Wongsawad, Pheravut; Wongsawad, Chalobol
The infection dynamics of metacercariae were assessed in cyprinoid fish (cyprinoids) from Chiang Mai and Sakon Nakhon Provinces, Thailand, during October 2008 to September 2009. The samples were collected during 3 seasons from rivers and local markets. Metacercarial infection was determined by acid-pepsin digestion and confirmed using HAT-RAPD PCR method. Thirteen and 16 species of cyprinoids were collected from Chiang Mai and Sakon Nakhon with overall prevalences of metacercarial infection of 84.5 and 47.6%, respectively. Haplorchis taichui, Haplorchoides sp, and Centrocestus caninus were found in Chiang Mai and 4 species of metacercariae: H. taichui, Haplorchoides sp, O. viverrini and an unknown trematode species in Sakon Nakhon. H. taichui and Haplorchoides sp metacercariae in 3 species of cyprinoids (Henicorhynchus siamensis, Cyclocheilichthys armatus, Amblyrhynchichthy truncatus) had the highest prevalence (100%) in Chiang Mai, while the highest prevalence (100%) of metacercaria in Sakon Nakhon was Haplorchoides sp in 1 species of cyprinoids (Cyclocheilichthys armatus). The overall prevalence from Chiang Mai Province was highest in the rainy season (95.6%), lower in the hot-dry season (88.1%) and lowest in the cool season (72.5%). In Sakon Nakhon Province the highest prevalence was in the hot-dry season (52.7%), and lower in the rainy and cool season, 44.4% and 43.5%, respectively. The HAT-RAPD profiles confirmed the identity of metacercariae and adult stage of H. taichui, Haplorchoides sp, C. caninus and O. viverrini.
Nakapan, Supachai; Tripathi, Nitin Kumar; Tipdecho, Taravudh; Souris, Marc
Influenza is one of the most important leading causes of respiratory illness in the countries located in the tropical areas of South East Asia and Thailand. In this study the climate factors associated with influenza incidence in Chiang Mai Province, Northern Thailand, were investigated. Identification of factors responsible for influenza outbreaks and the mapping of potential risk areas in Chiang Mai are long overdue. This work examines the association between yearly climate patterns between 2001 and 2008 and influenza outbreaks in the Chiang Mai Province. The climatic factors included the amount of rainfall, percent of rainy days, relative humidity, maximum, minimum temperatures and temperature difference. The study develops a statistical analysis to quantitatively assess the relationship between climate and influenza outbreaks and then evaluate its suitability for predicting influenza outbreaks. A multiple linear regression technique was used to fit the statistical model. The Inverse Distance Weighted (IDW) interpolation and Geographic Information System (GIS) techniques were used in mapping the spatial diffusion of influenza risk zones. The results show that there is a significance correlation between influenza outbreaks and climate factors for the majority of the studied area. A statistical analysis was conducted to assess the validity of the model comparing model outputs and actual outbreaks.
Full Text Available Influenza is one of the most important leading causes of respiratory illness in the countries located in the tropical areas of South East Asia and Thailand. In this study the climate factors associated with influenza incidence in Chiang Mai Province, Northern Thailand, were investigated. Identification of factors responsible for influenza outbreaks and the mapping of potential risk areas in Chiang Mai are long overdue. This work examines the association between yearly climate patterns between 2001 and 2008 and influenza outbreaks in the Chiang Mai Province. The climatic factors included the amount of rainfall, percent of rainy days, relative humidity, maximum, minimum temperatures and temperature difference. The study develops a statistical analysis to quantitatively assess the relationship between climate and influenza outbreaks and then evaluate its suitability for predicting influenza outbreaks. A multiple linear regression technique was used to fit the statistical model. The Inverse Distance Weighted (IDW interpolation and Geographic Information System (GIS techniques were used in mapping the spatial diffusion of influenza risk zones. The results show that there is a significance correlation between influenza outbreaks and climate factors for the majority of the studied area. A statistical analysis was conducted to assess the validity of the model comparing model outputs and actual outbreaks.
Chontananarth, Thapana; Wongsawad, Chalobol
To investigate the epidemiological situation of cercarial trematodes infection in freshwater snails from different water resources in Chiang Mai province, Thailand. The snail specimens were collected from 13 districts of Chiang Mai province during April 2008 to February 2012. The prevalence of cercarial infection in snails was investigated using the crushing method. The drawing was done with the help of a camera lucida for the morphological study. A total of 2 479 snail individuals were collected and classified into 7 families, 11 genera, and 14 species, Among them, 8 snails species were found to be infected with an overall prevalence of 17.27% (428/2 479), which infected with nine groups of cercariae; gymnocephalous cercaria, strigea cercaria, megalurous cercaria, monostome cercaria, parapleurolophocercous cercaria (Haplorchis cercaria), pleurolophocercous cercaria, furcocercous cercaria (Transversotrema cercaria), xiphidiocercaria, and virgulate cercaria. The parapleurolophocercous cercaria was found to be the dominant type among the cercarial infection in the snails (64.25%). The various species of snails found in the research location act as the intermediate hosts for the high prevalence of parasitic infection of many species of mammals. This work will provide new information on both the distribution and first intermediate host of trematodes.
Wongsawad, Chalobol; Wongsawad, Pheravut; Sukontason, Kom; Phalee, Anawat; Noikong-Phalee, Waraporn; Chai, Jong Yil
Trematode cercariae are commonly found in many freshwater gastropods. These cercariae can serve to identify the occurrence of such trematodes as Centrocestus formosanus, Haplorchis taichui, Haplorchoides sp, and Stellantchasmus falcatus, which are important parasites in Chiang Mai Province, Thailand. As the species of these cercariae cannot be identified accurately based on morphology, this study employed sequencing of a fragment of 28S ribosomal DNA and phylogenetic analysis to identify the trematode cercariae found in freshwater gastropods in Chiang Mai Province. Eight types of trematode cercariae were identified, namely, distome cercaria (grouped with Philophthalmus spp clade), echinostome cercaria (grouped with Echinostoma spp clade), furcocercous cercaria (grouped with Posthodiplostomum sp/Alaria taxideae/Hysteromorpha triloba clade), monostome cercaria (grouped with Catatropis indicus clade), parapleurolophocercous cercaria (grouped with Haplorchoides sp clade), pleurolophocercous cercaria (grouped with Centrocestusformosanus clade), transversotrema cercaria (grouped with Transversotrema spp clade), and xiphidiocercaria (grouped with Prosthodendrium spp clade). These results provide important information that can be used for identifying these parasites in epidemiological surveys.
Full Text Available The behavior of the buff-breasted babbler (Pellorneum tickelli was recorded from April 2010 to May 2012 along creeks in Doi Chiang Dao Wildlife Research Station, Chiang Mai, Thailand. Fifteen nests of the buff-breasted babbler were found on four creeks: Maeka, Maemard, Ong and Sikrobkrua. The general behavior of birds included foraging, excretion, locomotion, preening and vigilance. The complete breeding cycle of the buff-breasted babbler in this study was almost 1 mth. Egg clutch size was in the range 3–4 and the nestlings hatched almost simultaneously. The eggs were incubated by both the males and the females. After hatching, both parents invested in intensive parental care. As well as providing food, they also protected their nestlings. This information can be used to help with conservation planning in the area and elsewhere. Keywords: Bird nest, Breeding birds, Nestling, Parental care, Riparian
Wongsawad, Chalobol; Wongsawad, Pheravut; Sukontason, Kom; Maneepitaksanti, Worawit; Nantarat, Nattawadee
This study aimed to investigate the morphology and reconstruct the phylogenetic relationships of Centrocestus formosanus originating from 5 species of freshwater fish, i.e., Esomus metallicus, Puntius brevis, Anabas testudineus, Parambassis siamensis , and Carassius auratus , in Chiang Mai province, Thailand. Sequence-related amplified polymorphism (SRAP) and phylogeny based on internal transcribed spacer 2 (ITS2) and mitochondrial cytochrome c oxidase subunit 1 (CO1) were performed. The results showed similar morphologies of adult C. formosanus from day 5 after infection in chicks. C. formosanus originated from 4 species of freshwater fish had the same number of circumoral spines on the oral sucker, except for those from C. auratus which revealed 34 circumoral spines. The phylogenetic tree obtained from SRAP profile and the combination of ITS2 and CO1 sequence showed similar results that were correlated with the number of circumoral spines in adult worms. Genetic variability of C. formosanus also occurred in different species of freshwater fish hosts. However, more details of adult worm morphologies and more sensitive genetic markers are needed to confirm the species validity of C. formosanus with 34 circumoral spines originating from C. auratus in the future.
Himakalasa, Woraluck; Grisurapong, Siriwan; Phuangsaichai, Sasipen
The objective of this study is to investigate the access to antiretroviral treatment among human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) patients in Chiang Mai province, Thailand. Access to antiretroviral treatment is defined in terms of availability, affordability, and acceptability. The data for the study were collected during the period of April 1, 2012-May 31, 2012 from a sample of 380 HIV/AIDS patients in eight hospitals who had received antiretroviral treatment for more than 6 months at the time of data collection. The results of the study show that for most patients, the average traveling time to access health care was acceptable, but the nearly half day waiting time caused them to be absent from their work. In particular, it took longer for patients in the rural and lower income groups to access the treatment than the other groups. Their travel times and food costs relating to the treatment were found to be relatively high and therefore these patients had a higher tendency to borrow or seek financial assistance from their relatives. However, due to improvements in the access to treatment, most patients were satisfied with the services they received. The results imply that policy should be implemented to raise the potential of subdistrict hospitals where access to antiretroviral treatment is available, with participating HIV/AIDS patients acting as volunteers in providing services and other forms of health promotion to new patients. Privacy issues could be reduced if the antiretroviral treatment was isolated from other health services. Additionally, efforts to educate HIV/AIDS patients and society at large should be made.
Kunya, Kirati; Panmongkol, Aumporn; Pauwels, Olivier S G; Sumontha, Montri; Meewasana, Jiraporn; Bunkhwamdi, Woraphot; Dangsri, Siriwat
We describe a new forest-dwelling Cyrtodactylus from Doi Suthep, Chiang Mai Province, northern Thailand. Cyrtodactylus doisuthep sp. nov. is characterized by a maximal known SVL of 90.5 mm; 19 or 20 longitudinal rows of dorsal tubercles; a continuous series of 34 or 35 enlarged femoro-precloacal scales, including six or seven pitted scales on each femur (male and females) separated by a diastema from six pitted (females) or pore-bearing (male) precloacal scales; no precloacal groove or depression; transversely enlarged subcaudal scales; and six or seven irregular thin beige dorsal bands between limb insertions.
Ribeiro, Gustavo; Neitmann, Charlotte
Urban development of Chang Mai, Thailands second largest city, seen in relation to its tourist based economy.......Urban development of Chang Mai, Thailands second largest city, seen in relation to its tourist based economy....
Trang, N. Ha; Tripathi, N. K.
Every year, during dry season, Chiang Mai and other northern provinces of Thailand face the problem of haze which is mainly generated by the burning of agricultural waste and forest fire, contained high percentage of particulate matter. Particulate matter 10 (PM10), being very small in size, can be inhaled easily to the deepest parts of the human lung and throat respiratory functions. Due to this, it increases the risk of respiratory diseases mainly in the case of continuous exposure to this seasonal smog. MODIS aerosol images (MOD04) have been used for four weeks in March 2007 for generating the hazard map by linking to in-situ values of PM10. Simple linear regression model between PM10 and AOD got fair correlation with R2 = 0.7 and was applied to transform PM10 pattern. The hazard maps showed the dominance of PM10 in northern part of Chiang Mai, especially in second week of March when PM10 level was three to four times higher than standard. The respiratory disease records and public health station of each village were collected from Provincial Public Health Department in Chiang Mai province. There are about 300 public health stations out of 2070 villages; hence thiessen polygon was created to determine the representative area of each public health station. Within each thiessen polygon, respiratory disease incident rate (RDIR) was calculated based on the number of patients and population. Global Moran's I was computed for RDIR to explore spatial pattern of diseases through four weeks of March. Moran's I index depicted a cluster pattern of respiratory diseases in 2nd week than other weeks. That made sense for a relationship between PM10 and respiratory diseases infections. In order to examine how PM10 affect the human respiratory system, geographically weighted regression model was used to observe local correlation coefficient between RDIR and PM10 across study area. The result captured a high correlation between respiratory diseases and high level of PM10 in
Pondthai, P.; Udphuay, S.
The magnitude of 5.1 Mw earthquake occurred in San Sai District, Chiang Mai Province, Thailand in December 2006 was considered an uncommon event due to the fact that there was no statistical record of such significant earthquake in the area. Therefore the earthquake might have been associated with a potentially active fault zone within the area. The objective of this study is to measure soil gas radon across this unknown fault zone within the Chiang Mai Basin, northern Thailand. Two profiles traversing the expected fault zone of soil gas radon measurements have been monitored, using TASTRAK solid state track nuclear detectors (SSNTDs). Radon signals from three periods of measurement show a distinctive consistent spatial distribution pattern. Anomalous radon areas along the profiles are connected to fault locations previously interpreted from other geophysical survey results. The increased radon signal changes from the radon background level with the signal-to-background ratio above 3 are considered anomalous. Such pattern of radon anomaly supports the existence of the faults. The radon measurement, therefore is a powerful technique in mapping active fault zone.
Kunya, Kirati; Sumontha, Montri; Panitvong, Nonn; Dongkumfu, Wuttipong; Sirisamphan, Thana; Pauwels, Olivier S G
We describe a new forest-dwelling Cyrtodactylus from Doi Inthanon, Chiang Mai Province, northern Thailand. Cyrtodactylus inthanon sp. nov. is characterized by a maximum known SVL of 87.3 mm; 18 to 20 longitudinal rows of dorsal tubercles; a continuous series of 34 to 37 enlarged femoro-precloacal scales, including four to six pitted (female) or pore-bearing (male) scales on each femur separated by a diastema from five pitted (females) or pore-bearing (male) precloacal scales; no precloacal groove or depression; transversely enlarged subcaudal scales; and three to five irregular beige dorsal bands between limb insertions. The discovery of a new reptile endemic to Doi Inthanon reinforces the high importance of this mountain in terms of biodiversity conservation.
Wongsawan, Kanruethai; Gottschalk, Marcelo; Tharavichitkul, Prasit
In this present study, the serotype of 40 Streptococcus suis isolates from submaxillary glands of pig carcasses sold in wet markets in Chiang Mai Province, northern Thailand, was investigated. Eleven serotypes, including types 2, 3, 4, 5, 7, 8, 9, 17, 21, 22 and 31, were found in the isolates by a Multiplex PCR combined with serum agglutination. Of the eleven serotypes present, type 3 was the most prevalent, while types 2, 4, 5 and 21 were of primary interest due to their human isolate serotype. The mrp+/epf - /sly - genotype was found to be the most prevalent genotype. This study indicates the importance of effective control of human S. suis infection due to raw pork or pig carcass handling in northern Thailand.
Full Text Available This study aimed to investigate for the socio-cultural and economic context, along with the issues of tourism potentiality of Thung Fa Bot weekend market into the cultural tourism attraction in San Pa Tong District, Chiang Mai Province. A study was created containing Mixed Methodology Research. The data collection was focus group and in-depth interviews from the target population and questionnaires of stakeholders. The study was determined that context of socio-cultural and economic structure,which was relying on farming in the past. The potentiality level to be the cultural tourist attraction in overall was moderate.the aspect of tourist Attraction and Spirit of a community were in high level. On the other hand Accessibility, Activities and Participation civil organizations were in moderate level. There were only the Amenities and Ancillary Services had shown on low level. The results suggested the need to develop its potentiality of cultural tourist attraction in  Amenities and Ancillary Services management at the tourist spots and tourism promoting and  Linking network with government agencies, private sectors, and communities to join in tourism management in order to enlarge Thung Fha Bod Weekend Market becoming the greater cultural tourism attraction for the tourists.
Tungjai, Montree; Kaewjaeng, Siriprapa; Jumpee, Chayanit; Sriburee, Sompong; Hongsriti, Pongsiri; Tapanya, Monruedee; Maghanemi, Utumma; Ratanasthien, Kwanchai; Kothan, Suchart
To study the prevalence of bone mineral density (BMD) and osteoporosis in the distal forearm among Thai men over 40 years of age in Mae Chaem District, Chiang Mai Province, Thailand. The subjects in this study were 194 Thai men, aged between 40 and 87 years who resided in Mae Chaem District, Chiang Mai Province, Thailand. Self-administered questionnaires were used for receiving the demographic characteristics information. BMD was measured by peripheral dual energy X-ray absorptiometry at the nondominant distal forearm in all men. The BMD was highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The average T-score at the distal forearm was also highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The BMD decreased as a function of age-group (p .05). The percentage of osteopenia and osteoporosis are increased as a function of age-group in, while decreased in that of normal bone density. We found the prevalence of osteoporosis in men who resided in Mae Chaem District, Chiang Mai Province, Thailand.
Hongsibsong, Surat; Kerdnoi, Tanyaporn; Polyiem, Watcharapon; Srinual, Niphan; Patarasiriwong, Vanvimol; Prapamontol, Tippawan
Organophosphate and carbamate pesticides have been widely used by farmers for crop protection and pest control. Inhibition of acetylcholinesterase (AChE) in erythrocyte and butyrylcholinesterase (BChE) in plasma is the predominant toxic effect of organophosphate and carbamate pesticides. Mae Taeng District, Chiang Mai Province, is one of the large areas of growing vegetables and fruits. Due to their regular exposure to these pesticides, the farmers are affected by this toxicity. The objective of the study was to examine the AChE and the BChE activity levels in the blood of 102 farmers for comparison of exposure in two cropping seasons, winter and hot. Blood samples were collected in December 2013 (winter) and April-June 2014 (hot). A total of 102 farmers joined the study, represented by 76 males (74.5 %) and 26 females (25.5 %). The age of most of the farmers was 53.4 ± 8.7 years. Out of 102, 21 farmers used carbamate pesticides. The results showed that the AChE and the BChE activity levels of all the farmers were 3.27 ± 0.84 Unit/mL and 2.15 ± 0.58 Unit/mL, respectively. The AChE and the BChE activity levels in males were 3.31 ± 0.88 Unit/mL and 1.97 ± 0.60 U/mL, respectively, during winter and 3.27 ± 0.82 Unit/mL and 2.15 ± 0.58 U/mL, respectively, during the hot season, and AChE and the BChE activity levels in females were 3.27 ± 0.82 U/mL and 2.44 ± 0.56 U/mL, respectively, during the hot season. The cholinesterase activity levels, both AChE and BChE, in the male farmers' blood had significant difference between the two seasons, while in the case of the female farmers, there was significant difference in the BChE activity levels, at p < 0.05. The BChE activity level was found to significantly correlate with self-spray (p < 0.05), which implies that the BChE activity decreased when they sprayed by themselves. The cholinesterase activity levels of the present study were lower than those of the other
Phalee, Anawat; Wongsawad, Chalobol
To investigate the infection of Fasciola gigantica (F. gigantica) in domestic cattle from Chiang Mai province and molecular confirmation using ITS-2 region. The liver and gall bladder of Bubalus bubalis (B. bubalis) and Bos taurus (B. taurus) from slaughterhouses were examined adult worms and prevalence investigation. The species confirmation with phylogenetic analysis using ITS-2 sequences was performed by maximum likelihood and UPGMA methods. The total prevalences of infection in B. bubalis and Bubalus taurus (B. taurus) were 67.27% and 52.94% respectively. The respective prevalence in both B. bubalis and B. taurus were acquired from Doi-Saket, Muang, and Sanpatong districts, with 81.25%, 62.50% and 60.00% for B. bubalis and 62.50%, 50.00% and 47.06% for Bos taurus respectively. The species confirmation of F. gigantica and some related species by basing on maximum likelihood and UPGMA methods used, 4 groups of trematodes were generated, first F. gigantica group including specimen of Chiang Mai, second 2 samples of F. hepatica, third group of 3 rumen flukes; Orthocoelium streptocoelium, F. elongatus and Paramphistomum epliclitum and fourth group of 3 minute intestinal flukes; Haplorchis taichui, Stellantchasmu falcatus, Haplorchoides sp. and liver fluke; Opisthorchis viverrini respectively. These results can be confirmed the Giant liver fluke which mainly caused fascioliasis in Chiang Mai was identified as F. gigantica and specimens were the same as those of F. gigantica recorded in other different countries. Nucleotide sequence of ITS-2 region has been proven as effective diagnostic tool for the identification of F. gigantica. Copyright © 2014 Hainan Medical College. Published by Elsevier B.V. All rights reserved.
Lauren E. DiMiceli
Full Text Available Abstract Background High levels of depressive symptoms often occur among individuals that use or that are dependent on methamphetamine (MA. Thailand is currently experiencing an epidemic of MA use among youth. Understanding the nature of the relationship between depressive symptoms and MA use and identifying those most at risk can further understanding of prevention and treatment options for youth who use MA and present with depressive symptoms. Methods In 2011, we conducted a cross sectional epidemiologic study that examined associations between MA use and high levels of depressive symptoms among adolescents and young adults aged 14–29 living in Chiang Mai province, Thailand. A combination of cluster and systematic sampling was conducted to obtain a study sample of participants actively recruited in Chiang Mai province. Depressive symptoms were measured using a Thai translation of the Centers for Epidemiologic Studies Depression scale (CES-D. The independent variables measured reported lifetime and recent MA use within the past 3 months. Multivariate logistic regression models were used to assess associations between MA use and high levels of depressive symptoms. Results Approximately 19 % (n = 394 of the sample reported ever having consumed MA and 31 % (n = 124 of lifetime users reported recent MA use within the past 3 months. Recent MA use was associated with high levels of depressive symptoms (aPOR recent use: 2.60, 95 % CI: 1.20, 5.63. Conclusions This is one of the first studies to examine the association between MA use and high levels of depressive symptoms in a general Thai population. The odds of having high levels of depressive symptoms was significantly greater among recent MA users compared to non-users. These findings support the need for policies, programs and interventions to prevent and treat depressive symptoms presenting among MA using Thai adolescents and young adults in rural Chiang Mai province, Thailand to
DiMiceli, Lauren E; Sherman, Susan G; Aramrattana, Apinun; Sirirojn, Bangorn; Celentano, David D
High levels of depressive symptoms often occur among individuals that use or that are dependent on methamphetamine (MA). Thailand is currently experiencing an epidemic of MA use among youth. Understanding the nature of the relationship between depressive symptoms and MA use and identifying those most at risk can further understanding of prevention and treatment options for youth who use MA and present with depressive symptoms. In 2011, we conducted a cross sectional epidemiologic study that examined associations between MA use and high levels of depressive symptoms among adolescents and young adults aged 14-29 living in Chiang Mai province, Thailand. A combination of cluster and systematic sampling was conducted to obtain a study sample of participants actively recruited in Chiang Mai province. Depressive symptoms were measured using a Thai translation of the Centers for Epidemiologic Studies Depression scale (CES-D). The independent variables measured reported lifetime and recent MA use within the past 3 months. Multivariate logistic regression models were used to assess associations between MA use and high levels of depressive symptoms. Approximately 19% (n = 394) of the sample reported ever having consumed MA and 31% (n = 124) of lifetime users reported recent MA use within the past 3 months. Recent MA use was associated with high levels of depressive symptoms (aPOR recent use: 2.60, 95% CI: 1.20, 5.63). This is one of the first studies to examine the association between MA use and high levels of depressive symptoms in a general Thai population. The odds of having high levels of depressive symptoms was significantly greater among recent MA users compared to non-users. These findings support the need for policies, programs and interventions to prevent and treat depressive symptoms presenting among MA using Thai adolescents and young adults in rural Chiang Mai province, Thailand to aid in cessation of MA use. Furthermore, additional research is needed to
Yanola, Jintana; Kongpan, Chatpat; Pornprasert, Sakorn
The prevalaence of anemia, iron deficiency, thalassemia and glucose-6-phosphate dehydrogenase (G-6-PD) deficiency were examined among 265 hill-tribe school children, 8-14 years of age, from Omkoi District, Chiang Mai Province, Thailand. Anemia was observed in 20 school children, of whom 3 had iron deficiency anemia. The prevalence of G-6-PD deficiency and β-thalassemia trait [codon 17 (A>T), IVSI-nt1 (G>T) and codons 71/72 (+A) mutations] was 4% and 8%, respectively. There was one Hb E trait, and no α-thalassemia-1 SEA or Thai type deletion. Furthermore, anemia was found to be associated with β-thalassemia trait in 11 children. These data can be useful for providing appropriate prevention and control of anemia in this region of Thailand.
Balslev, Henrik; Trisonthi, Chusie; Srithi, Kamonnate
Thai-Danish botanical research collaboration started over 100 years ago with Schmidts work on the flora of Koh Chang. In the 1950es the collaboration was fortalized with the initiation of the Flora of Thailand project. The collaboration was for many years centered in the Royal Forest Department i...... projects involving ethnobotanical studies are still under way. The funding for these projects has come from the Royal Golden Jubilee Program, Chiang Mai University and Thai Government stipends, and from Aarhus University........ in Bangkok and involved a large amount of collaborative fieldwork, graduate and post-graduate training, and publication. Over the years the collaboration has been extended to several other institutions and universities. Recent activities of Aarhus University have involved joint graduate training with Chiang...... Mai University, which is the subject of this presentation. Three graduate students have completed their doctoral training with research projects covering botany of ethnic groups in Thailand, taxonomic and ecological studies of Thai Nymphaeaceae, and ecophysiological studies of aquatic plants. Two...
Boonkhot, Phacharaporn; Tadee, Pakpoom; Yamsakul, Panuwat; Pocharoen, Chairoj; Chokesajjawatee, Nipa; Patchanee, Prapas
Pigs and pork products are well known as an important source of Salmonella, one of the major zoonotic foodborne pathogens. The emergence and spread of antimicrobial resistance is becoming a major public health concern worldwide. Integrons are genetic elements known to have a role in the acquisition and expression of genes conferring antibiotic resistance. This study focuses on the prevalence of class 1 integrons-carrying Salmonella, the genetic diversity of strains of those organisms obtained from swine production chains in Chiang Mai and Lamphun provinces, Thailand, using multilocus sequence typing (MLST) and comparison of genetic diversity of sequence types of Salmonella from this study with pulsotypes identified in previous study. In 175 Salmonella strains, the overall prevalence of class 1 integrons-carrying-Salmonella was 14%. The gene cassettes array pattern "dfrA12-orfF-aadA2" was the most frequently observed. Most of the antimicrobial resistance identified was not associated with related gene cassettes harbored by Salmonella. Six sequence types were generated from 30 randomly selected strains detected by MLST. Salmonella at the human-animal-environment interface was confirmed. Linkages both in the farm to slaughterhouse contamination route and the horizontal transmission of resistance genes were demonstrated. To reduce this problem, the use of antimicrobials in livestock should be controlled by veterinarians. Education and training of food handlers as well as promotion of safe methods of food consumption are important avenues for helping prevent foodborne illness.
Tadee, Pakpoom; Boonkhot, Phacharaporn; Patchanee, Prapas
Salmonella spp. is one of the important foodborne pathogens, and the slaughtering process is recognized as a potential point of contamination and the spread of the pathogens. The three objectives of this study are first, to quantify the contamination levels of Salmonella spp. in pig skins and carcasses, second, to evaluate the outcomes from different pig supply sources and different practices at three critical steps (scalding, splitting, and washing) for Salmonella spp. contamination, and third, to assess risk of Salmonella spp. contamination in pork products after slaughtering level. The study was performed in three representative slaughterhouses in Chiang Mai and Lamphun provinces, Thailand. Investigation conducted from May 2013 through October 2013 found the overall prevalence and contamination levels mean to be 11.85% and 0.34 MPN/cm2, respectively. There was no statistically significant in Salmonella spp. prevalence and contamination levels detected with different patterns at the slaughterhouses which were supplied pigs from either co-operative or integrated farms. Factors found to reduce Salmonella spp. loads on carcasses included good practices, e.g., regular changing of water in the scalding tank after each batch and the use of chlorine in the washing step. Risk of Salmonella spp. contamination of pork products at the final stage of slaughtering was nearly 10%. Good practices and proper hygiene measures should be applied to minimize the risk of Salmonella spp. exposure in the slaughtering line, which can reduce the contamination pressure downstream at retail shops as well as for end consumers.
Yanola, Jintana; Nachaiwieng, Woottichai; Duangmano, Suwit; Prasannarong, Mujalin; Somboon, Pradya; Pornprasert, Sakorn
Intestinal parasitic infection represents a substantial problem for children living in rural or limited resources areas and significantly relates to anemia and nutritional status. This study aimed to determine the current prevalence of intestinal parasitic infections among school-age children of Karen hill tribe population in Omkoi District, Chiang Mai Province, Thailand and assess the impact of intestinal parasitic infection on hematological and nutritional status in those children. A total of 375 Karen hill tribe children, 6-14 years of age, in Omkoi District were randomly selected to participate in this study. Stool samples were collected and examined for intestinal parasitic infection through formalin-ether concentration method. Blood samples were collected for hematological and iron analysis. The overall prevalence of intestinal parasitic infection was 47.7% (179/375), with single infections (29.3%) and polyparatism (18.4%). The most common pathogenic parasite was Trichuris trichiura (16.0%), followed by Ascaris lumbricoides (13%) and Giardia lamblia (3.5%). In addition, non-pathogenic amoeba, Entamoeba coli was observed with a high prevalence rate (31.2%). Anemia and eosinophilia prevalence were 6.40% (24/375) and 74.7% (280/375), respectively. Eosinophilia was significantly more prevalent in children with intestinal parasitic infection compared to uninfected children. Among 249 children, 13.7% were iron deficiency, 9.6% were thalassemia and hemoglobinophathy and 8% were G-6-PD deficiency. A high prevalence infection rate was significantly associated with eosinophilia, but independently related to anemia and iron deficiency. Intestinal parasitic infections are endemic in school-age children of Karen hill tribe population in Omkoi District. These data highlight the need for an integrated approach to control transmission of intestinal parasites and improve the health and sanitation status of Karen hill tribe children in Thailand. Copyright © 2018 Elsevier B
Latimore, Amanda D; Rudolph, Abby; German, Danielle; Sherman, Susan G; Srirojn, Bangorn; Aramrattana, Apinun; Celentano, David D
Despite Thailand's war on drugs, methamphetamine ("yaba" in Thai) use and the drug economy both thrive. This analysis identifies predictors of incident and recurrent involvement in the sale or delivery of drugs for profit amongst young Thai yaba users. Between April 2005 and June 2006, 983 yaba users, ages 18-25, were enrolled in a randomized behavioural intervention in Chiang Mai Province (415 index and 568 of their drug network members). Questionnaires administered at baseline, 3-, 6-, 9-, and 12-month follow-up visits assessed socio-demographic factors, current and prior drug use, social network characteristics, sexual risk behaviours and drug use norms. Exposures were lagged by three months (prior visit). Outcomes included incident and recurrent drug economy involvement. Generalized linear mixed models were fit using GLIMMIX (SASv9.1). Incident drug economy involvement was predicted by yaba use frequency (adjusted odds ratio [AOR]: 1.05; 95% confidence interval [CI]: 1.01, 1.10), recent incarceration (AOR: 2.37; 95% CI: 1.07, 5.25) and the proportion of yaba-using networks who quit recently (AOR: .34; 95% CI: .15, .78). Recurrent drug economy involvement was predicted by age (AOR: 0.81; 95% CI: 0.68, 0.96), frequency of yaba use (AOR: 1.06; 95% CI: 1.02, 1.09), drug economy involvement at the previous visit (AOR: 2.61; CI: 1.59, 4.28), incarceration in the prior three months (AOR: 2.29; 95% CI: 1.07, 4.86), and the proportion of yaba-users in his/her network who quit recently (AOR: .38; 95% CI: .20, .71). Individual drug use, drug use in social networks and recent incarceration were predictors of incident and recurrent involvement in the drug economy. These results suggest that interrupting drug use and/or minimizing the influence of drug-using networks may help prevent further involvement in the drug economy. The emergence of recent incarceration as a predictor for both models highlights the need for more appropriate drug rehabilitation programmes and
Full Text Available Objective: To detect Mycobacterium marinum (M. marinum infections in healthy Siamese fighting fish from ornamental fish shops in Chiang Mai, Thailand. Methods: Mycobacterium spp. were isolated from 380 internal organs of healthy Siamese fighting fish using Löwenstein-Jensen and Middlebrook 7H10 culture media. A 924-bp DNA fragment from mycobacterial 16S rRNA was amplified and digested with BanI and ApaI restriction enzymes to yield unique restriction patterns for each mycobacterial specie. Results: Thirty-five mycobacterial isolates (8.42% were recovered from 380 Siamese fighting fish; 21 isolates (5.5% and 11 isolates (2.29% were identified as M. marinum and Mycobacterium chelonae, respectively. Conclusions: The results demonstrated the presence of M. marinum zoonotic bacterial pathogens in healthy Siamese fighting fish, and underlined the infection risk to humans of not only exposure to infected fish, but also when they manipulate clinically asymptomatic fish.
Nithithanaphat, Chanut; Ausayakhun, Sakarin; Wiwatwongwana, Damrong; Mahanupab, Pongsak
To report the histopathological diagnosis ofeyelid tumors and to study the prevalence of eyelid tumors in Chiang Mai University Hospital Chiang Mai, Thailand. A retrospective review of medical and pathological records ofpatients diagnosed as eyelid tumor that underwent histopathological biopsy between January 2007 and December 2013 in Chiang Mai University Hospital was done. Three hundred sixteen cases of eyelid tumors were reviewed. The mean age at diagnosis was 54.2 +/- 19.6 years (range 1 month-99 years), women were 59.5% (n = 188) and men 40.5% (n = 128). The tumor sites were left lower eyelid (27.5%), right upper eyelid (24.4%), right lower eyelid (21.2%), and left upper eyelid (18.7%). There were 204 (64.6%) benign tumors and 112 (35.4%) malignant tumors. Nevi were the most common in benign group (16.4%) and basal cell carcinoma was the most common eyelid malignancy (18.0%). The most common histopathological diagnosis for benign eyelid tumor was nevus, while the most common malignant eyelid tumor was basal cell carcinoma at Chiang Mai University Hospital.
Evaluation of strategies for the eradication of Pseudorabies virus (Aujeszky's disease) in commercial swine farms in Chiang-Mai and Lampoon Provinces, Thailand, using a simulation disease spread model.
Ketusing, N; Reeves, A; Portacci, K; Yano, T; Olea-Popelka, F; Keefe, T; Salman, M
Several strategies for eradicating Pseudorabies virus (Aujeszky's disease) in Chiang-Mai and Lampoon Provinces, Thailand, were compared using a computer simulation model, the North American Animal Disease Spread Model (NAADSM). The duration of the outbreak, the number of affected herds and the number of destroyed herds were compared during these simulated outbreaks. Depopulation, zoning for restricted movement and improved detection and vaccination strategies were assessed. The most effective strategies to eradicate Pseudorabies as per the findings from this study are applying depopulation strategies with MOVEMENT RESTRICTIONS in 3-, 8- and 16-km ZONES surrounding infected herds and enhancing the eradication with vaccination campaign on 16-km radius surrounding infected herds. © 2012 Blackwell Verlag GmbH.
