovation, Supplements, Slow Release Urea, Putak Flour, Bali Cattl

Efek penggunaan produk gelatinisasi empulur gewang (Corypha utan lamk) dengan urea terhadap pertumbuhan sapi bali yang mengkonsumsi rumput alam

Tujuan dari penelitian ini adalah menentukan efek penggunaan produk gelatinisasi empulur gewang dengan urea terhadap pertumbuhan sapi bali yang mendapat rumput alam sebagai ransum basal. Lima belas ekor sapi bali jantan dialokasikan untuk mendapat satu dari tiga perlakuan pemberian ransum yaitu, urea dicampur empulur gewang (R0), produk gelatinisasi empulur gewang dengan urea sebanyak 15% (R1) dan produk gelatinisasi empulur gewang dengan urea sebanyak 30% (R2). Rancangan acak lengkap digunakan sebagai rancangan percobaan dengan 3 perlakuan dan 5 ulangan. Data hasil penelitian dianalisis menggunakan analisis ragam dan uji lanjutan Duncan. Hasil penelitian menunjukkan penggunaan produk gelatinisasi empulur gewang dengan urea meningkatkan konsumsi, kecernaan, pertambahan bobot badan dan efisiensi penggunaan ransum sapi bali (P<0,01). Respon ternak sapi bali lebih tinggi pada penggunaan produk gelatinisasi empulur gewang dengan urea dalam ransum dibanding campuran empulur gewang dengan urea. Penggunaan produk gelatinisasi empulur gewang dengan urea sebanyak 30% dalam ransum nyata lebih tinggi dibanding penggunaan sebanyak 15%. Disimpulkan bahwa penggunaan produk gelatinisasi empulur gewang dengan urea sebagai suplemen dalam ransum meningkatkan konsumsi, kecernaan, pertambahan bobot badan dan efisiensi penggunaan ransum ternak sapi bali yang mengkonsumsi rumput alam dibanding penggunaan empulur gewang dicampur urea. Respon pertumbuhan tertinggi ditunjukkan ternak sapi bali yang mendapat produk gelatinisasi empulur gewang dengan urea 30% dalam ransum

Harnessing Electronic Health Records for Public Health Surveillance

Electronic medical record (EMR) systems are a rich potential source for detailed, timely, and efficient surveillance of large populations. We created the Electronic medical record Support for Public Health (ESP) system to facilitate and demonstrate the potential advantages of harnessing EMRs for public health surveillance. ESP organizes and analyzes EMR data for events of public health interest and transmits electronic case reports or aggregate population summaries to public health agencies as appropriate. It is designed to be compatible with any EMR system and can be customized to different states’ messaging requirements. All ESP code is open source and freely available. ESP currently has modules for notifiable disease, influenza-like illness syndrome, and diabetes surveillance. An intelligent presentation system for ESP called the RiskScape is under development. The RiskScape displays surveillance data in an accessible and intelligible format by automatically mapping results by zip code, stratifying outcomes by demographic and clinical parameters, and enabling users to specify custom queries and stratifications. The goal of RiskScape is to provide public health practitioners with rich, up-to-date views of health measures that facilitate timely identification of health disparities and opportunities for targeted interventions. ESP installations are currently operational in Massachusetts and Ohio, providing live, automated surveillance on over 1 million patients. Additional installations are underway at two more large practices in Massachusetts

The Factor Structure of the 4-Item Perceived Stress Scale in English Adolescents

This study investigated the factor structure, internal consistency, and known-groups validity of the 4-item Perceived Stress Scale in a large sample of 29,388 English adolescents. Results indicated that the original unidimensional structure was not viable and instead provided support for a two-factor structure. Examination of a bifactor-(S − 1) model indicated that this multidimensionality can be attributed to reverse-worded items; however, beyond method effects, these factors appear to capture distinct, though inter-related, constructs. As this multidimensional structure relies on 2-item factors, we advise use of longer versions of this measure where possible

