Is a cooperative approach to seaweed farming effectual? An analysis of the seaweed cluster project (SCP), Malaysia

Seaweed (Kappaphycus spp.) farming has been practised in Malaysia since the late 1970s following government policy incentives (training and farming inputs). However, numerous governance, economic, environmental, technological and sociocultural challenges have limited the industry from achieving its full potential. The Seaweed Cluster Project (SCP) was introduced in 2012 to address some of these challenges. We sought to evaluate the effectiveness of the SCP in delivering its central objectives of increasing seaweed production, optimising the farming area, improving seaweed quality and farming efficiency, raising farmers’ income, and reducing the environmental impact of seaweed farming. Community and industry perceptions of the SCP were obtained from seven communities using a mixed-methods approach based on face-to-face semi-structured interviews, focus group discussions, household surveys, observation and secondary data. Views on the SCP outcomes were generally negative, including low take-up rates by indigenous people, poor stakeholder participation in decision-making, limited acceptance of new technologies, economic vulnerability, a complex marketing system, and low social cohesion of seaweed farming communities. Positive perceptions included recognition that the SCP confers high social status upon a community, reduces operating costs, and facilitates the production of certified seaweed. The SCP’s problems are linked to poor multi-level governance, weak market mechanisms and unintegrated community development. The study concludes with five recommendations to improve the SCP: promote the participation of indigenous people; legalise existing migrant farmers; strengthen local seaweed cooperative organisations; provide entrepreneurship skills to farmers; and fully integrate stakeholders into decision-making

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Development and validation of the motivations for selection of medical study (MSMS) questionnaire in India

Background and Objective Understanding medical students' motivation to select medical studies is particularly salient to inform practice and policymaking in countries-such as India-where shortage of medical personnel poses crucial and chronical challenges to healthcare systems. This study aims to develop and validate a questionnaire to assess the motivation of medical students to select medical studies. Methods A Motivation for Selection of Medical Study (MSMS) questionnaire was developed using extensive literature review followed by Delphi technique. The scale consisted of 12 items, 5 measuring intrinsic dimensions of motivations and 7 measuring extrinsic dimensions. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), validity, reliability and data quality checks were conducted on a sample of 636 medical students from six medical colleges of three North Indian states. Results The MSMS questionnaire consisted of 3 factors (subscales) and 8 items. The three principal factors that emerged after EFA were the scientific factor (e.g. research opportunities and the ability to use new cutting edge technologies), the societal factor (e.g. job security) and the humanitarian factor (e.g. desire to help others). The CFA conducted showed goodnessof-fit indices supporting the 3-factor model. Conclusion The three extracted factors cut across the traditional dichotomy between intrinsic and extrinsic motivation and uncover a novel three-faceted motivation construct based on scientific factors, societal expectations and humanitarian needs. This validated instrument can be used to evaluate the motivational factors of medical students to choose medical study in India and similar settings and constitutes a powerful tool for policymakers to design measures able to increase selection of medical curricula

Performance measurement of a new concept reciprocating piston expander (RPE) using a newly developed small-scale dynamometer unit

This paper presents the progress of a small-scale dynamometer prototype development for performance measurement of a reciprocating piston expander (RPE). Since the available dynamometer systems in the market are limited to specific applications that require for the customization, their price normally very expensive. Since the current study on the RPE required a dynamometer unit, therefore, a new and cheaper dynamometer prototype that was suitable for RPE application has been developed. Using air as RPE working fluid, a case study has been carried out to measure its performance at different inlet fluid conditions, i.e., within 20°C–140°C and 3–5 bars. The results observed that the performance of RPE was proportionally increased to the increased of inlet fluid pressure and temperature. The maximum brake power produced was 27 Watt when the RPE operated at 140°C, 5 bars and the speed of 820 rpm. It also revealed that the changes in the pressure of inlet fluid can give significant change on the performance of the RPE due to its direct relation to the RPE actual rotating force. Although the RPE and dynamometer seem good being adapted to each other, both of them require some improvements to ensure both systems well operated and reliable

Performance measurement of a new concept reciprocating piston expander (RPE) using a newly developed small-scale dynamometer unit

This paper presents the progress of a small-scale dynamometer prototype development for performance measurement of a reciprocating piston expander (RPE). Since the available dynamometer systems in the market are limited to specific applications that require for the customization, their price normally very expensive. Since the current study on the RPE required a dynamometer unit, therefore, a new and cheaper dynamometer prototype that was suitable for RPE application has been developed. Using air as RPE working fluid, a case study has been carried out to measure its performance at different inlet fluid conditions, i.e., within 20°C–140°C and 3–5 bars. The results observed that the performance of RPE was proportionally increased to the increased of inlet fluid pressure and temperature. The maximum brake power produced was 27 Watt when the RPE operated at 140°C, 5 bars and the speed of 820 rpm. It also revealed that the changes in the pressure of inlet fluid can give significant change on the performance of the RPE due to its direct relation to the RPE actual rotating force. Although the RPE and dynamometer seem good being adapted to each other, both of them require some improvements to ensure both systems well operated and reliable