scholarly journals From Maximization to Optimization: A Paradigm Shift in Rice Production in Thailand to Improve Overall Quality of Life of Stakeholders

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Ryoichi Doi ◽  
Supachai Pitiwut

The concept of crop yield maximization has been widely supported. In practice, however, yield maximization does not necessarily lead to maximum socioeconomic welfare. Optimization is therefore necessary to ensure quality of life of farmers and other stakeholders. In Thailand, a rice farmers' network has adopted a promising agricultural system aimed at the optimization of rice farming. Various feasible techniques were flexibly combined. The new system offers technical strengths and minimizes certain difficulties with which the rice farmers once struggled. It has resulted in fairly good yields of up to 8.75 t ha−1or yield increases of up to 57% (from 4.38 to 6.88 t ha−1). Under the optimization paradigm, the farmers have established diversified sustainable relationships with the paddy fields in terms of ecosystem management through their own self-motivated scientific observations. The system has resulted in good health conditions for the farmers and villagers, financial security, availability of extra time, and additional opportunities and freedom and hence in the improvement of their overall quality of life. The underlying technical and social mechanisms are discussed herein.

AIDS Care ◽  
2021 ◽  
pp. 1-8
Author(s):  
Orlanda Q. Goh ◽  
Eugène Kroon ◽  
Carlo Sacdalan ◽  
Phillip Chan ◽  
Trevor A. Crowell ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256652
Author(s):  
Dini Widiarni Widodo ◽  
Robert Mars ◽  
Ronny Suwento ◽  
Widayat Alviandi ◽  
Imelda Ika Dian Oriza ◽  
...  

Objective This study aimed to investigate the functional outcomes, satisfaction, and quality of life of patients with microtia following reconstructive surgery. Methods This cross-sectional study was conducted using retrospective data of patients with microtia following reconstructive surgery using the Nagata technique. Data were obtained from the medical records of patients who underwent reconstructive surgery at the Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, Dr. Cipto Mangunkusumo Hospital between 2014 and 2018. All eligible patients were referred to participate in this study between November 2018 and March 2019. The hearing function was assessed by a professional audiologist after surgery. Patient satisfaction was evaluated by interview using a previously developed questionnaire, while quality of life was assessed using the EuroQol-5D-Young questionnaire. Results Thirty-one eligible subjects were included in the study. Pain and discomfort were the most commonly reported factors related to the quality of life following surgery. Approximately 67.7% of the patients were satisfied; 19.4% were very satisfied, and 12.9% reported acceptance of their surgical outcomes. The most common complication was infection (n = 8). Most patients did not experience any problems in their lives after microtia surgery. Conclusions The highest rate of satisfactory outcomes was observed for the lobule subunit, which was assumed to be associated with the use of the Z-plasty technique. The most common complication was infection, as environmental hygiene was the most important factor. Thus, further concern for maintaining good hygiene is necessary to improve the quality of reconstructive surgery. The level of satisfaction with microtia reconstructive surgery was adequate. Most patients had a good health-related quality of life without experiencing any problems.


2021 ◽  
Author(s):  
Yuko Morita ◽  
Taeko Sasai-Sakuma

Abstract Background: This study investigated the optimal nocturnal sleep duration required by collegiate athletes to maintain physical and mental health, compared with non-athlete students. Methods: In this cross-sectional study, a questionnaire survey was conducted to assess demographic variables, lifestyle and sleep habits, and health-related quality of life in 298 collegiate students (non-athletes, n = 158; athletes, n = 140). Physical component summary and mental component summary were assessed by using a Short-Form 8 Health survey, and participants with good physical as well as mental component summary scores were considered to have a good health-related quality of life. To confirm an association between nocturnal sleep length and good health-related quality of life, logistic regression analyses were conducted in non-athlete students and collegiate athletes separately. Subsequently, receiver operating characteristics curve analyses were performed for detection of the cut-off points for nocturnal sleep duration sufficient to maintain good health-related quality of life in both collegiate athletes and non-athlete students. Results: The average nocturnal sleep duration was 7 hours 4 minutes among collegiate athletes, and 75.7% of them had a worse physical component summary. The cut-off point for nocturnal sleep duration in collegiate athletes was 7.98 hours (area under the curve: 0.69, P = 0.013, sensitivity: 85.5%, specificity: 56.2%), which was longer than the cut-off of 6.58 hours for non-athlete students. Conclusion: Collegiate athletes required longer nocturnal sleep than non-athlete students. Nevertheless, their habitual nocturnal sleep duration was shorter compared to their optimal duration; around 80% of them faced chronic insufficient sleep. Improving sleep habits and sleep education is important in maintaining their good health-related quality of life.


Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 684-695
Author(s):  
Marta García-Tascón ◽  
Cristina Mendaña-Cuervo ◽  
César Sahelices-Pinto ◽  
Ana-Mª Magaz-González

En España, la declaración del estado de alarma por la pandemia Covid-19, supuso que entre el 14 de marzo y el 2 de mayo de 2020, 47 millones de habitantes estuvieran confinados y sólo pudieran salir a cubrir necesidades básicas. Ante este hecho es oportuno analizar su impacto sobre la salud, tomando en consideración cómo afectó a la práctica de la actividad física. Se administró un cuestionario ad hoc. Los participantes fueron 1046 personas (hombre 48.57% y mujer 51.43%) y con una edad media de 40 (± DT 13.35 años). Respecto a la práctica de actividad física, destaca una significativa disminución de intensidad y cantidad (p < .001), y una modificación del tipo de actividad física realizada, pasando de deportes cardiovasculares y de aptitud muscular a prácticas de gimnasias suaves y flexibilidad. Aumentó el porcentaje total de personas que no realizaron nada de actividad física. Aun disponiendo de más tiempo libre, las personas en situación de ERTE, disminuyeron significativamente su cantidad de actividad física realizada (p < .001). Estos resultados permiten concluir que el confinamiento supuso una modificación de hábitos de práctica de actividad física, una disminución de los valores recomendados como saludables, lo que conllevó implicaciones sobre la salud y la calidad de vida. Se ofrece información que ayudará a entender estos nuevos comportamientos y que facilitará a los gestores estrategias innovadoras para activar la vuelta a niveles anteriores de actividad física, su incremento y, en definitiva, la reactivación del sector deportivo.  Abstract: In Spain, the declaration of the state of alarm due to the Covid-19 pandemic, meant that between 14th of March and 2nd of May 2020, 47 million inhabitants were confined at home and could only go out to cover basic needs. This unprecedented event has led to a paradigm shift, and it is appropriate to analyze its impact on health, considering how it has affected the practice of physical activity. An ad hoc questionnaire was administered. The participants were 1046 people (48.57% male and 51.43% female) and the average age of 40 (± DT 13.35 years). Regarding the practice of physical activity, a significant decrease in intensity and quantity stands out (p < .001), and a modification of the type of physical activity performed, going from cardiovascular sports and muscular fitness to soft gymnastics and flexibility practices. The total percentage of people who did no physical activity at all, increased. In addition, although more free time was available, people in ERTE situation significantly decreased their amount of physical activity performed (p < .001). These results allow us to conclude that confinement has meant a modification of physical activity practice habits and a decrease in the recommended values ​​of healthy healthy, and therefore has had implications on health and quality of life. This information will help to understand these new behaviors in order for managers to implement innovative strategies to reactivate the return to previous levels of physical activity, its increase and, in short, the reactivation of the sports sector.


2018 ◽  
Vol 34 (S1) ◽  
pp. 122-122
Author(s):  
Paulo Henrique Ribeiro Fernandes Almeida ◽  
Thales Brendon Castano Silva ◽  
Lívia Lovato Pires de Lemos ◽  
Francisco de Assis Acúrcio ◽  
Augusto Afonso Guerra Júnior ◽  
...  

