Addressing the double burden of malnutrition in Egypt: do conditional cash transfers have a role?

Many developing countries are undergoing rapid socio-economic changes that impact on health and its social distribution. These changes can occur so rapidly that there is a resulting co-existence of diseases of affluence and diseases of poverty. Priority setting for nutritional programs has focused on the alleviation of undernutrition in low income settings. However, evidence shows that in many Low-and-Middle Income Countries the prevalence of obesity among women is increasing and can coexist with childhood stunting. This dual burden of poor nutrition contributes to worsening health inequity between the poor and the rich. Global and national policy makers are looking for novel programs to replace social protection mechanisms deemed inefficient. Conditional Cash Transfer (CCT) programs have emerged as an increasingly popular poverty alleviation strategy with some positive results. However, there is evidence they may have a negative impact if the complexity of transition settings is not taken into account. In this paper, we review the nutritional situation in Egypt and compare two CCT programs (Mexico and Colombia) in an attempt to identify features that would address both child undernutrition and adult overnutrition. We conclude with suggestions for design of an Egyptian CCT program that would help maximise benefit to its beneficiaries

In vitro ruminal fermentation, nutritional evaluation and antioxidant activity of some forest shrubs of North West Tunisia for goats

Chemical composition and characteristics of in vitro fermentation were determined for two shrubs (Genista aspalathoides and Rhamnus alaternus) collected from north western Tunisia. The primary and secondary chemical composition was determined and in vitro fermentation parameters were measured in 100 ml glass syringes for 48 hours to determine gas production. There are significant differences in chemical and wall composition for the two shrubs studied (p < 0.05). Rhamnus alaternus is richer in secondary metabolites (59.2 mg GAE / g DM) than Genista aspalathoides and has the highest content of crude protein (CP). Genista aspalathoides had the lowest anti-radical activity since it has the highest levels of secondary metabolites, so it is the most digestible species with the highest value of gas production after 24 hours incubation and released more methane than Rhamnus alaternus. Keywords: Shrub, Chemical composition, in vitro fermentation, antioxidant activity, methan

Strategi Pengembangan Koperasi Mahasiswa Universitas Negeri Papua

  Purpose of this study is to identify and analyze internal and external factors that influence the development Kopma Unipa and to develop and recommend alternative strategies that can be applied in the development of Kopma Unipa . The study was conducted at the Student Cooperative Unipa. Subjects in this study are the management of the Student Cooperative. While method analysis used to formulate a strategy is a descriptive analysis and SWOT analysis using the SWOT and SWOT Matrix Diagrams. Analysis identifying the internal and external environment Kopma Unipa show that the strength is Kopma Unipa have democratic oversight system, has legal entities, the student has the intellectual capital and high creativity, capital aid from the University, has a diverse unit activity, and the relative price equal to competitors. While Kopma weakness is less strategic location, students have time constraints, lack of understanding of cooperative, low management capabilities, weak participation of members, the promotion is not maximized, the lack of training or training, products sold are still limited choice and number, and space cooperatives are less extensive. Based on the SWOT analysis matrix formulation of strategies to develop Kopma Unipa is to increase the role and participation of students in Kopma, increasing the supply of primary goods into student, develop innovation in all aspects of the utilization of technological progress, expand market share, forming a pattern of good marketing, improving the ability of management, strategic build a separate building, build a corporation and coordination with the Government, Academic and cooperatives that exist in the region, improve service quality, and internal consolidation