The study assesses the impact of family planning programs on the fertility of women in the Chiang Mai province of Thailand, where family planning programs were introduced early in 1963. The study documents and estimates the fertility trend of Chiang Mai's population from existing sources of data. A demographic survey, in which a random sample of…
Liamputtong, Pranee; Yimyam, Susanha; Parisunyakul, Sukanya; Baosoung, Chavee; Sansiriphun, Nantaporn
To examine women's embodied knowledge of pregnancy and birth, women's explanations of precautions during pregnancy and birth and preparations for easy birth and the role of a traditional midwife in a Thai birthing care. In-depth interviews relating to traditional and changed beliefs and practices of pregnancy and childbirth with Thai women in Northern Thailand. Chiang Mai city and Mae On sub-district in Chiang Mai province, Northern Thailand. 30 Thai women living in Chiang Mai in Thailand. The social meaning of childbirth in Thai culture is part of the larger social system, which involves the woman, her family, the community, society and the supernatural world. Traditional beliefs and practices in Thai culture clearly aim to preserve the life and well-being of a new mother and her baby. It seems that traditional childbirth practices have not totally disappeared in northern Thailand, but have gradually diminished. Women's social backgrounds influence traditional beliefs and practices. The traditions are followed by most rural and some urban poor women in Chiang Mai. The findings of this study may assist health professionals to better understand women from different cultures. It is important to recognise many factors discussed in this paper within the context of Thai lives and traditions. This will prevent misunderstanding and, consequently, encourage more sensitive pregnancy and birthing care for pregnant women.
Khayhan, Kantarawee; Hagen, Ferry; Norkaew, Treepradab; Puengchan, Tanpalang; Boekhout, Teun; Sriburee, Pojana
The pathogenic yeast Cryptococcus gattii was isolated from a tree hollow of a Castanopsis argyrophylla King ex Hook.f. (Fagaceae) in Chiang Mai, Thailand. Molecular characterization with amplified fragment length polymorphism analysis and multi-locus sequence typing showed that this isolate belonged
Wongtriratanachai, Prasit; Luevitoonvechkij, Sirichai; Songpatanasilp, Thawee; Sribunditkul, Siripoj; Leerapun, Taninnit; Phadungkiat, Sompant; Rojanasthien, Sattaya
Hip fracture is a major health problem in Thailand. This study attempted to examine the incidence, related factors, and trends of hip fracture in Chiang Mai, Thailand. All hip fracture data among patients aged 50 yr or older were collected from hospitals in Chiang Mai, Thailand from August 1, 2006 to July 3, 2007. Data from the 1997 Chiang Mai hip fracture study were used for comparison. In the study period, 690 hip fractures were reported: 203 males and 487 females (male to female ratio was 1 to 2.4), with a mean age of 76.7 yr. The estimated cumulative incidence was 181.0 per 100,000, and the adjusted incidence was 253.3 (males: 135.9; females: 367.9). A simple fall was the most common mechanism (79%) of fracture, and 80% of the hip fractures occurred in patients aged 70 yr or older. The highest incidence of hip fracture was observed in patients older than 85 yr (1239). At 6 mo postfracture, most patients (61%) used a walking aid. Compared with the 1997 data, hip fracture incidence had increased by an average of 2% per yr, and the incidence of hip fracture had increased significantly from August 1, 2006 to July 31, 2007, especially in patients older than 75 yr. In patients older than 84 yr, the incidence increased by a factor of 2. Urgent strategies for the prevention and treatment of osteoporosis, and hence hip fracture, are needed. Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.
Sangawongse, S.; Sengers, F.H.; Raven, R.P.J.M.
This paper examines stability and change in land use and urban planning in Chiang Mai province, northern Thailand. Inappropriate land use zoning, lack of enforcement of city planning, lack of public transportation and many unresolved problems (e.g. frequent floods, traffic congestion) are indicative
Umemura, S; Tayutivutukul, J; Nakamura, H
Qualitative surveys of leaf beetles were conducted at 5 survey sites (Chiang Mai University, Mae Hia Staion, Chang Kien Station, Nong Hoi Station, Suburb of Chiang Mai City) in Chiang Mai, Thailand using sweeping and beating methods from October 19th to October 30th, 2003. A total of 24 species of 8 subfamilies was collected from five survey sites ; 11 species, 3 species, 2 species, 11 species, 4 species from Chiang Mai University, Mae Hia Station, Chang Kien Station, Nong Hoi Station, Suburb...
Khayhan, Kantarawee; Hagen, Ferry; Norkaew, Treepradab; Puengchan, Tanpalang; Boekhout, Teun; Sriburee, Pojana
The pathogenic yeast Cryptococcus gattii was isolated from a tree hollow of a Castanopsis argyrophylla King ex Hook.f. (Fagaceae) in Chiang Mai, Thailand. Molecular characterization with amplified fragment length polymorphism analysis and multi-locus sequence typing showed that this isolate belonged to genotype AFLP4/VGI representing C. gattii sensu stricto. Subsequent comparison of the environmental isolate with those from clinical samples from Thailand showed that they grouped closely together in a single cluster.
Tripathi Nitin K
Full Text Available Abstract Background Diarrhea is a major public health problem in Thailand. The Ministry of Public Health, Thailand, has been trying to monitor and control this disease for many years. The methodology and the results from this study could be useful for public health officers to develop a system to monitor and prevent diarrhea outbreaks. Methods The objective of this study was to analyse the epidemic outbreak patterns of diarrhea in Chiang Mai province, Northern Thailand, in terms of their geographical distributions and hotspot identification. The data of patients with diarrhea at village level and the 2001–2006 population censuses were collected to achieve the objective. Spatial analysis, using geographic information systems (GIS and other methods, was used to uncover the hidden phenomena from the data. In the data analysis section, spatial statistics such as quadrant analysis (QA, nearest neighbour analysis (NNA, and spatial autocorrelation analysis (SAA, were used to identify the spatial patterns of diarrhea in Chiang Mai province. In addition, local indicators of spatial association (LISA and kernel density (KD estimation were used to detect diarrhea hotspots using data at village level. Results The hotspot maps produced by the LISA and KD techniques showed spatial trend patterns of diarrhea diffusion. Villages in the middle and northern regions revealed higher incidences. Also, the spatial patterns of diarrhea during the years 2001 and 2006 were found to represent spatially clustered patterns, both at global and local scales. Conclusion Spatial analysis methods in GIS revealed the spatial patterns and hotspots of diarrhea in Chiang Mai province from the year 2001 to 2006. To implement specific and geographically appropriate public health risk-reduction programs, the use of such spatial analysis tools may become an integral component in the epidemiologic description, analysis, and risk assessment of diarrhea.
Wongtriratanachai, Prasit; Chiewchantanakit, Siripong; Vaseenon, Tanawat; Rojanasthien, Sattaya; Leerapun, Taninnit
Hip fractures are a major public health problem. Patients who have suffered a hip fracture have an increased risk of a subsequent hip fracture. This study examines the incidence ofsecondhip fractures and attempts to identify underlying risk factors. To examine the incidence ofsecond hip fractures in osteoporotic patients at Chiang Mai University Hospital and to identify risk factors related to second hip fractures. A retrospective review was conducted of all low-energy mechanism hip fracture patients admitted during 2008 and 2009. Analysis of second hip fractures was conducted using survival analysis and logistic regression analysis. A total of 191 patients were observed for 391.68 person-years (mean 2.05 person-years per patient). Among that group, nine second hip fractures were identified, an overall incidence rate of 0.023 second fractures per person-year. Second hip fractures tended to occur within the first year following an initial hip fracture. There were no significant differences related to either gender or comorbid medical conditions. Logistic regression analysis revealed that increased risk of a second hip fracture was associated with age (highest between 80 to 89 years) and patients who were not treated for osteoporosis following their initial fracture. The incidence of second hip fractures at Chiang Mai University Hospital was 0.023 per person-year Careful follow-up of older patients, especially those over 80, and treatment ofosteoporosis with bisphosphonate plus vitamin D and calcium supplements was correlated with a reduction in the incidence of second hip fractures.
The atomic energy applications in Faculty of Medicine, Chiang Mai University (CMU) are mainly performed by department of Radiology that is divided into three dicisions: 1) Diagnostic Radiology Division for the applications of X-rays, ultrasound, and magnetic resonance, 2) Therapeutic Radiology and Oncology Division for cancer treatments by photon accelrator and external radionuclides therapy or brachytherapy, 3) Nuclear Meddicine Division for clinical dignosis by using radionuclide scintigraphy, targeted molecular imaging and internal radionuclide therapy. In the last decade, many advanced medical images for clinical diagnosis included of digital & computed radiology (DR & CR), digital subtraction angiography (DSA) and images (DSI), computed tomography (CT) with dual X-rays energies, manetic resonance imaging (MRI), and hybrid images of SPECT/CT were established in Radiology Department and PET/CT Cyclitron Center Chiang Mai University (PCCMU), respectively. For cancer treatments, the frontier technologies in radiation oncligy therapy such as tomotherapy, IMRT, 3D conformal radiation treatment, stereotactic radiationtherapy (SRT), stereotactic radiation surgery (SRS), and radiation biology laboratory were implemented in the department as well. As far as fast development of nuclear technology in medicine, future implementation of advanced nuclear applications in medicine strongly need an intergrated knoowledge from many specialties e.g. computer softeare in image reconstruction, accuracy and and precision technology, production of specific radiotracers for molecular imaging and therapy, techniques in radionuclide productions, innovation of new wquipment or materials for radiationprotection and safety, etc. However the most important factors of nuclear applications in medicine are the vision, mission and the value statements of the organization on the high cost in radiology investment and human resources development. We have to emphasize that people who are involved
Chantima, Kittichai; Chai, Jong-Yil; Wongsawad, Chalobol
The occurrence of 37-collar spined echinostome metacercariae in freshwater snails was investigated in 6 districts of Chiang Mai Province, Thailand, from October 2011 to April 2012. A total of 2,914 snails that belong to 12 species were examined, and 7 snail species (Clea helena, Eyriesia eyriesi, Bithynia funiculata, Bithynia siamensis siamensis, Filopaludina doliaris, Filopaludina sumatrensis polygramma, and Filopaludina martensi martensi) were found infected with echinostome metacercariae. The prevalence of metacercariae was the highest in Filopaludina spp. (38.5-58.7%) followed by B. funiculata (44.0%), E. eyriesi (12.5%), B. siamensis siamensis (8.2%), and C. helena (5.1%). Metacercariae were experimentally fed to hamsters and domestic chicks, and adult flukes were recovered from both hosts at days 15 and 20 post-infection. The adult flukes were identified based on morphological features, morphometrics, host-parasite relationships, and geographical distribution. They were compatible to Echinostoma revolutum or Echinostoma jurini, with only minor differences. As the adults were recovered from both hamsters and chicks, our specimens were more compatible to E. revolutum rather than E. jurini (reported only from mammals). This is the first report for metacercariae of E. revolutum in the snail host, C. helena, and also confirmed that Filopaludina spp., E. eryresi, and Bithynia spp. act as the second intermediate hosts of E. revolutum under natural conditions, which are indigenously distributed in Chiang Mai province.
Raksawin, Karuna; Wonglaksanapan, Arphaphon; Suthasupa, Supagtra
Colour control is a specific tool to identify local environment. Especially in the historic area or conservation area, to promote colour control is very necessary. Therefore, there are many standards of colour to control such as Munsell, colour name, and L*a*b*. This research is aimed to analyze the appropriate colour control by using a Munsell standard colour which is suitable to visual perception. The study area is scoped in northern region of Lanna culture in Thailand which nowadays used names of colours to control. Chiang Mai and Lamphun are selected to be case study because they are in a center of Lanna Empire of Thailand and have many historic significant things such as city wall, temple, monastery, palace, and city moat. The mainly procedure conducts in this article is based on the analysis of material colour. The study chose local natural materials which are used in the historic significant things. Earthen clay tile, wooden roof tile, burnt clay brick, laterites, hard wood, bamboo, silver, and gold are evaluated. The procedure used the DIC application of android processor on smart phone. This application has a conversion data to switch a colour value from pick-up point in photo to many colour values such as RGB, CMYK which Munsell value is included. The photos were taken within the historic area of Chiang Mai and Lamphun by random. The result can scope a range of colours of Munsell standard of natural colour (N), red (R), yellow (Y), and yellow-red (YR). A natural colour (N) can be suggested a range 1.0-9.0 (N 1.0-9.0). Red can be ranged the value between 3.0-7.0 and chroma between 3.0-9.0 (R 3.0-7.0/3.0-9.0). Yellow can be ranged the value between 6.0-9.0 and chroma between 4.0-12.0 (Y 6.0-9.0/4.0-12.0). Yellow-red can be ranged the value between 2.0-8.0 and chroma between 2.0-11.0 (YR 2.0-8.0/2.0-11.0). The results can be revealed a process of colour analysis of historic colour control and may offer to be an ordinance in further.
Pawun, Vichan; Visrutaratna, Surasing; Ungchusak, Kumnuan; Mahasing, Suteerat; Khumtalord, Chosita; Tipsriraj, Siriying; Chenwittaya, Chalermpol; Guadamuz, Thomas E; Wisniewski, Stephen R
Up to 65% of travelers to less developed countries report health problems while traveling. International travel is an increasing concern for health practitioners. To date, there have not been any published analyses of mortality amongst foreign nationals visiting Thailand. Our objectives are to examine the magnitude and characterize the deaths among foreign nationals in Chiang Mai, a popular tourist province in Thailand. The study commenced with a review of the Thai death registration. Death certificates were retrieved, reviewed, and classified by the causes of death. Basic statistics and proportionate mortality ratio (PMR) were used to describe the pattern of deaths. Standardized mortality ratio (SMR) was used to assess the excess mortality risk among foreign nationals. Between January 1, 2010 and May 31, 2011, there were 1,295 registered deaths in Chiang Mai City, of which 102 records (7.9%) were foreign nationals. Median age of decedents was 64 years (range 14-102 y). Female-to-male ratio was 1 : 5.4. The highest mortality was among Europeans (45.1%). Most of the deaths were natural causes (89.2%) including 36 cardiac diseases (PMR = 35.3) and 20 malignancy diseases (PMR = 19.6). Deaths due to external causes were low. The SMRs range between 0.15 and 0.30. Communicable diseases and injuries were not the leading causes of death among foreign nationals visiting Chiang Mai, Thailand. It is essential that travelers are aware of mortality risk associated with their underlying diseases and that they are properly prepared to handle them while traveling. © 2012 International Society of Travel Medicine.
Juntasopeepun, Phanida; Thana, Kanjana
To identify variables associated with the acceptance of HPV vaccination among Thai parents/primary caregivers. The present prospective cross-sectional study recruited the parents/caregivers of female adolescents aged 12-18 years from schools in Chiang Mai, Thailand, between January 1 and February 29, 2016. A four-part questionnaire was distributed to assess demographics, HPV vaccine acceptance, knowledge, and beliefs toward HPV and cervical cancer. Predictors of HPV vaccine acceptance were determined by logistic regression analysis. The study enrolled 331 parents; more than half (195 [61.1%]) had heard of HPV vaccines. Their knowledge related to HPV and cervical cancer was moderate. A majority of parents (266/313 [85.0%]) indicated they would accept HPV vaccination if the costs were subsidized by the government. Acceptance of HPV vaccines was associated with perceived benefits of HPV vaccination (odds ratio [OR] 1.49; 95% confidence interval [CI] 1.18-1.88), perceived susceptibility to disease (OR 1.42; 95% CI 1.11-1.81), and household income (OR 1.35; 95% CI 1.02-1.78). Parental beliefs have an important role in their acceptance to vaccinate their daughters. These potentially modifiable beliefs offer strategies for future interventions designed to increase uptake for future HPV vaccination campaigns. © 2018 International Federation of Gynecology and Obstetrics.
Peengam, S.; Tohsing, K.
Clouds play very important role in the variation of surface solar radiation and rain formation. To understand this role, it is necessary to know the physical and geometrical of properties of cloud. However, clouds vary with location and time, which lead to a difficulty to obtain their properties. In this work, a ceilometer was installed at a station of the Royal Rainmaking and Agricultural Aviation Department in Chiang Mai (17.80° N, 98.43° E) in order to measure cloud base height. The cloud base height data from this instrument were compared with those obtained from LiDAR, a more sophisticated instrument installed at the same site. It was found that the cloud base height from both instruments was in reasonable agreement, with root mean square difference (RMSD) and mean bias difference (MBD) of 19.21% and 1.58%, respectively. Afterward, a six-month period (August, 2016-January, 2017) of data from the ceilometer was analyzed. The results show that mean cloud base height during this period is 1.5 km, meaning that most clouds are in the category of low-level cloud.
Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape
Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attit...
Full Text Available A consumer survey on dietary supplement consumption was carried out on 494 consumers aged 20 years and older in Chiang Mai province. The percentage of consumers who regularly consumed dietary supplements was 38.5%. Vitamins and minerals were the most consumed products, followed by functional drinks, functional foods, protein extracts, dietary fibre, cod liver oil, phytochemicals, algae products, fat absorbers, fish oils and bee products in that order. Females and participants who had recommended waistlines, had higher income, usually felt stressed or sick, and who preferred eating fruits/vegetables or routinely drank water tended to have a higher rate of consumption of dietary supplements. Participants gave priority over a product with guaranteed quality when they made decision to purchase dietary supplements, but their purchase was also influenced by the attractiveness of the product and advertisement for it.
Sathitkunarat, Surachai; Wongwises, Prungchan; Pan-Aram, Rudklao; Zhang, Meigen
The regional atmospheric modeling system (RAMS) was applied to Chiang Mai province, a mountainous area in Thailand, to study terrain-induced mesoscale circulations. Eight cases in wet and dry seasons under different weather conditions were analyzed to show thermal and dynamic impacts on local circulations. This is the first study of RAMS in Thailand especially investigating the effect of mountainous area on the simulated meteorological data. Analysis of model results indicates that the model can reproduce major features of local circulation and diurnal variations in temperatures. For evaluating the model performance, model results were compared with observed wind speed, wind direction, and temperature monitored at a meteorological tower. Comparison shows that the modeled values are generally in good agreement with observations and that the model captured many of the observed features.
A parasitological investigation on trematode metacercariae was made on 62 freshwater fishes of 13 species in northern Thailand; Cyclocheilichthys apogon, Puntioplites proctozysron, Labiobarbus siamensis, Barbodes gonionotus, Barbodes altus, Henicorhynchus siamensis, Osteochilus hasselti, Notopterus notopterus, Mystacoleucus marginatus, Anabas testudineus, Systomus orphoides, Morulius chrysophykadian, and Hampala macrolepidota. The fish were caught over the summer period (February-May 2007) from 2 Chiang Mai water reservoirs, i.e., the Mae Ngad (UTM 47Q E 503200, 47Q N 2119300) and the Mae Kuang Udomtara (UTM 47Q E 513000, 47Q N 2092600) Reservoirs in Chiang Mai province, Thailand. The prevalence of heterophyid (Haplorchis taichui and Haplorchoides sp.) metacercariae in these fish was 83.9% and 74.2% in the Mae Ngad and Mae Kuang Udomtara Reservoirs, respectively. The highest intensity of heterophyid metacercariae in H. siamensis in the Mae Ngad was 120.4 and that in P. proctozysron in the Mae Kuang Udomtara was 180.0. The fish, A. testudineus, C. apogon, and M. chrysophykadian, were not found to be infected with H. taichui metacercariae. The results show that the freshwater fish in Chiang Mai water reservoirs are heavily infected with H. taichui and Haplorchoides sp. metacercariae. PMID:18552549
Isaacs, Bronwyn Alison; Dixon, Jane; Banwell, Cathy
A preliminary investigation into different eating patterns among Thai consumers who shop at fresh markets as opposed to supermarkets in Chiang Mai. A short questionnaire adopted from a previous study was administered to the forty-four participants, who comprised supermarket users, fresh market users and people who consistently shopped at both supermarkets and fresh markets. Participants were recruited within four fresh markets and two food courts attached to supermarkets in Chiang Mai. Chiang Mai residents who agreed to participate in the study. Equal numbers were regular fresh market and supermarket users. Initial results suggest an association between shopping at supermarkets and attributing bread with culinary value. Supermarkets may be potentially significant players in the 'nutrition transition', providing Thais more convenient shopping at some cost to their healthy food choices.
Panpanich, Ratana; Vitsupakorn, Kannika; Brabin, Bernard
A cross-sectional study was conducted to evaluate current breastfeeding practices among a population in a remote rural area of Chiang Mai, Thailand. Three hundred and ninety-five women with children aged less than 36 months were studied. Mothers were interviewed and anthropometric status of children
Sriprasert, I; Pantasri, T; Piyamongkol, W; Suwan, A; Chaikittisilpa, S; Sturdee, D; Gupta, P; Hunter, M S
To examine relationships between location, demographics, lifestyle, beliefs, and experience of hot flushes and night sweats (HFNS) amongst women living in two cities in Thailand. Cross-sectional study of peri- and postmenopausal women, aged 45-55 years, from Bangkok and Chiang Mai. Participants completed questionnaires (demographics, health, HFNS (prevalence, frequency and problem-rating) and beliefs about menopause). A sub-sample of women from each location was interviewed. A total of 632 women (320 Bangkok and 312 Chiang Mai) aged 50.88 (standard deviation 3.06) years, took part. The prevalence of HFNS was 65%, average HFNS frequency 8.7 (10.8) per week and problem rating 4.3/10. Women from Chiang Mai had significantly more problematic HFNS, but prevalence and frequency were similar in both sites. Poor general health predicted HFNS prevalence and frequency, while Chiang Mai location, HFNS frequency, age, diet and beliefs about menopause were associated with problematic HFNS. Location remained significant after controlling for education, occupation and age; location was partially explained by beliefs. Qualitative interview responses illustrated the differences in beliefs about menopause between locations. HFNS reports are prevalent with moderate frequency and problem-ratings in these urban centers in Thailand. The results will be included in the broader International Menopause Society study of Climate, Altitude and Temperature (IMS-CAT) of the impact of climate on HFNS.
Doege, Theodore C.; And Others
A relationship between the medical schools of Chiang Mai University and the University of Illinois, part of a national involvement in Thailand's socioeconomic development, is analyzed. Antecedents, activities, outcomes, and problems are reviewed with emphasis on need for sound training, energy, adaptability, and investment of years. (JT)
Udphuay, S.; Kaweewong, C.; Imurai, W.; Pondthai, P.
Soil-gas radon concentration anomaly map was constructed to help detect an unknown subsurface fault location in San Sai District, Chiang Mai Province, Northern Thailand where a 5.1-magnitude earthquake took place in December 2006. It was suspected that this earthquake may have been associated with an unrecognized active fault in the area. In this study, soil-gas samples were collected from eighty-four measuring stations covering an area of approximately 50 km2. Radon in soil-gas samples was quantified using Scintrex Radon Detector, RDA-200. The samplings were conducted twice: during December 2014-January 2015 and March 2015-April 2015. The soil-gas radon map obtained from this study reveals linear NNW-SSE trend of high concentration. This anomaly corresponds to the direction of the prospective fault system interpreted from satellite images. The findings from this study support the existence of this unknown fault system. However a more detailed investigation should be conducted in order to confirm its geometry, orientation and lateral extent.
Wangtongkum, Suparus; Sucharitkul, Phongsakorn; Silprasert, Nutcharut; Inthrachak, Rudeethawinl
To determine the prevalence of dementia in Thai people with age 45 years and above. This project used a cross sectional research design to study the prevalence of dementia in Chiang Mai. Door-to-door technique was assigned in condition with multi-stage probability random sampling to obtain subjects representing the population of Chiang Mai between Oct 2004 and Sep 2005. The researchers collected the data from the subjects aged 45 years and above. All subjects were located from every Amphurs of Chiang Mai. They were first screened with Thai Mini Mental State Examination (TMSE) and Thai Beck Depression Inventory (BDI). The subjects whose TMSE was less than 24 were assessed and diagnosed by a neurologist. Subjects who were determined as having dementia might be laboratory analyzed and classified based on DSM-IV and NINDS-AIREN criteria. The authors enrolled 2,311 people and screened them with Batteries test. One thousand four hundred ninety two people qualified with 610 males and 882 females, whose mean age was 59.7 +/- 10.4 years. The authors found that among the 35 people with dementia, the mean age was 67.9 +/- 8.9 years (45-88 years). The prevalence of dementia among the study participants was 2.35%. In the present study, Alzheimer's disease was the most common type of dementia diagnosed (75.0%) and vascular dementia was the second most commonly diagnosed (12.5%). The prevalence of dementia in Chiang Mai was 2.35%, which does not differ from the previous study Alzheimer's disease was the most common type of dementia diagnosed.
An emission inventory containing emissions from traffic and other sources was complied. Based on the analysis, Carbon Monoxide (CO) emissions from traffic play a very important role in CO levels in Chiang Mai area. Analysis showed that CO emissions from traffic during rush hours contributed approximately 90% of total CO emissions. Regional Atmospheric Modeling System (RAMS) was applied to simulate wind fields and temperatures in the Chiang Mai area, and eight cases were selected to study annual variations in wind fields and temperatures. Model results can reflect major features of wind fields and diurnal variations in temperatures. For evaluating the model performance, model results were compared with observed wind speed, wind direction and temperature, which were monitored at a meteorological tower. Comparison showed that model results are in good agreement with observations, and the model captured many of the observed features. HYbrid Particle And Concentration Transport model (HYPACT) was used to simulate CO concentration in the Chiang Mai area. Model results generally agree well with observed CO concentrations at the air quality monitoring stations, and can explain observed CO diurnal variations.
Iwasaki, Eriko; Morakote, Nuntana; Chaovistsaree, Somsak; Matsuo, Hiroya
The present study was carried out to investigate the influence of lifestyle on bone mineral density (BMD) and bone turnover among young women in Chiang Mai, Thailand. A total of 177 young women affiliated with Chiang Mai University hospital were enrolled. Firstly, questionnaires about their lifestyle and the Osteoporosis Knowledge Test (OKT) were examined. The measurement of BMD was assessed by Quantitative Ultrasound (QUS). Secondly, based on the measurement of BMD, the subjects were divided into 2 groups, a Low BMD group (L group: less than YAM-1.0SD) and a Normal BMD group (N group: more than YAM-1.0SD). L group (n=23) and N group (n=23) were examined using Osteocalcine (OC), type 1 collagen cross-linked N-telopeptide (NTx) and undercarboxylated osteocalcin (ucOC) as bone turnover markers, and serum Ca, 1,25-(OH)2Vitamin D, Vitamin K1 and Vitamin K2 (MK-4) as bone turnover related factors. Based on the results, the percentage of Low BMD group was 23.2%. Concerning lifestyle and BMD, the BMD of the low cheese intake group was 99.7± 17.0 and the BMD of the high cheese intake one was 110.0± 23.3 (pChiang Mai, Thailand.
Wangtongkum, Suparus; Sucharitakul, Phongsakorn; Wongjaroen, Sriwanna; Maneechompoo, Suthin
To determine the prevalence of depression in Thai people of 45 years and over. The presented project was a cross sectional study on the prevalence of depression and cognitive impairment in Chiang Mai. Door-to-door interview technique was assigned in condition with multistage probability random sampling to obtain subjects that represent a population of Chiang Mai. The research was conducted between October 2004 and September 2005. Data were collected on subject that were 45 years old and over. All subjects were selected from all districts in Chiang Mai. Thai Mini Mental State Examination (TMSE) and Thai Beck Depression Inventory (BDI) were used as the assessment tool If the subjects had a TMSE score less than 24 points, it was assumed as a cognitive impairment. One thousand four hundred ninety two people, 610 males and 882 females, were enrolled in the present study. Their mean age was 59.7 +/- 10.4 years (45-88 year). The prevalence of depression only was 29.2%, the prevalence of cognitive impairment only was 5.63% and the prevalence of cognitive impairment with depression was 3.96%. The prevalence of depression increased with age. The prevalence of depression in Thai people of 45 years and over was 29.2% and increased with age.
The research employed multiple research methods consisting of surveys, focus group discussion, and participatory observation. Samples used in the study were members of the Agro-tourism Club of Ban Pong community, Ban Pong, Papai sub-district, Sansai district, Chiang Mai province. The community members undertook learning through a four-step participatory learning process; (1 analyzing problems, (2 planning, exploring, and voting, (3 implementation, and (4 evaluation. The results showed that the community members had gained knowledge about tourism interpretation and showed a positive attitude toward the development of tourism interpretation. Moreover, at the end of the study, they had actually developed an interpretative nature trail that was derived from the real needs of their community.
Pothirat, Chaicharn; Phetsuk, Nittaya; Liwsrisakun, Chalerm; Bumroongkit, Chaiwat; Deesomchok, Athavudh; Theerakittikul, Theerakorn
To identify the prevalence, clinical characteristics, disease severity, and correlations of major chronic respiratory diseases (CRDs) among the adult population living in Chiang Mai. A cross-sectional study was conducted with adults living in municipal areas of Chiang Mai. All clinical relevant data collected by face-to-face interview was confirmed by pulmonologists. The chest radiographic findings and post-bronchodilator spirometry were done in all subjects. The aeroallergen skin test and rhinoscopy were performed in all chronic rhinitis and asthma subjects. Five hundred seventy four subjects with mean age 52.9±10.0 years, 59.6% female, and 37.5% smokers were recruited. The prevalence of overall CRDs was 59.2%. Chronic rhinitis was the most prevalent chronic respiratory disease (n = 239, 41.6%), followed by asthma (n = 58, 10.1%), and chronic obstructive pulmonary disease (COPD) (n = 21, 3.7%). The most common abnormal pulmonary function test was restrictive lung disorders (n = 53, 9.6%). Asthma subjects were determined to be more allergic than chronic rhinitis subjects (58.1% vs. 39.9%, p-value = 0.033). Regarding the disease severity, 14.9% of chronic rhinitis and 10.3% of asthma subjects were classified as moderate to severe degree, whereas 81% of chronic obstructive pulmonary disease subjects were classified as moderate to very severe degrees. In asthma patients, there were positive association with chronic rhinitis (OR 3.9, 95% CI 2.1-7.0, p-value Chiang Mai population was significantly high with overlapped respiratory symptoms and varying disease severity. Additionally, chronic rhinitis had correlation with asthma but not with COPD.
Full Text Available The occurrence and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis isolated from dogs in Chiang Mai, Thailand were determined. Fecal samples were collected from 109 dogs between July and August 2008. Cryptosporidium spp. infection was determined by immunofluorescent assay (IFA, PCR assays that amplify Cryptosporidium heat-shock protein 70 kDa (hsp70, and two PCR assays that amplify a small subunit-ribosomal RNA (SSU-rRNA. Giardia duodenalis infection was identified using zinc sulfate centrifugal flotation, IFA, and four PCR assays that amplify the Giardia glutamate dehydrogenase (gdh, beta-giardin (bg, and generic and dog-specific assays of triosephosphate isomerase (tpi genes. Overall prevalence of Cryptosporidium spp. and G. duodenalis was 31.2% and 45.9%, respectively. Sequence analysis of 22 Cryptosporidium-positive samples and 21 Giardia-positive samples revealed the presence of C. canis in 15, and C. parvum in 7, G. duodenalis Assemblage C in 8, D in 11, and mixed of C and D in 2 dogs. Dogs in Chiang Mai were commonly exposed to Cryptosporidium spp. and G. duodenalis. Cryptosporidium parvum can be isolated from the feces of dogs, and all G. duodenalis assemblages were dog-specific. Dogs could be a reservoir for a zoonotic Cryptosporidium infection in humans, but further studies will be required to determine the clinical and zoonotic importance.
Tangtrongsup, Sahatchai; Scorza, A Valeria; Reif, John S; Ballweber, Lora R; Lappin, Michael R; Salman, Mo D
The occurrence and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis isolated from dogs in Chiang Mai, Thailand were determined. Fecal samples were collected from 109 dogs between July and August 2008. Cryptosporidium spp. infection was determined by immunofluorescent assay (IFA), PCR assays that amplify Cryptosporidium heat-shock protein 70 kDa (hsp70), and two PCR assays that amplify a small subunit-ribosomal RNA (SSU-rRNA). Giardia duodenalis infection was identified using zinc sulfate centrifugal flotation, IFA, and four PCR assays that amplify the Giardia glutamate dehydrogenase (gdh), beta-giardin (bg), and generic and dog-specific assays of triosephosphate isomerase (tpi) genes. Overall prevalence of Cryptosporidium spp. and G. duodenalis was 31.2% and 45.9%, respectively. Sequence analysis of 22 Cryptosporidium -positive samples and 21 Giardia -positive samples revealed the presence of C. canis in 15, and C. parvum in 7, G. duodenalis Assemblage C in 8, D in 11, and mixed of C and D in 2 dogs. Dogs in Chiang Mai were commonly exposed to Cryptosporidium spp. and G. duodenalis . Cryptosporidium parvum can be isolated from the feces of dogs, and all G. duodenalis assemblages were dog-specific. Dogs could be a reservoir for a zoonotic Cryptosporidium infection in humans, but further studies will be required to determine the clinical and zoonotic importance.
Jitkunnatumkul, Aurapin; Tantipalakorn, Charuwan; Charoenkwan, Kittipat; Srisomboon, Jatupol
This study was undertaken to determine the incidence of subsequent oophorectomy due to ovarian pathology or ovarian cancer in women with prior hysterectomy for benign gynecologic conditions at Chiang Mai University Hospital. Medical records of women who underwent hysterectomy for benign gynecologic diseases and pre-cancerous lesions between January 1, 2004 and December 31, 2013 at Chiang Mai University Hospital were retrospectively reviewed. The incidence and indications of oophorectomy following hysterectomy were analyzed. During the study period, 1,035 women had hysterectomy for benign gynecologic conditions. Of these, 590 women underwent hysterectomy with bilateral salpingo-oophorectomy and 445 hysterectomy with bilateral ovarian preservation or unilateral salpingo-oophorectomy. The median age was 47 years (range, 11-75 years). Ten women (2.45 %) had subsequent oophorectomy for benign ovarian cysts. No case of ovarian cancer was found. The mean time interval between hysterectomy and subsequent oophorectomy was 43.1 months (range, 2-97 months) and the mean follow-up time for this patient cohort was 51 months (range, 1.3-124.9 months). According to our hospital-based data, the incidence of subsequent oophorectomy in women with prior hysterectomy for benign gynecologic conditions is low and all present with benign conditions.
Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape
Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attitudes) were negatively correlated with adherence to anti-retroviral regimens. Multiple linear regression indicated that total HIV-related stigma was more predictive of treatment adherence than any individual stigma type, after adjusting for socio-demographic and health characteristics. Tests of interaction showed that social support did not appear to moderate the association between HIV stigma and treatment adherence. Our findings suggest that community and government efforts to improve public perceptions about people living with HIV might promote treatment adherence behaviors among HIV-positive patients.
Kumthip, Kattareeya; Khamrin, Pattara; Maneekarn, Niwat
Poliovirus (PV) is typically transmitted by the fecal-oral route, which means that the risk of infection and virus distribution could be achieved by exposure to the virus contaminated in food and water. The aim of this study was to determine the occurrence of PV strains by detecting the virus in pediatric patients who admitted to the hospitals with diarrhea in Chiang Mai, Thailand during 2010-2015. By applying a reverse transcription-polymerase chain reaction and nucleotide sequencing analysis of 1,300 stool specimens collected from pediatric patients, PVs were detected at 0.61% (8 out of 1,300 specimens). Among eight PV positive samples, mixed infection with norovirus or human bocavirus was detected in one each out of eight cases. All PV strains detected in this study were characterized further by phylogenetic analysis of 343 bp of the 5' UTR and 315 bp of the partial VP1 sequences. The results revealed that eight PV strains detected in the present study two of each were PV1 and PV2, and four were PV3 serotypes of the Sabin vaccine strains. The data demonstrated the presence of PV1, PV2, and PV3 Sabin vaccine strains in children with acute gastroenteritis in Chiang Mai, Thailand. J. Med. Virol. 89:775-781, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
Norkaew, Treepradab; Ohno, Hideaki; Sriburee, Pojana; Tanabe, Koichi; Tharavichitkul, Prasit; Takarn, Piyawan; Puengchan, Tanpalang; Bumrungsri, Sara; Miyazaki, Yoshitsugu
Histoplasmosis is a systemic mycosis caused by inhaling spores of Histoplasma capsulatum, a dimorphic fungus. This fungus grows in soil contaminated with bat and avian excreta. Each year, patients with disseminated histoplasmosis have been diagnosed in Chiang Mai, northern Thailand. No published information is currently available on the environmental sources of this fungus in Chiang Mai or anywhere else in Thailand. The aim of this study was to detect H. capsulatum in soil samples contaminated with bat guano and avian droppings by nested PCR. Two hundred and sixty-five samples were collected from the following three sources: soil contaminated with bat guano, 88 samples; soil contaminated with bird droppings, 86 samples; and soil contaminated with chicken droppings, 91 samples. Genomic DNA was directly extracted from each sample, and H. capsulatum was detected by nested PCR using a primer set specific to a gene encoding 100-kDa-like protein (HcI, HcII and HcIII, HcIV). Histoplasma capsulatum was detected in seven of 88 soil samples contaminated with bat guano, one of 21 soil samples contaminated with pigeon droppings and 10 of 91 soil samples contaminated with chicken droppings. The results indicate the possibility of the association of bat guano and chicken droppings with H. capsulatum in this area of Thailand.
