In the Brantas watershed, the acceleration of development for public welfare is often used as an argument for the exploitation of natural resources. This activity causes the degradation of natural resources. To achieve a healthy watershed, community empowerment in a watershed is one of the main concerns of the Indonesia government and it is urgently needed. Community empowerment through a micro catchment is an innovation. In the first step of the effort, a capacity baseline of the community on implementing soil and water conservation is required. The baseline was obtained through household surveys using a questionnaire. The sample was selected using the proportional random sampling method. A small population of the sample used a hyper geometric distribution approach. The results of the baseline study indicated that the community was still dependent on their land resources. They generally understand the land degradation problem, however some communities still did not realize the importance of environmental protection. The reason for farmers does not apply the soil and water conservation was due to the lack of labour, the demand for economic needs for their livelihood and less funding to carry out soil and water conservation measures. The community could overcome land degradation through community groups and they expect technical assistance and subsidies. They need formed and functioned the Association of Micro-catchment Management. The communities also stated that they needed regular assistance in the management of land resources through field school.
Background : Acute aortic syndrome (AAS) is a potentially fatal disease involving the acute disruption of the aortic wall. Several conditions, such as intramural hematoma (IMH), aortic dissection (AD), penetrating atherosclerotic ulcer (PAU), as well as high mortality rates, are associated with this disease. Hypertension is an essential risk factor, and patients often present with pain. AAS may be challenging to be evaluated, as it has a pre-test probability and several diagnostic tests. Objective : This literature review will discuss the proper diagnosis and management of Acute aortic Syndrome patients. Discussion : Computed Tomography Angiography (CTA) is essential in managing AAS. The significance of prompt diagnosis and treatment of AAS is emphasized further by the current developments in imaging techniques and therapeutic interventions, ultimately leading to increased vigilance of this disease. Management of AAS included initial medical therapy and definitive therapy. Conclusion : In A type AAS, surgical intervention is the definitive therapy, while type B is managed definitively by endovascular or medical treatment
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