Ability to fatten Tunisian lambs in Sheepfold

L’aptitude à l’engraissement des agneaux de races tunisienne en fonction des régimes alimentaires disponibles est une demande importante voire obligatoire pour nos éleveurs à nos jours afin de trouver une synergie entre le coût de production d’un kg de viande et le prix de vente. Pour cela, on a procédé à réaliser un essai de performances des agneaux de races différentes conduits en bergerie et recevant une ration alimentaire classique à base de foin d’avoine et d’aliment concentré dans la ferme pédagogique de l'École Supérieure d’Agriculture de Mateur. Les résultats obtenus étaient dans les normes en tenant compte de la ration et l’âge des agneaux. L’ingestion moyenne de la matière sèche de foin d’avoine était de 551 g /j/agneau, l’indice de consommation moyen a été de 6,34 Kg MS/Kg de gain de poids, le poids vifs des agneaux évolue d’un semaine à l’autre pour atteindre un poids final de 18,2 kg. Mots clés: Engraissement, race ovine, Tunisie, Indice de consommationThe ability to fatten lambs of Tunisian breeds according to the diets available is an important or even a compulsory demand of our breeders today in order to find a synergy between the cost of production of one kg of meat and the price of sale. For this, we carried out a performance test of lambs of different breeds in sheepfolds and receiving a classic food ration based on oat hay and feed concentrate in the educational farm of the Higher School of Agriculture of Mateur. The obtained results were within the standards taking into account the ration and the age of the lambs. The average dry matter intake of oat hay was 551 g / day / lamb, the average consumption index was 6.34 Kg DM / Kg of weight gain, the live weight of lambs increased weekly to reach a final weight of 18.2 kg. Keywords: Fattening, sheep breed, Tunisia, Consumption inde

Revision shoulder hemiarthroplasty and total shoulder arthroplasty a systematic review and meta-analysis.

The number of shoulder replacements performed each year continues to increase, and the need for revision replacements has grown accordingly. The outcome of a revision replacement may influence which primary implant is selected and the timing of primary surgery, particularly in younger patients. The aim of this study was to establish the expected improvement in shoulder function and implant survival following revision of a hemiarthroplasty and revision of an anatomical total shoulder arthroplasty (TSA). A systematic review and meta-analysis were performed of all studies reporting shoulder scores or implant survival following revision hemiarthroplasty or revision TSA. MEDLINE, EMBASE, CENTRAL, The Cochrane Database of Systematic Reviews and National Joint Registry reports were searched. 15 studies were included, reporting on 593 revision anatomical shoulder replacements. There was large variation in the magnitude of improvement in shoulder scores following revision surgery. Over 80% of revision replacements last 5 years and over 70% last 10 years. There was no significant difference in shoulder scores or implant survival according to the type of primary implant. The belief that revision of a shoulder hemiarthroplasty may lead to improved outcomes compared to revision of a TSA is not supported by the current literature

The regularized 3D Boussinesq equations with fractional Laplacian and no diffusion

In this paper, we study the 3D regularized Boussinesq equations. The velocity equation is regularized \`a la Leray through a smoothing kernel of order $\alpha$ in the nonlinear term and a $\beta$-fractional Laplacian; we consider the critical case $\alpha+\beta=\frac{5}{4}$ and we assume $\frac 12 <\beta<\frac 54$. The temperature equation is a pure transport equation, where the transport velocity is regularized through the same smoothing kernel of order $\alpha$. We prove global well posedness when the initial velocity is in $H^r$ and the initial temperature is in $H^{r-\beta}$ for $r>\max(2\beta,\beta+1)$. This regularity is enough to prove uniqueness of solutions. We also prove a continuous dependence of the solutions on the initial conditions.Comment: 28 pages; final version accepted for publication in Journal of Differential Equation

Enquête Ethnopharmacologique sur l’usage traditionnel de l’Aneth (Anethum graveolens L.) dans le Nord-Ouest de la Tunisie