Rodriguez-Valero, Natalia; Moriñigo, Helena Moza; Martínez, Miguel J; Peiró, Aida; Oliveira, Ines; Bodro, Marta; Gómez-Junyent, Joan; Gascon, Joaquim; Muñoz, Jose
Leptospirosis is an important zoonosis worldwide, nevertheless is often poor recognized in non tropical settings. In Thailand is becoming an emerging disease and Chiang Mai could become a popular spot to acquire the disease amongst travelers. We describe three cases of imported leptospirosis undifferentiated fever after travelling to Thailand during the summer of 2015 diagnosed at two Spanish hospitals. Our three patients probably acquired leptospirosis while swimming in freshwater around Chiang Mai, a Thailand's northern region with moderate incidence of leptopirosis. Travelers had normal white blood cell counts and low platelets, suggesting leptospirosis after ruling out other imported diseases such as malaria, dengue or typhoid. As recent findings point out, low platelets and normal white blood cell counts are clinical features that could help the clinician to suspect Leptospirosis infection. It should be always considered as a cause of fever, particularly if travelers come from a tropical country and have had contact with water or flooding, especially during rainy season. Copyright © 2018 Elsevier Ltd. All rights reserved.
Full Text Available As a regional self-help system of liquidity support established in the aftermath of the Asian crisis of 1997, the Chiang Mai Initiative (CMI and its recent multilateralization have been touted in some quarters as important achievements in a region where institutionalized financial cooperation had been sorely lacking, taking East Asia one step closer to the resuscitation of the still-born Asian Monetary Fund. Against such a sanguine assessment, I argue that the significance of the CMI, even after its multilateralization, is largely limited to symbolism and its practical implications are inconsequential. Despite the progress associated with CMI multilateralization, the underlying political dynamics in the region render East Asia fundamentally incapable of producing a coherent regional solution to the recurring problem of global financial instability.
Wongtriratanachai, Prasit; Pruksakorn, Dumnoensun; Pothacharoen, Peraphan; Nimkingratana, Puwapong; Pattamapaspong, Nuttaya; Phornphutkul, Chanakarn; Setsitthakun, Sasiwariya; Fongsatitkul, Ladda; Phrompaet, Sureeporn
Autologous chondrocyte implantation (ACI) has become one of the standard procedures for articular cartilage defect treatment. This technique provides a promising result. However the procedural process requires an approach of several steps from multidisciplinary teams. Although the success of this procedure has been reported from Srinakharinvirot University since 2007, the application of ACI is still limited in Thailand due to the complexity of processes and stringent quality control. This report is to present the first case of the cartilage defect treatment using the first generation-ACI under Chiang Mai University's (CMU) own facility and Ethics Committee. This paper also reviews the process of biotechnology procedures, patient selection, surgical, and rehabilitation techniques. The success of the first case is an important milestone for the further development of the CMU Human Translational Research Laboratory in near future.
Khumrin, Piyapong; Chumpoo, Pitupoom
Electrocardiography is one of the most important non-invasive diagnostic tools for diagnosing coronary heart disease. The electrocardiography information system in Maharaj Nakorn Chiang Mai Hospital required a massive manual labor effort. In this article, we propose an approach toward the integration of heterogeneous electrocardiography data and the implementation of an integrated electrocardiography information system into the existing Hospital Information System. The system integrates different electrocardiography formats into a consistent electrocardiography rendering by using Java software. The interface acts as middleware to seamlessly integrate different electrocardiography formats. Instead of using a common electrocardiography protocol, we applied a central format based on Java classes for mapping different electrocardiography formats which contains a specific parser for each electrocardiography format to acquire the same information. Our observations showed that the new system improved the effectiveness of data management, work flow, and data quality; increased the availability of information; and finally improved quality of care. © The Author(s) 2014.
Thomson, Nicholas; Sutcliffe, Catherine G.; Sirirojn, Bangorn; Keawvichit, Rassamee; Wongworapat, Kanlaya; Sintupat, Kamolrawee; Aramrattana, Apinun
Objectives. We examined correlates of incarceration among young methamphetamine users in Chiang Mai, Thailand in 2005 to 2006. Methods. We conducted a cross-sectional study among 1189 young methamphetamine users. Participants were surveyed about their recent drug use, sexual behaviors, and incarceration. Biological samples were obtained to test for sexually transmitted and viral infections. Results. Twenty-two percent of participants reported ever having been incarcerated. In multivariate analysis, risk behaviors including frequent public drunkenness, starting to use illicit drugs at an early age, involvement in the drug economy, tattooing, injecting drugs, and unprotected sex were correlated with a history of incarceration. HIV, HCV, and herpes simplex virus type 2 (HSV-2) infection were also correlated with incarceration. Conclusions. Incarcerated methamphetamine users are engaging in behaviors and being exposed to environments that put them at increased risk of infection and harmful practices. Alternatives to incarceration need to be explored for youths. PMID:18923109
Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M.W.; Thongbai, C.
The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.
Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M. W.; Thongbai, C.
The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.
Thongbai, C.; Kusoljariyakul, K.; Saisut, J.
A femtosecond electron source has been developed at the Plasma and Beam Physics Research Facility (PBP), Chiang Mai University (CMU), Thailand. Ultra-short electron bunches can be produced with a bunch compression system consisting of a thermionic cathode RF-gun, an alpha-magnet as a magnetic bunch compressor, and a linear accelerator as a post acceleration section. To obtain effective bunch compression, it is crucial to provide a proper longitudinal phase-space distribution at the gun exit matched to the subsequent beam transport system. Via beam dynamics calculations and experiments, we investigate the bunch compression efficiency for various RF-gun fields. The particle distribution at the RF-gun exit will be tracked numerically through the alpha-magnet and beam transport. Details of the study and results leading to an optimum condition for our system will be presented.
Thongbai, C.; Kusoljariyakul, K.; Saisut, J.
A femtosecond electron source has been developed at the Plasma and Beam Physics Research Facility (PBP), Chiang Mai University (CMU), Thailand. Ultra-short electron bunches can be produced with a bunch compression system consisting of a thermionic cathode RF-gun, an alpha-magnet as a magnetic bunch compressor, and a linear accelerator as a post acceleration section. To obtain effective bunch compression, it is crucial to provide a proper longitudinal phase-space distribution at the gun exit matched to the subsequent beam transport system. Via beam dynamics calculations and experiments, we investigate the bunch compression efficiency for various RF-gun fields. The particle distribution at the RF-gun exit will be tracked numerically through the alpha-magnet and beam transport. Details of the study and results leading to an optimum condition for our system will be presented.
Tippawan, U.; Kamwann, T.; Yu, L.D.; Intarasiri, S.; Puttaraksa, N.; Unai, S.; Thongleurm, C.; Singkarat, S.
To contribute to the development of nuclear science and technology in Thailand, a comprehensive ion beam analysis center unique in the ASEAN region has recently been established at Chiang Mai University, Thailand. The center is equipped with a 1.7-MV Tandetron tandem accelerator with an ion beam analysis beam line. The beam line is currently capable of performing ion beam analysis techniques such as Rutherford Backscattering Spectrometry (RBS), RBS/channeling, Elastic BackScattering (EBS), Particle Induced X-ray Emission (PIXE) and Ionoluminescence (IL) with assistance of commercial and in-house-developed softwares. Micro ion beam for MeV-ion mapping using programmable aperture or capillary focusing techniques is being developed. Ion beam analysis experiments and applications have been vigorously developed, especially for novel materials analysis focused on archeological, gemological and biological materials besides other conventional materials.
Pudpong, Nareerut; Hajat, Shakoor
This study investigated the short-term effects of temperature on out-patient visits and hospital admissions in Chiang Mai, Thailand. While mortality outcomes in the literature have been reported, there is less evidence of morbidity effects with very few studies conducted in developing countries with subtropical or tropical climate. Time-series regression analysis was employed using generalized negative binomial regression to model the short-term relationships between temperature and morbidity after controlling for seasonal patterns and other potential confounders. Lag effects up to 13 days and effect modification by age (0-14 years, 15-64 years, ≥65 years) were examined. Temperature effects with wide confidence intervals were found, with an increase in diabetic visits of 26.3% (95% CI: 7.1%-49.0%), and circulatory visits of 19.2% (95% CI: 7.0%-32.8%) per 1 °C increase in temperature above an identified threshold of 29 °C. Additionally, there was a rise of both visits (3.7% increase, 95% CI: 1.5%-5.9%) and admissions (5.8% increase, 95% CI: 2.3%-9.3%) due to intestinal infectious disease in association with each 1 °C increase across the whole temperature range. The effects of temperature were stronger in the elderly though not statistically significant. Daily morbidity in Chiang Mai was positively associated with temperature with a lag effect of up to 2 weeks, which was longer than lag effects previously reported. Public health preparedness and interventions should be considered to minimise possible increased hospital visits and admissions during hot weather. Copyright © 2011 Elsevier B.V. All rights reserved.
Sripan, Patumrat; Sriplung, Hutcha; Pongnikorn, Donsuk; Virani, Shama; Bilheem, Surichai; Chaisaengkhaum, Udomlak; Maneesai, Puttachart; Waisri, Narate; Hanpragopsuk, Chirapong; Tansiri, Panrada; Khamsan, Varunee; Poungsombat, Malisa; Mawoot, Aumnart; Chitapanarux, Imjai
Objectives: This study was conducted to determine incidence trends of female breast cancer according to age groups and to predict future change in Chiang Mai women through 2028. Method: Data were collected from all hospitals in Chiang Mai in northern Thailand, from 1989 through 2013, and used to investigate effects of age, year of diagnosis (period) and year of birth (cohort) on female breast cancer incidences using an age-period-cohort model. This model features geometric cut trends to predict change by young (<40 years), middle-aged (40-59) and elderly (≥60) age groups. Result: Of 5, 417 female breast cancer patients with a median age of 50 years (interquartile range: 43 to 59 years), 15%, 61% and 24% were young, middle-aged and elderly, respectively. Seventy nine percent of cancer cases in this study were detected at advanced stage. The trend in stage classification showed an increase in percentage of early stage and a decrease in metastatic cancers. Linear trends for cohort and period were not found in young females but were observed in middle-aged and elderly groups. Age-standardized rates (ASR) can be expected to remain stable around 6.8 per 100,000 women-years in young females. In the other age groups, the ASR trends were calculated to increase and reach peaks in 2024 of 120.2 and 138.2 per 100,000 women-years, respectively. Conclusion: Cohort effects or generation-specific effects, such as life style factors and the year of diagnosis (period) might have impacted on increased incidence in women aged over 40 years but not those under 40 years. A budget should be provided for treatment facilities and strategies to detect early stage cancers. The cost effectiveness of screening measures i.e. mammographic screening may need to be reconsidered for women age over 40 years. PMID:28612595
Teo, Elisha A.; Ziegler, Alan D.; Wasson, Robert J.; Morthekai, Paulramasamy
The drainage of the Chiang Mai basin has a dynamic but largely forgotten history. In the late 1980s, an ancient lost city was excavated near the Ping River in Chiang Mai, Thailand. Archaeologists had unearthed Wiang Kum Kam, the former royal capital of the Lanna Civilisation founded in 1286 CE. Former investigations revealed that flood sediments buried the capital and remnants of an abandoned river channel were discovered beneath the surface. This concurs with historical descriptions of the Ping River being on the eastern bank of the capital, despite being presently located on the western bank. The paleochannel drained 500 years ago after diverting west of the ancient city. This switch, an avulsion, coincided with a large flood, which could have triggered and/or caused the avulsion. Local oral histories also recount other Ping avulsions across the basin, but these were not documented. Some of these paleochannels residually remain as unusually sinuous irrigation canals, with historically suggestive names such as the Old Ping and the Small Ping Rivers. Here, the geomorphological evolution of the Ping River is investigated, as a future avulsion in this extensively populated area would be catastrophic. Evidence shows that the drainage of the Chiang Mai basin evolved from a braided system, to an avulsing anastomosing system, to a primarily single channel system. Two-dimensional electrical resistivity tomography and augering detected a large continuous body of fluvial sand 4 m below the surface, across the 10 km distance between the Ping and Kuang Rivers. This sand continues to the depth of at least 30 m and is typical of a braided system. Further augering along paleochannels revealed buried levees that protrude from the braided river deposits to near the surface, separated by fine floodplain sediments. This may have formed as the braided system evolved into an anastomosing system, where distinct channels stabilised and floodplain deposits could develop between channels
Pengchai, Petch; Chantara, Somporn; Sopajaree, Khajornsak; Wangkarn, Sunanta; Tengcharoenkul, Urai; Rayanakorn, Mongkon
Daily PM10 concentrations were measured at four sampling stations located in Chiang Mai and Lamphun provinces, Thailand. The sampling scheme was conducted during June 2005 to June 2006; every 3 days for 24 h in each sampling period. The result revealed that all stations shared the same pattern, in which the PM10 (particulate matters with diameter of less than 10 microm) concentration increased at the beginning of dry season (December) and reached its peak in March before decreasing by the end of April. The maximum PM10 concentration for each sampling station was in the range of 140-182 microg/m(3) which was 1.1-1.5 times higher than the Thai ambient air quality standard of 120 microg/m(3). This distinctly high concentration of PM10 in the dry season (Dec. 05-Mar. 06) was recognized as a unique seasonal pattern for the northern part of Thailand. PM10 concentration had a medium level of negative correlation (r = -0.696 to -0.635) with the visibility data. Comparing the maximum PM10 concentration detected at each sampling station to the permitted PM10 level of the national air quality standard, the warning visibility values for the PM10 pollution-watch system were determined as 10 km for Chiang Mai Province and 5 km for Lamphun Province. From the analysis of PM10 constituents, no component exceeded the national air quality standard. The total concentrations of PM10-bond polycyclic aromatic hydrocarbons (PAHs) are calculated in terms of total toxicity equivalent concentrations (TTECs) using the toxicity equivalent factors (TEFs) method. TTECs in Chiang Mai and Lamphun ambient air was found at a level comparable to those observed in Nagasaki, Bangkok and Rome and at a lower level than those reported at Copenhagen. The annual number of lung cancer cases for Chiang Mai and Lamphun Provinces was estimated at two cases/year which was lower than the number of cases in Bangkok (27 cases/year). The principal component analysis/absolute principal component scores (PCA
Singkarat, S.; Puttaraksa, N.; Unai, S.; Yu, L. D.; Singkarat, K.; Pussadee, N.; Whitlow, H. J.; Natyanum, S.; Tippawan, U.
Developing high technologies but in economic manners is necessary and also feasible for developing countries. At Chiang Mai University, Thailand, we have developed MeV-ion microbeam technology based on a 1.7-MV Tandetron tandem accelerator with our limited resources in a cost-effective manner. Instead of using expensive and technically complex electrostatic or magnetic quadrupole focusing lens systems, we have developed cheap MeV-ion microbeams using programmed L-shaped blade aperture and capillary techniques for MeV ion beam lithography or writing and mapping. The programmed L-shaped blade micro-aperture system consists of a pair of L-shaped movable aperture pieces which are controlled by computer to cut off the ion beam for controlling the beam size down to the micrometer order. The capillary technique utilizes our home-fabricated tapered glass capillaries to realize microbeams. Either system can be installed inside the endstation of the MeV ion beam line of the accelerator. Both systems have been applied to MeV-ion beam lithography or writing of micro-patterns for microfluidics applications to fabricate lab-on-chip devices. The capillary technique is being developed for MeV-ion beam mapping of biological samples. The paper reports details of the techniques and introduces some applications.
Sruamsiri, Kamphee; Chenthanakij, Boriboon; Wittayachamnankul, Borwon
Management of patients with severe hypertension without progressive target organ damage remains controversial. Some guidelines mentioned oral anti-hypertensive medication as a treatment to reduce blood pressure in the emergency department, while others recommended against such treatment. To review the management ofpatients with severe hypertension without progressive target organ damage in the emergency department, Maharaj Nakorn Chiang Mai hospital. In a retrospective descriptive analysis study, medical records ofadult patients diagnosed with severe hypertension without progressive target organ damage between January 2011 and December 2012 were reviewed. Patient demographics, data on management including investigation sent and treatment given were collected. Statistical analysis was done by using descriptive statistics and Kruskal-Wallis one-way analysis of variance test. One hundred fifty one medical records were reviewed. Four oral anti-hypertensive medication were used to reduce blood pressure, Amlodipine, Captopril, Hydralazine, and Nifedipine. There were no significant diference between each medication in terms of their effect on bloodpressure reduction (p = 0.513). No side effect or other complications from the use of oral anti-hypertensive medication were recorded The choice of medication used for the treatment of hypertensive urgency ranged from Amlodipine, Captopril, Hydralazine, and Nifedipine, which varied in dosage. However their efficacies were the same when compared with each other and none produced any notable side effects.
Open burnings (forest fires, agricultural, and garbage burnings) are the major sources of air pollution in Chiang Mai, Thailand. A time series prospective study was conducted in which 3025 participants were interviewed for 19 acute symptoms with the daily records of ambient air pollutants: particulate matter less than 10 microm in size (PM10), carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), and ozone (O3). PM10 was positively associated with blurred vision with an adjusted odds ratio (OR) of 1.009. CO was positively associated with lower lung and heart symptoms with adjusted ORs of 1.137 and 1.117. NO2 was positively associated with nosebleed, larynx symptoms, dry cough, lower lung symptoms, heart symptoms, and eye irritation with the range of adjusted ORs (ROAORs) of 1.024 to 1.229. SO2 was positively associated with swelling feet, skin symptoms, eye irritation, red eyes, and blurred vision with ROAORs of 1.205 to 2.948. Conversely, O3 was negatively related to running nose, burning nose, dry cough, body rash, red eyes, and blurred vision with ROAORs of 0.891 to 0.979.
Tangmunkongvorakul, Arunrat; Carmichael, Gordon; Banwell, Cathy; Seubsman, Sam-ang; Sleigh, Adrian
This article compares coital experience of Chiang Mai 17–20-year-olds who were: (1) out-of-school; (2) studying at vocational schools; and (3) studying at general schools or university. Four-fifths, two-thirds and one-third, respectively, of males in these groups had had intercourse, compared to 53, 62 and 15 per cent of females. The gender difference for general school/university students, but not vocational school students, probably reflects HIV/AIDS refocusing male sexual initiation away from commercial sex workers. Vocational school females may have been disproportionately affected. Loss of virginity was associated, for both sexes, with social-educational background and lifestyle, and was less likely in certain minority ethnic groups. Among males, it was also associated with age and parental marital dissolution, and among females, with independent living and parental disharmony. Within social-educational groups, lifestyle variables dominated, but among general school/university students, parental marital dissolution (for males) and disharmony (for females) were also important, and Chinese ethnicity deterred male sexual experimentation. PMID:22754584
Tangmunkongvorakul, Arunrat; Banwell, Cathy; Carmichael, Gordon; Utomo, Iwu Dwisetyani; Sleigh, Adrian
Drawing upon quantitative and qualitative data we explore perspectives on and experiences of sexual lifestyles and relationships among more than 1,750 adolescents aged 17-20 years who reside in urban Chiang Mai, Thailand. We focus on respondents’ representations and understandings of their sexual/gender identities derived mainly from in-depth interviews and focus group discussions, supplemented with observations and field notes. Our results show that while many young Thais described themselves as heterosexual males or females others described themselves as gay, kathoey, tom, dii, bisexual or something else. Some were still questioning their own identities. The terms gay, kathoey, tom and dii are commonly used by these Thais to describe a range of sexual/gender identities relating to persons who are sexually or romantically attracted to the same biological sex. We use case studies to illustrate the distinctive characterizations, sexual lifestyles and relationships of each of these identities. We conclude that the sexual lifestyles encountered among Northern Thai non-heterosexual adolescents could lead to negative health consequences and indicated a need for improved relationship education, counselling and sensitive sexual health services. PMID:20665299
Kamwanna, T.; Junphong, P.; Yu, L.D.; Singkarat, S.; Intarasiri, S.; Suwannakachorn, D.
A comprehensive ion beam analysis centre unique in the ASEAN (Association of Southeast Asian Nations) region has been established at Chiang Mai University, Thailand. The centre is equipped with a 1.7 MV Tandetron tandem accelerator and a 300 kV medium energy ion beam accelerator for ion beam analysis. The Tandetron accelerator employs two ion sources, a duoplasmatron ion source and a sputter ion source, capable of producing ion beams of both light species (hydrogen and helium) and heavy species. The beamline is currently able to perform ion beam analysis techniques, such as Rutherford backscattering spectrometry (RBS), RBS/channelling, elastic backscattering (EBS), particle induced x ray emission (PIXE) and ionoluminescence (IL) with the assistance of commercial and self-developed software. The medium energy ion accelerator features an ns pulsed beam so that time of flight (ToF) RBS analysis using medium energy ion beams is available for detailed analysis of materials. Ion beam analysis experiments and applications have been vigorously developed for the real time characterization of various materials. Examples are presented and qualities of the ion beam analysis techniques are discussed. (author)
Chaiwarith, Romanee; Vongsanim, Surachet; Supparatpinyo, Khuanchai
Cryptococcal meningitis (CM) is a common central nervous system infection in HIV-infected patients. This study aimed to determine treatment outcomes among HIV-infected patients who had cryptococcal meningitis and to determine predictors of death. We conducted a retrospective cohort study among HIV-infected patients receiving care at Chiang Mai University Hospital from January 1, 2005 to December 31, 2010. We studied 79 patients; 45 (57.0%) were male and the mean age was 35.1 +/- 7.2 years. Eleven patients (13.9%) had previous opportunistic infection. The most common presenting symptoms were headache (63 patients, 79.8%), fever (49 patients, 62.0%), and altered consciousness (21 patients, 26.6%). The median CD4+ cell count was 20 cells/mm3 [Interquartile range (IQR) 10, 53]. The in-hospital, 90-day, and 1-year mortality rates were 24.1%, 32.4%, and 52.2%, respectively. The CM attributable in-hospital, 90-day and 1-year mortality rates were 13.9%, 20.3%, and 23.2%, respectively. Predictors associated with a 1-year mortality were a high cerebrospinal (CSF) cryptococcal antigen titer (> 1:10,000) [Odds Ratio (OR) =7.08, 95% confidence interval (CI): 1.62-31.00, p = 0.009], and altered consciousness at presentation (OR = 5.27; 95% CI: 1.16-24.05; p = 0.032). Cryptococcal meningitis is an important cause of death in HIV-infected patients. HIV-infected patients with a low CD4+ cell count, a headache, fever and altered consciousness should be investigated for CM and those with a high CSF cryptococcal antigen titer are at high risk for mortality.
Pothirat, Chaicharn; Tosukhowong, Apiwat; Chaiwong, Warawut; Liwsrisakun, Chalerm; Inchai, Juthamas
Seasonal smog produces particulate matters that are less than 10 microns in diameter (PM₁₀), which are known to have several impacts on the respiratory system. This study was to determine the association of an increased PM10 level due to seasonal smog in Chiang Mai and emergency visits for asthma and chronic obstructive pulmonary disease (COPD) exacerbations. A retrospective cross-sectional study was conducted between the months of January and March from 2006 until 2009. The association of an increased PM₁₀ level and the daily number of asthma and COPD exacerbations were analyzed using a generalized linear model; a Poisson regression model was fit to the number of daily emergency visits using predictor variables: lags of PM10, day of the week, and time. There were a total of 917 emergency visits for acute exacerbations of asthma and COPD, with a median of 2 visits per day (range 0-10). The median PM₁₀ level during the same interval was 64.5 microgram per cubic meter (μg/m3) (16-304). For every 10 μg/m3 rise in PM10 concentration, there was a lag time of 6 days for asthma exacerbations [Adjusted relative risk (RR)=1.020; 95% confident interval (CI), 1.001-1.040; (p=0.014)], 7 days for COPD exacerbations [RR=1.030; 95%CI, 1.010-1.050 (p=0.024)] and 7 days for all exacerbations [RR=1.030 95%CI, 1.010-1.040 (p<0.001)]. This study confirms the effect of increasing PM₁₀ concentrations from seasonal smog on asthma and COPD exacerbations. However, there was an approximately 1 week lag time between the elevated PM₁₀ levels and time to emergency visits due to disease exacerbation.
Aurpibul, Linda; Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Tarnkehard, Surapee
Introduction: The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups. Methods and findings: This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1...
Tantiworawit, Adisak; Kongjarern, Supanat; Rattarittamrong, Ekarat; Lekawanvijit, Suree; Bumroongkit, Kanokkan; Boonma, Nonglak; Rattanathammethee, Thanawat; Hantrakool, Sasinee; Chai-Adisaksopha, Chatree; Norasetthada, Lalita
A diagnosis of chronic myeloid leukemia (CML) is made on discovery of the presence of a Philadelphia (Ph) chromosome. The success of the treatment of this form of leukemia with tyrosine kinase inhibitor (TKI) is monitored by reduction of the Ph chromosome. To compare the role of conventional cytogenetic (CC) methods with a real time quantitative polymerase chain reaction (RQ-PCR) and fluorescence in situ hybridization (FISH) for diagnosis and treatment monitoring of CML patients. The secondary outcome was to analyze the treatment responses to TKI in CML patients. This was a retrospective study of CML patients who attended the Hematology clinic at Chiang Mai University Hospital from 2005-2010. Medical records were reviewed for demographic data, risk score, treatment response and the results of CC methods, FISH and RQ-PCR. One hundred and twenty three cases were included in the study, 57.7% of whom were male with a mean age of 46.9 years. Most of the patients registered as intermediate to high risk on the Sokal score. At diagnosis, 121 patients were tested using the CC method and 118 (95.9%) were identified as positive. Five patients failed to be diagnosed by CC methods but were positive for BCR-ABL1 using the FISH method. Imatinib was the first-line treatment used in 120 patients (97.6%). In most patients (108 out of 122, 88.5%), a complete cytogenetic response (CCyR) was achieved after TKI therapy and in 86 patients (70.5%) CCyR was achieved long term by the CC method. Five out of the 35 analyzed patients in which CCyR was achieved by the CC method had a positive FISH result. Out of the 76 patients in which CCyR was achieved, RQ-PCR classified patients to only CCyR in 17 patients (22.4%) with a deeper major molecular response (MMR) in 4 patients (5.3%) and complete molecular response (CMR) in 55 patients (72.4%). In the case of initial therapy, CCyR was achieved in 95 patients (79.1%) who received imatinib and in both patients who received dasatinib (100%). For the
Diurnal variation of particulate polycyclic aromatic hydrocarbons (PAHs) was investigated by collecting PM10 at three different sampling altitudes using high buildings in the city center of Chiang-Mai, Thailand, during the relatively cold period in late February 2008. At site-1 (12 m above ground level), B[a]P concentrations ranged from 30.3 -1,673 pg m-3 with an average of 506±477 pg m-3, contributing on average, 8.09±8.69% to ?PAHs. Ind and B[b]F concentrations varied from 54.6 to 4,579 pg m-3 and from 80.7 to 2,292 pg m-3 with the highest average of 1,187±1,058 pg m-3 and 963±656 pg m-3, contributing on average, 19.0±19.3% and 15.4±12.0% to ?PAHs, respectively. Morning maxima were predominantly detected in all observatory sites, which can be described by typical diurnal variations of traffic flow in Chiang-Mai City, showing a morning peak between 6 AM. and 9 AM. Despite the fact that most monitoring sites might be subjected to specific-site impacts, it could be seen that PAH profiles in Site-1 and Site-2 were astonishingly homogeneous. The lack of differences suggests that the source signatures of several PAHs become less distinct possibly due to the impacts of traffic and cooking emissions from ground level.
Padungtod, Pawin; Tharavichitkul, Prasit; Junya, Supansa; Chaisowong, Warangkhana; Kadohira, Mutsuyo; Makino, Souichi; Sthitmatee, Nattawooti
This study was designed to determine the incidence of Streptococcus suis infection in slaughtered pigs raised in industrial facility and backyard system in Chiang Mai City, Thailand. A total of 90 tonsils and submaxillary salivary gland/lymph node samples from slaughtered pigs raised in industrial facility and 122 samples from slaughtered pigs raised in backyard system were collected. Isolation and identification of S. suis were conducted using standard bacteriological methods. Farm management and risk factor data were collected by a questionnaire. Serotyping and presence of virulence factor genes, epf, mrp and sly, were determined by multiplex PCR assay. The overall incidence of S. suis in this study was 9% (n = 212) and the incidence is significantly higher in districts located at a greater distance south of Chiang Mai City. S. suis serotype 2 was present more in healthy pigs (43%) than ill pigs (10%). Every S. suis isolate carried mrp and sly and ill pigs carried epf (80%) more than healthy pigs (57%). However, the probability of S. suis serotype 2 with epf+ (0.245) detected in healthy pigs was higher than in ill pigs (0.08) indicating people may have a higher risk of being infected with S. suis from healthy than ill pigs.
Johnston, Lisa G; Steinhaus, Mara C; Sass, Justine; Sirinirund, Petchsri; Lee, Catherine; Benjarattanaporn, Patchara; Gass, Robert
HIV infection among men who have sex with men, particularly in Thai urban settings and among younger cohorts, is escalating. HIV testing and counseling (HTC) are important for prevention and obtaining treatment and care. We examine data from a 2013 survey of males, 15-24 years, reporting past-year sex with a male and living in Bangkok or Chiang Mai. Almost three quarters of young MSM (YMSM) in Bangkok and only 27 % in Chiang Mai had an HIV test in the previous year. Associations for HIV testing varied between cities, although having employment increased the odds of HIV testing for both cities. In Bangkok, family knowledge of same sex attraction and talking to parents/guardians about HIV/AIDS had higher odds of HIV testing. Expanded HTC coverage is needed for YMSM in Chiang Mai. All health centers providing HTC, including those targeting MSM, need to address the specific needs of younger cohorts.
Dechkajorn, Sakorn; Nomsiri, Raksiri; Boonsri, Kittikorn; Sripakdee, Duanghatai; Sukontason, Kabkaew L; Wannasan, Anchalee; Chailangkarn, Sasisophin; Tiwananthagorn, Saruda
Visceral pentastomiasis (porocephalosis) caused by Armillifer armillatus larvae was incidentally diagnosed in a female striped hyena (Hyaena hyaena) of unknown age which died unexpectedly in 2013. The hyena had been imported from Tanzania 8years earlier and have been since then in a zoo in Chiang Mai, northern Thailand. Pathological examination revealed visceral nymph migrans of pentastomes throughout the intestine, liver, diaphragm, omentum and mesentery, spleen, kidneys, and urinary bladder. Polymerase chain reaction and sequencing that targeted the pentastomid-specific 18S rRNA gene determined 100% identity with reference sequence for A. armillatus, suggesting that its ova can infect the hyena to serve as an intermediate host for the parasite. Further studies to identify the source of infection, its risk factors, and host range for A. armillatus are important to determine its zoonotic potential and to better prevent and manage the disease to protect animal and human health. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Full Text Available This research aims to evaluate the Urban Heat Island Intensity (UHII and study the influences of population density, building density, and traffic density on the UHII in Chiang Mai city on each season and time. The surrounding air temperature was measured by thermocouples at a constant height of 2 m above the road by mobile surveying approach. The surveyed routes were divided into urban routes and rural routes. The UHII was calculated from the average surrounding air temperature difference between the urban and the rural areas. Experimental investigations were carried out in two seasons, consisting of summer (March-May, 2014 and winter (December 2013-February 2014. Experimental investigations were carried out in two periods, which were a daytime period (01.00-03.00 pm and a nighttime period (10.00 pm-00.00 am on Mondays, Wednesdays, and Sundays. The results show that the UHII in summer day, summer night, winter day, and winter night were 1.07°C, 1.27°C, 0.58°C, and 1.34°C, respectively. This implies that the temperature in Chiang Mai city’s urban area is higher than that in the rural area the entire year. Moreover, it was found that the UHII in summer day, winter day, and winter night were primarily affected by the traffic density with the sensitivity percentage of 87.50%, 72.73%, and 63.33%, respectively. In contrast, the UHII in summer night was mainly affected by the building density with the sensitivity percentage of 50.00%.
Prugsiganont, Supuck; Jensen, Per Anker
The purpose of this paper is to present and analyse the preliminary results of field work observation in one of the biggest government hospitals in Thailand – the Maharaj Hospital, Chiang Mai, Thailand. Hospitals in Thailand are the result of the imported concept from the European and American...
Full Text Available A field study was undertaken on the residual effect of organic fertilisers applied to the preceding rice cropping on nitrogen fixation of soya in a rice-soya cropping system. The experiment was conducted on a farmer’s lowland paddy in Mae Rim district, Chiang Mai province, Thailand. Organic fertiliser treatments assigned were: 1 control (no fertiliser, 2 animal manure of cattle (AM, 3 compost (CP, 4 azolla (AZ, 5 AM + CP, 6 AM + AZ, 7 CP + AZ and 8 AM + CP + AZ. Soya seeds were planted without rhizobial inoculation in December 2011, four months after the application of organic fertilisers. Nodule weight, total shoot nitrogen accumulation and relative ureide index at various growth stages were recorded as the indices of nitrogen fixation. Results of the study demonstrate that the residues from the application the organic fertilisers of narrow C/N ratios during the land preparation for rice cropping four months before soya cultivation promoted nitrogen fixation by native rhizobia.
Pongpiachan, Siwatt; Ho, Kin Fai; Cao, Junji
To assess environmental contamination with carcinogens, carbonaceous compounds, water-soluble ionic species and trace gaseous species were identified and quantified every three hours for three days at three different atmospheric layers at the heart of Chiang-Mai, Bangkok and Hat-Yai from December 2006 to February 2007. A DRI Model 2001 Thermal/Optical Carbon Analyzer with the IMPROVE thermal/optical reflectance (TOR) protocol was used to quantify the organic carbon (OC) and elemental carbon (EC) contents in PM10. Diurnal and vertical variability was also carefully investigated. In general, OC and EC mass concentration showed the highest values at the monitoring period of 21.00-00.00 as consequences of human activities at night bazaar coupled with reduction of mixing layer, decreased wind speed and termination of photolysis at nighttime. Morning peaks of carbonaceous compounds were observed during the sampling period of 06:00-09:00, emphasizing the main contribution of traffic emission in the three cities. The estimation of incremental lifetime particulate matter exposure (ILPE) raises concern of high risk of carbonaceous accumulation over workers and residents living close to the observatory sites. The average values of incremental lifetime particulate matter exposure (ILPE) of total carbon at Baiyoke Suit Hotel and Baiyoke Sky Hotel are approximately ten times higher than those air samples collected at Prince of Songkla University Hat-Yai campus corpse incinerator and fish-can manufacturing factory but only slightly higher than those of rice straw burning in Songkla province. This indicates a high risk of developing lung cancer and other respiratory diseases across workers and residents living in high buildings located in Pratunam area. Using knowledge of carbonaceous fractions in PM10, one can estimate the gas-particle partitioning of polycyclic aromatic hydrocarbons (PAHs). Dachs-Eisenreich model highlights the crucial role of adsorption in gas
Wannasan, Anchalee; Uparanukraw, Pichart; Songsangchun, Apichart; Morakote, Nimit
The survey was carried out to investigate the presence of potentially pathogenic free-living amoebae (FLA) during flood in Chiang Mai, Thailand in 2011. From different crisis flood areas, seven water samples were collected and tested for the presence of amoebae using culture and molecular methods. By monoxenic culture, FLA were detected from all samples at 37 °C incubation. The FLA growing at 37 °C were morphologically identified as Acanthamoeba spp., Naegleria spp. and some unidentified amoebae. Only three samples (42.8%), defined as thermotolerant FLA, continued to grow at 42 °C. By molecular methods, two non-thermotolerant FlA were shown to have 99% identity to Acanthamoeba sp. and 98% identity to Hartmannella vermiformis while the two thermotolerant FLA were identified as Echinamoeba exundans (100% identity) and Hartmannella sp. (99% identity). This first report of the occurrence of FLA in water during the flood disaster will provide information to the public to be aware of potentially pathogenic FLA.
