Approach In Rural Areas Research Articles

INSTITUTIONS AND MANDATES FOR CLIMATE CHANGE ADAPTATION IN BULGARIAN RURAL AREAS

Climate change is undeniably the leading challenge in the 21st century (IPCC 2022). Agriculture is simultaneously a major driver of climate change and is seriously affected by it (EEA, 2019). The adaptation efforts and the level of readiness to adapt to climate change vary between regions, countries and sectors (e.g. agriculture and environment). The overall goal of the research is to assess the level of readiness for climate change adaptation of the agricultural and environmental institutions in Bulgaria. The specific objective of the paper is to analyse their institutional setups and mandates for adapting to climate change in the Bulgarian rural areas. The research findings and results will support the identification of enabling conditions and key barriers to stronger institutional adaptation capacities of the main agricultural and environmental institutions in the country. The assessment is based on documentary analysis of the national climate adaptation strategy and the legal acts, regulating the institutions’ mandates and functions. The methodological approach is motivated by the conceptual model developed by Ford and King (2015) for assessing the climate adaptation readiness by governments at various scales. The focus is on three of their adaptation readiness factors – political leadership on adaptation, institutional organisation for adaptation and adaptation decision making. The results indicate a reactive rather than proactive political leadership on climate adaptation in Bulgaria. The institutional organisation for adaptation suffers serious understaffing in the Ministry of Environment and Water and in the relevance sectoral ministries. The Strategy on Climate Change and Adaptation stated the need for increased capacities and training in sectoral institutions and stakeholders in 2019. In 2023, there is only one environmental institution with an official mandate on climate change – the Climate Policy Department in the Ministry of Environment and Water. Its mandate is on policy development at the global, European and national level addressing both mitigation and adaptation needs; and it is the smallest unit in the ministry in terms of staff numbers. The other environmental institution with a mandate on climate change is the Executive Environmental Agency which monitors the greenhouse gas emissions and the related permits and registers, with no explicit mandate on climate adaptation. As regards the agriculture and rural development institutions, the Rural Development Directorate in the Ministry of Agriculture has a mandate to propose measures addressing climate change needs during the programming of the Common Agricultural Policy Strategic Plan 2023-2027. The identified needs (i.e. introduce climate adapted breeds and plant species) relate to the farming sector and not to the rural areas. Overall, the key weakness of the Bulgarian climate adaptation approach in rural areas is its reactive and ad-hoc basis. It either is driven by EU regulations and requirements or is implemented when project opportunities arise, without systemic planning and ownership of responsibility in the agriculture or environmental institutions. Key words: climate change governance, adaptation readiness, agriculture JEL code: Q54, Q58, Q18

Management of chronic pain in a rural Australian setting: Findings from the Crossroads-II mixed-methods study.

A cross-sectional survey (2016-18) involving quantitativeand text-based data was completed by adultsfrom randomly selected households in the Goulburn Valley, Victoria. Among the 2680 respondents, 594 (22%) reported chronic pain. Few (6%) respondents with chronic pain were accessing specialist pain clinics. Logistic regression analysis suggested that the strongest predictors of well‑managed chronic pain were older age, the absence of depression or disability and a longer duration of chronicpain. This study found a similar prevalence of chronic pain to other, predominantly metropolitan Australian studies, withlow participation in specialist pain clinics. The results suggest that improved access to multidisciplinary pain management approaches in rural areas is warranted.

Understanding the impact of socioeconomic and health factors on geriatric depression: A comparative study in rural and urban Bangladesh.

The prevalence of depression among the elderly is a growing concern, and this study examines the differences between urban and rural areas in terms of geriatric depression. Using a two-stage random sampling approach in urban areas and a multistage random sampling approach in rural areas, the study surveyed 944 elderly individuals of both sexes. The results indicate that the prevalence of depression was high, with 52.5% of the elderly population experiencing mild to severe depression. The study found that increasing age, female gender, nuclear family structure, and involvement of housewives or others were significant factors affecting depression in urban areas, while increasing age and elderly people without spouses were significant factors in rural areas. Additionally, the study identified hearing impairment, asthma, and arthritis as risk factors for depression in rural areas, and bronchitis, heart disease, and thyroid illness as significant factors in urban areas. These findings highlight the need for policymakers to focus on addressing the mental health needs of older people, particularly women and those without spouses.

