scholarly journals Does the COVID-19 pandemic affect social-ecological resilience of organic rice production system in Chiang Mai Province, Thailand?

2021 ◽  
pp. 209-223
Author(s):  
Chaiteera Panpakdee ◽  
Fakjit Palinthorn
Keyword(s):  
Production System ◽  
Rice Production ◽  
Ecological Resilience ◽  
P Value ◽  
Chiang Mai ◽  
Organic Rice ◽  
Social Ecological ◽  
Significant Difference ◽  
Before And After ◽  
Chiang Mai Province

The purpose of this study was to investigate how the COVID-19 pandemic affects the organic rice production system in four districts of Chiang Mai Province. Eight organic farmers were purposefully chosen as informants because they have possessed forty-seven resilience components (SERCs) needed to cope with all kinds of social-ecological change. They were asked using a structured questionnaire to assign each SERC’s contribution value before and after the COVID-19 pandemic, in which each time scoring must be coupled with entailed explanations. Then, the paired samples t-test was run to compare such means of SERCs’ contribution values to examine whether their organic rice production’s resilience was affected by the pandemic and how. Results showed the means of SERCs before and after the pandemic have no significant difference as the p-value is 1.00 at the 95% confidence interval. This meant the pandemic does not influence the organic rice production’s social-ecological resilience. But several practices and qualifications were found varying from the original to make production more suitable. The dependence on household labor and that on mutual labor exchange were respectively increased and decreased in their roles in resilience building. Labor availability was interrupted by the social distancing protocol that had restricted people from gathering. Besides, the household accounts recording was adopted more than usual for being seen as a solution to improving the household economy during the time of financial vulnerability. Importantly, relying on local goods was remarkably recognized for increased importance. This was an attempt to get access to materials possibly free from the COVID-19 contamination because of the absent transportation. These findings provide two key interests. They can be applied as a framework not only to strengthen agricultural resilience but also to propose a blueprint of coping mechanisms against the pandemic at a mass scale.

scholarly journals Assessing the Social-ecological Resilience of Organic Farmers in Chiang Mai Province, Thailand

2021 ◽  
pp. 631-649
Author(s):  
Chaiteera Panpakdee ◽  
Budsara Limnirankul ◽  
Prathanthip Kramol
Keyword(s):  
Production Systems ◽  
Spatial Scales ◽  
Ecological Resilience ◽  
Average Score ◽  
Chiang Mai ◽  
The Sustainable Development ◽  
Social Ecological ◽  
Organic Farmers ◽  
Chiang Mai Province ◽  
Resilience Indicators

Since resilience is continuing to make its rise to the top of the sustainable development policies, monitoring resilience has become critical because it provides stakeholders with practical actions that can strengthen the state of adaptability to cope with all kinds of change. In this study, resilience, and social theories, such as grounded theory and technography, were integrated as a conceptual framework to produce a specific set of indicators, which yielded forty-seven indices, called social-ecological resilience indicators (SERIs). This study attempts to manage the temporal and spatial scales of resilience systems and to make such indicators suitable for organic rice production systems in four districts of Chiang Mai Province. A questionnaire was utilized to survey fifty-three organic farmers, and the results of the descriptive data analysis indicated that 0.54 (1.00 = the maximum) had been the respondents’ average score. Meanwhile, the highest and the lowest scores were serially 0.69 and 0.40. In addition, the findings revealed that Kendall’s Tau-b rank correlation’s numeric value came closer to +, which meant that the respondents had demonstrated an average tendency to be resilient. Generally, the highest score of resilience existed for those organic farmers, who had been outstanding in creating opportunities for self-organization, such as considerably relying on food and farm materials from the availability of local resources. Moreover, the majority of them were found to have a secondary on-farm profession that was not only subsidizing additional incomes but was also providing new knowledge and opportunities. This contrasted with the group with lowest score. The farmers, who exhibited unsatisfactory resilience, were centralized in dimensions, ranging from a having a lack of diverse water sources to having sufficient competency to exploit the benefits of Information and Communication Technology (ICT). They are, therefore, more prone to being affected by negative pressures. It is recommended that for building resilience, the ‘holy grail’ is boosting self-reliance. This capacity is key to reducing the risk of losing sustenance and enabling stakeholders to apply the appropriate strategies in times of change

scholarly journals Short-Course Versus Long-Course Colistin for Treatment of Carbapenem-Resistant A.baumannii in Cancer Patient