Kunavisarut, Paradee; Saenpen, Nithiracht; Ittipunkul, Nimitr; Patikulsila, Direk; Choovuthayakorn, Janejit; Watanachai, Nawat; Pathanapitoon, Kessara
To report the use of intravitreal (IVT) injections of anti-vascular endothelial growth factor agents (anti-VEGF) and its complications. The authors performed a retrospective review of consecutive patients treated with IVT injection of anti-VEGF between May 2006 and December 2010 at Chiang Mai University Hospital. Demographic data and complications were registered. The present study included 1,006 eyes of 878 patients. Mean age was 60 years (range 1 month to 91 years). Mean follow-up time was 12 months (range 1 month to 54 months). Total injections were 2,077 given as 47, 210, 399, 575, and 846 injection per year between 2006 and 2010, respectively. Anti-VEGF agents were bevacizumab (1,878; 90.42%), ranibizumab (190; 9.15%), and pegaptanib (9; 0.43%). Indications for injection based on primary diagnosis were neovascular macular degeneration (38.5%), diabetic retinopathy (38%), and retinal vein occlusion (15.9%). The incidence of endophthalmitis was 0.048% (1/2,077) for all injections and 0.053% (1/1878)for bevacizumab. The use of IVT injections of anti-VEGF is increasing, especially the use of bevacizumab. Incidence of ocular and systemic complications after IVT injection of anti- VEGF was low with no significant difference among the three anti-VEGFs agents.
Srisukho, Sasivimol; Tongsong, Theera; Srisupundit, Kasemsri
To determine the degree of adherence to guidelines on the diagnosis of cephalopelvic disproportion (CPD) in Maharaj Nakorn Chiang Mai Hospital. The database ofpregnant women who underwent cesarean delivery due to CPD between 2010 and 2012 was reviewed The degree of adherence to guidelines on the CPD diagnosis was recorded The guidelines were from Royal Thai College of Obstetricians and Gynecologists (RTCOG) and the American Congress of Obstetricians and Gynecologists (ACOG) as gold standard criteria for CPD diagnosis. Four hundred sixty four pregnant women diagnosed as CPD were recruited. The adherence to guidelines either RTCOG or ACOG criteria was 80.4%. Of 91 cases that had incomplete criteria to diagnose CPD, 25 cases (27.5%) had been suspected offetal macrosomia and CPD was diagnosed during latent phase of labor Unfortunately, 76% of these fetuses had birth weight less than 4000 grams, which were unlikely to be macrosomia. The adherence to guidelines on the diagnosis of CPD was 80.4%. Almost one-third of the cases that had no adherence were false diagnosed of fetal macrosomia. Therefore, the strategy of accurate fetal weigh estimation may reduce unnecessary cesarean section from false diagnosis of CPD.
Chaysri, Rathasart; Leerapun, Taninnit; Klunklin, Kasisin; Chiewchantanakit, Siripong; Luevitoonvechkij, Sirichai; Rojanasthien, Sattaya
To investigate the one-year mortality rate after osteoporotic hip fracture and to identify factors associated with that mortality rate. A retrospective review of 275 osteoporotic patients who sustained a low-trauma hip fracture and were admitted in Chiang Mai University Hospital during January 1, 2006 to December 31, 2007 was accomplished. Eligibility criteria were defined as age over 50 years, fracture caused by a simple fall and not apathologicalfracture caused by cancer or infection. Results of this one-year mortality rate study were compared to studies of hip fracture patient mortality in 1997 and the period 1998-2003. The average one-year mortality rate in 2006-2007 was 21.1%. Factors correlated with higher mortality were non-operative treatment, delayed surgical treatment, and absence of medical treatment for osteoporosis. The 2006-2007 mortality rate was slightly higher than for the 1997 and 1998-2003 periods. The one-year mortality rate after osteoporotic hip fracture of 21.1% was approximately 9.3 times the mortality rate for the same age group in the general population, indicating that treatment of osteoporosis as a means of helping prevent hip fracture is very important for the individual, the family, and society as a whole.
Rattarittamrong, Ekarat; Norasetthada, Lalita; Tantiworawit, Adisak; Chai-Adisaksopha, Chatree; Nawarawong, Weerasak
To determine the effectiveness and tolerability of the combination of chemotherapy with cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) with the addition of etoposide (CHOEP-21) for newly diagnosed nodal peripheral T-cell lymphomas (PTCLs). Between January 2009 and October 2011, patients aged 18 to 60 years with newly diagnosed nodal PTCLs at the Maharaj Nakorn Chiang Mai Hospital were enrolled to receive CHOEP-21 every three weeks for eight cycles. G-CSF prophylaxis was given to all patients. Twenty-four patients were enrolled. Twenty of them were male with a median age of 49 years. The majority of patients (66.7%) had PTCL, not otherwise specified (PTCL, NOS), and 95.8% of the patients were in stage III or IV. The overall response rate was 58% with 42% having complete response. The response rates were better among patients with ALK-negative anaplastic large cell lymphoma (ALCL; 100%) and angioimmunoblastic T-cell lymphoma (AITL; 85%) than those with PTCL, NOS (44%). With a median follow-up of 21 months, the patients had an estimated 2-year event-free survival, and an overall survival rate of 37.6% and 54.4%, respectively. The most common adverse effects were infection and hematologic toxicities that was manageable. Although CHOEP-21 induced favorable responses in patients with ALK-negative ALCL and AITL, the responses were not durable and further therapy is mandated in management of patients with nodal PTCL.
Limmahakhun, S; Chaiwarith, R; Nuntachit, N; Sirisanthana, T; Supparatpinyo, K
Thailand has been greatly affected by the tuberculosis (TB) and HIV syndemic. This study aimed to determine treatment outcomes among HIV/TB co-infected patients. A retrospective cohort study was conducted at Chiang Mai University Hospital from 1 January 2000 to 31 December 2009. Of 171 patients, 100 patients were male (58.5%) and the mean age was 36.8 ± 8.0 years. Seventy-two patients (42.1%) had pulmonary tuberculosis. Median CD4+ count before TB treatment was 69 cells/mm(3) (interquartile range [IQR] 33, 151). The overall mortality was 3.5% (6 patients). Immune reconstitution inflammatory syndrome (IRIS) occurred in eight patients (6.0%). Disseminated TB infections increased risk of death (odds ratio [OR] = 2.55, 95% confidence interval [CI] 1.25, 5.18) and IRIS (OR = 9.16, 95% CI 1.67, 50.07). Initiating combination antiretroviral therapy (cART) within two months after TB treatment increased risk of IRIS (OR = 6.57, 95% CI 1.61-26.86) and physicians caring for HIV/TB co-infected patients should be aware of this condition.
Wanlop, Atcharaphan; Wongsawad, Chalobol; Prattapong, Pongphol; Wongsawad, Pheravut; Chontananarth, Thapana; Chai, Jong-Yil
The prevalence of Centrocestus formosanus metacercariae was investigated in ornamental fish purchased from a pet shop in Chiang Mai, Thailand, including Carassius auratus (goldfish), Cyprinus carpio (Koi), Poecilia latipinna (Sailfin Molly), Danio rerio (Zebrafish), and Puntigrus tetrazona (Tiger barb). The parasite species was identified by the morphology of worms as well as by a molecular approach using ITS2. The results showed that 50 (33.3%) of 150 fish examined were infected with the metacercariae. The highest prevalence was found in C. auratus (83.3%), and the highest intensity was noted in C. carpio (70.8 metacercariae/fish). The most important morphological character was the presence of 32-34 circumoral spines on the oral sucker. The phylogenetic studies using the rRNA ITS2 region revealed that all the specimens of C. formosanus in this study were grouped together with C. formosanus in GenBank database. This is the first report on ornamental fish, C. carpio, P. latipinna, D. rerio, and P. tetrazona, taking the role of second intermediate hosts of C. formosanus in Thailand. Prevention and control of metacercarial infection in ornamental fish is urgently needed.
Macatangay, Ronald; Bagtasa, Gerry; Sonkaew, Thiranan
The Weather Research and Forecasting (WRF v. 3.7) model was applied to model PM10 data in Chiang Mai city for 10-days during a high haze event utilizing updated land use categories from the Moderate Resolution Imaging Spectroradiometer (MODIS). A higher resolution meteorological lateral boundary condition (from 1 degree to 0.25 degree) was also used from the NCEP GDAS/FNL Global Tropospheric Analyses and Forecast Grid system. A 3-category urban canopy model was also added and the Thompson aerosol-aware microphysics parameterization scheme was used to model the aerosol number concentrations that were later converted to PM10 concentrations. Aerosol number concentration monthly climatology was firstly used as initial and lateral boundary conditions to model PM10 concentrations. These were compared to surface data obtained from two stations of the Pollution Control Department (PCD) of Thailand. The results from the modeled PM10 concentrations could not capture the variability (r = 0.29; 0.27 for each site) and underestimated a high PM10 spike during the period studied. The authors then added satellite data to the aerosol climatology that improved the comparison with observations (r = 0.45; 43). However, both model runs still were not able to capture the high PM10 concentration event. This requires further investigation.
Thaikla, Kanittha; Jiraporncharoen, Wichuda; Semmahasak, Sukho; Likhitsathian, Surinporn; Angkurawaranon, Chaisiri
Since 2008, alcohol control policies in Thailand have been considered quite comprehensive. The study aimed to investigate the subsequent changes in alcohol outlet density and patterns of sales promotion, which may be useful for monitoring the effectiveness of policies and helpful for planning prevention strategies to reduce alcohol-related harms. All accessible routes in the Chiang Mai Municipality (Metropolitan: CMM) were surveyed in 2009, 2011 and 2014. During each round of survey, the geographical coordinates of alcohol outlets and educational institutions in the CMM were recorded using the Global Navigation Satellite System (GNSS). In addition, alcohol sales campaigns were documented. Three main trends emerged by 2014. The first was that alcohol outlet density had increased. Second, the average distances between alcohol outlets and educational institutions decreased with evidence of clustering near educational institutions. Lastly, increased advertising of alcohol promotions and new sales campaigns not previously seen in 2009 and 2011 promoted high volume drinking in Chiang Mai Municipality (CMM). Our study reflects the potential gaps between some of the intended consequences of alcohol control policies and the actural trends emerging in Chiang Mai, Thailand. Young people in CMM may be at a particularly high risk for alcohol-related problems due to high exposure to alcohol outlets and sales campaigns near their educational institution. © The Author 2015. Medical Council on Alcohol and Oxford University Press. All rights reserved.
Prybylski, Dimitri; Manopaiboon, Chomnad; Visavakum, Prin; Yongvanitjit, Kovit; Aramrattana, Apinun; Manomaipiboon, Parnrudee; Tanpradech, Suvimon; Suksripanich, Orapin; Pattanasin, Sarika; Wolfe, Mitchell; Whitehead, Sara J
Thailand's long-standing HIV sero-sentinel surveillance system for people who inject drugs (PWID) is confined to those in methadone-based drug treatment clinics and representative data are scarce, especially outside of Bangkok. We conducted probability-based respondent-driven sampling (RDS) surveys in Bangkok (n=738) and Chiang Mai (n=309) to increase understanding of local HIV epidemics and to better inform the planning of evidence-based interventions. PWID had different epidemiological profiles in these two cities. Overall HIV prevalence was higher in Bangkok (23.6% vs. 10.9%, pChiang Mai, HIV infections appear to be more recently acquired and PWID were younger and had higher levels of recent injecting and sexual risk behaviors with lower levels of intervention exposure. Methamphetamine was the predominant drug injected in both sites and polydrug use was common although levels and patterns of the specific drugs injected varied significantly between the sites. In multivariate analysis, recent midazolam injection was significantly associated with HIV infection in Chiang Mai (adjusted odds ratio=8.1; 95% confidence interval: 1.2-54.5) whereas in Bangkok HIV status was not associated with recent risk behaviors as infections had likely been acquired in the past. PWID epidemics in Thailand are heterogeneous and driven by local factors. There is a need to customize intervention strategies for PWID in different settings and to integrate population-based survey methods such as RDS into routine surveillance to monitor the national response. Published by Elsevier Ireland Ltd.
Pinyopornpanish, Kanokporn; Thanamee, Sanhapan; Jiraporncharoen, Wichuda; Thaikla, Kanittha; McDonald, Jessica; Aramrattana, Apinun; Angkurawaranon, Chaisiri
Sexual health is one of the key dimensions of health across all ages. Understanding risky sexual behaviors remains an important area of public health research. This study aimed to explore sexual health, risky sexual behaviors and factors associated with recent condom use as condom use is considered a main intervention proven to reduce negative health consequences of risky sexual behaviors, specifically related to sexually transmitted infections and unintended pregnancies. A stratified two-stage cluster sampling technique survey was conducted in Chiang Mai, Thailand. Information was obtained about age of first sexual intercourse, sexual activity, condom use, number of partners and history of drug/alcohol use prior to sexual activities within the past 3 months. A weighted analysis was performed to account for data clustering. It is estimated that most men (93%) and women (86%) in Chiang Mai have engaged in sexual intercourse. More than 70% of the people in Chiang Mai over age 30 remained sexually active in the past 3 months, even for populations over age 50. Eight percent of male teenagers reported having more than one sexual partner in the past 3 months. Regular condom use was reported in less than 5% of the population (6.6% men and 3.1% women). Our study demonstrated that sexual health is an important public health issue across all age groups. Condom use has been promoted as one way to minimize and prevent unintended consequences of sexual behavior but overall use remains low.
Assessment of contamination and misclassification biases in a randomized controlled trial of a social network peer education intervention to reduce HIV risk behaviors among drug users and risk partners in Philadelphia, PA and Chiang Mai, Thailand.
Simmons, Nicole; Donnell, Deborah; Ou, San-San; Celentano, David D; Aramrattana, Apinun; Davis-Vogel, Annet; Metzger, David; Latkin, Carl
Controlled trials of HIV prevention and care interventions are susceptible to contamination. In a randomized controlled trial of a social network peer education intervention among people who inject drugs and their risk partners in Philadelphia, PA and Chiang Mai, Thailand, we tested a contamination measure based on recall of intervention terms. We assessed the recall of test, negative and positive control terms among intervention and control arm participants and compared the relative odds of recall of test versus negative control terms between study arms. The contamination measures showed good discriminant ability among participants in Chiang Mai. In Philadelphia there was no evidence of contamination and little evidence of diffusion. In Chiang Mai there was strong evidence of diffusion and contamination. Network structure and peer education in Chiang Mai likely led to contamination. Recall of intervention materials can be a useful method to detect contamination in experimental interventions.
Leeungurasatien, Thidarat; Khunsongkiet, Preeyanuch; Pathanapitoon, Kassara; Wiwatwongwana, Damrong
To determine the incidence of early postoperative complications and associated factors after primary trabeculectomy in Thai glaucoma patients. This was a retrospective observational study performed in Chiang Mai University Hospital. One hundred and eighteen glaucoma patients participated in the study. All glaucoma patients underwent primary trabeculectomy with mitomycin C (MMC) using fornix-based conjunctival flap technique between December 2011 and May 2013. Surgical complications during the first 3 months of follow-up were recorded, and associated risk factors were analyzed. The incidence of posttrabeculectomy complications was the main outcome measure. One hundred and eighteen eyes of 118 patients were included. Early postoperative complications developed in 55 eyes (56.7%). Complications included hypotony (25 eyes, 27.2%), serous choroidal detachment (CD) (14 eyes, 15.6%), subconjunctival hemorrhage (12 eyes, 13.0%), hyphema (11 eyes, 12.4%), bleb leak (8 eyes, 8.8%), encapsulated bleb (2 eyes, 2.2%), aqueous misdirection (1 eyes, 1.1%), corneal epithelial defect (1 eyes, 1.1%), and overfiltration (1 eyes, 1.1%). There were no reported cases of endophthalmitis or blebitis. Hypotony was associated with serous CD (P = 0.006), and hyphema was associated with neovascular glaucoma (NVG) patients (P = 0.009). NVG was not associated with the increased rate of surgical failure (P = 0.083). The incidence of early complications after first-time trabeculectomy with MMC was high (56.7%) in this Thai clinic setting, but most were transient and self-limited conditions. The correlations between hypotony and CD as well as hyphema and NVG were compatible with the previous studies.
Simcharoen, Sutapat; Pinyopornpanish, Manee; Haoprom, Pattaraporn; Kuntawong, Pimolpun; Wongpakaran, Nahathai; Wongpakaran, Tinakon
Internet addiction is common among medical students, and the prevalence is higher than the general population. Identifying and creating solutions for this problem is important. The aim of this study was to examine the prevalence and associated factors, particularly loneliness and interpersonal problems among Chiang Mai medical students. Of 324 first to sixth year medical students, 56.8% comprised females with a mean age of 20.88 (SD 1.8). All completed questionnaires related to the objectives and activities of internet use, the Young Internet Addiction Test, the UCLA loneliness scale, and the Interpersonal Problems Inventory were employed to identify internet addiction. In all, 36.7% of the subjects exhibited internet addiction, mostly at mild level. Amount of time used daily, loneliness and interpersonal problems were strong predictors (beta = 0.441, p < 0.05, beta = 0.219, p < 0.001 and beta = 0.203 p < 0.001, respectively), whereas age and sex were not. All objectives of using internet contributed to the variance of internet addiction score. For internet activities, only non-academic or studying contributed. The final model accounted for 42.8% of total variance of the internet addiction score. Even though most addiction was at a mild level, careful strategies should be applied to better understand the situation. Along with a screening for potential internet addiction among medical students, attention should be paid to identifying those who experience loneliness and interpersonal problems, because both are strong predictors that can be improved by a variety of appropriate intervention. Copyright © 2017 Elsevier B.V. All rights reserved.
Aurpibul, Linda; Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Tarnkehard, Surapee
The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups. This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1215 participants, 487 (40.1%) were lowland Thai and 728 (59.9%) were from ethnic minorities. Overall, 17.9% of respondents reported "ever had sex." Lowland Thai adolescents were more likely to have ever had sex compared with ethnic minority adolescents (AOR, 1.61; CI, 1.06-2.45; P< 0.01). A higher proportion of lowland Thai respondents reported having ≥ 2 lifetime sexual partners (51.9% vs. 33.3%, P = 0.003), or currently having a boy/girlfriend (59.9% vs. 45.3%, P< 0.001) compared to ethnic minority adolescents. Consistent condom use was low in both groups (22.6%). The common significant factors associated with "ever had sex" in both groups were "ever drunk alcohol in the past year" and "currently having a boy/girlfriend." Specifically, for lowland Thai youth, being around the age of 17 or 18 years and "ever used methamphetamine in the past year" were associated with increased odds of "ever had sex". For ethnic minority adolescents, being female and belonging to religions other than Buddhism were associated with decreased odds of "ever had sex". A substantially higher proportion of lowland Thai engage in risky sexual behaviors when compared to ethnic minorities. However, both groups remained vulnerable to HIV and other sexually transmitted infections. To minimize sexual risks, education program and school-based interventions are warranted to increase awareness of young people about risky behaviors and to promote essential life skills.
Musumari, Patou Masika; Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Manoyosa, Veruree; Tarnkehard, Surapee; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat
Out-of-school youth in Thailand engage in risky sexual behavior that puts them at risk for contracting HIV infection and can have other negative sexual reproductive health outcomes. No study has examined risky sexual behaviors and compared them between Thai and non-Thai out-of-school youth. The current study compares sexual risk behavior and HIV testing behavior between out-of-school Thai and non-Thai youth. We conducted face-to-face interviews in this study population in urban Chiang Mai during 2014. Participants were recruited through convenience sampling from two main sources: non-formal education centers (NFECs) and social meeting places. We recruited 924 youth, aged 15-24 years, of whom 424 (45.9%) were Thai and 500 (54.1%) were non-Thai. The majority were attending NFECs (82.3%). Of the sexually experienced participants (57.7%), 75.4% did not use condoms consistently, and 50.3% had at least 2 lifetime sexual partners. Among the study participants, the Thai studied youth had significantly higher odds of ever having had sex (AOR=2.33; 95% CI: 1.56-3.49; p<0.001), having an earlier sexual debut (AOR=5.52; 95% CI: 2.71-11.25; p<0.001) and having a larger number of lifetime sexual partners (AOR=2.31; 95% CI: 1.37-3.88; p=0.002) than non-Thai participants. There was no significant difference between the Thai and non-Thai participants in terms of having HIV testing. The Thai studied youth were more likely to engage in risky sexual behavior than the non-Thai youth. However, both groups displayed risky sexual behaviors. Future research should explore indepth the drivers of risky sexual behaviors among both Thai and non-Thai youth.
Inchai, Juthamas; Liwsrisakun, Chalerm; Bumroongkit, Chaiwat; Euathrongchit, Juntima; Tajarernmuang, Pattraporn; Pothirat, Chaicharn
Tuberculosis (TB) among healthcare workers (HCWs) highly affects morbidity and TB transmission in hospitals. A retrospective cohort study of TB among HCWs (HCW-TB) was conducted using a registered database from 2003 to 2016 at Chiang Mai University Hospital to determine clinical and microbiological characteristics and treatment outcomes of HCW-TB. A total of 76 patients comprising 54 nurses (71.1%), 12 physicians (15.8%), and 10 paramedics (13.2%) were diagnosed with TB disease. The men to women ratio was 25:51, with a mean age of 37.0±11.6 years, a median work duration of 12.0 years (5-20) and a body mass index of 19.4±2.5 kg/m 2 . Within the HCW-TB group, 28 (36.8%) worked in the Medical Department, 12 (15.8%) worked in the Outpatient Department/Emergency Room, and 9 (11.8%) worked in the Surgical Department. Pulmonary TB (PTB) was the most common manifestation of HCW-TB (92.1%). Sputum acid-fast stains were positive among 28 (40.0%) HCWs with PTB. Mycobacterium tuberculosis cultures were positive in 26 (34.2%) patients. Drug susceptibility testing showed sensitivity to all first-line drugs (75.0%), resistance to any one first-line drug (20.8%), and multidrug-resistant TB comprised 4.2%. The end-of-treatment success rate was 100%. Therefore, TB control guidelines should be strictly implemented to prevent TB transmission in healthcare settings.
Chantara, Somporn; Chunsuk, Nawarut
The chemical composition of 122 rainwater samples collected daily from bulk and wet-only collectors in a sub-urban area of Chiang Mai (Thailand) during August 2005-July 2006 has been analyzed and compared to assess usability of a cheaper and less complex bulk collector over a sophisticated wet-only collector. Statistical analysis was performed on log-transformed daily rain amount and depositions of major ions for each collector type. The analysis of variance (ANOVA) test revealed that the amount of rainfall collected from a rain gauge, bulk collector and wet-only collector showed no significant difference ( ∝=0.05). The volume weight mean electro-conductivity (EC) values of bulk and wet-only samples were 0.69 and 0.65 mS/m, respectively. The average pH of the samples from both types of collectors was 5.5. Scatter plots between log-transformed depositions of specific ions obtained from bulk and wet-only samples showed high correlation ( r>0.91). Means of log-transformed bulk deposition were 14% (Na + and K +), 13% (Mg 2+), 7% (Ca 2+), 4% (NO 3-), 3% (SO 42- and Cl -) and 2% (NH 4+) higher than that of wet-only deposition. However, multivariate analysis of variance (MANOVA) revealed that ion depositions obtained from bulk and wet-only collectors were not significantly different ( ∝=0.05). Therefore, it was concluded that a bulk collector can be used instead of a wet-only collector in a sub-urban area.
Chuang, Ming-Tung; Lee, Chung-Te; Chou, Charles C.-K.; Engling, Guenter; Chang, Shih-Yu; Chang, Shuenn-Chin; Sheu, Guey-Rong; Lin, Neng-Huei; Sopajaree, Khajornsak; Chang, You-Jia; Hong, Guo-Jun
The transport of biomass burning (BB) aerosol from Indochina may cause a potential effect on climate change in Southeast Asia, East Asia, and the Western Pacific. Up to now, the understanding of BB aerosol composition modification during long-range transport (LRT) is still very limited due to the lack of observational data. In this study, atmospheric aerosols were collected at the Suthep/Doi Ang Khang (DAK) mountain sites in Chiang Mai, Thailand and the Lulin Atmospheric Background Station (Mt. Lulin) in central Taiwan from March to April 2010 and from February to April 2013, respectively. During the study period, an upwind and downwind relationship between the Suthep/DAK and Lulin sites (2400 km apart) was validated by backward trajectories. Comprehensive aerosol properties were resolved for PM2.5 water-soluble inorganic ions, carbonaceous content, water-soluble/insoluble organic carbon (WSOC/WIOC), dicarboxylic acids and their salts (DCAS), and anhydrosugars. A Modification Factor (MF) is proposed by employing non-sea-salt potassium ion (nss-K+) or fractionalized elemental carbon evolved at 580 °C after pyrolized OC correction (EC1-OP) as a BB aerosol tracer to evaluate the mass fraction changes of aerosol components from source to receptor regions during LRT. The MF values of nss-SO42-, NH4+, NO3-, OC1 (fractionalized organic carbon evolved from room temperature to 140 °C), OP (pyrolized OC fraction), DCAS, and WSOC were above unity, which indicated that these aerosol components were enhanced during LRT as compared with those in the near-source region. In contrast, the MF values of anhydrosugars ranged from 0.1 to 0.3, indicating anhydrosugars have degraded during LRT.
Full Text Available The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups.This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1215 participants, 487 (40.1% were lowland Thai and 728 (59.9% were from ethnic minorities. Overall, 17.9% of respondents reported "ever had sex." Lowland Thai adolescents were more likely to have ever had sex compared with ethnic minority adolescents (AOR, 1.61; CI, 1.06-2.45; P< 0.01. A higher proportion of lowland Thai respondents reported having ≥ 2 lifetime sexual partners (51.9% vs. 33.3%, P = 0.003, or currently having a boy/girlfriend (59.9% vs. 45.3%, P< 0.001 compared to ethnic minority adolescents. Consistent condom use was low in both groups (22.6%. The common significant factors associated with "ever had sex" in both groups were "ever drunk alcohol in the past year" and "currently having a boy/girlfriend." Specifically, for lowland Thai youth, being around the age of 17 or 18 years and "ever used methamphetamine in the past year" were associated with increased odds of "ever had sex". For ethnic minority adolescents, being female and belonging to religions other than Buddhism were associated with decreased odds of "ever had sex".A substantially higher proportion of lowland Thai engage in risky sexual behaviors when compared to ethnic minorities. However, both groups remained vulnerable to HIV and other sexually transmitted infections. To minimize sexual risks, education program and school-based interventions are warranted to increase awareness of young people about risky behaviors and to promote essential life skills.
Sutcliffe, Catherine; Srirojn, Bangorn; Latkin, Carl A; Aramratanna, Ajpinun; Sherman, Susan G
Since the 1990s, there has been a proliferation of methamphetamine use in Thailand, particularly among young people. Simultaneously, risky sexual behaviors among this population have increased. This study examined the effects of a peer network intervention and a life skills intervention on methamphetamine and HIV risk behaviors among 18–25 year olds in Chiang Mai, Thailand. Between April 2005 and June 2007, we conducted a randomized behavioral trial to compare the efficacy of a peer educator, network-oriented intervention with a best practice, life-skills curriculum on methamphetamine use, sexual behaviors, and incident sexually transmitted infections (STIs). Follow-up occurred at three, six, nine, and twelve months. Both conditions consisted of seven, two hour, small group sessions. Longitudinal analyses of the three outcomes were conducted by fitting repeated measures logistic regression models using generalized estimating equations. Participants (N=983) attended a median of six sessions, with no differences between arms. At each follow-up visit, retention was greater than 85%. Participants were 75% male and were a median of 19 years old. Over time, participants in both conditions showed a significant and dramatic decline in self-reported methamphetamine use (99% at baseline versus 53% at 12-months, p<0.0001) and significant increase in consistent condom use (32% baseline versus 44% at 12 months, p<0.0001). Incident STIs were common, with no differences between arms. Chlamydia had the highest incidence rate, 9.85/100 person-years and HIV had a low incidence rate of 0.71/100 person-years. Among young Thais, we found that a peer educator, network-oriented intervention was associated with reductions in methamphetamine use, increases in condom use, and reductions in incident STIs over 12 months. We also found parallel reductions with the life skills condition. To our knowledge, this is the first such trial targeting this population. Small group interventions are an
Thanamee, Sanhapan; Pinyopornpanish, Kanokporn; Wattanapisit, Apichai; Suerungruang, Suparerk; Thaikla, Kanittha; Jiraporncharoen, Wichuda; Angkurawaranon, Chaisiri
Reducing physical inactivity among the population is a challenge for many nations. Targeting leisure time physical activity (LTPA) may be useful in increasing overall physical activity as it is assumed it is associated with a higher degree of free choice and personal preference than physical activity at work and during travel. The study explored the prevalence of physical inactivity and focused on the overall level of energy expenditure and energy level spent during leisure time among those who were physically inactive and assessed the stages of change for LTPA among those who were physically inactive. A population-based survey was conducted in 2014 in Chiang Mai, Thailand using a stratified two-stage cluster sampling technique. The Global Physical Activity Questionnaire (GPAQ) was used to collect the data on physical activity. Sufficient levels of physical activity (PA) were defined as ≥150 min/week of moderate-intensity PA or ≥75 min/week of vigorous-intensity PA or ≥600 metabolic equivalent of task (MET)-minutes/week. Weighted analyses were used to estimate the prevalence of physical inactivity, the total energy expenditure and expenditure during LTPA as well as stages of change among the physically inactive population. A total of 1744 people (808 men and 936 women), aged 15 to 64 years, participated in the study. We estimated that a quarter (26%) of the population were physically inactive. Physical inactivity was more commonly found among women than men in most age groups. LTPA contributed a small proportion of overall PA. On average, physically inactive men spent 132.8 MET-minutes/week and inactive women spent 208.2 MET-minutes/week in overall PA which is well below the 600 MET-minutes/week recommend by the World Health Organization. Around 75% of physically inactive people had no intention of engaging in regular LTPA. About a quarter of the investigative population were physically inactive. Most physically inactive members of the population
Tsai, Ying I.; Sopajaree, Khajornsak; Chotruksa, Auranee; Wu, Hsin-Ching; Kuo, Su-Ching
PM10 aerosol was collected between February and April 2010 at an urban site (CMU) and an industrial site (TOT) in Chiang Mai, Thailand, and characteristics and provenance of water-soluble inorganic species, carboxylates, anhydrosugars and sugar alcohols were investigated with particular reference to air quality, framed as episodic or non-episodic pollution. Sulfate, a product of secondary photochemical reactions, was the major inorganic salt in PM10, comprising 25.9% and 22.3% of inorganic species at CMU and TOT, respectively. Acetate was the most abundant monocarboxylate, followed by formate. Oxalate was the dominant dicarboxylate. A high acetate/formate mass ratio indicated that primary traffic-related and biomass-burning emissions contributed to Chiang Mai aerosols during episodic and non-episodic pollution. During episodic pollution carboxylate peaks indicated sourcing from photochemical reactions and/or directly from traffic-related and biomass burning processes and concentrations of specific biomarkers of biomass burning including water-soluble potassium, glutarate, oxalate and levoglucosan dramatically increased. Levoglucosan, the dominant anhydrosugar, was highly associated with water-soluble potassium (r = 0.75-0.79) and accounted for 93.4% and 93.7% of anhydrosugars at CMU and TOT, respectively, during episodic pollution. Moreover, levoglucosan during episodic pollution was 14.2-21.8 times non-episodic lows, showing clearly that emissions from biomass burning are the major cause of PM10 episodic pollution in Chiang Mai. Additionally, the average levoglucosan/mannosan mass ratio during episodic pollution was 14.1-14.9, higher than the 5.73-7.69 during non-episodic pollution, indicating that there was more hardwood burning during episodic pollution. Higher concentrations of glycerol and erythritol during episodic pollution further indicate that biomass burning activities released soil biota from forest and farmland soils.
Kubota, M.; Nagatsuma, T.; Otsuka, Y.; Shiokawa, K.; Komonjinda, S.; Komolmis, T.; Somboon, E.; Tsugawa, T.; Maruyama, T.; Murata, K. T.
For the purpose of monitoring and forecasting equatorial ionospheric disturbances, SEALION (SouthEast Asia Low-latitude IOnospheric Network) has been developed since 2003 as a cooperation project by National Institute of Information and Communications Technology (NICT), King Mongkut's Institute of Technology Ladkrabang (KMITL) in Thailand, Chiang Mai University (CMU) in Thailand, National Institute of Aeronautics and Space (LAPAN) in Indonesia, Hanoi Institute of Geophysics (HIG), Vietnamese Academy of Science and Technology in Vietnam, Center for Space Science and Applied Research (CSSAR), Chinese Academy of Sciences in China, Kyoto University in Japan, and Solar-Terrestrial Environment Laboratory (STEL), Nagoya University in Japan. SEALION consists of five ionosondes, four GPS receivers, two GPS scintillation monitors, and a magnetometer. As a part of this project, we newly installed an all-sky imager (ASI) and a Fabry-Perot Interferometer (FPI) at Sirindhorn observatory in Chiang Mai (18.8N, 98.9E, Dip lat. 13.1), Thailand. This site is located near conjugate to EAR site in Kototabang, Indonesia. One of main targets of the ASI observation is the large-scale wave structure (LSWS) with wavelengths of 100-1000 km. The LSWS is thought to be connected to the generation mechanism of equatorial plasma bubbles (EPB). The optical observations in Chiang Mai started in February 2010, and we have detected several ionospheric disturbance events with these instruments In this paper, we will show the initial results of the optical observations from Sirindhorn observatory, and discuss the features of ionospheric disturbances in Southeast Asia.
Johnston, Lisa; Steinhaus, Mara; Sass, Justine; Benjarattanaporn, Patchara; Sirinirund, Petchsri; Siraprapasiri, Taweesap; Gass, Robert
This study used respondent-driven sampling to explore the effects of social support on HIV risk and protective factors among young males who have sex with males (YMSM) in Bangkok (N = 273) and Chiang Mai (N = 243), Thailand. It compared different measures of social support, including living situation, the proportion of family and friends to whom the respondent had disclosed their same-sex attraction, and scores on the multi-dimensional scale of perceived social support as predictors of two outcomes of interest-coerced first sex and HIV knowledge. Social support from family played a mediating role in both outcomes among YMSM in Bangkok but not those from Chiang Mai. Though social support from friends was also studied, it was less strongly associated with the outcomes of interest. The findings support interventions designed to leverage social support networks to increase HIV knowledge and decrease coerced first sex among YMSM. At the same time, they demonstrate that there is not a single risk or demographic profile encompassing all YMSM. Successful programs and policies will need to consider the specific attributes and social environment of YMSM in particular locations in order to effectively address HIV risks.