RE-AIM applied to a primary care workforce training for rural providers and nurses: the Department of Veterans Affairs' Rural Women's Health Mini-Residency.

Application of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate workforce education and training programs targeting clinical health care staff has received relatively little attention. This paper aims to contribute to this area with RE-AIM findings from a women's health-focused workforce training program implemented by the U.S. Department of Veterans Affairs (VA). Over the past two decades, the rapid expansion of the women Veteran population in VA has necessitated a quick response to meet clinical demand. To address this health care need, the VA Offices of Rural Health (ORH) and Women's Health (OWH) partnered to deploy a primary care workforce development initiative for Rural Providers and Nurses-the Rural Women's Health Mini-Residency (Rural WH-MR)-to train VA clinicians in rural locations in skills for the care of women Veterans. Here we assess the applicability of RE-AIM as an evaluation framework in this context. We evaluated the Rural WH-MR, relying on a primarily quantitative approach, rooted in RE-AIM. It included longitudinal and cross-sectional measurements from multiple quantitative and qualitative data sources to develop selected metrics. Data collection instruments consisted of pre-, post-, and follow-up training surveys, course evaluations, existing VA databases, and implementation reports. We developed metrics for and assessed each RE-AIM component by combining data from multiple instruments and then triangulating findings. Results from the Rural WH-MR program for fiscal years 2018-2020 indicate that RE-AIM provides an instructive evaluation framework for a rural workforce training program, particularly in eliciting clarity between measures of Reach vs. Adoption and focusing attention on both provider- and patient-level outcomes. We describe evaluation metric development and barriers to and facilitators of utilizing RE-AIM as an evaluation framework for a provider- and nurse-facing intervention such as this workforce training program. We also reflect upon RE-AIM benefits for highlighting process and outcomes indicators of a training program's success and lessons learned for evaluating rural workforce development innovations. Several of our observations have implications for training and evaluation approaches in rural areas with more limited access to health care services.

SISTEM PENGENDALIAN INTERNAL PIUTANG DALAM MENGELOLA PIUTANG MACET (STUDI KASUS PADA UPK KECAMATAN CIPUTAT TIMUR)

PNPM Mandiri Rural is a program to accelerate poverty alleviation in an integrated and sustainable manner. The vision of PNPM Mandir in rural areas is to realize the welfare and independence of the rural poor. Based on the vision, mission and strategies developed, PNPM emphasizes the importance of empowerment as the chosen approach in rural areas. Through PNPM Mandiri Rural it is hoped that the community will be able to complete the stages of empowerment, namely achieving independence and sustainability. The Mandiri Rural National Community Empowerment Program (PNPM) in East Ciputat District, South Tangerang City began operating in January 2017. For the community, especially MSMEs, they really feel the benefits of these Mandiri PNPM programs, especially for programs from funds provided lent by PNPM Mandiri Pedesaan. The collectibility of receivables over the last three years was in the percentage of collectibility I for the current category at 63%, collectibility II for the special mention credit category at 12%, collectibility III for the substandard category at 4% while collectibility for the IV category was doubtful at 3% and finally collectability V the bad credit category is 19%, with an average non-performing loan of 25%. This percentage shows that receivables over the last three years have not been good with current credit collectibility of 63% with the NPL being in the high risk category. With a percentage figure of 25%. From the conclusion of the percentage figures above, the effectiveness of controlling receivables based on the results of the NPL collectibility ratio is not good, but the circulation of receivables still continues today because the SPP program is a government program that is social assistance with a positive vision and mission to improve living standards by providing business financing for mothers. RTM (Poor Households) to become more independent and productive in developing businesses and opening up jobs, even on a small scale.
 