Antibiotics ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 484
Author(s):  
Wasan Katip ◽  
Suriyon Uitrakul ◽  
Peninnah Oberdorfer
Keyword(s):  
Clinical Response ◽  
Cancer Patients ◽  
Therapy Group ◽  
University Hospital ◽  
P Value ◽  
Chiang Mai ◽  
Carbapenem Resistant ◽  
Short Course ◽  
Significant Difference ◽  
Long Course

Carbapenem-resistant Acinetobacter baumannii (CRAB) is one of the most commonly reported nosocomial infections in cancer patients and could be fatal because of suboptimal immune defenses in these patients. We aimed to compare clinical response, microbiological response, nephrotoxicity, and 30-day mortality between cancer patients who received short (<14 days) and long (≥14 days) courses of colistin for treatment of CRAB infection. A retrospective cohort study was conducted in cancer patients with CRAB infection who received short or long courses of colistin between 2015 to 2017 at Chiang Mai University Hospital (CMUH). A total of 128 patients met the inclusion criteria. The results of this study show that patients who received long course of colistin therapy had a higher rate of clinical response; adjusted odds ratio (OR) was 3.16 times in patients receiving long-course colistin therapy (95%CI, 1.37–7.28; p value = 0.007). Microbiological response in patients with long course was 4.65 times (adjusted OR) higher than short course therapy (95%CI, 1.72–12.54; p value = 0.002). Moreover, there was no significant difference in nephrotoxicity (adjusted OR, 0.91, 95%CI, 0.39–2.11; p value = 0.826) between the two durations of therapy. Thirty-day mortality in the long-course therapy group was 0.11 times (adjusted OR) compared to the short-course therapy group (95%CI, 0.03–0.38; p value = 0.001). Propensity score analyses also demonstrated similar results. In conclusion, cancer patients who received a long course of colistin therapy presented greater clinical and microbiological responses and lower 30-day mortality but similar nephrotoxicity as compared with those who a received short course. Therefore, a long course of colistin therapy should be considered for management of CRAB infection in cancer patients.

scholarly journals PENGARUH TERAPI AKUPRESUR TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PKU MUHAMADIYAH BANTUL

2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Before And After ◽  
Increase Milk Production ◽  
Postpartum Mothers

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum

scholarly journals The Effect of Extract Supplements of Moringa Oleifera Leaves Plus Royal Jelly on Hemoglobin (Hb) Levels of Anemia Pregnant Mother in Takalar Regency

2020 ◽  
Vol 1 (2) ◽  
pp. 22-29
Author(s):  
Yulni Yulni ◽  
Veni Hadju ◽  
Burhanuddin Bahar ◽  
Citrakesumasari Citrakesumasari ◽  
Rahayu Indriasari ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Leaf Extract ◽  
Moringa Oleifera ◽  
Royal Jelly ◽  
P Value ◽  
Double Blind ◽  
Significant Difference ◽  
Before And After ◽  
The Difference ◽  
Double Blind Design

The aim of this study was to determine the effect of Moringa oleifera leaf extract supplements, Moringa oleifera leaf extract plus royal jelly and placebo on hemoglobin levels in anemic pregnant women. This research is a randomized controlled double blind design study which was conducted in Polombangkeng Utara District, Takalar Regency for 2 months. The subjects of this study were pregnant women with anemia, the majority of which were 20-35 years old, primigravida parity, income less than UMR, unemployment, higher education, pregnancy distance of more than 2 years with p value> 0.05. Then divided into three groups, namely Moringa capsules plus royal jelly (KRJ) (n = 24), Moringa capsules (KTR) (n = 24) and placeco (PLC) (n = 21). Before and after the intervention, measurements of hemoglobin levels were carried out using the Hemocue tool and interviewing the characteristics of the respondents. The results showed that the average Hb level increased from each group (mean SD): KRJ 10.06 ± 0.75 to 11.42 ± 1.23, P = 0.001, KTR 10.40 ± 0.46 to 11.15 ± 0 , 90 P = 0.001 and PLC 10.43 ± 0.42 becomes 11.14 ± 0.88 P = 0.002. but there was no significant difference from the difference in the average increase in Hb levels in the three groups, but there was a tendency that KRJ was superior to the KTR and PLC groups with an increase of 1.36 gr / dl, KTR 0.75 gr / dl and PLC 0.71 gr / dl. So it can be concluded that KRJ is better than KTR and PLC in increasing Hb levels in anemic pregnant women in Takalar Regency.

scholarly journals Improving The Knowledge Of Primary School Children On Fourth Grade Stundents About Vegetables And Fruits And Attraction Of Puzzle Media In SDN Mekarjaya I