Rugpao, S; Wanapirak, C; Sirichotiyakul, S; Yutabootr, Y; Prasertwitayakij, W; Suwankiti, S; Wongworapat, K; Tovanabutra, S; Natpratan, C; Saba, J
One hundred and ninety five (195) brothel-based commercial sex workers (CSW) in Chiang Mai, Thailand, were screened for sexually transmitted disease (STD) between October 1994 and April 1995, prior to their enrollment in a multi-center comparative trial of the effectiveness of two strategies using male and female condoms. These CSW had a mean age of 22.2 (SD 4.3) years. Forty-seven per cent were Thai and 57.4 per cent had no formal education. Median duration of prostitution was 16 months and median cost for sexual service was 50 baht (US$ 2) per client. Ninety-four per cent of CSW reported always using condoms with clients. There were 63 (32.3%) CSW infected with at least one type of the STD screened. The prevalence of STD included chlamydial infection (16.9%), gonococcal infection (14.4%), condyloma accuminata (4.6%), moluscum contagiosum (2.6%) and trichomoniasis (1.0%). There was no statistically significant risk factor for STD found in this study. Despite an active programme for prevention of STD in CSW and the provision of free condoms, STD were diagnosed in one-third of the screened CSW in Chiang Mai. The programme needs to be strengthened by more intensive education and practice in the correct and consistent use of condoms and integrated with other STD prevention programmes.
Galalae, Razvan; Tharavichitkul, Ekkasit; Wanwilairat, Somsak; Chitapanarux, Imjai; Kimmig, Bernhard; Dunst, Jürgen; Lorvidhaya, Vicharn
Starting in 1999, the University Cooperation Platform (UCP) implemented an exchange program of researchers and clinicians/physicists between the Christian-Albrechts-University Kiel in Germany and Chiang Mai University in Thailand, to initiate a sustainable base for long-term development of image-guided brachytherapy and in general for high-technology radiotherapy in Chiang Mai. A series of UCP protocols, based constructively on each other, were performed and evaluated at intermediate term follow-up. The first protocol, addressing computed tomography (CT)-optimized brachytherapy for advanced cervical cancer (n = 17), showed a significant reduction of D2cc for the bladder and sigmoid (p 80 Gy for bladder in only 17.2% versus 62.1% in conventional planning, and in rectum EQD2 > 75 Gy in 44.8% versus 79.3%, respectively. In conclusion, analyses revealed excellent results for the high-dose-rate IGBT in patients with advanced gynecological cancer both by using CT and MRI, and/or the combination with WP-IMRT. They also define MRI as gold standard for soft tissue assessment and to determine more accurately HR-CTV. The use of TAUS-guidance adds quality aspects to the "classical" conventional X-ray based planning, especially in terms of real-time measures and adequate soft tissue information, and may lower significantly the dose in OARs. The review of all UCP-results reconfirms the importance of the established program that will continue to operate with subsequent projects.
To account for site amplification and seismic hazard mapping, the shear-wave velocity (Vs) profile to a depth of 30 m (Vs (30)) is an important parameter and can be used to calculate the ground motion for specific site conditions. In this study, the near-surface Vs profiles of soils were collected at 44 sites in Chiang Mai city using the multi-channel analysis of surface-wave technique. The Vs of each tested location was average weighted to Vs (30) based on the National Earthquake Hazards Reduction Program (NEHRP) criteria. The average Vs (30) value of the alluvium soils was about 362 m s-1, which falls between NEHRP site classes C and D. The average Vs (30) values of flood plain, fluvial clay and natural levee soils (at 300, 299 and 311 m s-1, respectively) all equated to NEHRP class D. The colluvial deposits in the north-western part of the city were mainly composed of gravel, coarse sand and rock fragments, and were assigned to class C (average Vs (30) of 412 m s-1). Soils with lower Vs values will experience higher earthquake ground shaking than those of the bedrock. Accordingly the major part of Chiang Mai city may experience substantial ground shaking due to the amplification in the soft soils.
Wright-St Clair, Valerie A; Pierce, Doris; Bunrayong, Wannipa; Rattakorn, Phuanjai; Vittayakorn, Soisuda; Shordike, Anne; Hocking, Clare
This cross-country, cross-cultural study explored the meaning of older women's food-related activities for the annual festivals of Songkran (Thai New Year) in Chiang Mai, Thailand; and Christmas in Richmond, Kentucky, USA; and Auckland, New Zealand. A derived etic method was used. The community-dwelling participants were 33 Thai women, aged 60 and older, and 16 New Zealand and 23 eastern Kentucky women, aged 65 and older. This article focuses on the final cross-cultural analysis of the data. Emic, or within-country, findings are presented, followed by the derived etic, or cross-cultural, interpretations for two themes of meaning; older women's 'protecting what matters' and 'leading the way'. Applying derived etic methods helped reveal how, despite the highly different food-related practices, preparing and sharing celebratory foods at Songkran or Christmas held related meanings for older women in Thailand, Kentucky USA, and New Zealand.
Patchanee, Prapas; Tadee, Pakpoom; Ingkaninan, Pimlada; Tankaew, Pallop; Hoet, Armando E; Chupia, Vena
Of 416 samples taken from veterinary staff (n = 30), dogs (n = 356) and various environmental sites (n = 30) at the Small Animal Hospital, Faculty of Veterinary Medicine, Chiang Mai University, Thailand, 13 samples contained methicillin-resistant Staphylococcus aureus (MRSA), of which 1 (SCCmec type II) came from veterinarian, 9 (SCCmec types I, III, IVa, V and untypeable) from dogs, and 3 (SCCmec types I, III, and IVb) from environmental samples. The MRSA isolates were 100% susceptible to vancomycin (100%), 69% to cephazolin and 62% to gentamicin, but were up to 92% resistant to tetracycline group, 69% to trimethoprim-sulfamethoxazoles and 62% to ceftriaxone. In addition, all MRSA isolates showed multidrug resistance. As the MRSA isolates from the veterinary staff and dogs were of different SCCmec types, this suggests there were no cross-infections. However, environmental contamination appears to have come from dogs, and appropriate hygienic practices should be introduced to solve this problem.
Fongkaew, Warunee; Fongkaew, Kangwan
This ethnographic study conducted among young women aged 18-21 years in Chiang Mai, northern Thailand, explored the parental control mechanisms imposed by Thai middle-class families on the sexuality of their daughters. It addressed the ways in which young women tactically use the social media in order to negotiate the sexual controls they encountered in everyday life. Taking the teenage girls' point of view, this paper argues that, as active agents, young women achieve a certain level of sexual autonomy and construct their own sexual selves in modern northern Thai society, despite their parents' attempts to prevent this. The paper highlights the ways in which social media are used by Thai girls in order to achieve such a goal. Research findings should inform the development of future programmes on sexual health promotion, parental skills and sexual communication between Thai parents and their children.
Patou Masika Musumari
Full Text Available HIV testing is the gateway to HIV prevention, treatment, and care. Despite the established vulnerability of young Thai people to HIV infection, studies examining the prevalence and correlates of HIV testing among the general population of Thai youth are still very limited. This study investigates socio-demographic, behavioral, and psychosocial factors associated with HIV testing among young Thai people enrolled in Non-formal Education Centers (NFEC in urban Chiang Mai, Northern Thailand.This was a cross-sectional quantitative study conducted among young unmarried Thai youth--between the ages of 15 and 24--who were enrolled in NFEC in urban Chiang Mai. Multiple logistic regressions were used to identify correlates of "ever tested for HIV" among the sexually active participants.Of the 295 sexually active participants, 27.3% reported "ever tested for HIV;" 65.4% "did not consistently use condom;" and 61.7% "had at least 2 lifetime partners." We found that "self-efficacy" (AOR, 4.92; CI, 1.22-19.73; "perception that it is easy to find a location nearby to test for HIV" (AOR, 4.67; CI, 1.21-18.06; "having at least 2 lifetime sexual partners" (AOR, 2.05; CI, 1.09-3.85; and "ever been pregnant or made someone pregnant" (AOR, 4.06; CI, 2.69-9.15; were associated with increased odds of having ever been tested. On the other hand, "fear of HIV test results" (AOR, 0.21; CI, 0.08-0.57 was associated with lower odds of ever having been tested for HIV.The main finding is that a substantially high proportion of Thai youth is engaged in risky sexual behaviors--yet reports low rates of ever having been tested for HIV. This highlights an urgent need to develop appropriate interventions--based on the identified correlates of HIV testing. There is also an urgent need to enhance HIV testing and to promote safer sexual behaviors among young Thai people--particularly those who are out-of-school.
Musumari, Patou Masika; Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Yungyuankul, Sawang; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat
HIV testing is the gateway to HIV prevention, treatment, and care. Despite the established vulnerability of young Thai people to HIV infection, studies examining the prevalence and correlates of HIV testing among the general population of Thai youth are still very limited. This study investigates socio-demographic, behavioral, and psychosocial factors associated with HIV testing among young Thai people enrolled in Non-formal Education Centers (NFEC) in urban Chiang Mai, Northern Thailand. This was a cross-sectional quantitative study conducted among young unmarried Thai youth--between the ages of 15 and 24--who were enrolled in NFEC in urban Chiang Mai. Multiple logistic regressions were used to identify correlates of "ever tested for HIV" among the sexually active participants. Of the 295 sexually active participants, 27.3% reported "ever tested for HIV;" 65.4% "did not consistently use condom;" and 61.7% "had at least 2 lifetime partners." We found that "self-efficacy" (AOR, 4.92; CI, 1.22-19.73); "perception that it is easy to find a location nearby to test for HIV" (AOR, 4.67; CI, 1.21-18.06); "having at least 2 lifetime sexual partners" (AOR, 2.05; CI, 1.09-3.85); and "ever been pregnant or made someone pregnant" (AOR, 4.06; CI, 2.69-9.15); were associated with increased odds of having ever been tested. On the other hand, "fear of HIV test results" (AOR, 0.21; CI, 0.08-0.57) was associated with lower odds of ever having been tested for HIV. The main finding is that a substantially high proportion of Thai youth is engaged in risky sexual behaviors--yet reports low rates of ever having been tested for HIV. This highlights an urgent need to develop appropriate interventions--based on the identified correlates of HIV testing. There is also an urgent need to enhance HIV testing and to promote safer sexual behaviors among young Thai people--particularly those who are out-of-school.
Chantara, Somporn; Sillapapiromsuk, Sopittaporn; Wiriya, Wan
Monitoring and analysis of the chemical composition of air pollutants were conducted over a five-year period (2005-2009) in the sub-urban area of Chiang Mai, Thailand. This study aims to determine the seasonal variation of atmospheric ion species and gases, examine their correlations, identify possible sources and assess major air-flow patterns to the receptor. The dominant gas and particulate pollutants were NH3 (43-58%) and SO42- (39-48%), respectively. The annual mean concentrations of NH3 (μg m-3) in descending order were 4.08 (2009) > 3.32 (2007) > 2.68 (2008) > 2.47 (2006) and 1.87 (2005), while those of SO42- (μg m-3) were 2.60 (2007) > 2.20 (2006) > 1.95 (2009) > 1.75 (2008) and 1.26 (2005). Concentrations of particulate ions were analyzed by principle component analysis to find out the possible sources of air pollutants in this area. The first component of each year had a high loading of SO42- and NH4+, which probably came from fuel combustion and agricultural activity, respectively. K+, a tracer of biomass burning, also contributed to the first or the second components of each year. Concentrations of NH4+ and SO42- were well correlated (r > 0.777, p Chiang Mai from 2005 to 2009 were analyzed using the hybrid single particle langrangian integrated trajectory (HYSPLIT) model and grouped by cluster analysis. The air mass data was analyzed for the dry season (n = 18; 100%). The trajectory of air mass in 2005 mainly originated locally (67%). In 2006, the recorded data showed that 56% of air mass was emitted from the western continental region of Thailand. In 2007, the percent ratios from the western and eastern continental areas were equal (39%). In 2008, 67% originated from the western continental area. In 2009, the recorded air mass mainly came from the western continental area (72%). In conclusion, the major trajectories of air mass from 2006 to 2009 originated from the southwest direction of the receptor, but in 2005, the air mass appeared to be locally
Tangmunkongvorakul, Arunrat; Chariyalertsak, Suwat; Amico, K Rivet; Guptarak, Marisa; Saokhieo, Pongpun; Sangangamsakun, Thirayut; Songsupa, Radchanok; McMahan, Vanessa; Grant, Robert
This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This study utilized both quantitative and qualitative methodologies. Data included reported PrEP medication adherence and sexual behavior among 114 study participants. Forty-six participants took part in qualitative data collection, 32 were interviewed and 14 participated in one of three focus group discussions. The average percentage of study medication adherence, number of sex partners and rates of sex without a condom were calculated. For qualitative data, content analysis was used to identify repeated normative themes, some of which arose spontaneously from interview interactions. Participants at the Chiang Mai site reported good adherence to the study medication. The sexual risk behavior of these participants had decreased by their final study visit; this was unrelated to level of adherence. Qualitative findings describe sexual practices that were highly contextual; participants used risk assessments to determine sex practices. Condoms were used with casual partners but not necessarily with primary partners. Our findings suggest that while PrEP is an exciting new development for HIV prevention, it must be paired with behavioral interventions to fully address sexual risk among this population. Interventions should provide this population with skills to negotiate condom use with their primary partners as well as in situations in which their sexual partners do not support condom use.
Tousaw, Ellen; La, Ra Khin; Arnott, Grady; Chinthakanan, Orawee; Foster, Angel M
For displaced and migrant women in northern Thailand, access to health care is often limited, unwanted pregnancy is common, and unsafe abortion is a major contributor to maternal death and disability. Based on a pilot project and situational analysis research, in 2015 a multinational team introduced the Safe Abortion Referral Programme (SARP) in Chiang Mai, Thailand, to reduce the socio-linguistic, economic, documentation, and transportation barriers women from Burma face in accessing safe and legal abortion care in Thailand. Our qualitative study documented the experiences of women with unwanted pregnancies who accessed the SARP in order to inform programme improvement and expansion. We conducted 22 in-depth, in-person interviews and analysed them for content and themes using deductive and inductive techniques. Women were overwhelmingly positive about their experiences using the SARP. They reported lack of costs, friendly programme staff, accompaniment to and interpretation at the providing facility, and safety of services as key features. Financial and legal circumstances shaped access to the programme and women learned about the SARP through word-of-mouth and community workshops. After accessing the SARP and receiving support, women became community advocates for reproductive health. Efforts to expand the programme and raise awareness in migrant communities appear warranted. Our findings suggest that referral programmes for safe and legal abortion can be successful in settings with large displaced and migrant populations. Identifying ways to work within legal constraints to expand access to safe services has the potential to reduce harm from unsafe abortion even in humanitarian settings.
Ditsatham, Chagkrit; Somwangprasert, Areewan; Watcharachan, Kirati; Wongmaneerung, Phanchaporn; Khorana, Jiraporn
The purpose of this study was to collect data regarding breast cancer profiles and factors that affect local recurrence and distant metastasis after breast-conserving surgery (BCS) in Chiang Mai University Hospital. This study was a retrospective review in a single institution of newly diagnosed invasive breast cancer patients who were treated with BCS between April 9, 2001 and December 25, 2011. A total of 185 patients treated with BCS were included in this study, with an average age of 46.83 years. The average recurrence age was 41.1 years and the average nonrecurrence age was 47.48 years, with a recurrence rate of 10.27%. Premenopause was significant in recurrence (P=0.047), as well as non-estrogen-expression patients (P=0.001) and patients who did not receive antihormonal treatment (P=0.011). The recurrence rate in our institute was 10.27%. Factors affecting recurrence after BCS included young age, premenopausal status, nonexpression of the estrogen receptor, and patients who had not received antihormonal treatment. The recurrence rate was higher in the first 90 postoperative months.
Bhunchoth, A; Phironrit, N; Leksomboon, C; Chatchawankanphanich, O; Kotera, S; Narulita, E; Kawasaki, T; Fujie, M; Yamada, T
To isolate and characterize novel bacteriophages infecting the phytopathogen, Ralstonia solanacearum, and to evaluate them as resources with potential uses in the biocontrol of bacterial wilt. Fourteen phages infecting R. solanacearum were isolated from soil samples collected in Chiang Mai, Thailand. The phages showed different host ranges when tested against 59 R. solanacearum strains isolated from Thailand and Japan. These phages were characterized as nine podoviruses and five myoviruses based on their morphology. Podovirus J2 in combination with another podovirus (φRSB2) lysed host cells very efficiently in contaminated soil. J2 treatment prevented wilting of tomato plants infected with a highly virulent R. solanacearum strain. Treatment with J2 effectively reduced the amount of the bacterial wilt pathogen in contaminated soil and prevented bacterial wilt of tomato in pot experiments. Myovirus J6 possessed jumbo phage features, giving a unique opportunity to study its utilization as a biocontrol agent. As exemplified by J2, the phages isolated in this study represent valuable resources with potential uses in biocontrol of bacterial wilt. A rare jumbo phage J6 served as a valuable subject to understand and utilize this new group of phages. © 2015 The Society for Applied Microbiology.
Watcharasaksilp, Wanarak; Limpastan, Kriengsak; Norasathada, Tanya; Vaniyapong, Tanat
Evaluate the result of intracranial aneurysm surgery in Maharaj Nakorn Chiang Mai Hospital. A retrospective study ofpatients who underwent surgery for intracranial aneurysms between 2003 and 2007. The patients'age, gender, signs and symptoms, CT brain findings, Subarachnoid hemorrhage (SAH), World Federation of Neurosurgical Society grading (WFNS), and aneurysm location were studied and correlated with outcome after surgery. Two hundred twenty five patients ofintracranial aneurysm were operated on between 2003 and 2007. Two hundred nine patients (92%) had anterior circulation aneurysms and 18 (8%) had posterior circulation aneurysms. The outcome, as evaluated by Glasgow Outcome Scale (GOS), showed good recovery and moderate disability patients (142, 62.9%) were classified as favorable outcome group whereas patients with severe disability, vegetative state, and dead (83, 36.9%) were classified as unfavorable outcome. According to WFNS grading, the patients with unruptured aneurysm and WFNS grade 1-2 had favorable outcome in 116 patients (78.37%) and unfavorable outcome in 32 patients (21.62%). Whereas the patients with WFNS grade 3-5 had favorable outcome in 32 patients (33.76%) and unfavorable outcome in 51 patients (66.23%). This study of 225 cases revealed 142 cases with favorable outcome and 83 cases with unfavorable outcome. Factors that affected the outcome were WFNS grading and age.
McGrady, Michael G; Ellwood, Roger P; Srisilapanan, Patcharawan; Korwanich, Narumanas; Worthington, Helen V; Pretty, Iain A
To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of cooking water >0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p cooking water (≥1.6 ppm). The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation.
McGrady Michael G
Full Text Available Abstract Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores. Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F. A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+ for subjects consuming drinking and cooking water with a fluoride concentration of 0.9 ppm F the prevalence of fluorosis (TF 3+ rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p Conclusions The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation.
Epidemiology, clinical characteristics and treatment outcomes of healthcare- associated methicillin-resistant Staphylococcus aureus BLOODSTREAM infections at Chiang Mai University Hospital: a retrospective study.
Chaiwarith, Romanee; Pacharasupal, Phongsathon; Sirisanthana, Thira
The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) varies widely by region and healthcare setting. The prevalence of MRSA among S. aureus bloodstream infections increased from 23% in 2007 to 43% in 2011 at our hospital. We conducted this retrospective study among patients with MRSA to determine mortality rate of MRSA bloodstream infections (BSIs) and the risk factors for death in those patients at Chiang Mai University Hospital from January 1, 2007 to December 31, 2011. One hundred seventy-nine patients with 184 episodes of MRSA BSIs were enrolled. Ninety-eight patients (54.8%) were male and the mean age was 53.4±25.3 years. The median length of time from admission to diagnosis was 27.5 days (IQR 15, 43.5). One-hundred six patients had BSI with other sites of infection: pneumonia (78 episodes, 42.4%), skin and soft tissue infections (15 episodes, 8.2%), urinary tract infections (13 episodes, 7.1%) and infective endocarditis (4 episodes, 2.2%). The mortality rate was 53.1% (95 patients). Risk factors for death on multivariate analysis were: concurrent pulmonary infection (OR 2.65; 95% CI: 1.27-5.51, p=0.009), having a central venous catheter (OR 8.85; 95% CI: 2.31-33.88, p=0.001), having a urinary catheter (OR 8.52; 95% CI: 2.60-27.89, p < 0.001) and having a prothrombin time longer than 1.5 times the upper limit of normal (OR 3.85; 95% CI: 1.68-8.81, p=0.001). MRSA bloodstream infections caused significant mortality particularly among those patients with concurrent pulmonary infections.
Rattarittamrong, Ekarat; Tantiworawit, Adisak; Kumpunya, Noppamas; Wongtagan, Ornkamon; Tongphung, Ratchanoo; Phusua, Arunee; Chai-Adisaksopha, Chatree; Hantrakool, Sasinee; Rattanathammethee, Thanawat; Norasetthada, Lalita; Charoenkwan, Pimlak; Lekawanvijit, Suree
The primary objective was to determine the prevalence of calreticulin (CALR) mutation in patients with non-JAK2V617F mutated essential thrombocythemia (ET). The secondary objectives were to evaluate the accuracy of CALR mutation analysis by high-resolution melting (HRM) analysis and real-time polymerase chain reaction (PCR) compared with DNA sequencing and to compare clinical characteristics of CALR mutated and JAK2V617F mutated ET. This was a prospective cohort study involving ET patients registered at Chiang Mai University in the period September 2015-September 2017 who were aged more than 2 years, and did not harbor JAK2V617F mutation. The presence of CALR mutation was established by DNA sequencing, HRM, and real-time PCR for type 1 and type 2 mutation. Clinical data were compared with that from ET patients with mutated JAK2V617F. Twenty-eight patients were enrolled onto the study. CALR mutations were found in 10 patients (35.7%). Three patients had type 1 mutation, 5 patients had type 2 mutation, 1 patient had type 18 mutation, and 1 patients had novel mutations (c.1093 C-G, c.1098_1131 del, c.1135 G-A). HRM could differentiate between the types of mutation in complete agreement with DNA sequencing. Patients with a CALR mutation showed a significantly greater male predominance and had a higher platelet count when compared with 42 JAK2V617F patients. The prevalence of CALR mutation in JAK2V617F-negative ET in this study is 35.7%. HRM is an effective method of detecting CALR mutation and is a more advantageous method of screening for CALR mutation.
Chanapa, Patcharin; Yoshiyuki, Tohno; Mahakkanukrauh, Pasuk
Vertebral osteophytes are a characteristic feature of intervertebral disc degeneration. In the lumbar spinal region, the two major structures in close proximity anterior to the spine are the inferior vena cava and the abdominal aorta, both of which have been reported to be affected by osteophytes. The purpose of this study was to determine the distribution, classification and lengths of osteophytes in the lumbar vertebrae. One hundred and eighty lumbar columns of 90 males and 90 females from Chiang Mai, Thailand, in the age range 15 to 96 years (mean age, 63 years) were collected. The measuring length of osteophytes was assessed on vertebral body and articular facet. Statistical analysis was performed by descriptive analysis, chi-square and Pearson Correlation. Lumbar osteophytes were presented in 175 specimens (97.2%), 88 males and 87 females. The highest frequency was at L4, most were on the superior, inferior surface of body and articular facet (39.7%, 38.4%, and 22%), respectively. The greatest mean length was 3.47±2.21 mm at L5, and the longest length of anterior superior surface of body was 28.56 mm. The osteophyte length was significantly correlated directly with age (P<0.01), and males were significantly greater than females (P<0.05). The highest prevalence of osteophytes was on the anterior side of superior surface of body (30.4%), and the classification was traction. It can be proposed that the abdominal aorta could be damaged, especially a risk of rupture of abdominal aortic aneurysm.
Background The use of combination antiretroviral therapy (cART) has become a standard of care for the treatment of HIV infection. However, cost and resistance to cART are major obstacles for access to treatment especially in resource-limited settings. In this study, we aimed to determine the incidence and risk factors of treatment failure in a cohort of treatment-naïve Thai HIV-infected patients. Methods A retrospective cohort study was conducted among HIV-infected patients initiating their first cART at Chiang Mai University Hospital, Thailand. Results From January 2002 to December 2008, 788 patients were enrolled; 365 were male (46.3%), and the mean age was 37.9 ± 8.6 years. The median baseline CD4 count was 57.7 cells/mm3 (IQR 22, 127). GPO-VIR® (a fixed-dose combination of lamivudine, stavudine, and nevirapine) was the most common prescribed cART (657 patients, 83.4%). Seventy-six patients developed virological failure given the cumulative incidence of 9.6%. The incidence of virological failure was 2.79 (95% CI 2.47, 3.14) cases per 100 person years. Poor adherence was the strongest predictor for virological failure. Of 535 immunologically evaluable patients, 179 (33.5%) patients developed immunological failure. A low CD4 cell count at baseline (< 100 cells/mm3) and the increment of CD4 cell count of < 50 cell/mm3 after 6 months of cART were the predictors for immunological failure (p < 0.001). Conclusions This study demonstrated that even in resource-limited settings, the high rate of success could be expected in the cohort with good and sustainable drug adherence. Poor adherence, older age, and low baseline CD4 cell count are the predictors for unfavorable outcome of cART. PMID:22060823
Patchanee, Prapas; Eiamsam-Ang, Thanaporn; Vanaseang, Juntakarn; Boonkhot, Phacharaporn; Tadee, Pakpoom
Salmonella is recognized as a significant zoonotic foodborne pathogen, and pork products are involved in one-fifth of infections. Whole genome sequencing data of Salmonella isolated from retail's pork circulating in the Chiang Mai Municipality area between April 2013 and September 2014, were used to focus on genetic diversity and proven in pig-human transmission based on Multilocus Sequence Typing (MLST). Additionally, WGS data were used to investigate virulence genes, to assess the hazard or pathogenic potential transferred into the food production chain. In this study, all 32 Salmonella strains were classified into 11 Sequence Types (STs). ST469 accounted for the majority (41%). The sequence types of two other strains, 6% of the total, could not be identified. All tested strains carried at least 15 virulence genes. The most frequent gene profile was "sfm-fim-sop-inv.-org-sip-spa-sif-fli-flg-hil-spr-ssa-sse-pag-bss" (47%). Salmonella circulating in the study area demonstrated competence in biofilm production, host cell adhesion, host cell invasion, and host cell survival. Based on the phenotypic and genotypic findings, as well as pathogen source, it appears possible that a common supply chain or common infection source might be presented in the retail pork system in the study area. In addition, an epidemiological comparison of the Salmonella genotypes from the current study with those from other areas such as People's Republic of China (PR China) and the Lao People's Democratic Republic (Lao PDR) was generated by Minimum spanning tree (MST). Identical strains originating from humans, animals and food were found. The findings indicate that contamination can be occured at all levels including pre-harvest, the farm-slaughterhouse-retail chain and consumers over different geographical areas. Acquiring information about infection sources and transmission routes will hopefully motivate all sectors to enforce strict sanitation controls at all production stages including
Patchanee, Prapas; Tansiricharoenkul, Kankanok; Buawiratlert, Tunyamai; Wiratsudakul, Anuwat; Angchokchatchawal, Kittipat; Yamsakul, Panuwat; Yano, Terdsak; Boonkhot, Phacharaporn; Rojanasatien, Suvichai; Tadee, Pakpoom
Salmonella spp. is acknowledged as a significant zoonotic foodborne pathogen throughout the world. Contaminated pork consumption is considered as a main cause of human salmonellosis. In the later stage of the pig production chain, poor hygiene and unsuitable storage conditions in retail outlets are considered to be key factors linked to the risk of Salmonella infection. The purpose of current study, which was conducted throughout April 2014 to September 2014, was to determine the prevalence and characteristics of Salmonella spp. in pork sold at the retail stage in wet markets and supermarkets in the Chiang Mai urban area of Thailand. Additionally, clonal relations between Salmonella strains described in this study and those identified in earlier study from the same geographical area were considered. It is provided as a means of contributing to current knowledge regarding Salmonella epidemiology with an ultimate aim of improved food security and consumer protection in this region. From a total of 82 pork samples analyzed in this study, 41% were positive for Salmonella, with prevalence of 73.2% from wet markets (n=30/41) and 9.8% from supermarkets (n=4/41). Twelve Salmonella serovars were identified, S. Rissen being the most commonly encountered. Antibiotic resistance of the isolates was highest for ampicillin and tetracycline (53%), followed by streptomycin (44%). Pulsed-field gel electrophoresis (PFGE) and subsequent geographical distribution analysis indicated that the clonal Salmonella strains originated from multiple sources had been spread over a wide area. The existence of a common pig supply chain "farm-slaughterhouse-retail" transmission route is inferred. Continuous monitoring of Salmonella along the entire production chain is needed to reduce contamination loads and to ensure the safety of pork products for end consumers. Copyright © 2016 Elsevier B.V. All rights reserved.
Tharavichitkul, Ekkasit; Chakrabandhu, Somvilai; Wanwilairat, Somsak; Tippanya, Damrongsak; Nobnop, Wannapha; Pukanhaphan, Nantaka; Galalae, Razvan M; Chitapanarux, Imjai
To evaluate the outcomes of image-guided brachytherapy combined with 3D conformal or intensity modulated external beam radiotherapy (3D CRT/IMRT) in cervical cancer at Chiang Mai University. From 2008 to 2011, forty-seven patients with locally advanced cervical cancer were enrolled in this study. All patients received high-technology (3D CRT/IMRT) whole pelvic radiotherapy with a total dose of 45-46 Gy plus image-guided High-Dose-Rate intracavitary brachytherapy 6.5-7 Gy × 4 fractions to a High-Risk Clinical Target Volume (HR-CTV) according to GEC-ESTRO recommendations. The dose parameters of the HR-CTV for bladder, rectum and sigmoid colon were recorded, as well as toxicity profiles. In addition, the endpoints for local control, disease-free, metastasis-free survival and overall survival were calculated. At the median follow-up time of 26 months, the local control, disease-free survival, and overall survival rates were 97.9%, 85.1%, and 93.6%, respectively. The mean dose of HR-CTV, bladder, rectum and sigmoid were 93.1, 88.2, 69.6, and 72 Gy, respectively. In terms of late toxicity, the incidence of grade 3-4 bladder and rectum morbidity was 2.1% and 2.1%, respectively. A combination of image-guided brachytherapy and IMRT/3D CRT showed very promising results of local control, disease-free survival, metastasis-free survival and overall survival rates. It also caused a low incidence of grade 3-4 toxicity in treated study patients. Copyright © 2013 Elsevier Inc. All rights reserved.
Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of 0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p 0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation. PMID:22720834
Angkurawaranon, Chaisiri; Wisetborisut, Anawat; Jiraporncharoen, Wichuda; Likhitsathian, Surinporn; Uaphanthasath, Ronnaphob; Gomutbutra, Patama; Jiraniramai, Surin; Lerssrimonkol, Chawin; Aramrattanna, Apinun; Doyle, Pat; Nitsch, Dorothea
Urbanization is considered to be one of the key drivers of noncommunicable diseases (NCDs) in Thailand and other developing countries. These influences, in turn, may affect an individual's behavior and risk of developing NCDs. The Chiang Mai University (CMU) Health Worker Study aims to provide evidence for a better understanding of the development of NCDs and ultimately to apply the evidence toward better prevention, risk modification, and improvement of clinical care for patients with NCDs and NCD-related conditions. A cross-sectional survey of health care workers from CMU Hospital was conducted between January 2013 and June 2013. Questionnaires, interviews, and physical and laboratory examinations were used to assess urban exposure, occupational shift work, risk factors for NCDs, self-reported NCDs, and other NCD-related health conditions. From 5,364 eligible workers, 3,204 participated (59.7%). About 11.1% of the participants had high blood pressure (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg) and almost 30% were considered to be obese (body mass index ≥25 kg/m(2)). A total of 2.3% had a high fasting blood glucose level (≥126 mg/dL), and the most common abnormal lipid profile was high low-density lipoprotein (≥160 mg/dL), which was found in 19.2% of participants. The study of health workers offers three potential advantages. The first is that the study of migrants was possible. Socioenvironmental influence on NCD risk factors can be explored, as changes in environmental exposures can be documented. Second, it allows the investigators to control for access to care. Access to care is potentially a key confounder toward understanding the development of NCDs. Lastly, a study of health personnel allows easy access to laboratory investigations and potential for long-term follow-up. This enables ascertainment of a number of clinical outcomes and provides potential for future studies focusing on therapeutic and prognostic issues
Singalavanija, Tassapol; Ausayakhun, Somsanguan; Tangmonkongvoragul, Chulaluck
Human immunodeficiency virus (HIV) causes impairment to the human immune system which leads to immunocompromised conditions, including ocular complications. Several important HIV-associated disorders may involve the anterior segment, ocular surface, and adnexae organ such as dry eye, blepharitis which reduce quality of life of patients. In present, potent antiretroviral therapies HAART (highly active antiretroviral therapy) has improved the length and quality of life which may lead to an increased prevalence of anterior segment ocular disorders. Hence, this study has been undertaken to identify the prevalence and associated factors of anterior segment and external ocular disorder in HIV infected patients in the era of HAART. A prospective descriptive cross sectional study was carried out in HIV positive patients conducted at the Department of Ophthalmology, Chiang Mai University Hospital, from February 2014 to October 2015. Detail history and ocular examination was carried out to examine for anterior segment and external ocular disorders. A total number of 363 patients were included for this prospective cross-sectional study. From the total of 363 patients, 123 patients had an anterior segment and external ocular disorder which account as the prevalence of 33.9%. The most common anterior segment manifestations was dry eye seen in 36 patients (9.9%), followed by posterior blepharitis (Meibomian gland dysfunction) seen in 23 patients (6.3%) and anterior blepharitis seen in 12 patients (3.3%). Other ocular complications included microvasculopathy, immune recovery uveitis, conjunctivitis, papilloma, anterior uveitis, corneal ulcer, nevus, trichiasis, molluscum contangiosum, Kaposi sarcoma, interstitial keratitis, conjunctival lymphangiectasia, dacryocystitis, vernal keratoconjunctivitis and eyelid penicilosis. In this study, the prevalance of anterior segment disorders was higher than in the preHAART era. Dry eye, blepharitis and uveitis were the top three most common
Full Text Available Human immunodeficiency virus (HIV causes impairment to the human immune system which leads to immunocompromised conditions, including ocular complications. Several important HIV-associated disorders may involve the anterior segment, ocular surface, and adnexae organ such as dry eye, blepharitis which reduce quality of life of patients. In present, potent antiretroviral therapies HAART (highly active antiretroviral therapy has improved the length and quality of life which may lead to an increased prevalence of anterior segment ocular disorders. Hence, this study has been undertaken to identify the prevalence and associated factors of anterior segment and external ocular disorder in HIV infected patients in the era of HAART. A prospective descriptive cross sectional study was carried out in HIV positive patients conducted at the Department of Ophthalmology, Chiang Mai University Hospital, from February 2014 to October 2015. Detail history and ocular examination was carried out to examine for anterior segment and external ocular disorders. A total number of 363 patients were included for this prospective cross-sectional study. From the total of 363 patients, 123 patients had an anterior segment and external ocular disorder which account as the prevalence of 33.9%. The most common anterior segment manifestations was dry eye seen in 36 patients (9.9%, followed by posterior blepharitis (Meibomian gland dysfunction seen in 23 patients (6.3% and anterior blepharitis seen in 12 patients (3.3%. Other ocular complications included microvasculopathy, immune recovery uveitis, conjunctivitis, papilloma, anterior uveitis, corneal ulcer, nevus, trichiasis, molluscum contangiosum, Kaposi sarcoma, interstitial keratitis, conjunctival lymphangiectasia, dacryocystitis, vernal keratoconjunctivitis and eyelid penicilosis. In this study, the prevalance of anterior segment disorders was higher than in the preHAART era. Dry eye, blepharitis and uveitis were the top
Walgraeve, Christophe; Chantara, Somporn; Sopajaree, Khajornsak; De Wispelaere, Patrick; Demeestere, Kristof; Van Langenhove, Herman
An analytical method using gas chromatography high resolution mass spectrometry was developed for the determination of 16 polycyclic aromatic hydrocarbons (PAHs) and 12 oxygenated PAHs (of which 4 diketones, 3 ketones, 4 aldehydes and one anhydride) on atmospheric particulate matter with an aerodynamic diameter less than 10 μm (PM10). The magnetic sector mass spectrometer was run in multiple ion detection mode (MID) with a mass resolution above 10 000 (10% valley definition) and allows for a selective accurate mass detection of the characteristic ions of the target analytes. Instrumental detection limits between 0.04 pg and 1.34 pg were obtained for the PAHs, whereas for the oxy-PAHs they ranged between 0.08 pg and 2.13 pg. Pressurized liquid extraction using dichloromethane was evaluated and excellent recoveries ranging between 87% and 98% for the PAHs and between 74% and 110% for 10 oxy-PAHs were obtained, when the optimum extraction temperature of 150 °C was applied. The developed method was finally used to determine PAHs and oxy-PAHs concentration levels from particulate matter samples collected in the wet season at 4 different locations in Chiang Mai, Thailand (n = 72). This study brings forward the first concentration levels of oxy-PAHs in Thailand. The median of the sum of the PAHs and oxy-PAHs concentrations was 3.4 ng/m3 and 1.1 ng/m3 respectively, which shows the importance of the group of the oxy-PAHs as PM10 constituents. High molecular weight PAHs contributed the most to the ∑PAHs. For example, benzo[ghi]perylene was responsible for 30-44% of the ∑PAHs. The highest contribution to ∑oxy-PAHs came from 1,8-napthalic anhydride (26-78%), followed by anthracene-9,10-dione (4-27%) and 7H-benzo[de]anthracene-7-one (6-26%). Indications of the degradation of PAHs and/or formation of oxy-PAHs were observed.
