13 research outputs found

    Pediatric Osteochondritis Dissecans of the Talus

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    FARMERS' PERCEPTIONS ON SELECTED SOCIO-ECONOMIC AND AGRICULTURAL PRODUCTION ASPECTS AND THEIR RELATION WITH THE AGRICULTURAL EXTENSION SERVICE IN SURINAME

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    The government of Suriname has prioritized development of sustainable agricultural production in Suriname, especially in the rural areas, and has integrated the millennium development goals in their strategies and policy vision (Van Eeckhout, 2008). Policymakers, scientists and entrepreneurs (including farmers) are convinced that the agricultural sector in Commewijne has potential to assist Suriname in realization of the millennium goals in 2015 so that poverty will be reduced in communities in Commewijne, and sustainable agricultural activities must play an important role in the development of this district. To get an overall view of the farmers' perspective on the socio-economic problems, the quality of the Agricultural Extension service, and the bottlenecks with regard to all aspects of agricultural production, a base line agricultural survey was developed, modified and validated by a panel of experts. With this instrument one hundred farmers were interviewed in Commewijne and the data was analyzed using SPSS statistics. Findings revealed the following problems: (1) drinking water is a problem for many farmers in this district; (2) the standard of living is low; (3) shortage of water in the dry season; (4) excessive water on the agricultural soils in rainy periods; and (5) high price fluctuations for agricultural products. Findings also reveal that farmers are experiencing problems with: (1) pest and disease management; (2) farm bookkeeping; and (3) insufficient technical information about plant cultivation, and crop protection. Furthermore, farmers felt that the information from field extension staff was insufficient with regard to pesticide education, fertilization, good agricultural practices, integrated pest management (ΓΡΜ) and with irrigation and drainage aspects. Recommendations include training for farmers in: GAP, FFS, weed knowledge and weed control, farm bookkeeping and farm administration, pesticide education and pesticide control, fertilizer education and fertilizer deficiencies of crops, and use of sustainable cultivation systems (mulching, compost, ΓΡΜ, etc.). Furthermore, recommendations also include training of the field extension staff on technical aspects of agricultural production

    Dermatofibrosarcoma protuberans of the hallux

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    Factors associated with COVID-19 length of hospitalization and mortality during four epidemic waves, March 2020–November 2021, Suriname

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    Objectives. To determine the sociodemographic risk factors associated with coronavirus disease 2019 (COVID-19) mortality in Suriname. Methods. This was a retrospective cohort study. All registered deaths from COVID-19 in Suriname (n=1112) between March 13, 2020 and November 11, 2021 were included. Data were collected from medical records and included demographic variables and hospitalization duration of patients who died. Descriptive statistics, chi-squared tests, ANOVA models, and logistic regression analyses were used to determine associations between sociodemographic variables, length of hospitalization, and mortality during four epidemic waves. Results. The case fatality rate over the study period was 22 per 1 000 population. The first epidemic wave was from July to August 2020, the second from December 2020 to January 2021, the third from May to June 2021, and the fourth from August to September 2021. Significant differences were found in the number of deaths and hospitalization duration by wave (p<0.001). Patients were more likely to have a longer hospitalization during the first (OR 1.66; 95% CI: 0.98, 2.82) and third waves (OR 2.37; 95% CI: 1.71, 3.28) compared with the fourth wave. Significant differences in mortality were also seen between ethnicities by wave (p=0.010). Compared with the mixed and other group, people of Creole ethnicity (OR 2.7; 95% CI: 1.33, 5.29) and Tribal people (OR 2.8; 95% CI: 1.12, 7.02) were more likely to die during the fourth wave than the third wave. Conclusions. Tailored interventions are needed for males, people of Creole descent, Tribal and Indigenous peoples, and people older than 65 years
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