 Key words: Internal Control System, Bad Debt Management, Receivables

The effect of smart fertigation systems on chilli grown in a greenhouse for urban farming

AbstractReasonable fertigation methods are essential for plant growth, as excessive or inadequate water and fertilizer supply can lead to plant diseases, resource consumption, or even crop production reduction. These problems are common to local farmers in Malaysia, especially for large‐scale chilli cultivation using traditional irrigation approaches in rural areas. These problems need to be addressed, as chilli are one of Malaysia's high‐cash crops with massive local demands. Realizing an efficient irrigation control approach using an innovative fertigation method is a potential solution to tackle such problems. This paper proposes a smart fertigation system for chilli cultivation in greenhouses in urban areas to increase chilli production and improve irrigation management. The proposed system utilized the fuzzy logic method for intelligent irrigation decisions, where the decision is based on the input data provided by soil moisture, temperature, and humidity sensors. In addition, the proposed system can monitor and control irrigation in the greenhouse remotely through a website that was developed using the Hostinger platform. The results showed that the fuzzy‐based fertigation approach produced approximately 50% irrigation application efficiency and a higher growth gradient and chilli yield than the traditional approach in both cycles.

Evaluation of a village-based digital health kiosks program: A protocol for a cluster randomized clinical trial.

BackgroundTo address disparities in healthcare quality and access between rural and urban areas in China, reforms emphasize strengthening primary care and digital health utilization. Yet, evidence on digital health approaches in rural areas is lacking.ObjectiveThis study will evaluate the effectiveness of Guangdong Second Provincial General Hospital's Digital Health Kiosk program, which uses the Dingbei telemedicine platform to connect rural clinicians to physicians in upper-level health facilities and provide access to artificial intelligence-enabled diagnostic support. We hypothesize that our interventions will increase healthcare utilization and patient satisfaction, decrease out-of-pocket costs, and improve health outcomes.MethodsThis cluster randomized control trial will enroll clinics according to a partial factorial design. Clinics will be randomized to either a control arm with clinician medical training, a second arm additionally receiving Dingbei telemedicine training, or a third arm with monetary incentives for patient visits conducted through Dingbei plus all prior interventions. Clinics in the second and third arm will then be orthogonally randomized to a social marketing arm that targets villager awareness of the kiosk program. We will use surveys and Dingbei administrative data to evaluate clinic utilization, revenue, and clinician competency, as well as patient satisfaction and expenses.ResultsWe have received ethical approval from Guangdong Second Provincial General Hospital (IRB approval number: GD2H-KY IRB-AF-SC.07-01.1), Peking University (IRB00001052-21007), and the University of North Carolina at Chapel Hill (323385). Study enrollment began April 2022.ConclusionsThis study has the potential to inform future telemedicine approaches and assess telemedicine as a method to address disparities in healthcare access.Trial registration number: ChiCTR2100053872

Cultural Barriers to Husband’s Involvement in Maternal Health in Indonesia Rural Area, A Qualitative Study

Background
 Maternal mortality represents the health condition of the mother during pregnancy. In developing countries, maternal health is often poor because pregnant women are not fully supported by their husbands. The problem is, husbands have cultural barriers to engage in activities that can provide space for pregnant women to be healthier.
 
 Aim
 This study was conducted to examine the husband's cultural barriers in the Toba Batak culture in North Sumatra, Indonesia.
 
 Methods
 The research was conducted using a qualitative approach in rural areas. A total of 30 husbands were interviewed using FGD techniques, in addition to FGDs with health workers.
 
 Results
 This study reveals the root of cultural problems related to the husband's perception of men's and women's work, as well as the inherent traditions that make the husband distance himself from maternal health.
 
 Conclusion
 Cultural barriers of husband’s involvement in maternal health are very clear in Batak tribe. Efforts are needed to change cultural barrier by implementing a cultural approach.