Located at the crossroads of the human-Nature sciences, ethno-pharmacology is a discipline that is interested in traditional medicines whose objective is the search for new treatments of tomorrow. In this context, we conducted an ethno-pharmacological survey on the traditional use of aneth (Anethum graveolens L.) in some regions of the North-West of Tunisia to examine Tunisians' knowledge of its use for treatment and disease control. A survey was prepared with two parts, the first deals with the profile of the respondent (age, sex, level of study) and the second was devoted to identification and use of aneth (parts used, diseases treated and methods of preparation and administration, etc.). Collected data revealed that Aneth is used as a therapeutic remedy for treatment of various pathologies, mainly digestive disorders (40.7%). The investigation also revealed the mode of preparation where the respondents use it as food (50.9%) followed by infusion and decoction (24.7% and 23.7%, respectively). The most used part according to them is the leaf (29.2%) while the mode of administration is mainly oral (97.1%). In conclusion, the information obtained from inhabitants of Tabarka, Bou Salem and Nefza regions about this medicinal and aromatic plant is interesting for a possible therapeutic innovation. They could form a database for subsequent pharmacological and experimental evaluations to explore the curative potential of this plant. Keywords: Ethno-pharmacology, Traditional medicine, Dill, Aneth, Survey, TunisiaSituée à la croisée des sciences d’Homme-Nature, l’ethno-pharmacologie est une discipline qui s’intéresse aux médecines traditionnelles dont l’objectif est la recherche de nouveaux traitements de demain. Dans ce cadre, nous avons mené une enquête ethno-pharmacologique sur l'utilisation traditionnelle de l’Aneth (Anethum graveolens L.) dans quelques régions de Nord-Ouest de la Tunisie pour examiner les connaissances des Tunisiens concernant son usage pour se soigner et pour lutter contre les maladies. Une fiche d’enquête a été préparée avec deux rubriques dont la première s’intéresse au profil de l’enquêté (âge, sexe, niveau d’étude) et la deuxième a été consacrée à l’identification et à l’usage de la plante choisie (les parties utilisées, les maladies traitées et les modes de préparations et d’administration). Les données obtenues ont révélé que l’Aneth est utilisé comme remède thérapeutique pour le traitement de diverses pathologies, essentiellement les troubles digestifs (40,7%). L’enquête a également révélé dans la partie mode de préparation que les enquêtés l’utilise comme aliment (50,9%) suivis par l’infusion et la décoction de (24,7% et 23,7%, respectivement). La partie la plus utilisée selon eux est la feuille (29,2%) alors que le mode d’administration est essentiellement oral (97,1%). En conclusion, les informations obtenues des habitants des régions de Tabarka, Bou Salem et Nefza à propos de cette plante médicinale et aromatique sont intéressantes pour une éventuelle innovation thérapeutique. Elles pourraient être une base de données pour des évaluations pharmacologiques et expérimentales ultérieurs pour explorer les potentialités curatives de cette plante. Mots clés: Ethno-pharmacologie, Médecine traditionnelle, Aneth, Enquête, Tunisi

Consent for orthopaedic trauma surgery during the COVID-19 pandemic

INTRODUCTION: The COVID-19 pandemic has brought a series of new challenges to the management of surgical patients. The consent process relies on a foundation of open and non-coerced discussion between clinician and patient, which includes all the potential risks of surgery. This must be updated to incorporate the additional risks of surgery during the pandemic including infection with the SARS-CoV-2 and increased risks of complications with the potential requirement for intensive care support. AIM: The aim of this multi-cycle quality improvement project was to ensure all patients were fully informed of the risks of developing COVID-19 and the possible need for intensive care unit (ICU) support. METHODS: We investigated the quality of the consent process for patients undergoing surgery for trauma at our major trauma centre. Our baseline data collection included a review of all orthopaedic trauma consent forms over a 4-week period in March 2020. We subsequently undertook three further Plan-Do-Study-Act (PDSA) cycles over separate 4-week periods. First, in June 2020, after education measures and presentation of baseline data, second in July 2020 after further education and regular digital reminders were sent to staff, and third in September 2021 after the implementation of an electronic consent form. RESULTS: At baseline, only 2.6% of consent forms mentioned the risk of COVID-19 and none mentioned the risk of requiring ITU support. Through three PDSA cycles this increased to 97% of cases where consent forms displayed the additional risks of COVID-19 and the potential need for ITU admission. CONCLUSION: Our quality improvement project improved the informed consent procedure at our trust. By incorporating these additional risks into the template of an electronic consent form, we hope to achieve sustained improvement in practice