Kritpetcharat, Onanong; Wutichouy, Wiwat; Sirijaichingkul, Suchat; Kritpetcharat, Panutas
Cervical cancer is an important woman's health problems worldwide, especially in low socio-economic countries. The aim of this study was to compare the Pap smear screening results between Akha hill tribe and urban women who live in Chiang Rai province, Thailand. Screening was conducted for 1,100 Akha women and 1,100 urban women who came to have the Pap smear at Chiangrai Prachanukroh Hospital and 1 private cytology laboratory from January to June 2008. The demographic characteristics and factors related to abnormal Pap smears of these women were gathered using closed model questionnaires. Abnormal Rap smears were defined according to the Bethesda 2001 system. The results showed that the prevalence of abnormal Pap smears was 12.2% in Akha women and 4.5% in urban women. The highest prevalence of Pap abnormalities was found in the 41-50 years age group in both populations (4.5% in Akha and 1.7% in urban women). In both populations, abnormal Pap smears were found in education level. In conclusion, cervical cancer control by education and early detection by Pap smear screening is necessary for hill tribe women. More Pap smear screening service units should be set to improve the coverage for the risk group women who got married in young age, especial in ethnic groups.
Wiriya, Wan; Prapamontol, Tippawan; Chantara, Somporn
This study aims to analyze the seasonal variations of PM10-bound polycyclic aromatic hydrocarbons (PAHs) for an estimation of the human health risk and identification of their possible sources. Ninety four PM10 samples were collected during the dry and wet seasons of 2010 and the dry season of 2011 in Chiang Mai, Thailand, and analyzed for 16 PAHs by gas chromatography-mass spectrometry. The average PM10 concentrations were 104.91 ± 32.70, 13.28 ± 11.34 and 36.24 ± 19.16 μg/m3 in dry season of 2010, wet season of 2010 and dry season of 2011, respectively, while the average 16-PAHs concentrations were 25.87 ± 10.13, 3.12 ± 2.18 and 4.58 ± 2.18 ng/m3, respectively. Correlations of PM10 and total PAHs concentrations were relatively high during all seasons (r > 0.796). In addition, PM10 concentrations were highly correlated with carcinogenic PAHs (r = 0.927) during the dry season of 2010, indicating that carcinogenic compounds were dominant in the particulate PAHs and could be generated from open burning, usually conducted in the dry season. The average PM10 concentration in the dry season of 2011 was much lower than that in 2010 and lower than the annual average of the past 12 years (48.17 μg/m3) because of the unusually high amount of rain precipitation and low open burning activity in this year. According to the accumulated number of hot spots occurring in northern part of Thailand, approximately 19,000 spots were found in the dry season of 2010, while only 6,600 spots were found in the dry season of 2011. It can be seen that larger scale open burning activities were performed in the dry season of 2010 than in the dry season of 2011. The value of toxicity equivalent concentration from PAHs in the dry season of 2010 was higher than that of the wet season of 2010 and the dry season of 2011. This is obviously related to concentrations of PM10 and PAHs. Diagnostic ratio and principal component analysis were used to find out the sources of PM10-bound PAHs. It was
Full Text Available Many young migrant workers move across the border to Chiang Mai, a major city in Northern Thailand, in search of work opportunities. This study describes their sexual behavior, lifestyles, relationships and experiences with youth-friendly sexual and reproductive health (SRH services.This is the qualitative arm of a mixed methods study using focus group discussions (FGDs among young MWs aged 15-24 years in urban Chiang Mai. We conducted 6 FGDs with 84 participants (43 males, 41 females organized in groups of 10-15 people, including 3 groups of males, 2 groups of females, and 1 group of both males and females.We found that the lack of parental control, pressure to assimilate into Thai society, access to social media and modern communication technologies, and limited knowledge and access to sexual and reproductive health (SRH services interplayed to shape lifestyle and sexual behaviors, including low condom use among young migrants.The present study helped discern the vulnerability of young migrants to adverse SRH outcomes. This particular group of youth needs urgent intervention to improve their knowledge on SRH and access to a youth-friendly clinic to help them personalize risk of HIV and other adverse SRH outcomes.
Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Manoyos, Veruree; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat
Many young migrant workers move across the border to Chiang Mai, a major city in Northern Thailand, in search of work opportunities. This study describes their sexual behavior, lifestyles, relationships and experiences with youth-friendly sexual and reproductive health (SRH) services. This is the qualitative arm of a mixed methods study using focus group discussions (FGDs) among young MWs aged 15-24 years in urban Chiang Mai. We conducted 6 FGDs with 84 participants (43 males, 41 females) organized in groups of 10-15 people, including 3 groups of males, 2 groups of females, and 1 group of both males and females. We found that the lack of parental control, pressure to assimilate into Thai society, access to social media and modern communication technologies, and limited knowledge and access to sexual and reproductive health (SRH) services interplayed to shape lifestyle and sexual behaviors, including low condom use among young migrants. The present study helped discern the vulnerability of young migrants to adverse SRH outcomes. This particular group of youth needs urgent intervention to improve their knowledge on SRH and access to a youth-friendly clinic to help them personalize risk of HIV and other adverse SRH outcomes.
This study was aimed to understand the nature of the resistivity value of the sediment when it is contaminated, in order to use the information solving the obscure interpretation in the field. The pilot laboratory experiments were designed to simulate various degree of contamination and degree of saturation then observe the resulting changes in resistivity. The study was expected to get a better understanding of how various physical parameters effect the resistivity values in term of mathematic function. And also expected to apply those obtained function to a practical quantitatively interpretation. The sediment underlying the Mae-Hia Landfill consists of clay-rich material, with interfingerings of colluvium and sandy alluvium. A systematic study identified four kinds of sediment, sand, clayey sand, sandy clay, and clay. Representative sediment and leachate samples were taken from the field and returned to the laboratory. Both the physical and chemical properties of the sediments and leachate were analyzed to delineate the necessary parameters that could be used in Archie's equation. Sediment samples were mixed with various concentration of leachate solutions. Then the resistivity values were measured at various controlled steps in the saturation degree in a well- calibrated six-electrode model resistivity box. The measured resistivity values for sand, clayey sand, sandy clay when fully and partly saturated were collected, then plotted and fitted to Archie's equation, to obtain a mathematical relationship between bulk resistivity, porosity, saturation degree and resistivity of pore fluid. The results fit well to Archie's equation, and it was possible to determine all the unknown parameters representative of the sediment samples. For sand, clayey sand, sandy clay, and clay, the formation resistivity factors (F) are 2.90, 5.77, 7.85, and 7.85 with the products of cementation factor (m) and the pore geometry factors (a) (in term of -am) are 1.49, -1.63, -1.92, -2.24 and the saturation exponents (n) are 2.06, 2.58, 3.52, and 2.46, respectively. These results were used to reinterpret the existing resistivity data of this area. The result of this reinterpretation is a map showing the quantitative distribution of the contaminant plume in the vicinity of the Mae-Hia Landfill.
Tangmunkongvorakul, Arunrat; Chariyalertsak, Suwat; Amico, K Rivet; Saokhieo, Pongpun; Wannalak, Vorawan; Sangangamsakun, Thirayut; Goicochea, Pedro; Grant, Robert
In 2008, the Pre-exposure Prophylaxis Initiative (iPrEx) study expanded to include men who have sex with men (MSM) in Chiang Mai, Thailand. In full, 114 participants from Chiang Mai joined this international double-blinded trial of daily FTC-TDF (Truvada®) or placebo as a pre-exposure prophylaxis (PrEP) HIV prevention strategy. To better understand the characteristics of iPrEx participants specifically from this underserved population in Thailand, and gain insights into their experiences of trying to take a daily tablet as part of this blinded PrEP trial, we conducted a qualitative study. In 2010, 32 MSM iPrEx participants provided in-depth interviews and an additional 14 joined focus group discussions. Results of the qualitative analyzes suggested that participants held generally positive attitudes toward the iPrEx study and study medication and related this to high rates of adherence to the daily regimen. Participants also reflected on the provision of quality health care as part of participation in the trial, as well as support from clinical research staff, family and friends as helpful in supporting high rates of study medication adherence. Discourse concerning challenges to adherence included medication taking behavior, which was contextualized by lifestyle, living arrangement, social life, social stigma in terms of being mistakenly identified as HIV positive or unintentional disclosure of sexual identity to family and friends, and relationship conflicts with partners. The results provide broader perspectives of participant experiences of the study medication and daily adherence in the larger contexts of the MSM community, close relationships, and the study climate, and can be leveraged in constructing PrEP adherence support approaches within these communities.
Temporal frequency of knockdown resistance mutations, F1534C and V1016G, in Aedes aegypti in Chiang Mai city, Thailand and the impact of the mutations on the efficiency of thermal fogging spray with pyrethroids.
Plernsub, Suriya; Saingamsook, Jassada; Yanola, Jintana; Lumjuan, Nongkran; Tippawangkosol, Pongsri; Walton, Catherine; Somboon, Pradya
In Thailand, control of dengue outbreaks is currently attained by the use of space sprays, particularly thermal fogging using pyrethroids, with the aim of killing infected Aedes mosquito vectors in epidemic areas. However, the principal dengue vector, Aedes aegypti, is resistant to pyrethroids conferred mainly by mutations in the voltage-gated sodium channel gene, F1534C and V1016G, termed knockdown resistance (kdr). The objectives of this study were to determine the temporal frequencies of F1534C and V1016G in Ae. aegypti populations in relation to pyrethroid resistance in Chiang Mai city, and to evaluate the impact of the mutations on the efficacy of thermal fogging with the pyrethroid deltamethrin. Larvae and pupae were collected from several areas around Chiang Mai city during 2011-2015 and reared to adulthood for bioassays for deltamethrin susceptibility. These revealed no trend of increasing deltamethrin resistance during the study period (mortality 58.0-69.5%, average 62.8%). This corresponded to no overall change in the frequencies of the C1534 allele (0.55-0.66, average 0.62) and G1016 allele (0.34-0.45, average 0.38), determined using allele specific amplification. Only three genotypes of kdr mutations were detected: C1534 homozygous (VV/CC); G1016/C1534 double heterozygous (VG/FC); and G1016 homozygous (GG/FF) indicating that the F1534C and V1016G mutations occurred on separate haplotypic backgrounds and a lack of recombination between them to date. The F1 progeny females were used to evaluate the efficacy of thermal fogging spray with Damthrin-SP(®) (deltamethrin+S-bioallethrin+piperonyl butoxide) using a caged mosquito bioassay. The thermal fogging spray killed 100% and 61.3% of caged mosquito bioassay placed indoors and outdoors, respectively. The outdoor spray had greater killing effect on C1534 homozygous and had partially effect on double heterozygous mosquitoes, but did not kill any G1016 homozygous mutants living outdoors. As this selection
Control of fruit flies by sterile insect technique. I. Population fluctuation studies of oriental fruit fly (Dacus dorsalis Hendel and Dacus zonatus Saunders) and micro climates at Royal Ang Khang Highland Research Station Chiang Mai
The studies of population fluctuation of male oriental fruit fly, (Dacus dorsalis Hendel) and [Dacus zontanus (Saunders)] and micro climate at Royal Ang Khang Highland Research Station Chiang Mai in 1983 were conducted. It was found that population of Dacus zonatus was rather high and almost seemed equal to that of Dacus dorsalis. Population of these two species increased at the beginning of February. Population of Dacus zonatus increased rapidly and reached the peak in the middle of May and of June. The number at peaks were 103 males and 87 males/trap/day respectively. However, the population of Dacus dorsalis increased slowly and followed the pattern of Dacus zonatus until the beginning of June, after that, the population increased rapidly and reached the peak in the middle of July. The number at peak was 240 males/trap/day. Later on they dropped rapidly in the middle of August, then the population of the two species fluctuated together. Finally they decreased down to near zero in November, December and January of the following year. In summary, population density of the said two species adult flies were rather high from the end of winter (the beginning of February) to the middle of raining season (July) and this period coincided with the time of fruit development in many introduced varieties (peach, persimmon, apple, pear and plum)
The association of rectal equivalent dose in 2 Gy fractions (EQD2) to late rectal toxicity in locally advanced cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University
Tharavichtikul, Ekkasit; Chitapanarux, Taned; Chakrabandhu, Somvilai; Klunklin, Pitchayaponne; Onchan, Wimrak; Wanwilairat, Somsak; Chitapanarux, Imjai [Faculty of Medicine, Chiang Mai University, Chiang Mai (Thailand); Meungwong, Pooriwat [Lampang Cancer Hospital, Lampang (Thailand); Traisathit, Patrinee [Faculty of Science, Chiang Mai University, Chiang Mai (Thailand); Galalae, Razvan [aculty of Medicine, Christian-Albrechts University at Kiel, Kiei (Germany)
To evaluate association between equivalent dose in 2 Gy (EQD2) to rectal point dose and gastrointestinal toxicity from whole pelvic radiotherapy (WPRT) and intracavitary brachytherapy (ICBT) in cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University. Retrospective study was designed for the patients with locally advanced cervical cancer, treated by radical radiotherapy from 2004 to 2009 and were evaluated by rectosigmoidoscopy. The cumulative doses of WPRT and ICBT to the maximally rectal point were calculated to the EQD2 and evaluated the association of toxicities. Thirty-nine patients were evaluated for late rectal toxicity. The mean cumulative dose in term of EQD2 to rectum was 64.2 Gy. Grade 1 toxicities were the most common findings. According to endoscopic exam, the most common toxicities were congested mucosa (36 patients) and telangiectasia (32 patients). In evaluation between rectal dose in EQD2 and toxicities, no association of cumulative rectal dose to rectal toxicity, except the association of cumulative rectal dose in EQD2 >65 Gy to late effects of normal tissue (LENT-SOMA) scale > or = grade 2 (p = 0.022; odds ratio, 5.312; 95% confidence interval, 1.269-22.244). The cumulative rectal dose in EQD2 >65 Gy have association with > or = grade 2 LENT-SOMA scale.
The association of rectal equivalent dose in 2 Gy fractions (EQD2) to late rectal toxicity in locally advanced cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University.
Tharavichtikul, Ekkasit; Meungwong, Pooriwat; Chitapanarux, Taned; Chakrabandhu, Somvilai; Klunklin, Pitchayaponne; Onchan, Wimrak; Wanwilairat, Somsak; Traisathit, Patrinee; Galalae, Razvan; Chitapanarux, Imjai
To evaluate association between equivalent dose in 2 Gy (EQD2) to rectal point dose and gastrointestinal toxicity from whole pelvic radiotherapy (WPRT) and intracavitary brachytherapy (ICBT) in cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University. Retrospective study was designed for the patients with locally advanced cervical cancer, treated by radical radiotherapy from 2004 to 2009 and were evaluated by rectosigmoidoscopy. The cumulative doses of WPRT and ICBT to the maximally rectal point were calculated to the EQD2 and evaluated the association of toxicities. Thirty-nine patients were evaluated for late rectal toxicity. The mean cumulative dose in term of EQD2 to rectum was 64.2 Gy. Grade 1 toxicities were the most common findings. According to endoscopic exam, the most common toxicities were congested mucosa (36 patients) and telangiectasia (32 patients). In evaluation between rectal dose in EQD2 and toxicities, no association of cumulative rectal dose to rectal toxicity, except the association of cumulative rectal dose in EQD2 >65 Gy to late effects of normal tissue (LENT-SOMA) scale ≥ grade 2 (p = 0.022; odds ratio, 5.312; 95% confidence interval, 1.269-22.244). The cumulative rectal dose in EQD2 >65 Gy have association with ≥ grade 2 LENT-SOMA scale.
Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures - Paper 2: The ability of fluorescence imaging to detect differences in fluorosis prevalence and severity for different fluoride intakes from water
Background To assess the ability of fluorescence imaging to detect a dose response relationship between fluorosis severity and different levels of fluoride in water supplies compared to remote photographic scoring in selected populations participating in an observational, epidemiological survey in Chiang Mai, Thailand. Methods Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of cooking water samples (CWS) was assessed to create categorical intervals of water fluoride concentration. Fluorescence images were taken of the maxillary central incisors and analyzed for dental fluorosis using two different software techniques. Output metrics for the fluorescence imaging techniques were compared to TF scores from blinded photographic scores obtained from the survey. Results Data from 553 subjects were available. Both software analysis techniques demonstrated significant correlations with the photographic scores. The metrics for area effected by fluorosis and the overall fluorescence loss had the strongest association with the photographic TF score (Spearman’s rho 0.664 and 0.652 respectively). Both software techniques performed well for comparison of repeat fluorescence images with ICC values of 0.95 and 0.85 respectively. Conclusions This study supports the potential use of fluorescence imaging for the objective quantification of dental fluorosis. Fluorescence imaging was able to discriminate between populations with different fluoride exposures on a comparable level to remote photographic scoring with acceptable levels of repeatability. PMID:22908997
Maneekarn, Niwat; Khamrin, Pattara; Chan-it, Wisoot; Peerakome, Supatra; Sukchai, Sujin; Pringprao, Kidsadagon; Ushijima, Hiroshi
Among 175 fecal specimens collected from diarrheic piglets during a surveillance of porcine rotavirus (PoRV) strains in Chiang Mai, Thailand, 39 (22.3%) were positive for group A rotaviruses. Of these, 33.3% (13 of 39) belonged to G3P, which was a rare P genotype seldom reported. Interestingly, their VP4 nucleotide sequences were most closely related to human P strains (Mc323 and Mc345) isolated in 1989 from the same geographical area where these PoRV strains were isolated. These P PoRV strains were also closely related to another human P strain (RMC321), isolated from India in 1990. The VP4 sequence identities with human P were 95.4% to 97.4%, while those to a porcine P strain (4F) were only 87.6 to 89.1%. Phylogenetic analysis of the VP4 gene revealed that PoRV P strains clustered with human P strains in a monophyletic branch separated from strain 4F. Analysis of the VP7 gene confirmed that these strains belonged to the G3 genotype and shared 97.7% to 98.3% nucleotide identities with other G3 PoRV strains circulating in the regions. This close genetic relationship was also reflected in the phylogenetic analysis of their VP7 genes. Altogether, the findings provided peculiar evidence that supported the porcine origin of VP4 genes of Mc323 and Mc345 human rotaviruses. PMID:16988014
Duangtep, Yuwadee; Narksawat, Kulaya; Chongsuwat, Rawadee; Rojanavipart, Peungchon
An unhealthy lifestyle may lead to hypertension which can cause strokes and cardiovascular disease. The aim of this study was to identify the specific unhealthy lifestyle practices which could cause hypertension among hill tribe populations in Mae Fah Luang District of Chiang Rai Province, Thailand. In 2006, 196 patients with hypertension were selected from 2 district hospitals and 13 health centers as cases, and 196 normotensive subjects from a local neighborhood were chosen as controls. Trained health personnel collected data by interviewing subjects from both groups regarding unhealthy lifestyles and other factors. All participants had a physical examination at the time of interview. The results from multiple logistic regression analysis show the factors associated with hypertension among the hill tribe people studied were smoking (OR 2.48; 95% CI 1.43-4.30, p = 0.001), no or irregular exercise (OR 1.84; 95% CI 1.16-2.99, p = 0.005), being overweight (OR 2.96; 95% CI 1.69-5.18, p lifestyle changes in regards to smoking, eating habits and leisure time exercise programs. The adoption of such lifestyle changes would result in a reduced chance of being hypertensive, which could later reduce cardiovascular morbidity and mortality.
Kucina, André; Broccard, Manu
L’objectif de ce travail est d’apporter des pistes d’amélioration au Swiss-Lanna Lodge, établissement hôtelier deux étoiles sis à Chiang Mai, Thaïlande. Ceci dans le but de mieux répondre aux attentes des hôtes chinois afin de les fidéliser et augmenter cette part de marché. Des statistiques liées au Swiss-Lanna Lodge ont été réalisées, permettant ainsi de définir les enjeux liés à l’établissement. Une étude du marché émetteur chinois à été conduite ainsi que le profil interculturel de la...
Faculty o[Sc:ience, Chiang Mai University, Chiang Mai , Thailand; Armed Force)’ Research Institute o[ Medical Science, Royal Thai Army, Bangkok...Science and the Graduate school, Chiang Mai University Thailand, the Armed Forces Research Institute of Medical Science (AFRIMS) Royal Thai Army...mail: A_Pasartvit@yahoo.com. Araya Jatisatienr and Chaiwat Jatisatienr, Department of Biology. Faculty of Science, Chiang Mai University, Muang
Full Text Available Yield trial of 6 baby corn varieties, PSUSB 104, PSUSB 109, PSUSB 111, PSU-Syn 1, Pacific 444 and Chiang Mai 90 (check was done in Phatthalung, Songkhla and Nakhon Si Thammarat Provinces during 2000 - 2001. The experimental design in each environment was a randomized complete block with four replications. The results showed that the hybrid PSUSB 111 gaved the highest young ear weight of standard size (138 kg/rai, exceeding the mean yield of hybrid Pacific 444 by 27%, PSU-Syn 1 by 47% and open pollinated Chiang Mai 90 by 79%. The hybrid PSUSB 111 also showed other merits, such as more ears/plant, shorter days to first ear harvest, lower first ear height, less plant height and high plant fresh weight.
study involving mai suya and workers who are not exposed to wood smoke and oil fumes .... cofounding effect of smoking on respiratory tract and because the two ... suyas who are non smokers was also apparent in the trend analysis as ...
Inpankaew, T; Jittapalapong, S; Phasuk, J; Pinyopanuwut, N; Chimnoi, W; Kengradomkit, C; Sunanta, C; Zhang, G; Aboge, G O; Nishikawa, Y; Igarashi, I; Xuan, X
Cryptosporidium parvum is the most frequent parasitic agent that causes diarrhoea in AIDS patients in Thailand. Cryptosporidiosis outbreaks in humans may be attributed to contamination of their drinking water from infected dairy pastures. A 23-kDa glycoprotein of C. parvum (CpP23) is a sporozoite surface protein that is geographically conserved among C. parvum isolates. This glycoprotein is a potentially useful candidate antigen for the diagnosis of cryptosporidiosis by enzyme-linked immunosorbent assay. Therefore, we investigated the seroprevalence of C. parvum infection in dairy cows in northern Thailand using an ELISA based on recombinant CpP23 antigen. Sera were randomly collected from 642 dairy cows of 42 small-holder farmers, which had the top three highest number of the dairy cows' population in Northern Thailand, that included Chiang Mai, Chiang Rai and Lumpang provinces. The overall seroprevalence of the infection was 4.4%, and the seropositive rates for the three provinces were 3.3% in Chiang Mai, 5.1% in Chiang Rai and 3% in Lumpang. These results suggest that cattle could play a role in zoonotic cryptosporidiosis in Thailand.
Orrapin, Saritphat; Reanpang, Termpong; Orrapin, Saranat; Arwon, Supapong; Kattipathanapong, Thanate; Lekwanavijit, Suree; Rerkasem, Kittipan
Patients infected with human immunodeficiency virus (HIV) can present with 4 pathology types: drug-induced vasospasm (ergotism), arterial limb ischemia, critical limb ischemia, and aneurysm. Although these problems are common vascular problems, they result in increased morbidity and mortality in HIV-infected patients, especially aneurysm. Patients with these problems tend to be diagnosed with difficulty because of atypical symptoms and signs. Because of lack of data in treatment outcome literature, our report explores and provides information on HIV infection-related arteriopathy. There were 17 patients in our 5-year review. There was no death in patients except the aneurysm type. The survival of aneurysm patients was significantly lower than from other pathologies (P = .003). Our case series showed good short-term outcome, and patients were not at risk for less beneficial surgical procedures. © The Author(s) 2015.
6,000 Chinese troops were living in the areas where Burma, Laos, and Thailand meet, with an estimated 3,000 in Chiang Rai and Chiang Mai provinces of...Consequently, Thai parliament members from Chiang Rai and Chiang Mai complained to the govern- ment about the Chinese opium farming and urged the use...in September 1970 and, after several months of preparation, units were moved to staging areas in Chiang Mai province and later trucked to assembly
Seo, Bo Kyeong
For transnational migrant populations, securing birth documents of newly born children has crucial importance in avoiding statelessness for new generations. Drawing on discussions of sovereignty and political subjectivization, I ask how the fact of birth is constituted in the context of transnational migration. Based on ethnographic data collected from an antenatal clinic in Thailand, this article describes how Shan migrant women from Myanmar (also known as Burma) utilize reproductive health services as a way of assuring a safe birth while acquiring identification documents. Paying close attention to technologies of inscription adopted for maternal care and birth registration, I argue that enacting bureaucratic documents offers a chance for migrant women to bridge the interstice between human and citizen. Birth certificates for migrant children, while embodying legal ambiguity and uncertainty, epitomize non-citizen subjects' assertion of their political relationship with the state. © 2016 by the American Anthropological Association.
Nokeaingtong, Kwannapas; Kaewchai, Sirirat; Visrutaratna, Pannee; Khuwuthyakorn, Varangthip
Those born with sirenomelia, a rare congenital anomaly, have features resembling a mermaid. Characteristics of sirenomelia are a single lower limb, sacral and pelvic bone defects, and anorectal and urogenital malformations. There is an increased incidence of sirenomelia in males and twins. This case was a preterm male, dizygotic twin and product of in vitro fertilisation. The baby was born by caesarean section due to breech presentation. He was found to have a fused lower extremity and absent external genitalia and anus. The baby passed away shortly after birth due to severe respiratory failure. Radiographic findings showed small lung volume and pneumothoraces. There were multiple segmental fusions of the vertebrae. Single femur and single tibia were presented in a fused lower limb. Autopsy demonstrated large intestinal atresia, intra-abdominal testes, absence of kidney, ureter and bladder, single umbilical artery, agenesis of blood vessels at lower extremity and agenesis of sacrum and coccyx. 2015 BMJ Publishing Group Ltd.
Junsongduang, A.; Balslev, Henrik; Jampeetong, Arunothai
All woody plant and seedling diversity was compared in a Karen and a Lawa hill-tribe village in northern Thailand in four different habitats: sacred forests and fallow fields of three ages derived from rotational shifting cultivation (young fallows, 1–2 years old; medium-age fallow, 3-4 years old...
Panpanich, Ratana; Vitsupakorn, Kannika; Harper, Gregory; Brabin, Bernard
Vitamin A deficiency can occur during lactation and breast-milk vitamin A has been recommended for monitoring the vitamin A status of lactating women and their infants. This study aimed to investigate the vitamin A status of lactating women in relation to race, age, parity, duration of lactation and
Pananont, P.; Herman, M. W.; Pornsopin, P.; Furlong, K. P.; Habangkaem, S.; Waldhauser, F.; Wongwai, W.; Limpisawad, S.; Warnitchai, P.; Kosuwan, S.; Wechbunthung, B.
On 5 May 2014, a Mw 6.2 strike-slip earthquake occurred in the Mae Lao region of Chiang Rai province in Thailand. This earthquake took place in a region of known faults and caused substantial damage and injuries, although the region had been previously identified as having a relatively low earthquake hazard. Detailed field reconnaissance and deployment of a dense, temporary, network of broadband seismometers allowed details of the damage and its relationship to seismicity to be analyzed. The aftershock sequence associated with this main shock occurs on two well-defined trends, reflecting the two potential fault planes in earthquake mechanisms for the main shock and the majority of the aftershocks. The damage area was relatively large for an event of this magnitude, but building damage was largely limited to the primary rupture region, while liquefaction and other ground failure are spatially associated with the rupture area and along regional rivers. Stress modeling, combined with the time series and pattern of aftershock activity, leads us to propose that slip near the northern termination of the main shock rupture continued slightly onto a conjugate fault, helping to trigger the distinct pattern of two discrete, conjugate trends of aftershock activity that mirror the kinematics of the main shock fault mechanism.
Doi Inthanon, Chiang Mai Province; and B and H from Mae Sa, Chiang Mai Province (Green et al, unpublished data). Strictly speaking there is no...Shillong), Punjab (Jalpaiguri), Kasauli. Nepal: Bhimpledi, Hetaura, Naraghat, Griuyauga. Thailand: Chiang Mai , Mae Hong Son (Mae Sariang). Vietnam...ThaiZand: Chiang Mai . Taxonomy. Stone (1967) emended the original spelling of the name of this species to wiZZmoreito agree with Willmore, the surname of
Thanonthongchai Range. This mountain range passes through the following adminis- trative areas in Chiang Mai Province: 1. It passes through the townships...down to the Ping River until it reaches the Daenlaw Range which is the boundary between Maehongson Province and Chiang Mai Province (eight...trict, Chiang Mai Province for 5M- kilometers. 10. It passes through Omkoi Township, Omkoi District; Boluang Township, Hot District; Thapha Township
Sripan, Patumrat; Sriplung, Hutcha; Pongnikorn, Donsuk; Virani, Shama; Bilheem, Surichai; Chaisaengkhaum, Udomlak; Maneesai, Puttachart; Waisri, Narate; Hanpragopsuk, Chirapong; Tansiri, Panrada; Khamsan, Varunee; Poungsombat, Malisa; Mawoot, Aumnart; Chitapanarux, Imjai
Objectives: This study was conducted to determine incidence trends of female breast cancer according to age groups and to predict future change in Chiang Mai women through 2028. Method: Data were collected from all hospitals in Chiang Mai in northern Thailand, from 1989 through 2013, and used to investigate effects of age, year of diagnosis (period) and year of birth (cohort) on female breast cancer incidences using an age-period-cohort model. This model features geometric cut trends to predict change by young (<40 years), middle-aged (40-59) and elderly (≥60) age groups. Result: Of 5, 417 female breast cancer patients with a median age of 50 years (interquartile range: 43 to 59 years), 15%, 61% and 24% were young, middle-aged and elderly, respectively. Seventy nine percent of cancer cases in this study were detected at advanced stage. The trend in stage classification showed an increase in percentage of early stage and a decrease in metastatic cancers. Linear trends for cohort and period were not found in young females but were observed in middle-aged and elderly groups. Age-standardized rates (ASR) can be expected to remain stable around 6.8 per 100,000 women-years in young females. In the other age groups, the ASR trends were calculated to increase and reach peaks in 2024 of 120.2 and 138.2 per 100,000 women-years, respectively. Conclusion: Cohort effects or generation-specific effects, such as life style factors and the year of diagnosis (period) might have impacted on increased incidence in women aged over 40 years but not those under 40 years. A budget should be provided for treatment facilities and strategies to detect early stage cancers. The cost effectiveness of screening measures i.e. mammographic screening may need to be reconsidered for women age over 40 years. Creative Commons Attribution License
Medical Entomology Studies - XIII. The Myzomyia Series of Anopheles (Cellia) in Thailand, with Emphasis on Intra-Interspecific Variations (Diptera: Culicidae) (Contributions of the American Entomological Institute. Volume 17, Number 4, 1980)
pinpoint the collection site as Fang District, Chiang Mai Province in June 1952. However, no specimens confirming the record have been found in the...members of the Myzomyia Series in Thailand were in Barnes (1923a, b), who recorded aconitus from Bangkok and Chiang Mai , culicifacies from Chiang Mai , fluviatilis...as funestus Giles, = listoni Liston) from Bangkok and Chiang Mai and minimus from Bangkok. Barnes (1923b) also contained a key to the
Viner, Mark; Shaughnessy, Michael F.
The authors present this interview with Eric Chiang, Associate Professor of Economics, Director of Instructional Technology, and Technology Director for the Online MBA Program at Florida Atlantic University. He has authored 26 peer-reviewed research publications and is the author of "CoreEconomics," an economic principles textbook now in…
Prybylski, Dimitri; Manopaiboon, Chomnad; Visavakum, Prin; Yongvanitjit, Kovit; Aramrattana, Apinun; Manomaipiboon, Parnrudee; Tanpradech, Suvimon; Suksripanich, Orapin; Pattanasin, Sarika; Wolfe, Mitchell; Whitehead, Sara J.
Background Thailand’s long-standing HIV sero-sentinel surveillance system for people who inject drugs (PWID) is confined to those in methadone-based drug treatment clinics and representative data are scarce, especially outside of Bangkok. Methods We conducted probability-based respondent-driven sampling (RDS) surveys in Bangkok (n = 738) and Chiang Mai (n = 309) to increase understanding of local HIV epidemics and to better inform the planning of evidence-based interventions. Results PWID had different epidemiological profiles in these two cities. Overall HIV prevalence was higher in Bangkok (23.6% vs. 10.9%, p Chiang Mai, HIV infections appear to be more recently acquired and PWID were younger and had higher levels of recent injecting and sexual risk behaviors with lower levels of intervention exposure. Methamphetamine was the predominant drug injected in both sites and polydrug use was common although levels and patterns of the specific drugs injected varied significantly between the sites. In multivariate analysis, recent midazolam injection was significantly associated with HIV infection in Chiang Mai (adjusted odds ratio = 8.1; 95% confidence interval: 1.2–54.5) whereas in Bangkok HIV status was not associated with recent risk behaviors as infections had likely been acquired in the past. Conclusion PWID epidemics in Thailand are heterogeneous and driven by local factors. There is a need to customize intervention strategies for PWID in different settings and to integrate population-based survey methods such as RDS into routine surveillance to monitor the national response. PMID:25640153
Cristiane Carvalho Mendonça Blanco
Full Text Available Esse artigo expõe a pesquisa realizada sobre Letramento: uma aprendizagem mais significativa teve como questão norteadora as muitas reflexões sobre o que pode ser feito para tornar o processo do contato inicial da criança com o letramento em um momento mais significativo e democrático, de modo que a criança se sinta sujeito de sua aprendizagem. Diante disso, foi observada uma turma de primeiro ano da Escola Municipal de Educação Básica Jardim Paraíso, no Município de Sinop – MT, e a professora regente desta turma, teve como abordagem teórica o estudo de Magda Soares. Por meio de uma entrevista e observações, foi possível conhecer quais os materiais didáticos que são utilizados em sala de aula e como os alunos interagem com este material. O caminho metodológico utilizado foi a pesquisa qualitativa, mais especificamente o Estudo de Caso. Constatou-se que a alfabetização só tem sentido em um contexto de letramento e por meio de atividades de letramento, este, por sua vez, só pode desenvolver-se por meio da aprendizagem do sistema de escrita.Palavras-chave: educação; ensino fundamental; letramento; professora e crianças; pesquisa descritiva; Magda Soares.
Page, Randy M.; Taylor, Jerry; Suwanteerangkul, Jiraporn; Novilla, Lelinneth M.
