Objective: The study was conducted to determine the effect of inoculants of different types and doses on the nutrient quality and in vitro digestibility of fermented rice bran. Materials and Methods: The study was designed using a completely randomized design with a 3 × 3-factorial pattern. The first factor was the type of inoculum, consisting of Saccharomyces cerevi¬siae (SC), Effective Microorganism-4, and Saus Burger Pakan (SBP). The second factor is inoculum doses, which are as follows: levels 2%, 4%, and 6%. The variables measured included chemical composition, fiber fraction content, dry matter digestibility and organic matter digestibility. Results: The results showed that the type of inoculation treatment and the doses of inoculation did not affect the dry matter (DM) content of fermented bran, and the organic matter content of fermented bran was only affected by the inoculation dose factor (p < 0.05). The highest crude protein and Extract Ether (EE) were obtained in the SBP inoculants, which increased linearly with increasing inoculation doses (p < 0.05). While a significant decrease (p < 0.05) occurred in crude fiber content. The cellulose, hemicellulose, lignin, acid detergent fiber (ADF), and neutral deter¬gent fiber (NDF) fractions were significantly lower in the SBP treatment as the dose increased. The SBP inoculant type produced the highest DMD (p < 0.05) but showed a response that was not different from the SC inoculant treatment for OMD. Increasing inoculation doses of 2%, 4%, and 6% linearly increased the DMD and OMD of fermented bran (p < 0.05). Overall, inoculant application on fermented bran showed an interaction effect except for the components of DM, EE, ADF, NDF, and DMD of fermented bran. Conclusions: It was concluded that the SBP at 6% and their combination resulted in the best chemical quality and digestibility of rice bran.

One of the most common long-term complication of chronic osteomyelitis of tibia is segmental bone loss. One of the methods to manage the segmental bone loss in osteomyelitis is bone transport technique, which is able to reconstruct a defect of more than 6 cm. This paper aims to systematically review and analyze the outcome of bifocal and trifocal bone distraction technique on the tibial bony defect. A comprehensive literature search was performed using PubMed, Google Scholar, and Cochrane library. The inclusion criteria were any studies about comparison between bifocal bone transports with trifocal bone transport in management of large tibial bone defect. The outcomes assessed includes external fixation index, duration of regenerate consolidation, lengthening speed, bone transport distance, and operating time. Two studies reported shorter external fixation index in total of 57 fractures in the trifocal group and 61 fractures in the bifocal group. The meta-analysis showed significant difference in external fixation index between the two groups (Figure 1; RR=-44.37; 95% CI 73.73-15.01; p<0.0001) with significant heterogeneity (Chi square=11.38, p=0.0007); I2: 91%. Although only two studies were compared, both studies had almost similar subjects, and shown that trifocal bone transport technique had faster external fixator index compared to the bifocal bone transport group in the setting of severe bone loss in tibial fracture.

Objective: The study was conducted to determine the effect of Leucaena at different proportions and doses of molasses on the nutritional quality, silage fermentation characteristic, and in vitro digestibility of corn stover silage. Materials and Methods: The study was designed in a completely randomized factorial design 3*3 pattern. The first factor was the proportion addition of Leucaena, i.e., L0 (0%), L15 (15%), L30 (30%), and L45 (45%) of inclusion of Leucaena on the dry matter (DM) basis of corn stover. The second factor was the dose of inclusion of molasses, i.e., M2 (2%), M4 (4%), and M6 (6%) on the fed basis of silage. Each treatment had five replications. The variables observed included chemical composition [DM, organic matter (OM), crude protein (CP), crude fiber (CF), hemicellulose, acid detergent fiber, and neutral detergent fiber], silage fermentation characteristics (pH and NH3-N), DM digestibility (DMD), and OM digestibility (OMD) under in vitro conditions. Results: The result shows that the inclusion of Leucaena in the proportion of 30%–45% is very effective in increasing and improving the chemical composition of corn stover silage, significantly suppresses the content of CF, and increases the CP content of the silage. Likewise, the inclusion of molasses at a dose of 4% also positively contributed to the quality of the resulting silage, especially its effect in suppressing the buffer capacity of proteins resulting in low pH values and NH3-N concentrations in silage. Conclusions: It was concluded that the inclusion of Leucaena in 30%–45% and the inclusion of molasses at a dose of 4% is very effective in increasing and improving the chemical composition, silage fermentability characteristics, and rumen degradation of corn stover silage.