2017 ◽  
Vol 8 (2) ◽  
pp. 134-145
Author(s):  
Wiena Arynda ◽  
Rosmida M Marbun
Keyword(s):  
School Children ◽  
Fruits And Vegetables ◽  
Fourth Grade ◽  
Primary School Children ◽  
P Value ◽  
Significant Difference ◽  
Fourth Grade Students ◽  
Before And After ◽  
The Media ◽  
Vegetables And Fruits

In Indonesia, 93.5% of the population aged ≥10 years still consume less fruits and vegetables 5 servings per day for 7 days a week (RISKESDAS, 2013).  The preliminary study conducted at SDN Mekarjaya I shows that the level of knowledge of school children about vegetables and fruits by 60% is still low and 93.3% of vegetable and fruit consumption is still lacking. In addition, SDN Mekarjaya I has never been used as a place of prior research. Therefore, it is necessary to conduct research on the knowledge of fruit vegetables in the fourth grade students of SDN Mekarjaya I. One of them is by doing counseling with the media of puzzle game. This research was conducted to know the increase of knowledge about vegetables and fruits before and after given counseling with puzzle game media in fourth grade students of SDN Mekarjaya I. This research was conducted by Pre-exsperiment method using "One group pretest and posttest" research design. Sampling by purposive sampling is 66 people. The statistical test used is paired sample t-test. Based on the results of the analysis shows that there is a significant difference of knowledge where p-value 0.000 or p <0,05 means there is a meaningful difference between before and after given counseling with puzzle game media.This puzzle game media can be developed by the teachers as a medium of learning in the classroom so that students are more motivated in following the learning process and make students do not feel bored

scholarly journals The Effect of the Covid-19 Free Operation Path Protocol on the Incidence of Lung Complications in Postoperative Elective Patients at dr. Moewardi Hospital Surakarta

2021 ◽  
Vol 5 (11) ◽  
pp. 1030-1036
Author(s):  
Galih Aktama ◽  
Henky Agung Nugroho ◽  
Muhammad David Perdana Putra
Keyword(s):  
Cancer Patients ◽  
Elective Surgery ◽  
Pulmonary Complications ◽  
P Value ◽  
Chi Square ◽  
Elective Surgical Procedures ◽  
Significant Difference ◽  
Before And After ◽  
Chi Square Test ◽  
Elective Patients

The pandemic that began in late 2019, COVID-19, affects all patients, including cancer patients. Patients with cancer that continues to spread and  there is no other effective alternative treatment must undergo surgery so that cancer does not get worse. Given this problem, many health care centers have developed a protocol system in the form of a COVID-19-free surgical route. This study is a retrospective cohort study comparing the incidence of pulmonary complications in patients undergoing elective cancer surgery at dr. Moewardi Surakarta before and during the COVID-19 pandemic. The study sample was adult patients  aged ≥ 18 years which underwent elective surgical procedures with the aim of curative cancer starting before COVID-19 (March 2019-February 2020) until the time the COVID-19 pandemic emerged (March 2020 - February 2021). The data obtained were 768 patients. Of these patients, 384 were classified as having a COVID19-free operation route during the pandemic, and 384 others underwent elective surgery in the pre-pandemic period. Based on the Chi-Square test, a p-value of 0.850 was obtained (P>0.05) which shows that there is significant difference between cases of pulmonary complications in surgical patients before and after the pandemic who were carried out through the COVID-19-free protocol route. In conclusion, there is no significant change in effect of the covid-19 free operation path protocol on the incidence of lung complications in postoperative elective patients at dr. Moewardi Hospital Surakarta, although this patented and mandatory protocol can reduce cancer patients’ morbidity and mortality who undergoing elective surgery during a pandemic.

scholarly journals Economics Of Organic Rice Production

2013 ◽  
Vol 12 ◽  
pp. 97-103 ◽  
Author(s):  
Raj K Adhikari
Keyword(s):  
Poultry Manure ◽  
Labor Cost ◽  
Rice Production ◽  
P Value ◽  
Organic Rice ◽  
Technology Generation ◽  
Development Interventions ◽  
Human Labor ◽  
Agriculture And Environment ◽  
Significant Factors

