Kelangsungan Hidup Ikan setelah Meloloskan Diri pada Alat Tangkap Bubu di Perairan Desa Wakal, Kabupaten Maluku Tengah

Fishermen in Wakal Village still water is pot to catch coral fish species. The pot is made from woven bamboo with small hexagonal-shaped cracks. The type of fish that are targeted by the catch usually after being caught in the traps suffer injuries to their bodies as they try to escape through small gaps that are hexagonal. The purpose of this study is to analyze the viability of fish after escaping to the cover net. The data were collected by experimental fishing using four units of pots that were cover net in 20 repetitions. The research was conducted from September to December 2018 in Wakal Village, and Central Maluku Regency. The total number of fish caught is only 2.83% of fish that escape into the net cover. Fish that escaped are divided into 7 species including Plectrypops lima, Pinjalo lewisi, Ephinephelus tauvina, Chaetodon kleini, Centropyge bicolor, Priolepis cincta, Paraluteres prionurus. The cause of fish death is not only assessed from the wounds on the body of the fish when escaping or the wounds resulting from contact with other fish but the stress from the fish itself. The environmental factors that greatly affect the survival of fish when escaping are temperature and salinity.  Nelayan di Perairan Desa Wakal menggunakan alat tangkap bubu untuk menangkap ikan karang. Bubu terbuat dari anyaman bambu dengan celah-celah berukuran kecil berbentuk hexagonal. Jenis ikan yang menjadi target tangkapan biasanya setelah tertangkap oleh bubu mengalami luka pada tubuhnya karena berupaya meloloskan diri melalui celah-celah kecil yang berbentuk hexagonal. Luka yang terdapat pada tubuh ikan dapat mengakibatkan kondisi yang buruk bagi kelangsungan hidup. Tujuan dari penelitian ini adalah Menganalisis kelangsungan hidup ikan setelah meloloskan diri ke cover net. Pengumpulan data dilakukan dengan uji coba penangkapan menggunakan 4 unit bubu buton yang dipasang cover net sebanyak 20 kali ulangan. Penelitian dilakukan pada bulan September-Desember 2018 di Desa Wakal, Kabupaten Maluku Tengah. Total jumlah keseluruhan ikan yang tertangkap hanya 2.83% ikan yang meloloskan diri masuk ke dalam cover net. Ikan yang lolos terbagi dalam 7 spesies diantaranya Plectrypops lima, Pinjalo lewisi, Ephinephelus tauvina, Chaetodon kleini, Centropyge bicolor, Priolepis cincta, Paraluteres prionurus. Penyebab kematian ikan bukan saja dinilai dari luka pada tubuh ikan saat meloloskan diri ataupun luka akibat dari kontak dengan ikan lainnya namun stress dari ikan itu sendiri. Adapun faktor-faktor lingkungan yang sangat berpengaruh terhadap kelangsungan hidup ikan saat meloloskan diri yaitu suhu dan salinitas

Daerah Penangkapan Potensial Tuna Madidihang Thunnus albacares, Bonnaterre, 1788 (Teleostei:Scombridae) di Laut Seram

This research aims are to determine the potential fishing grounds of yellowfin tuna based on the approach of sea surface temperature, chlorophyll-a and catches in the Ceram Sea. Overall catches of 407 Individuals. In January the total catches were 66 individuals (14.44%), in February 67 individuals (14.66%), in March 84 individuals (18.38%), in April 116 individuals (25.38%) and in May 124 individuals (27.13%). The distribution of sea surface temperature and chlorophyll-a in the Ceram Sea in January-May 2019 looks varied. In January the average sea surface temperature was 29.13 oC, in February sea surface temperature was 29.54 oC, in March sea surface temperature was 30.12 oC, in April sea surface temperature was 30.12 oC, in May sea surface temperature was 29.77 oC. Chlorophyll-a concentration in January and February was 0.21 mg/m3, March was 0.20 mg/m3, April was 0.16 mg/m3, and May was 0.25 mg/m3. The results of the t-test analysis showed the P-value of sea surface temperature was 0.009<0.05, chlorophyll-a P-value 0.00048<0.05. Determination of potential fishing areas based on sea surface temperature, chlorophyll-a, and CPUE indicators shows that potential fishing areas are found in January, February, March, and May, while in April are in the medium potential category. Penelitian ini dilaksanakan dengan tujuan menentukan daerah penangkapan potensial Tuna madidihang berdasarkan pendekatan suhu permukaan laut, klorofil-a dan hasil tangkapan di Laut Seram.  Secara keseluruhan hasil tangkapan ikan tuna madidihang sebanyak 407 Individu. Bulan Januari total hasil tangkapan sebanyak 66 individu (14.44%), bulan Februari 67 individu (14.66%), bulan Maret 84 individu (18.38%), bulan April 116 individu (25.38%) dan bulan Mei 124 individu (27.13%). Sebaran suhu permukaan laut dan klorofil-a di Laut Seram pada bulan Januari-Mei 2019 terlihat bervariasi. Bulan Januari rata-rata suhu permukaan laut sebesar 29.13 oC, bulan Februari suhu permukaan laut 29.54 o, bulan Maret suhu permukaan laut 30.12 oC, bulan April suhu permukaan laut 30.12 oC, bulan Mei suhu permukaan laut 29.77 oC. Konsentrasi klorofil-a pada bulan Januari dan Februari sebesar 0.21 mg/m3, bulan Maret sebesar 0.20 mg/m3, bulan April sebesar 0.16 mg/m3, dan bulan Mei sebesar 0.25 mg/m3.  Hasil analisis uji t menunjukan nilai P-value suhu permukaan laut sebesar 0,009<0,05, klorofil-a P-value 0,00048<0,05. Penentuan daerah penangkapan ikan potensial berdasarkan indikator suhu permukaan laut, klorofil-a dan CPUE menunjukkan daerah penangkapan ikan potensial terdapat pada bulan Januari, Februari, Maret, dan Mei, sedangkan pada bulan April berada dalam kategori potensial sedang.

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Tipping the scales: a theoretical model to describe the differential effects of the COVID-19 pandemic on mortality

Abstract Background The COVID-19 pandemic has resulted in changes in almost every aspect of life. The fatal consequences of the pandemic have been clearly reported, with direct and indirect effects; however, there is some evidence of a positive secondary impact, such as fewer motor accidents, lower influenza burden and reduced air pollution. Methods/model We present a model to describe the differing effects of the COVID-19 pandemic on mortality, taking into account external pressures and internal resources and their relationship with resilience and health behaviors, which affect mortality risk, inspired by elements of the salutogenic model. Individuals with lower resources and from more deprived communities are likely to be more negatively affected by the external changes occurring, while those with more resources may be more likely to experience the benefits. Both individual and community resources affect coping and influence both mental and physical health. Conclusions Decision makers should consider ways to incorporate the positive changes which occurred as part of the exit strategy. Societies should invest in building resources to improve both individual and community resilience to help people be better prepared and more able to cope and adapt in times of crisis. Special emphasis should be given to weaker populations most affected by external changes, including older people, low socioeconomic groups, those with mental health issues and minority groups, in order to reduce disparities