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What Constitutes Effective Interprofessional Education Amongst Health Related Disciplines : A Literature Review Full text
2019
Elly Wardani | R. Rachmah | Putri Mayasari | Mayanti Mahdarsari
Interprofessional Education (IPE) is considered an educational strategy that has potential benefit for improving teamwork and collaboration in practice, leading to improved patient outcomes. As the development and implementation of curricula that integrate IPE requires significant resources, its adoption should be based on evidence of effectiveness. The purpose of this literature review is to identify what constitutes effective interprofessional education amongst health related disciplines. A literature search was conducted using Science Direct, BMC, Elsevier and Joint Commission Journal for the years 2009-2018. A total of 15 studies met the established inclusion criteria. The use of IPE among health related disciplines is one effective way to solve several problems, and its particularly improves patient safety. What constitutes effective interprofessional education amongst health related disciplines are possibly viewed from some aspects, such as efficiency, effectiveness, learning strategy, power, patient and learner safety and readiness to practice, interprofessional curriculum, roles and relationships, and learning outcomes.
Show more [+] Less [-]Feasibility Study of Financial Economic on Combination Goat Farming and Cacao Farm By Farmers Full text
2019
S Rusdiana | R. Hutasoit
The research was conducted in Sumber Harapan Village, Tinggi Raja District, Asahan Regency, North Sumatra Province, in 2016, using field survey methods, questionnaires and interviews. Secondary data was obtained from the local Livestock Service Office, primary data sourced from respondents by purposive random sampling, as many as 15 of goat farmer in scale of 3-5 heads / farmers and 10 cocoa farmers. Each farmer has a land area of around 1000 m2 and has 100 cocoa trees, producing around 5.7 to 6.5 kg/tree/ week. Data were analyzed descriptively, quantitatively and economic feasibility analysis of B/C ratio. The purpose of this study was to analyze the economic feasibility of goat and cocoa farming businesses. The results showed that, almost all of the land belonged by farmers. The farmer business continue to run well, the worker of the goats business and cocoa is quite different. For the goats business as much as 160.56 days/year and for cocoa businesses 262.28 days/year. The profit of goat as much 5.392.060 IDR/year B/C 1.8. The capital of expenditure was 1.714.200 IDR/year. So that the profits obtained 3.677.860 IDR/year. The advantage of cocoa farmers is 67.507.200 IDR/ year B/C 2.7, The capital of expenditure of 7.2142.00 IDR/year. So that the cocoa profits obtained of 60.293.000 IDR/year. It is concluded that the goat and cacao business can be profitable for farmers. Then the business as financially economically feasible to develop further.
Show more [+] Less [-]Comparison of humoral immune responses between heat-inactivated Brucella abortus biovar 3 and strain RB51 vaccines in indigenous cattle of Bangladesh Full text
2019
Maruf, A. A. | Yasmin, F. | Yeasmin, F. | Rahman, A. K .M. A. | Hossain, M. M. | Neubauer, Heinrich Karl Johann | Rahman, M. S.
Background: Live attenuated Brucella abortus strains 19 and RB51 vaccines have been used as a key method for the control and eradication of brucellosis in cattle worldwide for decades. Due to certain limitations of these live vaccines, research has been undertaken for the development of an ideal more effective and safer vaccine for animals and human brucellosis. Objective: The main objective of this study was to compare the humoral immune responses (HIR) between the heat-inactivated Brucella abortus biovar 3 and attenuated live RB51 vaccines in native cattle of Bangladesh. Materials and Methods: The methods of isolation, identification, preparation of inoculum dose (10 × 1010 cfu/5 ml) and heat inactivation of B. abortus biovar 3 was followed as described earlier. Each of the three B. abortus sero-negative native cows was inoculated with heat-inactivated B. abortus vaccine @ 5.0 ml (10 × 1010 cfu /5 ml)/ cow SC single injection. Similarly, each of five native calves of 6 to 9 months old was inoculated with live attenuated RB51 vaccine (CZ Veterinaria, SA, Spain) @ 2.0 ml (10-34×109 ) SC as single dose. The sera of cows were collected at 0, 7, 14, 21, 28, 40, 60 and 90 days post vaccination, whereas the sera of the calves were collected at 0, 7, 14, 21, 28, 60, 90, 120, 150 and 180 days post-vaccination. All the collected sera of both the groups were tested to evaluate antibody titer by RBT followed by ELISA with commercial tests kits. Results: The HIR of the cows inoculated with heat-inactivated vaccine showed antibody (Ab) titer started to rise significantly (p < 0.05) from the 14 days (OD 0.2116 ± 0.0397, Ab titer 1:120) and reached a peak level at 28 days (OD 0.319 ± 0.172, Ab titer 1:800) and then started to decline significantly (p < 0.05) from 40 days (OD 0.234 ± 0.0415, Ab titer 1:35) to 60 days (OD 0.094 ± 0.0075, Ab titer 0). The mean Ab titer in calves inoculated with RB51 vaccine showed that Ab titer started to appears insignificantly (p ˃ 0.05) from day 7 (OD 0.094 ± 0.01603) and reached peak level at day 60 days (OD 0.592 ± 0.398), changes are very significant from day 0 (p < 0.05), after 60 days Ab level start to decrease and reach at lowest level at day 150 (OD 0.112 ± 0.0188), Ab level found similar to day 0 (OD 0.0826 ± 0.00517) at 180 days (OD 0.0822 ± 0.00249). Conclusions: The S19 and RB51 are the approved B. abortus vaccine strains have been widely and successfully used with some limitations to prevent bovine brucellosis worldwide. In addition to live attenuated and inactivated vaccines, recombinant genes, proteins, vectors, DNA and recombinant mutant vaccines have also been evaluated for the prevention of brucellosis but further research would be required to develop an ideal vaccine for both the humans and animals.
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