Technical challenges from the production to the transformation : elements for debate.

Synthetic overview of the first workshop "technical challenges in organic agriculture from the production to the transformation

Controlling reproduction in organic sheep breeding: the influence of breeding factors on the effectiveness of the ram effect

The ram effect, which is a natural method for the control of reproduction in sheep, is an alternative to hormone treatments that are banned on organic farms. The ram effect induces a combination of ovulation and oestrus in ewes that is acyclic and conducive to artificial insemination. The proportion of acyclic females with induced ovulation and their subsequent fertility at the first oestrus is variable. The control of some breeding factors that have been studied here may help to reduce this variability. The proportion of ewes induced to ovulate by rams increased as the season advanced (54% in April vs. 84% at the end of May, p<0.05) and with a longer time period between drying-off and mating: from 29% to 84% (p<0.001) for 22 and 86 days elapsed, respectively. The fertility of these ewes at the first oestrus was also higher at the end of May than in April (86% vs. 39%, p<0.01) and increased with the amount of time elapsed since drying-off (55% and 81% for 22 and 86 days, respectively; p=0.09). The time that the first oestrus occurs is later for lean ewes because they have a higher proportion of short cycles (67%) than fat ewes (41%, p<0.05)

Development of automated tools based on electronic identification for the improvement of organic livestock production systems

Technical constraints of livestock production in organic farming systems are numerous and require more attention than in conventional systems. The implementation of individual electronic identification that is planned in Europe offers the possibility of developing automated devices that may be well adapted to the practices of organic breeders. We developed an automated mounting detector, carried by a male, which makes it possible to detect any female in oestrus. Hence, this device is the unique solution for inseminating females when they are fertile, thus ensuring links with selection programmes. The second device developed is a dynamic sorting door based on respect for animal behaviour, preventing stress by allowing animals not to be unnecessarily confined. When associated with an electronic weighing device, it offers the possibility of adapting health treatments to the appropriate animals, in agreement with organic breeding specifications. Finally, electronic identification combined with GPS offers the breeder the possibility of simplifying the certification of animals in areas converted to organic farming. We believe that these technologies may greatly reduce the workload of breeders while improving animal welfare

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

BACKGROUND: Obesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have a distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation is still an under-researched area. METHOD: The knowledge, attitudes and practice were reviewed in this questionnaire study involving a representative sample of 10% of all Hungarian family physicians. In different settings, 521 practitioners (448 GPs and 73 residents/vocational trainees) were questioned using a validated questionnaire. RESULTS: The knowledge about multimorbidity, a main consequence of obesity, was balanced.Only 51% of the GPs were aware of the diagnostic threshold for obesity; awareness being higher in cities (60%) and the highest among residents (90%). They also considered obesity an illness rather than an aesthetic issue.There were wider differences regarding attitudes and practice, influenced by the the doctors' age, gender, known BMI, previous qualification, less by working location.GPs with qualification in family medicine alone considered obesity management as higher professional satisfaction, compared to physicians who had previously other board qualification (77%vs68%). They measured their patients' waist circumference and waist/hip ratio (72%vs62%) more frequently, provided the obese with dietary advice more often, while this service was less frequent among capital-based doctors who accepted the self-reported body weight dates by patients more frequently / commonly. Similar reduced activity and weight-measurement in outdoor clothing were more typical among older doctors.Diagnosis based on BMI alone was the highest in cities (85%). Consultations were significantly shorter in practices with a higher number of enrolled patients and were longer by female providers who consulted longer with patients about the suspected causes of developing obesity (65%vs44%) and offered dietary records for patients significantly more frequently (65%vs52%). Most of the younger doctors agreed that obesity management was a primary care issue.Doctors in the normal BMI range were unanimous that they should be a model for their patients (94%vs81%). CONCLUSION: More education of primary care physicians, available practical guidelines and higher community involvement are needed to improve the obesity management in Hungary

Agriculture: Steps to sustainable livestock

With improved breeding and cultivation, ruminant animals can yield food that is better for people and the planet, say Mark C. Eisler, Michael R. F. Lee and colleagues

Putting prevention into practice: qualitative study of factors that inhibit and promote preventive care by general practitioners, with a focus on elderly patients

<p>Abstract</p> <p>Background</p> <p>General practitioners (GPs) have a key role in providing preventive care, particularly for elderly patients. However, various factors can inhibit or promote the implementation of preventive care. In the present study, we identified and examined factors that inhibit and promote preventive care by German GPs, particularly for elderly patients, and assessed changes in physicians' attitudes toward preventive care throughout their careers.</p> <p>Methods</p> <p>A qualitative, explorative design was used to identify inhibitors and promoters of preventive care in German general medical practice. A total of 32 GPs in Berlin and Hannover were surveyed. Questions about factors that promote or inhibit implementation of preventive care and changes in physicians' perceptions of promoting and inhibiting factors throughout their careers were identified. Episodic interviews, which encouraged the reporting of anecdotes regarding daily knowledge and experiences, were analyzed using ATLAS/ti. Socio-demographic data of GPs and structural information about their offices were collected using short questionnaires. The factors identified as inhibitory or promoting were classified as being related to patients, physicians, or the healthcare system. The changes in GP attitudes toward preventive care throughout their careers were classified as personal transitions or as social and health policy transitions.</p> <p>Results</p> <p>Most of the identified barriers to preventive care were related to patients, such as a lack of motivation for making lifestyle changes and a lack of willingness to pay for preventive interventions. In addition, the healthcare system seemed to inadequately promote preventive care, mainly due to poor reimbursement for preventive care and fragmentation of care. GPs own attitudes and health habits seemed to influence the implementation of preventive care. GPs recognized their own lack of awareness of effective preventive interventions, particularly for elderly patients. GPs were motivated by positive preventive experiences, but often lacked the necessary training to counsel and support their patients.</p> <p>Conclusions</p> <p>German GPs had positive attitudes towards prevention, but the implementation of preventive care was neither systematic nor continuous. Identification and elimination of barriers to preventive care is crucial. Further research is needed to identify effective practice-based approaches to overcome these barriers.</p