Evaluation of Electrostatic Particle Ionization and BioCurtain Technologies to Reduce Dust, Odor and other Pollutants from Broiler Houses Final Report

Confined poultry production has increased in Texas and along with it, complaints of odor and dust. These issues are a major problem in the United States not only for confined animal health but also for the increasing urban migration to the rural areas where the poultry industry is expanding. Particulate matter and volatile organic compound (VOC) produced in the poultry houses can be offensive to neighbors, and if not properly vented, pose a serious health hazard to the animals. Some technologies available attempt to strike a balance between reducing poultry house emissions and maintaining bird health; however there is a lack of sufficient pollutant- reduction data to make a sound fiscal judgment in the implementation of this equipment. Two possible management tools that have shown promise and were chosen for evaluation during this project were an Electrostatic Particle Ionization (EPI™) system and a BioCurtain™. The EPI™ system includes an antenna-like array of wire strung through the poultry house with a small electric charge running through it. The resulting electric field ionizes the particulate matter suspended in the air, causing it to attract to grounded materials. The BioCurtain™ consists of a black geotextile fabric stretched over a quadrant-shaped, metal frame skeleton, and placed over the exhaust fans of the poultry houses. Air moving out of the house flows down along the top of the quadrant and particulate matter settles out on the ground. The air, without the particulate matter, then flows vertically out through the top of the BioCurtain™. This project tested the effectiveness of a BioCurtain™ and Electrostatic Particle Ionization (EPI™) system in reducing NH3, H2S, and TSP emissions from a broiler house during short periods in September and December 2010. This project found: 1) A reduction of about 9%, in the emission of NH3 and H2S gases (1060 vs. 960 g/hr for NH3 and 9.3 vs. 8.5 g/hr. for H2S) in December when only the BioCurtain™ was active. 2) The BioCurtain™ resulted in a 34% (325 vs. 213 g/hr. in September) to 43% (396 vs. 227 g/hr in December) reduction in the TSP emission. 3) The EPI™ system reduced the NH3 and TSP emission rates by as much as 17% and 39%, respectively

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases

Background The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

Pengelolaan Populasi Mamalia Besar Terestrial di Taman Nasional Batang Gadis, Sumatera Utara

Kawasan Taman Nasional Batang Gadis (TNBG) merupakan habitat beragam jenis satwaliar, termasuk mamalia terestrial. Penelitian ini bertujuan untuk mendapatkan informasi mengenai keanekaragaman jenis, kepadatan, pola sebaran, status dan strategi pengelolaan populasi mamalia besar terestrial. Pengamatan mamalia dilakukan dengan menggunakan metode jalur berpetak pada plot penelitian seluas 35 ha. Hasil penelitian menemukan sebanyak 19 jenis mamalia dengan indeks keanekaragaman jenis tertinggi didapatpada tipe habitat hutan primer sub pegunungan di zona inti sebesar 1,96. Jenis satwa yang memiliki kepadatan rata-rata tertinggi adalah babi/Sus scrofa Linnaeus, sebanyak 0,74 individu/ha dan harimau sumatera (Panthera tigris sumatrae Pocock) sebagai jenis kritis terancam punah memiliki kepadatan 0,06 individu/ha. Pola sebaran horizontal secara umum berbentuk acak. Lima belas jenis termasuk satwa dilindungi dalam Peraturan Pemerintah No. 7 tahun 1999, 10 jenis termasuk dalam Appendix CITES, dan 10jenis termasuk Red Data Book IUCN Tahun 2008. Strategi yang dapat dikembangkan dalam pelestarian mamalia terestrial di antaranya adalah pengaturan ukuran populasi, memelihara kesinambungan habitat sebagai wilayah jelajah, mempertahankan keragaman tipe ekosistem, dan minimalisasi aktivitas gangguan dan interaksi masyarakat di dalam kawasan taman nasiona

Determination of Erosion Hazard Level And Bio-Mechanical Conservation In Post Merapi Eruption Land At Srumbung Magelang

The purpose of this study was to determine the Erosion hazard, to look for conservation of bio - mechanical techniques are appropriate . Research methods with overlies topographic maps, soil maps, land use maps, to obtain a Land Unit Map. Determined soil physical properties (texture, structure, permeability) and chemical properties of soil (soil organic matter), slope, slope length, broad of land unit, crops factor and value conservation factors that have been there for Land Unit. Each land unit is determined the amount of land erosion and erosion hazard level. Erosion hazard level is determined based on soil erosion, and soil depth. Erosion hazzard level is used to determine the bio-mechanical conservation, according Hardjowigeno and Sukmana (1995). The results showed that the highest erosion hazard level with an area of 12.947 ha is classified weight (Land unit 15A), and the classification of an area of 14.665 ha is clssified moderately (Land unit 6A). Soil conservation is done in areas with highest erosion hazard level by making individual terraces and “kerandang” planted as a cover crops

Vaccination with a live multi-gene deletion strain protects horses against virulent challenge with Streptococcus equi

Strangles, caused by Streptococcus equi subspecies equi (S. equi) is one of the most frequently diagnosed infectious diseases of horses and there remains a significant need to develop new preventative vaccines. We generated a live vaccine strain of S. equi containing deletions in six genes: sagA, hasA, aroB, pyrC, seM and recA, which was administered to nine Welsh mountain ponies via the intramuscular route. Four vaccinated ponies developed adverse reactions following the first vaccination from which the live vaccine strain was isolated. Two of these ponies were withdrawn from the study and seven ponies received a second vaccination, one of which then developed an adverse reaction. Nine control ponies injected with culture media alone developed no adverse reactions. Following challenge with a virulent strain of S. equi, none of the seven vaccinated ponies had developed clinical signs of strangles eleven days post-challenge, compared to six of nine control ponies over the same period (P = 0.0114). A lymph node abscess was identified in one of the seven vaccinated ponies at post-mortem examination, whilst all nine control ponies had at least one lymph node abscess (P = 0.0009). Three of the six vaccinated ponies that were protected from strangles had not developed an adverse reaction following vaccination, suggesting that a better understanding of the pro-inflammatory responses to S. equi could lead to the development of a live attenuated vaccine against strangles that is safe for administration via intramuscular injection