Kualitas Pelayanan Penyuluhan Pertanian dan Kepuasan Petani dalam Pengembangan Usahatani (Kasus di Desa Sukadamai Kecamatan Dramaga Kabupaten Bogor)

Agricultural extension has significance in changing the behavior of farmers into a better, but the it will be able to realize the goal of agricultural extension if done well and qualified. This study aims to assess the quality of agricultural extension in Sukadamai Village and its relationship with satisfaction and capacity of farmers. The study was designed as a research survey with 38 respondents taking with simple random sampling from 50 farmers in the Sukadamai. Data analysis was conducted by descriptive statistics to describe the distribution of respondents in each measured variable, whereas inferential statistics are used to see the relationship between the variables, in this case used Spearman Rank Correlation analysis. The results showed that formal education and the length of farming relate to assessment of farmers to agricultural extension methods; farm land area associated with the assessment of farmers to agricultural extension agent appearance; the intensity of the visiting agricultural extension agent, agricultural extension materials and methods associated with assessment of the accuracy of agricultural extension; accuracy of extension and methods related to the ability of farmers to identify potential farms, while farmers' personal characteristics not related to the capacity of farmers

Service Quality Agriculture Counseling and Satisfaction Farmers in Farming Development (Case Study on VegetableiFarmers in Nania Village, Baguala District, Ambon City)

Development goals in Indonesia have existed for a long time, with the main objective of prioritizing the agricultural sector and increasing agricultural welfare. Through extension activities which are a series of ongoing processes according to the needs of farmers. The presence of agricultural extension workers as the spearhead of implementing agricultural development. Improving the performance of agricultural extension agents also determines future agricultural development, which determines the income of the agricultural sector. Good service quality is a determinant of the success of agricultural development. This study aimed to assess the quality of agricultural extension services and farmers' satisfaction level in developing vegetable farming in Nania Village. This research was conducted in Nania Village from November 2022 to December 2022. The type of research used was census research. The total population in this study was 16 people, all of whom were vegetable farmers in the village of Nania. The sample in this study was the entire population. The type of data collected includes primary data and secondary data. The data analysis technique used is descriptive qualitative data analysis. The results showed that the quality of counseling services on indicators of counseling preparation was in the medium category with an average (2.30), the implementation of counseling was in the medium category (2.15), and the appropriateness of the counseling method (2.49) was in the high category. While the level of farmer satisfaction with agricultural extension services, seen from the accuracy of the service, is classified as medium (2.2), and the performance of extension workers are classified as high or very good with an average (2.65). The conclusion is that the quality of agricultural extension services in Nania Village is in the moderate or adequate category. And the level of farmer satisfaction with extension services is classified as medium and high categories

Clinical value of early assessment of hyperfibrinolysis by rotational thromboelastometry during postpartum hemorrhage for the prediction of severity of bleeding: a multicenter prospective cohort study in the Netherlands

Introduction: Coagulopathy may be the result of hyperfibrinolysis and could exacerbate bleeding following childbirth. Timely recognition of hyperfibrinolysis during the earliest stages of postpartum hemorrhage could identify women at risk of more severe blood loss who may benefit from targeted anti-fibrinolytic therapy. Rotational thromboelastometry (ROTEM (R)) is a point-of-care test that could detect hyperfibrinolysis. The aim of this study was to evaluate whether early assessment of hyperfibrinolysis by ROTEM during postpartum hemorrhage could predict progression to severe postpartum hemorrhage.Material and methods: During a prospective cohort study in the Netherlands among women with postpartum hemorrhage (total blood loss at least 1000 ml within 24 h after childbirth) ROTEM measurements were performed following 800-1500 ml of blood loss. Hyperfibrinolysis was defined as an enzymatic fibrinolysis index (ROTEM EXTEM maximum clot lysis [ML] minus the ROTEM APTEM ML) above 15%. Severe postpartum hemorrhage was defined as a composite end point of total blood loss greater than 2000 ml, transfusion of four or more units of packed cells, and/or need for an invasive intervention. The predictive value of hyperfibrinolysis for progression to severe postpartum hemorrhage was assessed by area under the receiver operating curve ( AUC) and positive and negative predictive values.Trial registration: ClinicalTrials. gov (NCT02149472).Results: Of 390 women included, 82 (21%) had severe postpartum hemorrhage. Four (1%) women had thromboelastometric evidence of hyperfibrinolysis, of whom two developed severe postpartum hemorrhage. The AUC for enzymatic fibrinolysis index more than 15% for progression to severe postpartum hemorrhage was 0.47 (95% CI 0.40-0.54). Positive and negative predictive values for this index were 50.0% (95% CI 6.8-93.2) and 79.3% (95% CI 74.9-83.2), respectively.Conclusions: Thromboelastometric evidence of hyperfibrinolysis was rare in women with postpartum hemorrhage when assessed between 800 and 1500 ml of blood loss. The clinical predictive value of viscoelastometric point-of-care testing for hyperfibrinolysis for progression to severe postpartum hemorrhage during early postpartum hemorrhage is limited.Clinical epidemiolog

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HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP IBU HAMIL DENGAN KESEDIAAN VAKSINASI COVID-19 DI PUSKESMAS RIJALI TAHUN 2022

COVID-19 ditemukan pertama kali di Wuhan pada akhir tahun 2019. Penyebaran virus ini terus meningkat dan menyebar hampir ke seluruh dunia. Salah satu kelompok yang rentan dan berisiko lebih besar untuk mengalami gejala yang berat akibat COVID-19 adalah ibu hamil. Tindakan pencegahan akan sangat dibutuhkan dalam menekan laju penularan, salah satunya adalah vaksin. Di Indonesia tingkat pengetahuan ibu hamil tentang COVID-19 masih kurang yang akan sangat memengaruhi sikap ibu hamil dalam melaksanakan program vaksinasi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pengetahuan dan sikap ibu hamil dengan kesediaan vaksinasi COVID-19 di Puskesmas Rijali Tahun 2022. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional menggunakan teknik consecutive sampling (120 sampel). Hasil penelitian menunjukkan tingkat pengetahuan ibu hamil tentang vaksin COVID-19 adalah cukup (66%) dan sikap ibu hamil terhadap vaksinasi COVID-19 adalah baik (69,2%). Berdasarkan analisis dengan uji chi-square terdapat hubungan antara tingkat pengetahuan ibu hamil dengan kesediaan vaksinasi COVID-19 di Puskesmas Rijali tahun 2022 (p<0,001) dan tidak terdapat hubungan antara sikap ibu hamil dengan kesediaan vaksinasi COVID-19 di Puskesmas Rijali tahun 2022 (p=0,092