Unfortunately, the influence of friendships is a neglected area of investigation in studies of youth physical activity. This study investigated the degree to which three friendship variables (ability to make friends, level of involvement with friends, perceived friends' involvement in exercise/physical activity) was associated with physical…
Pruksakorn, Dumnoensun; Phanphaisarn, Areerak; Arpornchayanon, Olarn; Uttamo, Nantawat; Leerapun, Taninnit; Settakorn, Jongkolnee
Osteosarcoma is a common and aggressive primary malignant bone tumor occurring in children and adolescents. It is one of the most aggressive human cancers and the most common cause of cancer-associated limb loss. As treatment in Thailand has produced a lower survival rate than in developed countries; therefore, this study identified survival rate and the poor prognostic factors of osteosarcoma in Northern Thailand. The retrospective cases of osteosarcoma, diagnosis between 1 January 1996 and 31 December 2013, were evaluated. Five and ten year overall survival rates were analyzed using time-to-event analysis. Potential prognostic factors were identified by multivariate regression analysis. There were 208 newly diagnosed osteosarcomas during that period, and 144 cases met the criteria for analysis. The majority of the osteosarcoma cases (78.5%) were aged 0-24 years. The overall 5- and 10-year survival rates were 37.9% and 33.6%, respectively. Presence of metastasis at initial examination, delayed and against treatment co-operation, and axial skeletal location were identified as independent prognostic factors for survival, with hazard ratios of 4.3, 2.5 and 3.8, and 3.1, respectively. This osteosarcoma cohort had a relatively poor overall survival rate. The prognostic factors identified would play a critical role in modifying survival rates of osteosarcoma patients; as rapid disease recognition, a better treatment counselling, as well as improving of chemotherapeutic regimens were found to be important in improving the overall survival rate in Thailand. Copyright © 2015 Elsevier Ltd. All rights reserved.
Full Text Available Mosses new to Thailand (35 species in 29 genera and new to Doi Inthanon (6 species in 6 genera are reported based on collections made by the authors. Austinia tenuinervis var. micholitzii W. R. Buck & H. A. Crum, Brotherella nictans (Mitt. Broth., Chionostomum hainanensis B. C. Tan & Y. Jia, Clastobryopsis muelleri (Dixon Tixier, Trichosteleum stigmosum Mitt., Micralsopsis complanata (Dixon W. R. Buck, and Fissidens schwabei Nog. are fully illustrated.
Neeyalavira, Vithida; Suprasert, Prapaporn
Malignant ovarian germ cell tumors (MOGCT) are rare neoplasms that most frequently occur in women at a young reproductive age. There have been limited data regarding this disease from Southeast Asian countries. We therefore conducted a retrospective study to analyze the clinical characteristics and the treatment outcomes of MOGCT treated at our institute between January, 2003 and December, 2012. Seventy-six patients were recruited from this period with the mean age of 21.6 years and 11.8% were pre-puberty. The two most common symptoms were pelvic mass and pelvic pain. Two-thirds of the studied patients presented at an early stage. The most common histology was immature teratoma (34.2%) followed by endodermal sinus tumor (28.9%), dysgerminoma (25%), mixed type (10.5%) and choriocarcinoma (1.3%). Over 80% of these patients received fertility sparing surgery and about 70% received adjuvant chemotherapy with the complete response rate at 73.3% and partial response at 11.1%. The most frequent chemotherapy was BEP regimen (bleomycin, etoposide, cisplatin). With the mean follow up time at 56.0 months, 12 patients (15.8%) developed recurrence and only an advanced stage was the independent prognostic factor. The ten year progression free survival (PFS) and overall survival rate of our study were 81.9% and 86.2%, respectively. In conclusion, MOGCT often occurs at a young age. Treatment with fertility sparing operations and adjuvant chemotherapy with a BEP regimen showed a good outcome. An advanced stage is a significant prognostic factor for recurrence.
P, 17 L, 11 with asso- ciated skins (5 p, 6 1). All type material except 1 paratype was examined. THAILAND. Chiang Mai : Buak Ha; Doi Sutep Mountain...shaded areas located in secondary deciduous forests; sites were in valleys located in mountainous areas; and at an elevation of 3,920 feet in Chiang Mai Province...aenea Thurman. Adults were col- lected resting among vegetation along a stream in Chiang Mai Province by SEATO Laboratory personnel. Thurman (1954
LEPROSY TREATMENT, FUNDING—Mr Somchai Opbun, the director of the Chiang Mai Mackken Lepers Welfare Institute, has revealed that, at present...Spreading a Serious Disease"] [Text] The meat markets in Chiang Mai are in turmoil. The people do not dare consume [meat]; they are afraid of...slaughtered here. Dr Sutham Hirannarutmon, the acting public health officer in Chiang Mai Province, made a statement at a press conference last Tuesday
Qian, Xin; Feng, Qinglai; Chonglakmani, Chongpan; Monjai, Denchok
Volcanic rocks in northwestern Thailand exposed dominantly in the Chiang Khong area, are commonly considered to be genetically linked to the tectonic evolution of the Paleo-Tethyan Ocean. The volcanic rocks consist mainly of andesitic to rhyolitic rocks and are traditionally mapped as Permian-Triassic sequences. Our zircon U-Pb geochronological results show that two andesitic samples (TL-1-B and TL-31-B), are representative of the Doi Yao volcanic zone, and give a mean weighted age of 241.2±4.6 Ma and 241.7±2.9 Ma, respectively. The rhyolitic sample (TL-32-B1) from the Doi Khun Ta Khuan volcanic zone erupted at 238.3±3.8 Ma. Such ages indicate that Chiang Khong volcanic rocks erputed during the early Middle Triassic period. Seven samples from the Doi Yao and Doi Khun Ta Khuan zones exhibit an affinity to arc volcanics. Three rhyolitic samples from the Chiang Khong area have a geochemical affinity to both arc and syn-collisional volcanic rocks. The Chiang Khong arc volcanic rocks can be geochemically compared with those in the Lampang area in northern Thailand, also consistent with those in Jinghong area of southwestern Yunnan. This indicates that the Chiang Rai arc-volcanic zone might northwardly link to the Lancangjiang volcanic zone in southwestern China.
;Typically, at Vietnamese weddings or large gatherings, everyone ballroom dances," she says. Music can days are devoted to science. Sometimes you need a break," Mai-Anh says. The partners complement ." It also highlights their collaborations-which include science research. A Passion for Research
Jiraniramai, Surin; Jiraporncharoen, Wichuda; Pinyopornpanish, Kanokporn; Jakkaew, Nalinee; Wongpakaran, Tinakon; Angkurawaranon, Chaisiri
Background Individual health beliefs are likely to play a key role in how people respond to knowledge and information about the potential harm from smoking and alcohol abuse. The objectives of the study were to 1) explore whether functional beliefs and risk minimizing beliefs were associated with intention to quit smoking and confidence to quit smoking and 2) explore whether functional beliefs and risk minimizing beliefs were associated with intention to quit alcohol drinking and confidence t...
Trakanwitthayarak, Supaporn; Patikulsila, Prapatsorn
To determine the preoperative variables affecting early and late favorable outcomes of bilateral lateral rectus recession surgery for concomitant exotropia. A retrospective study of 65 patients with concomitant exotropia (constant and intermittent) who had bilateral lateral rectus recession was conducted. The follow-up period was more than 1 year in all patients. Preoperative parameters were obtained and evaluated using univariate analysis. Sixty-five patients with concomitant exotropia who underwent bilateral lateral rectus recession were included. In the early and late postoperative outcome, 78% and 82% of the patients were in the success group, respectively. Meanwhile, 22% and 18% were in the failure group, respectively. There was no association between postoperative outcome and preoperative variables i.e. age at onset (p = 0.841, 0.591), age at surgery (p = 0.564, 0.634), interval between onset and surgery (p = 0.506, 0.753), preoperative deviation (p = 0.278, 0.211), refractive error (p = 0.217, 0.136), anisometropia (p = 0.946, 0.946), phase of exotropia (p = 0.741, 0.013), A-V pattern (p = 1.000, 1.000), stereopsis (p = 0.841, 0.268) and amblyopia (p = 0.569, 0.567). Preoperative variables could not be used to predict the early and late postoperative outcome.
United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.
This report summarizes discussions of a working group meeting on the continuing education needs of early primary school leavers in Asia and the Pacific. An introduction summarizes the welcoming addresses. Chapter 1 presents highlights of experiences of these countries in providing continuing education to school leavers: Bangladesh, China, India,…
Jiraniramai, Surin; Jiraporncharoen, Wichuda; Pinyopornpanish, Kanokporn; Jakkaew, Nalinee; Wongpakaran, Tinakon; Angkurawaranon, Chaisiri
Individual health beliefs are likely to play a key role in how people respond to knowledge and information about the potential harm from smoking and alcohol abuse. The objectives of the study were to 1) explore whether functional beliefs and risk minimizing beliefs were associated with intention to quit smoking and confidence to quit smoking and 2) explore whether functional beliefs and risk minimizing beliefs were associated with intention to quit alcohol drinking and confidence to quit alcohol drinking. A cross-sectional survey was conducted in 2013 among health care workers working in Thailand. Using predicted factor scores from factor analysis, the relationship between factor scores for each of the two beliefs and intention to quit and confidence to quit were tested using ANOVA and further adjusted for age and sex using linear regression. Functional beliefs were inversely associated with the intention to quit and confidence to quit smoking. Both functional beliefs and risk minimizing beliefs were each inversely associated with the intention to quit and confidence to quit alcohol drinking. Our study enhances the understanding of the complexities of health beliefs regarding these two commonly abused substances. As functional beliefs were associated with smoking and alcohol use, interventions to counter the cultural values and individual beliefs about the benefits of smoking and alcohol use are needed. Tackling risk minimizing beliefs by providing individualized feedback regarding harm may also be useful in alcohol drinkers.
Dejkhamron, Prapai; Wejaphikul, Karn; Mahatumarat, Tuanjit; Silvilairat, Suchaya; Charoenkwan, Pimlak; Saekho, Suwit; Unachak, Kevalee
Vitamin D deficiency is common in patients with thalassemia. Vitamin D deficiency could be related to cardiac dysfunction. Increased parathyroid hormone (PTH) is also known to be associated with heart failure. To determine the prevalence of Vitamin D deficiency and to explore the impact of Vitamin D deficiency on cardiac iron and function in patients with transfusion-dependent thalassemia. A cross-sectional study in patients with Transfusion-dependent thalassemia was conducted. Patients with liver disease, renal disease, type 1 diabetes, malabsorption, hypercortisolism, malignancy, and contraindication for MRI were excluded. Calcium, phosphate, PTH, vitamin D-25OH were measured. CardiacT2 * and liver iron concentration (LIC) and left ventricular ejection fraction (LVEF) were determined. Results Sixty-one (33M/28F) patients with Transfusion-dependent thalassemia were enrolled. The prevalence of Vitamin D deficiency was 50.8%. Patients with cardiac siderosis had tendency for lower D-25OH than those without siderosis (15.9 (11.7-20.0) vs. 20.2 (15.85-22.3) ng/mL); p = 0.06). Serum calcium, phosphate, PTH, LIC, cardiac T2 * , and LVEF were not different between the groups with or without Vitamin D deficiency. Patients with Vitamin D deficiency had significantly lower hemoglobin levels compared to those without Vitamin D deficiency (7.5 (6.93-8.33) vs. 8.1 (7.30-8.50) g/dL; p = 0.04). The median hemoglobin in the last 12 months was significantly correlated with D-25OH. Cardiac T2 * had significant correlation with PTH. Vitamin D deficiency is prevalent in patients with Transfusion-dependent thalassemia. Vitamin D level is correlated with hemoglobin level. Vitamin D status should be routinely assessed in these patients. Low PTH is correlated with increased cardiac iron. This study did not demonstrate an association between Vitamin D deficiency and cardiac iron or function in patients with Transfusion-dependent thalassemia.
Menage, Lucy; Yodmeeklin, Arpaporn; Khamrin, Pattara; Kumthip, Kattareeya; Maneekarn, Niwat
Human cosavirus and saffold virus are both newly discovered members of the Picornaviridae family. It has been suggested that these viruses may be the causative agents of acute gastroenteritis. In this study, 1093 stool samples collected from patients with acute gastroenteritis between January 2014 and December 2016, were screened for cosavirus and saffold virus using reverse transcription-polymerase chain reaction. The viral genotypes were then established via nucleotide sequencing. Here, cosavirus was detected in 16 of 1093 stool samples (1.5%) and saffold virus was detected in 18 of 1093 stool samples (1.6%). The saffold virus genotypes 1 (16.7%), 2 (50%) and 6 (33.3%), and the cosavirus genetic groups A (87.5%), C (6.25%) and D (6.25%), were all identified across the three-year study period. Interestingly, saffold virus genotype 6 has now been detected for the first time in Thailand. The present study provides the prevalence of cosavirus and saffold virus with the emergence of saffold virus genotype 6 in Thailand. Copyright © 2017 Elsevier B.V. All rights reserved.
United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.
This document is a work plan for the UNESCO Asia and the Pacific Programme of Educational Innovation for Development (APEID) for the period 1992 through 1996. The plan provides a general framework for APEID, including a formulation of annual schedules of activities with due regard to available resources and funding. The document discusses three…
Suprasert, Prapaporn; Manopunya, Manatsawee; Cheewakriangkrai, Chalong
Single pegylated liposomal doxorubicin (PLD) is commonly used as a salvage treatment in platinum-resistant ovarian cancer, fallopian tube cancer and primary peritoneal adenocarcinoma (PPA) with a satisfactory outcome. However, the data for second generation PLD administered in this setting are still limited. We conducted a retrospective study to evaluate the outcome of patients who received single-agent second generation PLD (LIPO-DOX) after the development of clinical platinum resistance. The study period was between March 2008 and March 2013. LIPO-DOX was administered intravenously 40 mg/m2 every 28 days until disease progression, but for not more than six cycles. The response rate was evaluated using the Gynecologic Cancer Intergroup (GCIG) criteria while the toxicity was evaluated according to WHO criteria. Twenty-nine patients met the inclusion criteria in the study period with an overall response rate of 13.8%. The median progression free survival and overall survival were three and eleven months, respectively. With the total of 96 cycles of chemotherapy, the patients developed grades 3 and 4 hematologic toxicity as follows: anemia, 0%, leukopenia, 9.6%, neutropenia, 32.3% and thrombocytopenia, 0%. In conclusion, the single agent second generation PLD demonstrated modest efficacy in patients with platinum-resistant ovarian cancer, fallopian tube cancer and PPA without serious toxicity.
Alex Bisotto Ferreira
Full Text Available O consumo de suplementos alimentares tem sido muito utilizado e difundido por praticantes de atividade física, em especial a musculação por pessoas com objetivos de melhora em desempenho, redução de gordura corporal, aumento de massa muscular entre outros. Esta pesquisa tem como objetivo revisar sobre quais os suplementos alimentares são utilizados na atualidade, e destacar o mais utilizado. A fonte dos dados é uma pesquisa bibliográfica realizada em média dos últimos 15 anos, foram examinados 232 estudos, sendo selecionados 48. Os suplementos alimentares discutidos nesse artigo foram: Carboidratos, vitaminas e minerais, l-carnitina, creatina, proteínas e aminoácidos. O principal motivo para a utilização de suplementos foi o aumento de massa muscular, predominantemente indicado por professores, instrutores e treinadores, apesar da grande variedade, os suplementos mais utilizados são as proteínas e aminoácidos, e, na maioria dos casos com o intuito de aumentar a massa muscular e melhorar sua recuperação.
Turreira Garcia, Nerea; Vilkamaa, Anna M.; Byg, Anja
More than half of the world’s population is now living in urban areas, yet little is known on the transmission of traditional plant knowledge during urbanisation. This study assesses the diversity of leafy vegetables in urban markets and the current level of knowledge and use in Chiang Mai Province...... of Chiang Mai city. The residents participated in a knowledge test using photographs of six species widely used in dishes and six species specific to traditional homemade dishes. The diversity of leafy vegetables in urban areas of Chiang Mai Province has remained the same in the past decade. Leafy vegetable...
Kanitvittaya, S; Suksai, U; Suksripanich, O; Pobkeeree, V
In Thailand nearly 1000 public health laboratories serve 65 million people. A qualified indicator of a good quality laboratory is Thailand Medical Technology Council certification. Consequently, Chiang Rai Regional Medical Sciences Center established a development program for laboratory certification for 29 laboratories in the province. This paper seeks to examine this issue. The goal was to improve laboratory service quality by voluntary participation, peer review, training and compliance with standards. The program consisted of specific activities. Training and workshops to update laboratory staffs' quality management knowledge were organized. Staff in each laboratory performed a self-assessment using a standard check-list to evaluate ten laboratory management areas. Chiang Rai Regional Medical Sciences Center staff supported the distribution of quality materials and documents. They provided calibration services for laboratory equipment. Peer groups performed an internal audit and successful laboratories received Thailand Medical Technology Council certification. By December 2007, eight of the 29 laboratories had improved quality sufficiently to be certified. Factors that influenced laboratories' readiness for quality improvement included the number of staff, their knowledge, budget and staff commitment to the process. Moreover, the support of each hospital's laboratory working group or network was essential for success. There was no clear policy for supporting the program. Laboratories voluntarily conducted quality management using existing resources. A bottom-up approach to this kind of project can be difficult to accomplish. Laboratory professionals can work together to illustrate and highlight outcomes for top-level health officials. A top-down, practical approach would be much less difficult to implement. Quality certification is a critical step for laboratory staff, which also encourages them to aspire to international quality standards like ISO. The
Srisonchai, Ruttapon; Enghoff, Henrik; Likhitrakarn, Natdanai
Four new dragon millipede species of the genus Desmoxytes from northern Thailand are described and illustrated: D. des sp. n. from Chiang Mai Province, D. breviverpa sp. n. from Phrae Province, D. takensis sp. n. from Tak Province and D. pinnasquali sp. n. from Phitsanulok Province. The new species...
Full Text Available O início da vida escolar da criança é marcante tanto para pais quanto para professores. É comum que ao ingressar no ambiente escolar, as crianças vivenciem novas experiências e relações sociais distantes do ambiente familiar, demonstrando assim comportamentos, tais como: choro, timidez e mordidas. O presente trabalho tem como objetivo analisar a opinião dos pais e responsáveis de crianças na faixa etária de 18 meses a 2 anos em relação à mordida no ambiente escolar. Diante esta situação, a psicóloga clínica e escolar Hennemann (2004 explica: “Esta é uma manifestação de desenvolvimento considerada impulsiva e exploratória”. Este comportamento aparece e desaparece à medida que a criança amadurece e encontra outras formas de exploração do ambiente. Freud (1920 explica que a fase oral é o período em que a criança sente necessidade de levar à boca tudo o que estiver ao seu alcance, pois o prazer vital está ligado à nutrição. Ela experimenta o mundo com o que conhece melhor: a boca. Outra razão é a necessidade de se comunicar. A metodologia utilizada nesse trabalho utilizou a abordagem qualitativa e quantitativa. Foram analisadas 26 entrevistas realizadas com os pais dos alunos do pré-maternal do CENSA. O período de adaptação escolar é o período em que as mordidas mais acontecem por isso nessa época sua intervenção deve ser maior. Diante dos resultados obtidos, observamos que muitos pais apesar de entender que a mordida faz parte desta faixa etária, mostram-se desconfortáveis com esta situação e buscam junto à escola, estratégias capazes de minimizar esta atitude da criança. Não veem a mordida como algo natural, mas também não supervalorizam o ato como violência. Buscam entender o contexto onde geralmente aconteceu a situação e agem junto aos professores, seguindo as orientações da escola. Constatamos que a parceria entre escola e família é o elemento fundamental para garantir que esta
Qian, Xin; Wang, Yuejun; Feng, Qinglai; Zi, Jian-Wei; Zhang, Yuzhi; Chonglakmani, Chongpan
The volcanic rocks exposed within the Chiang Khong-Lampang-Tak igneous zone in NW Thailand provide important constraints on the tectonic evolution of the eastern Paleotethys ocean. An andesite sample from the Chiang Khong area yields a zircon U-Pb age of 229 ± 4 Ma, significantly younger than the continental-arc and syn-collisional volcanic rocks (ca. 238-241 Ma). The Chiang Khong volcanic rocks are characterized by low MgO (1.71-6.72 wt.%) and high Al2O3 (15.03-17.76 wt.%). They are enriched in LILEs and LREEs and depleted in HFSEs, and have 87Sr/86Sr (i) ratios of 0.7050-0.7065, εNd (t) of - 0.32 to - 1.92, zircon εHf (t) and δ18O values of 3.5 to - 11.7 and 4.30-9.80 ‰, respectively. The geochemical data for the volcanic rocks are consistent with an origin from the enriched lithospheric mantle that had been modified by slab-derived fluid and recycled sediments. Based on available geochronological and geochemical evidences, we propose that the Late Triassic Chiang Khong volcanic rocks are equivalent to the contemporaneous volcanic rocks in the Lancangjiang igneous zone in SW China. The formation of these volcanic rocks was possibly related to the upwelling of the asthenospheric mantle during the Late Triassic, shortly after slab detachment, which induced the melting of the metasomatized mantle wedge.
This is the report of the consultation on Aquaculture for Sustainable Rural Development jointly organised by FAO and NACA in Chiang Rai, Thailand on 29-31 March 1999 to develop the detailed structure...
Full Text Available Problem: The 2008 tuberculosis (TB surveillance of Chiang Rai Hospital, Chiang Rai, Thailand reported that 8.4% of Thai, 22.7% of hill tribe minority and 25% of migrant patients (n = 736 defaulted from treatment. Context: TB patient management in Chiang Rai is complicated due to poverty and HIV stigma. A previous study shows unaffordable travel expense was one of the reasons of patient default. Action: We engaged Chiang Rai women’s organizations whose members are of high socioeconomic status to support poor TB patients financially and socially. A group of women formed a team to support these TB patients (n = 192 by raising and sustaining funds and providing home visits (n = 37. TB surveillance and patient-fund register data were used to evaluate TB treatment outcomes. Outcome: The success of TB treatment was significantly higher for patients receiving financial support (relative risk [RR]: 1.351; 95% confidence interval [CI] 1.20–1.53; P < 0.000. Lower death rates in all groups were observed among patients receiving financial support. However, financial assistance alone did not improve treatment outcomes for migrant patients. Thirty-seven patients (25 Thai, eight hill tribe, four migrants who were visited by women volunteers at home achieved 95% TB treatment success. Discussion: It is possible to involve volunteers to support poor TB patients. Willingness to support TB patients was driven by presenting provincial TB epidemiology information, research data on the experience of poor patients and the inspiring experiences of other women volunteers. Future research should investigate the reasons for the high treatment success among patients who received home visits.
Full Text Available This study aims to examine complex ‘sustainability’ aspects of the Community-based tourism concept in tourism and destination management in the Greater Mekong Sub-region (GMS. This research is conceptualized in assessing the potential for Community-Based Tourism (CBT development in Chiang Khan, a small village by the Mekong River in the Northeast of Thailand. For collecting data, semi-interviews questions are designed. Focus-group discussion and indepth interviews are carried to include tourism stakeholders of the destination. This study argues that although a community may contain many tourism assets, it is not the only factor necessary for a ‘sustainable’ tourism to be developed in that community. Through a case study, its natural features, cultural activities, local lifestyle and the serene landscape of its location are exemplified as the important community-based tourism assets. However, a number of complex components and holistic approaches that worked well together Chiang Khan becoming a sustainable tourism destination. There elements and approaches that contribute to starting up Chiang Khan as a sustainable tourist destination include: its unique features of recreational activities and local businesses, knowledge and skills of the locals to develop tourism related businesses, and direct proper marketing strategies.
Ferreira, Sara; Amorim, Marco; Couto, Antonio
Traffic crashes result in a loss of life but also impact the quality of life and productivity of crash survivors. Given the importance of traffic crash outcomes, the issue has received attention from researchers and practitioners as well as government institutions, such as the European Commission (EC). Thus, to obtain detailed information on the injury type and severity of crash victims, hospital data have been proposed for use alongside police crash records. A new injury severity classification based on hospital data, called the maximum abbreviated injury scale (MAIS), was developed and recently adopted by the EC. This study provides an in-depth analysis of the factors that affect injury severity as classified by the MAIS score. In this study, the MAIS score was derived from the International Classification of Diseases. The European Union adopted an MAIS score equal to or greater than 3 as the definition for a serious traffic crash injury. Gains are expected from using both police and hospital data because the injury severities of the victims are detailed by medical staff and the characteristics of the crash and the site of its occurrence are also provided. The data were obtained by linking police and hospital data sets from the Porto metropolitan area of Portugal over a 6-year period (2006-2011). A mixed logit model was used to understand the factors that contribute to the injury severity of traffic victims and to explore the impact of these factors on injury severity. A random parameter approach offers methodological flexibility to capture individual-specific heterogeneity. Additionally, to understand the importance of using a reliable injury severity scale, we compared MAIS with length of hospital stay (LHS), a classification used by several countries, including Portugal, to officially report injury severity. To do so, the same statistical technique was applied using the same variables to analyze their impact on the injury severity classified according to LHS
Treial, Mai, 1952-
Ilmunud ka: Põhjarannik, 18. mai 2007, lk. 2; Severnoje Poberezhje, 18. mai 2007, lk. 2; Koit, 22. mai 2007, lk. 6; Sakala, 23. mai 2007, lk. 2; Harju Ekspress, 25. mai 2007, lk. 6; Vooremaa, 26. mai 2007, lk. 2; Valgamaalane, 29. mai 2007, lk. 2; Oma Saar, 30. mai 2007, lk. 5; Teataja : Eestimaa Rahvaliidu ajaleht, juuni, nr. 6, 2007, lk. 3. Rahvaliidu ettepanekust riikliku pensionikindlustuse seaduse täiendamise eelnõu kohta: pensioni baasosa osakaalu tuleks suurendada neljal järgmisel aastal
Ahmed, Qasim Zeeshan
Multivariate generalized Gaussian density (MGGD) is used to approximate the multiple access interference (MAI) and additive white Gaussian noise in pulse-based ultrawide bandwidth (UWB) system. The MGGD probability density function (pdf) is shown to be a better approximation of a UWB system as compared to Gaussian, Laplacian and Gaussian-Laplacian mixture (GLM). The similarity between the simulated and the approximated pdf is measured with the help of modified Kullback-Leibler distance (KLD). It is also shown that MGGD has the smallest KLD as compared to Gaussian, Laplacian and GLM densities. Finally, a receiver based on the principles of minimum bit error rate is designed for the MGGD pdf.
Loog, Mai, 1960-
Ilmunud ka: Postimees : na russkom jazõke 29. mai lk. 7. Birma sõjaväeline valitsus otsustas taas pikendada aasta võrra Nobeli rahupreemia laureaadi ja demokraatliku opositsiooni liidri Aung San Suu Kyi 11-aastast koduaresti, mille vastu astusid välja USA senaatorid presidendiproua Laura Bushi juhtimisel kui ka Tallinna linnapea Edgar Savisaar koos Pariisi ja Rooma linnapeadega. Birma hunta plaanitavast konstitutsioonist, kus aatomienergia on pandud riigikaitse ja julgeoleku alla. Venemaa aatomienergia agentuuri Rosatomi lepingust Birma huntaga aatomienergia tootmiseks
Chaidi, Thirachai; Damrongpanich, Sunthorapot
The purposes of this study were to develop a model to measure the belief in Buddhism of junior high school students at Chiang Rai Buddhist Scripture School, and to determine construct validity of the model for measuring the belief in Buddhism by using Multitrait-Multimethod analysis. The samples were 590 junior high school students at Buddhist…
Konstantopoulos, Nikolaos; Bekiaris, Michail G.; Zounta, Stella
The aim of this paper is to examine the factors which determine the problems and the advantages on the design of management accounting information systems (MAIS). A simulation is carried out with a dynamic model of the MAIS design.
Phan Sy An
The authors evaluated the results of treating hyperthyroidism with 131 I. Patient selection for tre treatment is based on clinical features and laboratory test results such as thyroid uptake, scintigraphy and RIA determinations of thyroid hormones. The average dose is 6.2±1.1 m Ci (that is 233.1±40.7 MBq). The average number of doses is 1.3 for one patient. The results are as follows: - Euthyroid status after 4 years follow-up from the 1 31 I dose administration: 72.3 - Persistent or recurrent hyperthyroidism: 20 %. - Hypothyroid complication appears 6 years after the administration of 1 31 I dose: 14 %. So the cumulative hypothyroid rate is: 2.3 % per year. - Serious complications were not observed in any patient. Hyperthyroidism is a common health problem in Vietnam (1). In the past, only antithyroid drugs and surgery were used. 131 I was first introduced to Vietnam in the Nuclear Medicine Department in Bach Mai in 1971 and thereafter widely applied in the country. (Author)
Full Text Available Muitas empresas dos países em desenvolvimento não se consideram aptas a explorar outrosmercados devido à distância tecnológica entre as empresas globais e os seus padrões locais. Oartigo mostra que existe espaço para a inovação empresarial oriunda de países emdesenvolvimento, e ela é um dos principais fatores responsáveis pelo sucesso de suasempresas na conquista do mercado mundial. Descreve o processo de expansão internacionalda Gerdau S.A., que começou com exportações e evoluiu para a aquisição de empresassiderúrgicas na América Latina, América do Norte e Europa, num total de 32 usinas em 10países, sendo 21 no exterior, que empregam mais de 32 mil funcionários. Hoje, a empresapossui valor de mercado estimado em 10 bilhões de dólares e 111.000 acionistas. Analisa-sesua estratégia de internacionalização à luz das teorias econômicas, comportamentais eestratégicas e verifica-se que a trajetória internacional pode ser explicada por aspectoscaracterísticos de cada uma dessas teorias. Um traço importante na cultura da empresa é atransferência de seu modelo de negócios, estrutura, valores e tecnologia para as empresasadquiridas, sem deixar de considerar as necessárias adaptações às culturas locais.
Alami Hassani, A.; Zouak, M.; Mrabti, M.; Abdi, F.
A primary limitation of Direct Sequence Code Division Multiple Access DS-CDMA link performance and system capacity is multiple access interference (MAI). To examine the performance of CDMA systems in the presence of MAI, i.e., in a multiuser environment, several works assumed that the interference can be approximated by a Gaussian random variable. In this paper, we first develop a new and simple approach to characterize the MAI in a multiuser system. In addition to statistically quantifying the MAI power, the paper also proposes a statistical model for both variance and mean of the MAI for synchronous and asynchronous CDMA transmission. We show that the MAI probability density function (PDF) is Gaussian for the equal-received-energy case and validate it by computer simulations.
Suwanphakdee, C.; Chantaranothai, P.
A new species, Piper chiangdaoense from Doi Chiangdao Wildlife Sanctuary, Chiang Mai province, Thailand, is described and illustrated. Piper trichostigma is raised to specific status and an epitype is selected. Piper maculaphyllum and P. rubroglandulosum are reduced to the synonymy of P. argyrites
This article investigates the dynamic overall picture concerning the development of local curriculum in Thailand through action research conducted by 27 Thai elementary school teachers in three private schools in Fang District, Chiang Mai Province. This was the teachers' first experience with action research. The article examines the following…
Chalermphol, Juthathip; Shivakoti, Genesh P.
To investigate pesticide use and prevention practices of tangerine growers in Fang district, Chiang Mai province in Northern Thailand. A questionnaire survey of 312 farmers in the study area, in-depth interviews and group discussions. Only 36% of the participants pursued the recommended prevention practices every time they used pesticides.…
19 Apr 77) 18 Bangkok Court Sentences Four Drug Traffickers (BANGKOK POST, 23 Apr 77) 20 Briefs Chiang Mai Heroin Factory 21 Thailand...BRIEFS CHIANG MAI HEROIN FACTORY— Chiang Mai —Border patrol police seized a heroin factory at Ban Huai Chae, Tambon Muang Kong of Chiang Dao District...drug enforcement officers stationed in Bangkok. [Text] [Bangkok NATION REVIEW in English 25 Apr 77 p 1 BK] TWO HEROIN RAIDS— Chiang Mai —Five men
Ivany Câmara Neiva
CINECLICK (sobre filme Tarja Branca. Disponível em http://www.cineclick.com.br/tarja-branca-a-revolucao-que-faltava. Acesso em 02.08.2015. COMISSÃO DE PROFESSORES. Carta aberta ao Ministro Cid Gomes. Correio Braziliense, Brasília, 10.02.2015. p.3. CORTELLA, Mário Sérgio. Os alunos não são mais os mesmos. In Novos Paradigmas da Educação (vídeo. São Paulo: Atta Mídia e Educação, 2003. D´ÁVILA, Cristina e VEIGA, Ilma Passos Alencastro (orgs.. Didática e docência na educação superior: implicações para a formação de professores. Campinas, SP: Papirus, 2012. DUARTE, Mauricio. O básico do básico. Disponível em http://www.revistadacultura.com.br/revistadacultura/detalhe/14-09-04/A_base_do_b%C3%A1sico.aspx. Acesso em 02.08.2015. DUARTE JUNIOR, João-Francisco. O que é realidade. 10.ed., 5.reimpr. São Paulo: Brasiliense, 2004. (1ª edição: 1984. ______. O sentido dos sentidos: a educação (do sensível. Disponível em http://www.bibliotecadigital.unicamp.br/document/?code=vtls000211363. Acesso em 02.08.2015. ECO, Umberto. O nome da rosa. Rio de Janeiro: Record, 2009. FERNANDES, Florestan. As Trocinhas do Bom Retiro: contribuição ao estudo folclórico e sociológico dos grupos infantis. In: ______. Folclore e mudança social na cidade de São Paulo. 2.ed. Petrópolis/RJ: Vozes, 1979. FREIRE, Paulo. Ação Cultural para a Liberdade e Outros Escritos. São Paulo: Paz e Terra, 2011. ______. Pedagogia da Autonomia - saberes necessários à prática educativa. São Paulo: Paz e Terra, 1996. FREITAS, Fidalgo de. O esgotamento (burnout nos professores. Millenium on line n0 15. Jul. 1999. Disponível em http://www.ipv.pt/millenium/15_spec1.htm. Acesso em 02.08.2015. GOMES, Patrícia. Professor precisa abrir a cabeça, diz José Pacheco. Disponível em http://porvir.org/porpessoas/para-inovar-e-preciso-professor-abra-cabeca-diz-jose-pacheco/20120522. Acesso em 02.08.2015. GUIMARÃES, Renato S.. Como as escolas transformam crianças em adultos med
李华; 王军; 高丽君; 郭永成
The effects of Tang Mai Kang Capsule (糖脉康胶囊) on blood sugar level, gangrene of the tail-tip, pain threshold and learning and memory abilities were investigated in alloxan-induced diabetic mice. The results showed that Tang Mai Kang Capsule could significantly decrease blood sugar level and incidence rate of gangrene of the tail-tip, increase pain threshold, and strengthen learning and memory abilities, suggesting that Tang Mai Kang Capsule functions to decrease blood sugar level and improve the complicated angioneurotic lesions of diabetes.
Hancock, Thomas M., III
This paper describes a Modular Artificial Intelligence Inference Engine System (MAIS) support tool that would provide health and status monitoring, cognitive replanning, analysis and support of on-orbit Space Station, Spacelab experiments and systems.
The MAI (Materials Ageing Institute) was founded in 2008 by the most important nuclear power plant operators in the world with the aim of sharing resources and expertise for proving that nuclear power plant service life can be extended without jeopardizing safety. Most of MAI's work has focused on the ageing of stainless steels, alloys, polymers and concretes that are used in light water cooled reactors. (A.C.)
