238 research outputs found

    Small-Scale Turkey Farming in Bangladesh: Farming Practices, Profitability and Supply Chain Mapping

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    The study was conducted to know the existing turkey production system, supply chain mapping, and identifying the prospects and problems of turkey rearing in some selected areas of Bangladesh during October 2019 to December 2019. A total of 100 turkey raisers were surveyed following convenience method of sampling technique. The primary data were collected, analyzed accordingly and tabular presentation method was applied with the help of simple descriptive statistical measures e.g. frequency distributions, percentage, sum and means to illustrating the results. Profitability analysis was done on the basis of variable cost, fixed cost, return by using arithmetic means and percentages. The study revealed that 87 male and 13 female respondents were surveyed, of them cent percent found educated. About 56% turkey keeper’s main occupation was business, 27% service and 12% in farming while 88.57% involved with farming as secondary sources of income. Average landholding for homestead, cultivable and non-cultivable was 24.40, 129.71 and 29.47 decimal, respectively. About 59% farms started for commercial purpose, 32% for non-commercial purpose and 9% for both. About 60% respondents kept less than 50 turkeys and only 2% kept 501-1000 turkeys. Among the surveyed farms55% stopped their operation and 45% farms found running their business. Among the running farms cent percent were small-scale group. The average feed intake was 192.13 grams per day per bird at 20 weeks of age. Turkey laid on an average 139 eggs a year irrespective of variety and for hatching poults, the fertility and hatchability rate found between 65 to 100% and 50 to 90%, respectively. About 28% farmers experienced the deaths of turkey because of Cold, Pox, Ranikhet, Bird flu and unknown cases and 69.47% farmers took veterinary advice from Upazila Livestock Hospital and rest from other sources. Farmers to consumers were the most common and widely used marketing channel for egg, chick and adult turkey. The market intermediaries of turkey farm carried out different marketing functions e.g. buying and selling, pricing, transportation, sorting, distribution and market information. The average net return and benefit-cost ratio was BDT 127838.04 and 1.38, respectively for 50 turkeys per year. In the study, turkey rearing found some comparative benefit over chicken and ducks e.g. higher weight gain, forage eater, lower diseases rate and suitability for the country. The main problem of turkey rearing identified as market instability, lack of quality turkey feed, higher feed price, lack of proper marketing facility and training on turkey farming. In conclusion, the small-scale turkey farming could be a viable source of income for the rural people of Bangladesh after taking some remedial steps by the Government of Bangladesh for the aforesaid hindrances faced by the turkey farmers

    A comparative analysis of the effect of temperature on band-gap energy of gallium nitride and its stability beyond room temperature using a Bose–Einstein model and Varshni'S model

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    High temperature stability of the band-gap energy of the active layer material of a semiconductor device is one of the major challenges in the field of semiconductor optoelectronic device design. It is essential to ensure the stability in different band-gap energy-dependent characteristics of the semiconductor material used to fabricate these devices either directly or indirectly. Different models have been widely used to analyze the band-gap energy-dependent characteristics at different temperatures. The most commonly used methods to analyze the temperature dependence of band-gap energy of semiconductor materials are: the Passler model, the Bose–Einstein model, and Varshni’s model. This paper is going to report the limitation of the Bose–Einstein model through a comparative analysis between the Bose–Einstein model and Varshni’s model. The numerical analysis is carried out considering GaN, as it is one of the most widely used semiconductor materials all over the world. From the numerical results it is ascertained that below the temperature of 95 K both the models show almost same characteristics. However, beyond 95 K Varshni’s model shows weaker temperature dependence than that of the Bose–Einstein model. Varshni’s model shows that the band-gap energy of GaN at 300 K is found to be 3.43 eV, which establishes a good agreement with the theoretically calculated band-gap energy of GaN for operation at room temperature. Kestabilan bahan peranti semikonduktor pada suhu tinggi di lapisan aktif jurang tenaga (band-gap) adalah salah satu cabaran penting dalam bidang reka bentuk peranti optoelektronik semikonduktor. Faktor ini bergantung kepada bahan semikonduktor yang digunakan untuk proses fabrikasi peranti elektronik ini samada secara langsung atau tidak langsung, bagi memastikan kestabilan dalam pelbagai jurang lapisan tenaga. Model yang berbeza telah digunakan secara meluas untuk mengkaji kebergantungan ciri jurang lapisan tenaga bahan semikonduktor pada suhu yang berbeza. Kaedah yang paling biasa digunakan untuk menganalisa kebergantungan jurang lapisan tenaga bahan semikonduktor pada suhu adalah: model Passler, model Bose-Einstein dan model Varshni. Sementara itu pada suhu melebihi 95K, model Varshni menunjukkan kebergantungan pada suhu adalah lemah berbanding model Bose-Einstein. Model Varshni menunjukkan bahawa jurang tenaga bagi GaN pada suhu 300 K adalah 3.43 eV, di mana ia adalah tepat dan bersamaan dengan kiraan teori pada jurang lapisan tenaga GaN untuk beroperasi pada suhu bilik

    Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

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    PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

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    PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

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

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    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

    Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

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    A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic

    Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

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    Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020
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