Appraisal of Fluoride Contamination in Groundwater Using Statistical Approach in Rural Areas of Quetta, Balochistan

Fluoride is a significant parameter of water quality and its consumption less or more than the permissible limits in drinking water is detrimental to human health. Therefore, an analysis of groundwater sources in rural areas of Quetta was carried out. Altogether 32 samples were collected from Borewells and Tubewells from Kuchlak, Mariabad, Hazarganji, and Hanna Valley. Samples were subjected to the examination of physicochemical parameters using standard procedures. All the samples were transparent; pH was in the range of 6.4-11.2, Electrical Conductivity (EC) varied from 342-784 µs/cm, Total Dissolved Solids (TDS) ranged between 219-502 mg/L Total Hardness (TH) varied from 140-680 mg/L and Franged from 0.17-3.2 mg/L. The comparison of estimated values showed that all the samples were exceeding the limits prescribed by WHO. Correlation studies showed that pH and EC were positively correlated with F- . Fluoride showed a strong positive correlation with TDS and a negative correlation with TH. This research study indicates that 75% of groundwater samples had Fconcentration greater than the allowable limits of WHO. A reliable monitoring program is needed to manage the drinking water quality and health of the population.

The Spatial Analysis of the Distribution of Agro-Processing Industries in Rural Areas of Guilan Province, Iran

Purpose- The growing attention to rural development issues has created a strong trend in related scientific communities, as over the last few years one can see the traces of this thinking in many relevant scientific trends. One of the most important relevant subjects was job creation using the resources available in rural areas in line with their industrialization and the emergence of agro-processing industries. Spatial distribution of rural industries, spatial justice and their fair distribution based on the distribution of rural settlements have been among the most important concerns in this field. Therefore, the present study aimed to investigate the distribution of agro-processing industries with a spatial approach in rural areas of Gilan Province. Design/methodology/approach- This research is an applied one conducted in a descriptive-analytical method. The collected data were analyzed using the average nearest neighbor, multi-distance spatial cluster analysis, mean center and standard deviational ellipse. Results showed that industries in rural areas of Gilan Province have been located in clusters. Finding- That is, their sites were selected with an eye to favorable conditions such as proximity to cities, population centers and markets, access to infrastructure, proximity to political and decision-making centers, access to major roads, access to more raw materials and cheaper agro-processing industries. Such industries are often located in the counties of Rasht, Rudsar, Astar, Talesh, Lahijan, Langrud and Sowmehsara. Therefore, the officials in charge should make plans to establish agro-processing industries in a more scattered and diverse manner in Gilan Province.

Performance of a novel vertical flow constructed wetland for greywater treatment in rural areas in Jordan

ABSTRACT Jordan is facing severe challenges in terms of water scarcity and wastewater management. Thus, there is a growing need for adopting innovative approaches to overcome these challenges. Within the framework of this study, a pilot project was implemented to treat household greywater in rural areas in Jordan with a purpose of reuse for irrigation. The project consists of designing and developing four vertical flow constructed wetland (VFCW) systems located in different sites and integrating them in a decentralized treatment system. The project work aims particularly to present a model of an innovative, compact and effective modified VFCW system. The performance of the systems was assessed by analyzing the quality of the influent and effluent streams through testing 19 water quality parameters. The results revealed that the design was adequate and efficient in treating greywater as exemplified by removal efficiencies of 90%, 90% and 92% for BOD, COD and TSS respectively. Moreover, the other physico-chemical parameters (T-N, T-P, N-NO3-, Turbidity, Ca, Mg, SO4-, and heavy metals) measured in the effluent streams complied all with the Jordanian standards for unrestricted irrigation. Therefore, the outcomes of the current study can be invested to support the use of constructed wetlands in Jordan as a sustainable technology to improve the wastewater management practices and reinforce the decentralized wastewater treatment approach in rural areas.

Positive Adolescent Development: Effects of a Psychosocial Intervention Program in a Rural Setting.

