Effects of Extension Services on the Technical Efficiency of Rice Farmers in Albay, 2014-2015

Through the Farmers Information and Technology Services (FITS) program, extension services in the form of trainings and seminars, and education and communication materials were provided to rice farmers in Albay. Using farm-level input-output data covering the wet season of 2014 and the socio-economic and farm-specific characteristics of randomly sampled 30 farmer beneficiaries and 30 non-beneficiaries, a stochastic production function and technical inefficiency model were estimated. Results of the study reveal that beneficiaries have higher input utilization, yield and technical efficiency than non-beneficiaries. Furthermore, the amount of seed and fertilizer significantly and positively affects the yield of rice. In addition, the number of trainings and seminars attended, number of information, education and communication (IEC) materials availed, and distance of farms to FITS center are the significant determinants of technical inefficiency. The problems encountered in rice production are the occurrences of typhoons and floods, high cost of inputs, insufficient capital, pest infestation and limited knowledge of new farming technologies. It is recommended that non-beneficiaries be encouraged to participate in FITS program and form farmers’ association, irrigators’ association or cooperative, as well as monitor the performance of farmer beneficiaries

Patellofemoral Full-Thickness Chondral Defects Treated With Second-Generation Autologous Chondrocyte Implantation Results at 5 Years’ Follow-up

BACKGROUND: Patellofemoral lesions represent a very troublesome condition to treat for orthopaedic surgeons; however, second-generation autologous chondrocyte implantation (ACI) seems to offer an interesting treatment option with satisfactory results at short-term follow-up. HYPOTHESIS: Hyaluronan-based scaffold seeded with autologous chondrocytes is a viable treatment for the damaged articular surface of the patellofemoral joint. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Among a group of 38 patients treated for full-thickness patellofemoral chondral lesions with second-generation ACI, we investigated 34 who were available for final follow-up at 5 years. These 34 had chondral lesions with a mean size of 4.45 cm(2). Twenty-one lesions were located on the patella, 9 on the trochlea, and 4 patients had multiple lesions: 3 had patellar and trochlear lesions, and 1 had patellar and lateral femoral condyle lesions. Twenty-six lesions (76.47%) were classified as International Cartilage Repair Society (ICRS) grade IV A or B, 5 lesions (14.70%) were grade IIIC, and 3 (8.82%) were lesions secondary to osteochondritis dissecans (OCD). Results were evaluated using the International Knee Documentation Committee (IKDC) 2000 subjective and objective scores, EuroQol (EQ) visual analog scale (VAS), and Tegner scores at 2 and 5 years. Eight patients had second-look arthroscopy and biopsies. RESULTS: All the scores used demonstrated a statistically significant improvement (P < .0005) at 2 and 5 years' follow-up. Objective preoperative data improved from 8 of 34 (23.52%) normal or nearly normal knees to 32 of 34 (94.12%) at 2 years and 31 of 34 (91.17%) at 5 years after transplantation. Mean subjective scores improved from 46.09 points preoperatively to 77.06 points 2 years after implantation and 70.39 at 5 years. The Tegner score improved from 2.56 to 4.94 and 4.68, and the EQ VAS improved from 56.76 to 81.47 and 78.23 at 2 and 5 years' follow-up, respectively. A significant decline of IKDC subjective and Tegner scores was found in patients with multiple and patellar lesions from 2 to 5 years' follow-up. Second-look arthroscopies in 8 cases revealed the repaired surface to be nearly normal with biopsy samples characterized as hyaline-like in appearance. CONCLUSION: Hyaluronan-based scaffold seeded with autologous chondrocytes can be a viable treatment for patellofemoral chondral lesions