Introduction:Quality of life (QoL) is an important health measure and is widely used to assess the difference between treatments for Type 1 Diabetes Mellitus (T1DM) since the desirable glycemic control and the minimization of episodes of hypoglycemia are fundamental aspects for a better QoL. This study aims to identify the factors associated with QoL in patients with T1DM.Methods:A cross-sectional study (approved by ethics committee) was carried out in the state of Minas Gerais with 401 T1DM patients who used insulin glargine (GLA) selected in March 2017, and 179 patients who used insulin-neutral protamine (NPH) selected between January and February 2014, and both groups were treated by Brazilian National Health System (SUS). A questionnaire with three blocks was used: A) sociodemographic data; B) clinical data and access to the service; and C) QoL by Euroqol (EQ-5D-3L). We used multiple linear regression model by the forward stepwise method to access the correlation between the utilities of the EQ-5D-3L and all the explanatory variables (blocks A and B). We adopted the significance level and confidence interval of 95 percent (95% CI).Results:Of the 580 patients evaluated, 54 percent were women, 47 percent were in the age group between 18–40 years, 53 percent reported to be non-black. The EQ-5D-3L analysis showed patients treated with insulin analogue GLA had an average utility of 0.849 and those treated with NPH insulin 0.722 (p < 0.000). Individuals young, very good/good health self-perception, having not been bedridden in the last 15 days, zero to three medical appointments in the last year, no hospitalization in the last year, regular physical activity in the last 15 days to practice physical exercise, having between zero and three comorbidities and no severe hypoglycemia in the last 30 days were explained 41.3 percent of QoL. The type of insulin therapy, GLA or NPH, did not enter into the final multiple regression model.Conclusions:The findings of this study pointed to a lack of correlation between insulin therapy and QoL of patients with T1DM. Sociodemographic and clinical factors were more important to explain the QoL of diabetics. In addition, the evidence pointed to the importance of episodes of hypoglycemia for Qol. Of the 191 episodes of hypoglycemia (non-severe and severe) reported, 66 percent were from patients treated with GLA.


2013 ◽  
Vol 46 (5) ◽  
pp. 621-634 ◽  
Author(s):  
ABDUR RAZZAQUE ◽  
A. H. M. G. MUSTAFA ◽  
PETER KIM STREATFIELD

SummaryIn order to understand current and changing patterns of population health, there is a clear need for high-quality health indicators. The World Health Organization Study on Global AGEing and Adult Health (SAGE) survey platform and the International Network for the Demographic Evaluation of Populations and Their Health in developing countries (INDEPTH) generated data for this study. A total of 4300 people aged 50 years or older were selected randomly from the Matlab Health and Demographic Surveillance System of the International Centre for Diarrhoeal Disease Research, Bangladesh. The health indicators derived from these survey data are self-rated general health, overall health state, quality of life and disability levels. The outcome of the study is mortality over a 2-year follow-up since the survey. Among the four health indicators, only self-rated health was significantly associated with subsequent mortality irrespective of sex: those who reported bad health had higher mortality than those who reported good health, even after controlling for socio-demographic factors. For all other three health indicators, such associations exist but are significant only for males, while for females it is significant only for ‘quality of life’.


Curationis ◽  
2001 ◽  
Vol 24 (2) ◽  
Author(s):  
MS Westaway ◽  
T Gumede

A study was conducted with 487 black adult residents of a South African informal settlement (151 men and 336 women) to ascertain satisfaction with personal and environmental quality of life. It was hypothesised that: (1) health status and life satisfaction were the underlying dimensions of personal quality of life (PQOL); (2) health status and life satisfaction were more strongly associated with PQOL than environmental quality of life (EQOL); and (3) life satisfaction and satisfaction with EQOL were positively related. Seventy per cent of respondents rated their health as good or better. Age, schooling and employment status were significantly related to health, life satisfaction and PQOL. Reliability (internal consistency) coefficients were 0.77 for the 5-item life satisfaction scale and 0.82 for the 12-item EQOL measure. Factor analysis showed that safety and security was the major unmet service need. Health status and life satisfaction explained 38% of the variance in PQOL; health status explained only 4% of the variance in EQOL. Life satisfaction was significantly related to EQOL (r = 0.16, p = 0.01). The results provided support for all three hypotheses. It was concluded that the life satisfaction and EQOL measures had good reliability; there was a definite need for a safety and security programme; and good health was a more important predictor of PQOL than EQOL.


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