The Positive Youth Development (PYD) approach identifies adolescents as resources to be empowered rather than problems to be solved. All adolescents have strengths and will fully develop when these strengths are integrated with healthy resources in the diverse environments where they live and interact. The objective of this study was twofold: (1) to present the Positive Development Program for Adolescents living in rural areas (DPAR Program) and (2) to pilot test the intervention program. The DPAR program was evaluated using a repeated-measures design before and after the intervention, with an intervention group and a control group. The sample consisted of 176 adolescents between 11 and 15 years old (M = 12.89, SD = 0.90) who belonged to two high schools with similar characteristics located in rural settings. A mixed-design analysis of variance was performed for each dependent variable. Results showed a significant increase in most of the study variables (self-esteem, self-efficacy, group identity, empathy, relational skills, assertiveness, and conflict resolution) and a significant decrease in alexithymia, as well as better academic performance. All this evidence indicates that the DPAR program is effective in promoting positive adolescent development and addresses the lack of programs based on the PYD approach in rural areas.

Geriatrische Versorgung in ländlichen Regionen: Ergebnisse aus zwei standardisierten Befragungen von Leistungserbringern und Akteuren

BackgroundDue to a growing elderly population the number of age-related diseases increases and thus the need for geriatric care. In rural areas with low population density and few healthcare providers there is a risk of inadequate care. Aim of the studyThe aim of our investigation was to identify gaps in care and preferred improvement approaches in rural areas from the perspective of local care providers. Methods1,545 healthcare providers from two rural regions were surveyed on the care situation (assessment according to the German school grading system), improvement approaches and problems (simple frequencies). The participants’ answers were categorized and analyzed by their work location according to the central-place concept of high-order, middle-order and lower-order (basic) centers. Results348 healthcare providers participated (response rate: 22.5 %). The outpatient and inpatient care situation in geriatrics was rated “satisfactory” on average. Geriatric care is most often jeopardized by long waiting times for specialist treatment (71.0 %). Significant differences in the rating were found in the coverage of geriatric care by inpatient care (p=0.0018) and the accessibility of medical facilities by public transport (p=<0.001). These were better rated in the higher-order centers. The preferred approach to improve care was intersectoral networking (62.3 %) among care providers. ConclusionsIn rural areas, supply problems in geriatrics exist, in particular accessibility and waiting times in middle-order and basic centers. Solutions of regional, intersectoral and interprofessional care were approved by a majority of the participants.

Analyzing the Local-Spatial Consequences of the Development of Tourism Economy with an entrepreneurial Approach in Rural Areas (Case Study: Samen District in Malayer County)

Purpose- The formation of various economic activities has always been accompanied by changes in this geographical space. Therefore, the purpose of this paper is to analyze the local-spatial consequences of the development of tourism economy with an entrepreneurial approach in rural areas of Samen District in Malayer County. Design/methodology/approach- This study is an applied one. According to the method, it is descriptive-analytical. To fulfill the purpose of the study, field study and survey were used. Its reliability was calculated using Cronbach's alpha test for 4 components of economic, social, physical, and environmental consequences with the values of 0.90, 0.90, 0.99 and 0.97, respectively. Thus, the research tool was considered appropriate. Factor analysis was used to analyze the data using SPSS (version 20). Findings- The results showed that the local-spatial consequences of the development of tourism economy with an entrepreneurial approach can be considered in six classified factors under the following headings: Development of physical and environmental capital (40.54%), development of rural tourism service platforms (22.98%), social and improving capital of local communities (11.84%), development of economic capital and employment of local communities (7.49%) , expansion of tourism economy development infrastructure (3.37%), and the entrepreneurial capital factor and the development of local communities (2.54%). These six consequences explain the variance of all variables for the total of 88.76% Research limitations/implications- More than half of entrepreneurs neither use a specific marketing and tourism strategy to sell their products, nor have a website. Lack of access to infrastructure such as the internet and accommodation opportunity has created limitations for the development of the tourism entrepreneurial economy in the rural areas of Malayer. Practical implications- In order to achieve the development of tourism entrepreneurship in rural areas, it is recommended to pay special attention to the development of rural environmental capital, security and development of infrastructure and basic services, and development of social and improving capital of local communities in the region. Since most of the tourists entering Malayer have commercial purposes, the development of rural services such as the travel agencies and active tours in the village, the presence of internet cafes for tourists in the village, automobile repair shops, insurance offices, local restaurants and ecolodges seem to be essential. Originality/Value: To understand the dynamics and consequences of the development of tourism economy, the entrepreneurial approach was used in the form of Porter’s tourism impact model. It led to the measurement of local-spatial consequences in this area.

