391 research outputs found

    Evaluation Of Farmer Field School On Integrated Pest

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    This research is aimed to explore the quality of the program implementation of the Integrated Pest Management Field Farmer School (IPMFFS) (in Indonesian language abbreviated as SLPHT, namely Sekolah Lapangan Pengendalian Hama Terpadu); to evaluate the effects of the IPMFFS program to the degree of the pesticide use and the production of farmer-efforts; and to describe the provision of the farmer-efforts, adoption process, innovation process and the change of knowledge and skills of the participants after to be actively involved in the IPMFFSprogram. The population of the research was 150 trainers (agricultural extension agent/PHP) and 22.240 farmers (grouped into 556 farmer groups engaged in the IPMFFS) in Jember district. The sample of this study consisted of 110 trainers (agricultural extension agent/PHP) and 400 farmers selected with the employment of an area random sampling technique. There is ten variables had been analyze that are : (1) the use of pesticide, (2) production quantity (3) participate agricultural extension, (4) remedial practice, (5) insight development, (6) motivation establishment, (7) the readiness of the participants, (8) the activeness of the participants, (9) planning program, and (10) coordination. Using path analysis as analytical tools, the result shows that variables of the process components which have a significant effect to the production quantity at 5 % significance level (∞ = 0,05) are: (1) the use of pesticide, (2) participate agricultural extension, (3) motivation establishment, (4) insight development, (5) the readiness of the participants, (6) the activeness of the participants, (7) planning program, and (8) coordination. The variables which have a significant effect to the change of the use of the pesticide with the 5 % significance degree (∞ = 0,05) include: (1) participate agricultural extension, (2) remedial practice, (3) motivation establishment, (4) insight development, (5) the readiness of the participants, (6) the activeness of the participants, and (7) planning program

    Studying the impact of construction dewatering discharges to the urban storm drainage network(s) of Doha city using infoworks integrated catchment modeling (ICM)

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    The discharge of construction dewatering flows to the storm drainage network for disposal is a common activity in Qatar. The Dupuit empirical approach was utilized to establish various hypothetical dewatering scenarios on the basis of site classifications, which were modeled on 4 Case Study Areas of Doha’s Existing Surface Drainage Network in order to study the impact of dewatering discharge against an established baseline. The simulations were undertaken using InfoWorks Integrated Catchment Modeling (ICM) software for critical and non-critical rainfall events. The results indicated significant localized flooding in excess of the baseline conditions for scenarios exceeding 0.5 m3/sec flows, while individual catchments demonstrated variations and sensitivities on the basis of catchment properties and rainfall events. It is evident that dewatering discharge under unpredictable rainfall events poses various levels of risk to the city’s infrastructure, which is further exacerbated due to the massive scale of construction activity in the country and the rising ground water table in Greater Doha Area basin

    Sustainability ranking of desalination plants using Mamdani Fuzzy Logic Inference Systems

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    As water desalination continues to expand globally, desalination plants are continually under pressure to meet the requirements of sustainable development. However, the majority of desalination sustainability research has focused on new desalination projects, with limited research on sustainability performance of existing desalination plants. This is particularly important while considering countries with limited resources for freshwater such as the United Arab Emirates (UAE) as it is heavily reliant on existing desalination infrastructure. In this regard, the current research deals with the sustainability analysis of desalination processes using a generic sustainability ranking framework based on Mamdani Fuzzy Logic Inference Systems. The fuzzy-based models were validated using data from two typical desalination plants in the UAE. The promising results obtained from the fuzzy ranking framework suggest this more in-depth sustainability analysis should be beneficial due to its flexibility and adaptability in meeting the requirements of desalination sustainability

    Angioarchitectural evolution of clival dural arteriovenous fistulas in two patients.