Transitions in modes of coastal adaptation: addressing blight, engagement and sustainability

Coastal defences have long provided protection from erosion and flooding to cities, towns and villages. In many parts of the world, continued defence is being questioned due to both environmental, sustainability and economic considerations. This is exemplified in England and Wales, where strategic Shoreline Management Plans envisage realignment of many protected coasts, often with low population densities, over the coming decades. The policy transition from protection to realignment is often resisted by affected communities and can have high political costs. Whilst some preparations for such transitions have been made, the communities affected are often not fully aware of the implications of policy change, and this brings the potential for blight. In this paper, we investigate the challenges of implementing transitions in coastal policy within England and Wales. The analysis is based on data obtained from three workshops held in 2019 that were attended by council members, engineers, planners, scientists and other relevant professionals. Five conditions are found to promote contention: (i) policy actors with competing priorities and different decision making time frames (immediate to decadal to a century); (ii) divergence between regulations and ad hoc political decisions (e.g. in relation to the demand for new housing); (iii) limited or non-existent funding to support policy transition; (iv) community expectation that protection is forever; and (v) a disconnection between people and ongoing coastal change. Our research indicates that transitions can be better supported through: (1) integrated multi-scalar preparedness for coastal change; (2) an accessible evidence base and future vision to nurture political confidence in adaptation; and (3) defined, time-bound and accessible diverse funding streams to achieve transitions. Critically, these generic actions need to be embedded within the local political and planning system to facilitate transition to more sustainable coasts and their communities

Post-Transplant Outcomes in High-Risk Compared with Non-High-Risk Multiple Myeloma: A CIBMTR Analysis.

Conventional cytogenetics and interphase fluorescence in situ hybridization (FISH) identify high-risk multiple myeloma (HRM) populations characterized by poor outcomes. We analyzed these differences among HRM versus non-HRM populations after upfront autologous hematopoietic cell transplantation (autoHCT). Between 2008 and 2012, 715 patients with multiple myeloma identified by FISH and/or cytogenetic data with upfront autoHCT were identified in the Center for International Blood and Marrow Transplant Research database. HRM was defined as del17p, t(4;14), t(14;16), hypodiploidy (-Y) or chromosome 1 p and 1q abnormalities; all others were non-HRM. Among 125 HRM patients (17.5%), induction with bortezomib and immunomodulatory agents (imids) was higher compared with non-HRM (56% versus 43%, P \u3c .001) with similar pretransplant complete response (CR) rates (14% versus 16%, P .1). At day 100 post-transplant, at least a very good partial response was 59% in HRM and 61% in non-HRM (P = .6). More HRM patients received post-transplant therapy with bortezomib and imids (26% versus 12%, P = .004). Three-year post-transplant progression-free (PFS) and overall survival (OS) rates in HRM versus non-HRM were 37% versus 49% (P \u3c .001) and 72% versus 85% (P \u3c .001), respectively. At 3 years, PFS for HRM patients with and without post-transplant therapy was 46% (95% confidence interval [CI], 33 to 59) versus 14% (95% CI, 4 to 29) and in non-HRM patients with and without post-transplant therapy 55% (95% CI, 49 to 62) versus 39% (95% CI, 32 to 47); rates of OS for HRM patients with and without post-transplant therapy were 81% (95% CI, 70 to 90) versus 48% (95% CI, 30 to 65) compared with 88% (95% CI, 84 to 92) and 79% (95% CI, 73 to 85) in non-HRM patients with and without post-transplant therapy, respectively. Among patients receiving post-transplant therapy, there was no difference in OS between HRM and non-HRM (P = .08). In addition to HRM, higher stage, less than a CR pretransplant, lack of post-transplant therapy, and African American race were associated with worse OS. In conclusion, we show HRM patients achieve similar day 100 post-transplant responses compared with non-HRM patients, but these responses are not sustained. Post-transplant therapy appeared to improve the poor outcomes of HRM