Interest on organic agriculture is growing gradually in Nepal and the development interventions are concentrated more on technology generation and extension. But analysis on its economic aspect is lacking far behind. In order to know the economic performance of organic farming in general and that of organic rice production in particular, a survey research was carried out in Chitwan in 2010. From the study, the average productivity of organic rice production was found 3.15 Mt/ha which is consistent higher than national average. Among the factor cost, labor cost was found to contribute highest in total cost of production while poultry manure cost, human labor cost and oil cake cast were found to be significant factors at (P value < 0.05) to contribute in total revenue. The B:C ratio of organic rice production was found to be 1.15. The Journal of Agriculture and Environment Vol:12, Jun.2011, Page 97-103 DOI: http://dx.doi.org/10.3126/aej.v12i0.7569

scholarly journals Short-term impact of introducing a soft opt-out organ donation system in Wales: before and after study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025159 ◽  
Author(s):  
Jane Noyes ◽  
Leah McLaughlin ◽  
Karen Morgan ◽  
Philip Walton ◽  
Rebecca Curtis ◽  
...  
Keyword(s):  
Organ Donation ◽  
Organ Donor ◽  
P Value ◽  
Short Term ◽  
Consent Rate ◽  
Potential Organ Donor ◽  
Opt Out ◽  
Significant Difference ◽  
Before And After ◽  
Donor Numbers

ObjectivesTo determine the short-term impact of a soft opt-out organ donation system on consent rates and donor numbers.DesignBefore and after observational study using bespoke routinely collected data.SettingNational Health Service Blood and Transplant.Participants205 potential organ donor cases in Wales.InterventionsThe Act and implementation strategy.Primary and secondary outcomesConsent rates at 18 months post implementation compared with 3 previous years, and organ donor numbers 21 months before and after implementation. Changes in organ donor register activity post implementation for 18 months.ResultsThe consent rate for all modes of consent was 61.0% (125/205), showing a recovery from the dip to 45.8% in 2014/2015. 22.4% (46/205) were deemed consented donors: consent rate 60.8% (28/46). Compared with the 3 years before the switch there was a significant difference in Welsh consent rates (χ2 p value=0.009). Over the same time period, rest of the UK consent rates also significantly increased from 58.6% (5256/8969) to 63.1% (2913/4614) (χ2 p value<0.0001), therefore the Wales increase cannot be attributed to the Welsh legislation change. Deceased donors did not increase: 101 compared with 104. Organ donation registration increased from 34% to 38% with 6% registering to opt-out.ConclusionThis is the first rigorous initial evaluation with bespoke data collected on all cases. The longer-term impact on consent rates and donor numbers is unclear. Concerns about a potential backlash and mass opting out were not realised. The move to a soft opt-out system has not resulted in a step change in organ donation behaviour, but can be seen as the first step of a longer journey. Policymakers should not assume that soft opt-out systems by themselves simply need more time to have a meaningful effect. Ongoing interventions to further enhance implementation and the public’s understanding of organ donation are needed to reach the 2020 target of 80% consent rates. Further longitudinal monitoring is required.

Administering DVT Prophylaxis Sooner Than 48 Hours Does Not Increase Failure of Nonoperative Management of High-Grade (Grades III-V) Splenic Injuries

2020 ◽  
pp. 000313482095030
Author(s):  
Jared Griffard ◽  
Bethany Sappington ◽  
Megan Griffard ◽  
Reagan Bollig ◽  
James McMillen ◽  
...  
Keyword(s):  
Failure Rate ◽  
Nonoperative Management ◽  
Linear Regression Analysis ◽  
P Value ◽  
High Grade ◽  
Dvt Prophylaxis ◽  
Significant Difference ◽  
Before And After ◽  
Injury Grade ◽  
Grade 3

Splenic injuries are mostly treated with nonoperative management (NOM) with observation to monitor for continued hemorrhage and holding early chemical DVT prophylaxis to reduce the risk of NOM failure. Eberle et al demonstrated chemoprophylaxis prior to 72 hours didn’t increase failure rate of NOM. We chose to extrapolate this finding and compare outcomes in high-grade splenic injuries (HGSI) with chemoprophylaxis before and after 48 hours. From January 2013 to December 2017, 104 patients with HGSI received chemoprophylaxis with unfractionated heparin (UH) or low molecular weight heparin (LMWH) within 72 hours of diagnosis. Of these, 8 patients received chemoprophylaxis within 24 hours, 46 between 24 and 48 hours, and 50 patients between 48 and 72 hours. This population consisted of 70 males and 34 females, with an average age of 40.1 years. The average ISS was 23 and the majority (77%) were grade 3 injuries. We observed 6 failures of NOM: 1 in the <24 hour group, 3 in the 24-48 hour group, and 2 in the 48-72 hour group. There was no statistically significant difference between the <24 hour and >24 groups or between the <48 hour and 48-72 hour groups. A linear regression analysis created a model describing the time to initiation of DVT prophylaxis using age, sex, splenic injury grade, and ISS; the failure rate decreased by 0.00002% for each hour prior to giving DVT prophylaxis, with a P value of .111. We conclude a noninferiority statement that DVT prophylaxis prior to 48 hours does not increase the risk of NOM failure.

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