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    Dural arteriovenous fistulas (dAVFs) may present in a variety of ways, including as carotid-cavernous sinus fistulas. The ophthalmologic sequelae of carotid-cavernous sinus fistulas are known and recognizable, but less commonly seen is the rare clival fistula. Clival dAVFs may have a variety of potential anatomical configurations but are defined by the involvement of the venous plexus just overlying the bony clivus. Here we present two cases of clival dAVFs that most likely evolved from carotid-cavernous sinus fistulas

    International expert consensus on the surgical anatomic classification of radical hysterectomies

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    Background: The anatomic descriptions and extents of radical hysterectomy often vary across the literature and operative reports worldwide. The same nomenclature is often used to describe varying procedures, and different nomenclature is often used to describe the same procedure despite the availability of guideline and classification systems. This makes it difficult to interpret retrospective surgical reports, analyze surgical databases, understand technique descriptions, and interpret the findings of surgical studies. Objective: In collaboration with international experts in gynecologic oncology, the purpose of this study was to establish a consensus in defining and interpreting the 2017 updated Querleu-Morrow classification of radical hysterectomies. Study design: The anatomic templates of type A, B, and C radical hysterectomy were documented through a set of 13 images taken at the time of cadaver dissection. An online survey related to radical hysterectomy nomenclature and definitions or descriptions of the associated procedures was circulated among international experts in radical hysterectomy. A 3-step modified Delphi method was used to establish consensus. Image legends were amended according to the experts' responses and then redistributed as part of a second round of the survey. Consensus was defined by a yes response to a question concerning a specific image. Anyone who responded no to a question was welcome to comment and provide justification. A final set of images and legends were compiled to anatomically illustrate and define or describe a lateral, ventral, and dorsal excision of the tissues surrounding the cervix. Results: In total, there were 13 questions to review, and 29 experts completed the whole process. Final consensus exceeded 90% for all questions except 1 (86%). Questions with relatively lower consensus rates concerned the definitions of types A and B2 radical hysterectomy, which were the main innovations of the 2017 updated version of the 2008 Querleu-Morrow classification. Questions with the highest consensus rates concerned the definitions of types B1 and C, which are the most frequently performed radical hysterectomies. Conclusion: The 2017 version of the Querleu-Morrow classification proved to be a robust tool for defining and describing the extent of radical hysterectomies with a high level of consensus among international experts in gynecologic oncology. Knowledge and implementation of the exact definitions of hysterectomy radicality are imperative in clinical practice and clinical research

    Electronic patient-reported outcomes from home in patients recovering from major gynecologic cancer surgery: A prospective study measuring symptoms and health-related quality of life

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    We previously reported on the feasibility of a Web-based system to capture patient-reported outcomes (PROs) in the immediate postoperative period. The purpose of this study was to update the experience of these patients and assess patient and provider satisfaction and feedback regarding the system

    Raltitrexed (Tomudex) administration in patients with relapsed metastatic colorectal cancer after weekly irinotecan/5-Fluorouracil/Leucovorin chemotherapy

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    PURPOSE: The present study aimed at evaluating the efficacy of Raltitrexed, a specific thymidilate synthase inhibitor, in patients with advanced colorectal cancer (ACC) in relapse (>8 weeks) after a prior response or disease stabilization to first-line chemotherapy combination with lrinotecan+5-Fluorouracil (5-FU)+Leucovorin (LV). METHODS: Twenty-five patients with metastatic ACC entered; 17 males/8 females, median age 61 (range: 47–70), median Karnovsky PS: 80 (70–90), and sites of metastases; liver: 21, lung: 4, lymph nodes: 7, peritoneal: 5 and a life expectancy of at least 3 months, were entered in the present pilot study. All patients had progressed after prior chemotherapy with lrinotecan+5-FU+LV. Raltitrexed was administered at a dose of 3 mg/m(2) i.v. every 21 days. RESULTS: Three patients (12%) achieved a partial response (PR), 8 (32%) had stable disease (SD), and the remaining 14 (56%) developed progressive disease (PD). Median time-to-progression (TTP) was 5.5 months (range, 2–8.5), and median overall survival (OS) 8 months (range, 4.0–12.5). Toxicity was generally mild; it consisted mainly of myelosuppression; neutropenia grade 1–2: 52%-grade 3: 28%, and anemia grade 1–2 only: 36%. Mild mucositis grade 1–2 occured in 13.5% of patients and was the principal non-hematologic toxicity. CONCLUSION: Response to treatment with Raltitrexed is limited in patients with ACC failing after an initial response or non-progression to the weekly lrinotecan+5-FU+LV combination. However, it appears that a limited number of patients with PR/SD may derive clinical benefit, but final proof would require a randomized study
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