Spatial Co-Clustering of Cardiovascular Diseases and Select Risk Factors among Adults in South Africa.

Background: Cardiovascular diseases (CVDs) are part of the leading causes of mortality and morbidity in developing countries, including South Africa, where they are a major public health issue. Understanding the joint spatial clustering of CVDs and associated risk factors to determine areas in need of enhanced integrated interventions would help develop targeted, cost-effective and productive mediations. We estimated joint spatial associations and clustering patterns of 2 CVDs (stroke and heart attack) and 3 risk factors (hypertension, high blood cholesterol (HBC) and smoking) among adults in South Africa. Methods: We used cross-sectional secondary adult (15–64-year olds) health data from the South African Demographic Health Survey 2016. Age and gender standardized disease incidence ratios were analyzed using joint spatial global and local bivariate Moran’s Index statistics. Results: We found significantly positive univariate spatial clustering for stroke (Moran; s Index = 0.128), smoking (0.606) hypertension (0.236) and high blood cholesterol (0.385). Smoking and high blood cholesterol (0.366), smoking and stroke (0.218) and stroke and high blood cholesterol (0.184) were the only bivariate outcomes with significant bivariate clustering. There was a joint stroke-smoking local “hot spots” cluster among four districts in the urban western part of the country (City of Cape Town; Cape Winelands; Overberg and Eden) and a joint “cold spots” cluster in the rural north-western part of the country. Similar joint “hot spots” clustering was found for stroke and high blood cholesterol, which also had “cold spots” cluster in the rural east-central part of the country. Smoking and high blood cholesterol had a “hot spots” cluster among five districts in the urban western part of the country (City of Cape Town; Cape Winelands; Overberg; Eden, and West Coast) and “cold spots” around the rural districts in east-southern parts of the country. Conclusions: Our study showed that districts tended to co-cluster based on the rates of CVDs and risk factors, where higher rates were found in urban places than in rural areas. These findings are suggestive of a more contagious and spatial diffusion process among interdependent districts in urban districts. Urbanization or rurality needs to be considered when intervention initiatives are implemented with more general approaches in rural areas. The finding of “hot spot” co-clusters in urban areas means that integrated intervention programmes aimed at reducing the risk of CVDs and associated risk factors would be cost-effective and more productive.

ENVIRONMENTAL LOGISTICS OF WASTE MANAGEMENT IN VILLAGES, SETTLEMENTS AND PEASANT HOUSEHOLDS

The absence of processing plants, sorting lines or stations, special rolling stock in villages and settlements leads to accumulation of waste in open territories, burning, dumping into streams, rivers and reservoirs. Particularly acutely these ecological problems affect mountain territories, reserves and reserves of our state, where the guarantee of clean environment is in the first place. In line with the approaches to household waste management at the village, village and private peasant household level, hierarchical levels are set: satisfactory, risky, critical. Existing waste management approaches in rural areas are generally inappropriate, since a significant part of the pollutants enters the hydro, lithosphere and biogeocoenosis. The emergence of the current situation is the construction of garbage processing plants. The developed generalized logistic system of waste management in rural areas highlights the impact of garbage disposal approaches on regional ecological safety.

Effect of living environment on ear, nose and throat diseases: a cross sectional survey in rural areas of Rohtas district in Bihar

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Ear, nose and throat (ENT) diseases are very common in general population. Internal living environment can act an important risk factor for these diseases. In rural areas, patients do not consult ENT experts. So, free health camps can bring treatment facilities at their doorsteps. The objective of this study was to determine the pattern and prevalence of ENT diseases in rural areas of Sasaram, Rohats district, Bihar and to find out the effect of living environment on these diseases.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; The study&lt;strong&gt; &lt;/strong&gt;was conducted using camp approach in rural areas of Sasaram, Rohtas, Bihar. ENT and Community Medicine experts, interns along with audiologists, medico social workers, nurses and paramedical staff were voluntarily involved.&lt;strong&gt; &lt;/strong&gt;The patients were screened and referred to ENT experts. A logistic regression analysis was conducted to determine the internal environment factors associated with ENT diseases. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; Out of 832 patients, 61.9% were suffering from ENT disorders. Most common age group affected was of 31-40 years. 54.8% of patients were suffering from ear diseases while nasal and throat problem was seen in 14.9% and 30.3% respectively.&lt;strong&gt; &lt;/strong&gt;Multiple logistic regression analysis of living environment conditions propounds that non-availability of cross ventilation in houses and overcrowding are most important factor influencing ENT diseases.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Free health camps conducted by medical experts act as an opportunity to screen people with various diseases of ENT in a community. Bad internal environment can act as a vital determinant for these diseases.&lt;/p&gt;&lt;p class="abstract"&gt; &lt;/p&gt;

Development of Cattle farming as a Model For Sustainable Rural Development Goal using Spatial Approach (Case in Southern Parts of Merapi Volcano Slope Sleman Regency of Yogyakarta)

This study aims to build a model of beef cattle farming development using spatial approach in rural areas of the southern slopes of Merapi Volcano Sleman Regency of Yogyakarta after eruption 2010. Samples were taken Glagaharjo sub-district (Cangkringan district) as impacted area and Wonokerto (Turi district) as unimpacted areas. Survey method were used to land evaluation analysis and Geographic Information System (GIS) software for spatial analysis. Materials were used RBI map in 1:25 000 scale, map of land use, landform, slope, and IKONOS imagery (2015. Analysis potential of land capability for forage cattle using the production unity in kg of TDN per AU. The research result showed that based on the land capability and suitability class maps, both villages had the potential of land carrying capacity of cattle feed of 2604.84 AU in Glagaharjo and 2162.26 AU in Wonokerto. However, further research to explore the potential of agricultural land use to develop smallholder model of beef cattle farming in both villages was still open to the researchers.

Clinical screening of paraquat in plasma samples using capillary electrophoresis with contactless conductivity detection: Towards rapid diagnosis and therapeutic treatment of acute paraquat poisoning in Vietnam.

The employment of a purpose-made capillary electrophoresis (CE) instrument with capacitively coupled contactless conductivity detection (C4D) as a simple and cost-effective solution for clinical screening of paraquat in plasma samples for early-stage diagnosis of acute herbicide poisoning is reported. Paraquat was determined using an electrolyte composed of 10mM histidine adjusted to pH 4 with acetic acid. A detection limit of 0.5mg/L was achieved. Good agreement between results from CE-C4D and the confirmation method (HPLC-UV) was obtained, with relative errors for the two pairs of data better than 20% for 31 samples taken from paraquat-intoxicated patients. The results were used by medical doctors for identification and prognosis of acute paraquat poisoning cases. The objective of the work is the deployment of the developed approach in rural areas in Vietnam as a low-cost solution to reduce the mortality rate due to accidental or suicidal ingestion of paraquat.

Team-based education in a palliative approach for rural nurses and unlicensed care providers.

This article describes the preparation and delivery of an educational intervention designed to improve rural nurses and unlicensed care providers' confidence in a palliative approach to care. A palliative approach takes the principles of supportive palliative care and adapts them for application earlier in nonspecialized palliative contexts for individuals living with life-limiting chronic illness. Curriculum in a palliative approach was constructed for nurses and unlicensed care providers (care aides and home health workers) and was delivered through a workshop and monthly follow-up sessions offered through distance technology. Participants valued the joint interactive education and came away with greater appreciation for one another's contributions to care. Insights were gained into common challenges when attempting to apply a palliative approach in rural areas. Important lessons were learned about educating nurses and unlicensed care providers together, about the use of technology for this group, and about teaching the concept of a palliative approach.