Moncayo, Roy; Rudisch, Ansgar; Diemling, Markus; Kremser, Christian
The concept of acupuncture point localisation in Traditional Chinese Medicine (TCM) is based on millenary practical experience. Modern imaging methods such as PET, MRI and SPECT have been used primary for the investigation of the mechanisms of action of acupuncture. In this pilot single-case study we have evaluated the technical possibilities for in-vivo imaging of the anatomical relations of acupuncture points using state of the art MRI. Preliminary experiments relating to the quality of acupuncture needles under the setting of MRI were done both with stainless steel and gold needles. In a second step, in-vivo imaging was carried out. A licensed acupuncture practitioner (RM) chose two points belonging to the so-called extraordinary vessels. In 2 sequential, separate procedures, he inserted himself gold acupuncture needles using a neutral technique (known as Ping Bu Ping Xie) into the Dai mai and Shen mai points, i.e. gall bladder 26 and bladder 62. Imaging was done on a Siemens Magnetom Avanto MR scanner using a head array and body coil. Mainly T1-weighted imaging sequences, as routinely used for patient exams, were used to obtain multi-slice images. In the preliminary experiments only acupuncture needles made of gold showed enough stability in order to be used for further imaging procedures. Using an onion and a banana as an object, further studies showed that the gold needles produced a void defect that corresponds to the tip of the inserted needle, while at the same time an artefactually increased diameter was observed. The in-vivo experiments showed that the Dai mai point was in relation to the abdominal internal oblique muscle. The Shen mai point artefact showed up close to the longus and brevis peroneal tendons at the fibular malleolus. Side effects related to heating or burning were not observed. Improved anatomical recognition was obtained using 3D-volume rendering techniques. Through an adequate choice of acupuncture material (gold needles) as well as of
This paper reports the successful entrepreneurial endeavors of members of a 20-person women's group in Liaoning Province, China. Jing Yuhong, a member of the Family Planning Association at Shileizi Village, Dalian City, provided the basis for their achievements by first building an entertainment/study room in her home to encourage married women to learn family planning. Once stocked with books, magazines, pamphlets, and other materials on family planning and agricultural technology, dozens of married women in the neighborhood flocked voluntarily to the room. Yuhong also set out to give these women a way to earn their own income as a means of helping then gain greater equality with their husbands and exert greater control over their personal reproductive and social lives. She gave a section of her farming land to the women's group, loaned approximately US$5200 to group members to help them generate income from small business initiatives, built a livestock shed in her garden for the group to raise marmots, and erected an awning behind her house under which mushrooms could be grown. The investment yielded $12,000 in the first year, allowing each woman to keep more than $520 in dividends. Members then soon began going to fairs in the capital and other places to learn about the outside world, and have successfully ventured out on their own to generate individual incomes. Ten out of twenty women engaged in these income-generating activities asked for and got the one-child certificate.
Jiangsu Province is a leading province in China both in terms of Solar PV application as well as its implementation. The Netherlands Business Support Office in Nanjing reports on the photovoltaic solar cell industry in Jiangsu Province with details on opportunities for foreign investors; applications of solar energy in the province; Chinese government; relevant organizations; and key Chinese players in this sector.
Monko, Marge, 1976-
Krakovi fotokuu (5.-31. mai) ja Lódźi fotofestivali (7.-31. mai) näitustest. Juudi päritolu fotograafi Weegee (sünd. 1899) näitusest, sakslase Bettina Flitneri seeriast "Boatpeople", Martin Kollari projektist "Twelve stars", Elodie Pong'i videost "I am a bomb", John Goto seeriast "John Goto's New World of Circus", Andrej Balco portreeseeriast "Doméstikas", Péter Pukluse tööst "Intimacy - no title", leeduka Petras Saulenase tööst "L'herbe est l'herbe mais ce n'est pas l'herbe", Ungari kunstnike näitusest "The Sunny Side", Oliver Kerni näitusest "The Glass Key"
Jorget, S. [Fcb Ciment, 59 - Villeneuve d' Ascq (France)
The Hoang Mai cement factory is a greenfield plant whose contract (design and supply of equipment) was awarded o the French company Fcb.ciment, while the owner kept the responsibility of civil works and of erection. The contract was signed in late 1997. The commissioning began in September 2001, and the burning line was started on February 27, 2002. Clinker production started from this day, and after two months devoted to equipment adjustments, performance tests were carried out. The provisional acceptance certificate was delivered in August 2002. (author)
27 mai 2010 ... Hoshi K, Ohta M, Kanemura E, Koganei K, Takahashi M, Kito F, Fukushima T. A case of ileal duplication presenting with bloody stools. J Japan Soc Coloproctol. 2002(55): 43-46. 10. Holcomb GW 3rd, A Gheissari JA, O´Neill Jr, NA Shorter, HC Bishop. Surgical management of alimentary tract duplications.
Darba tēma ir „Auditorijas attieksme pret AS „Latvenergo” zīmola maiņu”, kura mērķis ir noskaidrot: vai auditorija ir pamanījusi Latvenergo zīmola maiņu, tādā veidā uzzinot, vai komunikācija ir bijusi sekmīga un kāda ir tās attieksme pret pārradīto zīmolu Darbā ir aplūkota teorija par zīmolu, zīmola maiņas stratēģiju, komunikāciju zīmola maiņas gadījumā un mērķauditoriju. Darba pētījums tiek veikts ar divu pētniecību metožu palīdzību – interviju un aptauju. Ir izvirzīta darba hipotēze,...
discernible fluorescing organisms. MATERIALS AND METHODS Fluore-cein-conjugated rabbit anti-human iam- All three patients were seen at Chiang Mai munoglobulin...IgG) (heavy and light chain spe- University Hospital. Chiang Mai (population cific: Cappel Laboratories, Cochranville. PA) 1.300,000) is one of the 76...ulty of Medicine at Chiang Mai University. established procedures.." Horseradish peroxi- Chiang Mai University Hospital. a 1.000-bed dase-labeled mouse
Aung, Myo Nyein; Moolphate,Saiyud; Aung,Thin Nyein Nyein; Kantonyoo,Chitima; Khamchai,Songyos; Wannakrairot,Pongsak
Myo Nyein Aung,1 Saiyud Moolphate,2 Thin Nyein Nyein Aung,3 Chitima Katonyoo,2 Songyos Khamchai,4 Pongsak Wannakrairot1 1Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 2Department of Public Health, Chiang Mai Rajabhat University, Chiang Mai, Thailand; 3Department of Public Health, Juntendo University School of Medicine, Tokyo, Japan; 4Chiang Mai Provincial Health Office, Chiang Mai, Thailand Background: Having a diverse social network is considered to be...
Home; Journals; Resonance – Journal of Science Education; Volume 4; Issue 4. Mapmakers - The Province of Philosophers. Harini Nagendra. Series Article Volume 4 Issue 4 April 1999 pp 6-11. Fulltext. Click here to view fulltext PDF. Permanent link: https://www.ias.ac.in/article/fulltext/reso/004/04/0006-0011 ...
Full Text Available A Comunicação é o campo mais importante para o estudo de muitas dimensões-chave de mudanças sociais. Esta é a premissa básica deste texto apresentado na conferência de abertura do congresso anual da International Communication Association, em 2011. Ele traz reflexões sobre uma série de questões de identidade, metodologias, fronteiras e caminhos para os estudos e práticas no campo. Fazendo um paralelo com outras disciplinas que passaram pelo mesmo processo, a conclusão é que o campo da Comunicação precisa mais preservar a riqueza de sua interdisciplinaridade do que buscar respostas em uma aparente e, às vezes, falsa autonomia científica.
Cláudia da Mota Darós Parente
Full Text Available This study aims to analyze the impacts of the “Mais Educação” Program in Brazilian countryside schools, with reflections on the limits and possibilities of the program and full-time education. Information was collected through electronic questionnaires sent to public schools participating in the “Mais Educação” Program. The research considered different aspects: expanding the school day; record of full-time enrollments in the school census; provision of human, educational and financial resources; changes in available spaces; provision of educational, cultural, artistic and sports activities; improvement in the communication process with the community; providing continuing education; changes in the political-pedagogical project and the school curriculum; changes in student behavior; improvement in school performance; improvement in the quality of school meals; development of partnerships; use of other available spaces. Through a quantitative and qualitative analysis, we identified significant impacts of the program in the countryside schools, especially with regard to the expansion of educational opportunities. However, the achieved benefits occur among the historical problems present in the countryside schools that were not overcome by virtue of the “Mais Educação” Program format and depend on the consideration of local governments (states, municipalities and Federal District. It presents reflections on the limits and possibilities of the “Mais Educação” Program and full-time education in the Brazilian countryside schools. O presente trabalho tem como objetivo analisar os impactos do Programa Mais Educação nas escolas do campo brasileiras, apresentando reflexões sobre limites e possibilidades do programa e da educação em tempo integral. Os dados foram coletados por meio de questionários eletrônicos enviados às escolas públicas participantes do Programa Mais Educação. A pesquisa considerou diferentes aspectos
Levin, Mai, 1942-
30. X Tartu Kunstimajas Osvald Timmase näitusel kunstniku loomingule pühendatud õhtust, kus esinesid Mai Levin ja kunstniku vend Evald Timmas, näidati slaide ning Ain Habichti tehtud koduvideosid O. Timmasest ja Abel Leest. A. Lee ja O. Timmas on olnud 1952. a. Torontos loodud Colour and Form Society presidendid. Väliseesti kunsti tuleks käsitleda koos kodueesti kunstiga
Tadjpour, Layla; Tsai, Shang-Ho; Kuo, C.-C. J.
An approximately multi-user OFDM transceiver was introduced to reduce the multi-access interference (MAI ) due to the carrier frequency offset (CFO) to a negligible amount via precoding by Tsai, Lin and Kuo. In this work, we investigate the performance of this precoded multi-user (PMU) OFDM system in a time-variant channel environment. We analyze and compare the MAI effect caused by time-variant channels in the PMU-OFDM and the OFDMA systems. Generally speaking, the MAI effect consists of two parts. The first part is due to the loss of orthogonality among subchannels for all users while the second part is due to the CFO effect caused by the Doppler shift. Simulation results show that, although OFDMA outperforms the PMU-OFDM transceiver in a fast time-variant environment without CFO, PMU-OFDM outperforms OFDMA in a slow time-variant channel via the use of M/2 symmetric or anti-symmetric codewords of M Hadamard-Walsh codes.
du Bray, Edward A.
This book presents a comprehensive compilation of all aspects of large igneous provinces (LIPs). Published in 2014, the book is now the definitive source of information on the petrogenesis of this type of globally important, voluminous magmatic activity. In the first few pages, LIPs are characterized as magmatic provinces with areal extents >0.1 Mkm2 that are dominated by mafic magmas emplaced or erupted in intraplate settings during relatively short (1–5 m.y.) time intervals. Given these parameters, particularly areal extent, LIPs clearly represent significant contributions to global geologic evolution through time. This point is underscored, also in the introductory chapter, by a series of figures that aptly characterize the global time-space distribution of LIPs; an accompanying, particularly useful table identifies individual LIPs, quantifies their basic characteristics, and enumerates pertinent references. Accordingly, this compilation is a welcome addition to the geologic literature.
Seismic risk assessment in the Maritime Provinces requires input from not just historical, but also geological sources. A detailed search through published and unpublished geological literature reveals many examples - some probable, some possible -of neotectonic movement in the area. Examples range in tectonic significance from those that reflect exaggerated local imbalance to those that signify deep-seated stress. Evidence for neotectonism in the Maritimes is multidisciplined. It includes deformation in bedrock and quaternary deposits, and regional warping. Recent movement also is indicated by changes in relative sea level, in situ stress fields and geodetic fluctuations. Finally, and most unequivocally, neotectonism in the Maritime Provinces is manifested as the seismic events that have sporadically affected the area throughout its recent geological history, and continue up to the present day. 288 refs
Antônio E. Muniz Barreto
Full Text Available (primeiro parágrafo do texto Ezequiel Gallo, conhecido historiador argentino, diretor do Instituto Torcuato Di Tella, assíduo colaborador da revista Desarrollo Economico e antigo membro do Instituto de Estudos Latino-Americanos da Universidade de Londres, acrescentou nesta monografia mais uma pesquisa, publicada na Inglaterra pelo Instituto acima mencionado, sobre a história de seu país. O estudo é desenvolvido a partir da sua tese de Doutor, Agricultural Colonization and Society in Argentina. The Province of Santa Fe, 1870-1895, apresentada em Oxford em 1970.
Antagonist were tested inhibition of mycelial growth of Collectorichum gloeosporioides, a causal agent of anthracnose on potato dextrose agar (PDA) revealed that 46 isolated that 46 isolate inhibited the growth of mycelia by 40.01-60.00 5. The selected four isolates inhibit the growth of fungal nycelia by 47.01-50.00 % including YFm1, YFm2, Y18 and AC2-1 were test for the potential reduce anthracnose lesion development on detected Nam Dok Mai mango by application of antagonistic microorganism before inoculation of C. gloeosporioides. This result slow that four isolate antagonistic reduced sized of lesion on Nam Dok Mai mango by 89.23, 75.38, 58.46 and 33.85 %, respectively as compare the control. Five isolate of antagonist including YFm1, YFm2, Y18, CLY35 and CLY23 could inhibited the growth of mycelia on PDA by 44.01-50.00 % were test the potential reduce anthracnose lesion development on detected Nam Dok Mai mango by application of antagonistic microorganism after inoculation of C. gloeosporioides. It was found that this application could not inhibit anthracnose on fruit mango as compare to the control. YFm1 were test for the potential inhibition anthracnose disease under field condition. It was found that YFm1 could control of C. gloeosporioides within 7 and 14 day after spraying antagonistic suspension. The efficiency test of YFm1 for anthracnose controlling on mango was followed by export treatment Azoxystrobin, ET-fon and showed 55.55%, 77.77 % and 88.88 % anthracnose infection and/or spoilage respectively
Melo, Victor Hugo de; Araújo, Angela Cristina Labanca de; Rio, Suzana Maria Pires do; Castro, Lúcia Porto Fonseca de; Azevedo, Andrea Alves de; Castro, Mariana Moreira de
OBJETIVO: apresentar os achados ginecológicos mais freqüentes de uma coorte de 300 mulheres infectadas pelo HIV, acompanhadas ambulatorialmente. MÉTODOS: estudo prospectivo e descritivo de mulheres HIV-soropositivas atendidas em clínica ginecológica, no período de novembro de 1996 a dezembro de 2002. As pacientes foram submetidas ao protocolo de atendimento ginecológico que incluiu anamnese, exame ginecológico, colpocitologia oncótica (Papanicolaou), pesquisa de HPV (PCR) e colposcopia. A bió...
Full Text Available Logistics, considered by some authors as "a science of the future, has the aim ofof studydimensioning and correlation optimal flow of information and goods, in order to continuouslyadapt the organization to the environment" and is an essential component of management entity,especially in the context propagation production concept JIT (just in time, extended to financialsecurity. Providing specialized management and structural compatibility between M.A.I. unitscomponents and greater specialization of staff with similar tasks are achievable when theuniformity of the organization structure of the existing logistics structures subordinated M. A.I.
consulate in Chiang Mai and almost 100 Peace Corps Volunteers throughout the country. The features Mali and Thailand have in common include some of the...Mopti, Timbuktu, and Sikasso; Thai citizens worry about the spread of Wahhabi mosques among the disenfranchised hill tribes north of Chiang Mai (Lintner...in the larger northern Thai cities along their trade routes in Chiang Mai , Chiang Rai, and Fang. Until the 1970s, northern Muslims of Chinese and
Type.-Holotype male, Chiang Mai Prov., Thailand, 1933, O.R. Causey (on slide, Type in USNM). Southeast Asia Records.-- INDONESIA: Sulawesi (North...Kapit Dist., Nanga Pelagus (Traub). SINGAPORE: Kg. Chantek Bahru (Colless); Nee Soon (Colless). THAILAND: Chiang Mai (Causey); Chiang Rai (Causey...THAILAND: Chiang Mai (Notonanda, Scanlon). Cholburi, Bangphra,(Scanlon). Khon Kaen Prov., Ban Phai and Chum Phae (Manop R.). Loei Prov., Dan Sal, Ban
Hackpacher, P.C.; Dantas, E.L.; Van Schums, W.R.
Geochronological data obtained in plutonic rocks of the Sao Vicente/Caico Groups present U/Pb values around 2.15 Ga. These rocks may have involved from an initial mantle or lower crust melting and fractionation process by 2.62-2.65 Ga., that is evidenced from Sm/Nd model ages. Relation betwen TTG-sequence and tectonic setting of the area and other localities in NE-Brazil suggest that the Transamazonic orogeny was the main crust-forming episode of the Borborema Province. (author)
Filipa Daniela Marques
Full Text Available É possível entender que o aumento de pessoas idosas no mundo requer uma perspectiva transcultural da adultez e da velhice. Assim, este estudo exploratório procurou compreender a dinâmica cultural de uma comunidade indígena, destacando o papel da pessoa mais velha. Para tal foram realizadas entrevistas abertas com roteiro semi-estrurado com seis interlocutores do Conselho de Anciãos do povo Guarani-Mbyá, de uma tradicional aldeia de São Paulo que se dispuseram a participar; e outras informações e impressões foram registradas ao longo da pesquisa num diário de campo. A análise do conteúdo sugeriu que "ser Guarani-Mbyá" é um modo de viver e estar, orientado para a preservação da tradição através da educação e religião; o papel dos mais velhos como guardiões e transmissores das tradições. Os resultados contribuem para olhar o envelhecimento sob outras perspectivas culturais.
Full Text Available Resumo O sagrado e o útil encontram-se intimamente associados no Xangô de Pernambuco. O processo de iniciação coincide largamente com a busca da cura, enquanto os sacrifícios são ao mesmo tempo bons para rezar e para comer. Não existe portanto, ao contrário do que poderia pretender uma interpretação demasiadamente literal da sociologia da religião de Durkheim, uma separação radical entre o sagrado e o profano. Há entretanto, na experiência religiosa do Xangô, um momento em que o sagrado paira acima de toda análise funcional, transformando-se desta maneira no mais-que-sagrado, que transparece na festa e no transe extático. E é dessa experiência transcendente, implicando na comunhão emocional do grupo de culto, que surge a identidade mais íntima de cada fiel.
Jurcut, T.; Cosma, C.; Pop, I.
Full text: The geothermal 'Felix-1 Mai-Oradea' deposit is situated in the western part of Romania and it is well known long years ago. The waters of this deposit are used in the medical treatments in the two resorts (Felix and 1 Mai) and for heating and swimming pools in Oradea town. The deposit depth (2500-3000 m) determines a high temperature (66-900 deg. C) of these waters also a mineral content of 200-1400 mg/l, the main components being Ca and Mg. First time, during some years, the thermal water was directly used in the central heating radiators from 'Nufarul' residential district. At present a heating switch installation is utilised. The high radium content of these thermal waters comparatively with Italian or Japanese thermal waters suggested us a study of radium deposition on the inner walls of the pipes also in the inner central heating radiators. Analysing these depositions using a high resolution Ge-Li detector, the radium-226 and small quantities of radium-224 and 223 isotopes were registered. Average radium-226 deposition was 1200 Bq/kg. (author)
Pesses , Abigaël
International audience; Based on ethnographic data collected among Karen communities and indigenous associations of Chiang Mai province within the past 15 years, this presentation aims at questioning the opportunities and limits of women's empowerment through the strategies driven by development actors into the local arena. By integrating gender issues in the development discourse, the role and abilities assigned to indigenous women has been embedded into national and global political frames:...
Forhan, S E; Dunne, E F; Sternberg, M R; Whitehead, S J; Leelawiwat, W; Thepamnuay, S; Chen, C; Evans-Strickfaden, Tt; McNicholl, J M; Markowitz, L E
We analysed 528 genital self-collected swabs (SCS) from 67 HIV-1 and herpes simplex virus type-2 (HSV-2) co-infected women collected during the placebo month of a randomized crossover clinical trial of suppressive acyclovir in Chiang Rai, Thailand. In this first longitudinal study of HIV-1 and HSV-2 co-infected women using genital SCS specimens, we found frequent mucosal HIV-1 shedding. Overall, 372 (70%) swabs had detectable HIV-1 RNA with median HIV-1 viral load of 2.61 log(10) copies/swab. We found no statistically significant association between detectable HIV-1 RNA and HSV-2 DNA in the same SCS specimen (adjusted odds ratio [aOR] 1.40; 95% confidence intervals [CI], 0.78-2.60, P = 0.25). Only baseline HIV-1 plasma viral load was independently associated with genital HIV-1 RNA shedding (aOR, 7.6; 95% CI, 3.3-17.2, P genital sampling, and inclusion of genital sites other than the cervix.
The Archaean Yilgarn Block and the adjacent Proterozoic Gascoyne Province, Western Australia, form the basement and source rocks for numerous occurrences of surficial uranium mineralization, the largest being the Yeelirrie deposit (35 million tonnes at 0.15% U 3 O 8 ). The mineralization, almost exclusively in the form of carnotite, has been deposited in the regolith and appears to be less than 1 Ma old, with some deposits still forming. The nature and distribution of the mineralization are controlled by basement and surface geology, geomorphology, hydrology and climate, being restricted to deeply weathered, semi-arid terrain with granitoid source rocks. A few small occurrences in the Gascoyne Province may be pedogenic in origin but the majority, in the north of Yilgarn Block, occur in unrejuvenated palaeodrainage channels now choked by colluvial, alluvial and chemical sediments. These sediments, which are aquifers for the present, predominantly sub-surface, drainage, can exceed 10-15 m. Uranium released from the weathering granitoids has been transported in groundwaters in uranyl carbonate complexes and precipitated as carnotite where, (i) concentrations of uranium and potassium have been elevated by evaporation and, (ii) dissolved vanadium has been oxidized to the 5-valent state. Precipitation is in calcretes and associated sediments in the drainage axes, in 'chemical deltas' where the drainages enter playas and in the playas themselves. This style of mineralization was first recognized in 1969-1970 as the result of investigations into the source of radiometric anomalies delineated by airborne surveys. The majority of discoveries have similarly been by radiometric surveys but hydrogeochemical surveys have promise and may become important in future search for blind mineralization and/or young deposits not in radioactive equilibrium. (author). 61 refs, 6 figs
Ilinca, A.; Chaumel, J.-L.; Retiveau, J.-L.
The paper presents the development of a comprehensive wind atlas of the Province of Quebec. This study differs from previous studies by 1) use of a standard classification index to categorize the wind resource, 2) extensive review of surface and upper air data available for the Province to define the wind resource, and 3) integration of available wind data with the topography of the Province. The wind resource in the Province of Quebec is classified using the scheme proposed by Battelle-Pacific Northwest Laboratory (PNL). The Battelle-PNL classification is a numerical one which includes rankings from Wind Power Class 1 (lowest) to Wind Power Class 7 (highest). Associated with each numerical classification is a range of wind power and associated mean wind speed at 10 m and 50 m above ground level. For this study, a classification for 30 m above ground level was interpolated and used. A significant amount of wind data was gathered for the Province. These data were obtained from Atmospheric Environment Service (AES), Canada, from wind project developers, and from climatological summaries of surface and upper air data. A total of 35 primary data sites were selected in the Province. Although a number of wind data sites in the Province were identified and used in the analysis, large areas of the Province lacked any specific wind information. The Province was divided into grid blocks having dimensions of 1/4 o latitude by 1/3 o longitude. Each grid block is assigned a numerical Wind Power Class value ranging from 1 to 7. This value is based on the integration of the available wind data and the topography within the square. The majority of the Province was classified as 1 or 2. Coastal locations and topographic features in the interior of the Province typically have Wind Power Class 3 or higher. (author)
Full Text Available Abstract Background Bacterial leaf blight causes significant yield losses in rice crops throughout Asia and Africa. Although both the Asian and African strains of the pathogen, Xanthomonas oryzae pv. oryzae (Xoo, induce similar symptoms, they are nevertheless genetically different, with the African strains being more closely related to the Asian X. oryzae pv. oryzicola (Xoc. Results Changes in gene expression of the African Xoo strain MAI1 in the susceptible rice cultivar Nipponbare were profiled, using an SSH Xoo DNA microarray. Microarray hybridization was performed comparing bacteria recovered from plant tissues at 1, 3, and 6 days after inoculation (dai with bacteria grown in vitro. A total of 710 bacterial genes were found to be differentially expressed, with 407 up-regulated and 303 down-regulated. Expression profiling indicated that less than 20% of the 710 bacterial transcripts were induced in the first 24 h after inoculation, whereas 63% were differentially expressed at 6 dai. The 710 differentially expressed genes were one-end sequenced. 535 sequences were obtained from which 147 non-redundant sequences were identified. Differentially expressed genes were related to metabolism, secretion and transport, pathogen adherence to plant tissues, plant cell-wall degradation, IS elements, and virulence. In addition, various other genes encoding proteins with unknown function or showing no similarity to other proteins were also induced. The Xoo MAI1 non-redundant set of sequences was compared against several X. oryzae genomes, revealing a specific group of genes that was present only in MAI1. Numerous IS elements were also found to be differentially expressed. Quantitative real-time PCR confirmed 86% of the identified profile on a set of 14 genes selected according to the microarray analysis. Conclusions This is the first report to compare the expression of Xoo genes in planta across different time points during infection. This work shows that
Brüggemann, Karsten, 1965-
Arvustus: Kõll, Anu Mai. The village and the class war : anti-kulak campaign in Estonia (Historical studies in Eastern Europe and Eurasia, 2). Central European University Press. Budapest and New York 2013
Full Text Available This paper develops a new multiuser detector based on a network of kalman filters (NKF dealing with multiple access-interference (MAI, intersymbol Interference (ISI, and an impulsive observation noise. The two proposed schemes are based on the modeling of the DS-CDMA system by a discrete-time linear system that has non-Gaussian state and measurement noises. By approximating the non-Gaussian densities of the noises by a weighted sum of Gaussian terms and under the common MMSE estimation criterion, we first derive an NKF detector. This version is further optimized by introducing a feedback exploiting the ISI interference structure. The resulting scheme is an NKF detector based on a likelihood ratio test (LRT. Monte-Carlo simulations have shown that the NKF and the NKF based on LRT detectors significantly improve the efficiency and the performance of the classical Kalman algorithm.
Agnès Varda, Coline Serreau, Nelly Kaplan, trois noms parmi des dizaines qui illustrent chacun à leur manière une nouvelle façon de faire du cinéma : même si la carrière de la première est antérieure à mai 68, son nom comme celui des autres est lié à ce qu’on appellera dans les années 1970 le « cinéma des femmes ». Cet article propose une interrogation sur ce cinéma au féminin, afin d’envisager à la fois le contexte particulier dans lequel il émerge, les problématiques qu’il soulève, et ce en...
Full Text Available In 2002 a Pakistani woman named Mukhtar Mai was sentenced to collective rape for a crime committed by her brother. Unfortunately, situations like these cannot be considered rare in Pakistan, where rape as a way of resolving conflicts between families is a common practice. Consequently, the most remarkable aspect of this story may have been the reaction of this woman, who instead of resigning herself to silence or committing suicide, which is common in these cases, initiated a campaign of protest and struggle in favor of women’s rights in her country. Through this story we can perceive how tradition and culture permeate the actions and representations of a people in which the femail body still represents an object that can be used for the honor or shame of the clan. But this system of values also makes possible the rise of indivuduals who are able to break with a pattern of subordination.
Yilmaz, Eyyup; Canturk, Nergis; Erkol, Zerrin; Kumral, Bahadir; Okumus, Ali M
This study presents an analysis of the causes of so-called honor killings in the context of "customary homicide" and a discussion of preventive measures. Finalized case files of customary homicide between January 1, 2007 and December 31, 2012 were retrospectively examined in Diyarbakir Province, Turkey. Of a total of 28 case victims, 17 (60.7%) were females and 11 (39.3%) were males. All perpetrators were male. There was a significant difference between male and female victims in terms of economic independence (p=0.000). A direct blood relationship or relationship by marriage (such as brother-in-law) was found to have a significant association with the gender of the victim (phomicide, which represents a multifaceted problem. © 2015 American Academy of Forensic Sciences.
Janaina Pontes Cerqueira
Full Text Available A escassez de profissionais médicos em determinadas áreas no Brasil é tema que sempre mereceu atenção especial do Estado. O Projeto Mais Médicos para o Brasil, implementado por meio da Medida Provisória nº 621, de 8 de julho de 2013, autoriza a atuação de médicos estrangeiros sob regime especial de aperfeiçoamento profissional no Sistema Único de Saúde (SUS, na Atenção Básica, possibilitando a cobertura médica assistencial em regiões prioritárias e vulneráveis do país, e foi fruto de questionamento judicial junto ao Supremo Tribunal Federal, por meio de ação direta de inconstitucionalidade, que colocou em confronto os limites constitucionais de autorização para essa forma de atuação profissional. O estudo objetivou identificar os argumentos jurídicos utilizados pelos diversos atores que atuaram nas ADINs 5035-DF e 5037-DF, notadamente no que se refere ao Projeto Mais Médicos para o Brasil, ajuizadas no Supremo Tribunal Federal e analisá-los à luz da Teoria dos Direitos Fundamentais de Robert Alexy. Os resultados apontam que o Projeto, na sua estruturação legal, encontra legitimidade na medida em que não se confunde com a abertura de mercado de trabalho, institui regime específico de atuação profissional, com garantias essenciais dos indivíduos, atenta para diretrizes de cooperação internacional em saúde da Organização Mundial de Saúde (OMS e demonstra eficácia social com a concreta ampliação de acesso da população na cobertura assistencial até que medidas conjunturais e estruturantes da formação médica no Brasil sejam implementadas e alcancem resultados diretos à população usuária do SUS.
Segundo, H. A. S.; Garcia, G. C.; Caretta, C. A.; Lima, F. P.
É amplamente reconhecido que as pessoas em geral têm grande fascínio e interesse pela Astronomia. Por outro lado, o conteúdo dessa área incluído no ensino formal está longe de ser abrangente e suficiente para suprir a demanda. Esse interesse permite otimizar a divulgação e o ensino não formal de Astronomia aliando a adequação do conteúdo à expectativa das pessoas. Nesse intuito, nosso trabalho busca mapear que assuntos da Astronomia despertam mais a atenção e o interesse das pessoas e o quanto disso é estimulado pela mídia, que freqüentemente aproveita-se desse interesse de forma sensacionalista, trazendo contribuições positivas e negativas. Para esta avaliação, utilizamos as pesquisas específicas e de caracterização do público que freqüentou o MAst nos anos de 2001 a 2003, pesquisa das matérias de Astronomia veiculadas na mídia escrita da cidade do Rio de Janeiro no mesmo período, além da base de dados do programa Pergunte a um astrônomo, realizado no Observatório Nacional nos anos de 1997 a 1999. Para a análise dos dados, dividimos as perguntas em dez categorias, cada uma com suas subcategorias, tomando como referência as divisões, comissões e grupos de trabalho da IAU. Apresentamos neste trabalho os resultados dessa pesquisa, que incluem, entre outros, a predominância de questões nas categorias Observação do Céu e Sistemas Planetários enquanto nos jornais dominam as notícias de Sistemas Planetários e Espaço & Astronáutica. Outro resultado interessante indicou que as dúvidas de crianças do ensino fundamental se concentram em algumas categorias enquanto as questões de adultos são mais distribuídas por todas as categorias. Os resultados dessa pesquisa serão aplicados diretamente no aperfeiçoamento das atividades do Programa de Observação de Céu, bem como na elaboração de novos projetos e eventos realizados no MAst.
Ana Caroline Pereira Martins
Full Text Available Objetivo: Descrever o conhecimento produzido na literatura acerca da criação do Programa Mais Médicos e sua repercussão no Brasil. Métodos: Revisão integrativa, realizada no período de 2013 a 2016, nas bases de dados: Scientific Electronic Library Online (SciELO, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS, Biblioteca Virtual em Saúde (BVS e na Coleciona SUS, utilizando-se os descritores: programa, médicos, atenção primária, atenção básica, saúde. Resultados: Foram selecionadas 21 publicações que atenderam aos critérios de inclusão, mas encontravam-se em periódicos com estratos intermediários e apresentaram baixo nível de evidência. Os principais resultados se referem à criação do Programa Mais Médicos (PMM e sua repercussão na classe médica, na população e na mídia. O PMM foi criado tendo como objetivo ampliar o acesso e atenuar as desigualdades em saúde através da distribuição de médicos em municípios considerados prioritários, ocasionou grande repercussão no Brasil, com posicionamentos diversos entre os órgãos governamentais, usuários, mídia e, em especial, entre a classe médica brasileira. Conclusão: Diminuir as desigualdades de alocação de médicos, no entanto, é uma ação difícil e que exige ações em longo prazo. Soma-se a necessidade de implantar estratégias como melhoraria de infraestrutura, melhor distribuição de insumos e equipamentos, apoio logístico e rede de atenção à saúde resolutiva, eficiente e eficaz em todos os níveis de atenção.
Salman, A A [Nuclear materials authority, El Maadi, Cairo, (Egypt)
This work represents an attempt to delineate potential uranium provinces in some Arabian countries using various related recognition criteria. Definition of these provinces is based on the available geologic and tectonic setting beside geochronological sequence and some geochemical characteristics. This trial would be of a great help for interchanging the ideas and necessary data for the development in the fields of uranium exploration and production. As a result of this study, a number of promising potential uranium provinces are recommended in some arabian countries. 5 figs.
Sleep, N.H.; Phillips, R.J.
A crust-upper mantle configuration is proposed for the Tharsis province of Mars which is isostatic and satisfies the observed gravity data. The model is that of a low density upper mantle compensating loads at both the surface and crust-mantle boundary. Solutions are found for lithospheric thickness greater than about 300 km, for which the stress differences are less than 750 bars. This model for Tharsis is similar to the compensation mechanism under the Basin and Range province of the western United States. These provinces also compare favorably in the sense that they are both elevated regions of extensional tectonics and extensive volcanism
This work represents an attempt to delineate potential uranium provinces in some Arabian countries using various related recognition criteria. Definition of these provinces is based on the available geologic and tectonic setting beside geochronological sequence and some geochemical characteristics. This trial would be of a great help for interchanging the ideas and necessary data for the development in the fields of uranium exploration and production. As a result of this study, a number of promising potential uranium provinces are recommended in some arabian countries. 5 figs
Tang, Youming; Cao, Libo; Kan, Steven
Objectives To examine the damage location distribution of five main body region injuries of maximum abbreviated injury score (MAIS) 3–6 injured occupants for nearside struck vehicle in front-to-side impact crashes. Design and setting MAIS 3–6 injured occupants information was extracted from the US-National Automotive Sampling System/Crashworthiness Data System in the year 2007; it included the head/face/neck, chest, pelvis, upper extremity and lower extremity. Struck vehicle collision damage was classified in a three-dimensional system according to the J224 Collision Deformation Classification of SAE Surface Vehicle Standard. Participants Nearside occupants seated directly adjacent to the struck side of the vehicle with MAIS 3–6 injured, in light truck vehicles–passenger cars (LTV–PC) side impact crashes. Outcome measures Distribution of MAIS 3–6 injured occupants by body regions and specific location of damage (lateral direction, horizontal direction and vertical direction) were examined. Injury risk ratio was also assessed. Results The lateral crush zone contributed to MAIS 3–6 injured occupants (n=705) and 50th centile injury risks when extended into zone 3. When the crush extended to zone 4, the injury risk ratio of MAIS 3–6 injured occupants approached 81%. The horizontal crush zones contributing to the highest injury risk ratio of MAIS 3–6 occupants were zones ‘D’ and ‘Y’, and the injury risk ratios were 25.4% and 36.9%, respectively. In contrast, the lowest injury risk ratio was 5.67% caused by zone ‘B’. The vertical crush zone which contributed to the highest injury risk ratio of MAIS 3–6 occupants was zone ‘E’, whose injury risk ratio was 58%. In contrast, the lowest injury risk ratio was 0.14% caused by zone ‘G+M’. Conclusions The highest injury risk ratio of MAIS 3–6 injured occupants caused by crush intrusion between 40 and 60 cm in LTV–PC nearside impact collisions and the damage region of the struck
Tang, Youming; Cao, Libo; Kan, Steven
To examine the damage location distribution of five main body region injuries of maximum abbreviated injury score (MAIS) 3-6 injured occupants for nearside struck vehicle in front-to-side impact crashes. MAIS 3-6 injured occupants information was extracted from the US-National Automotive Sampling System/Crashworthiness Data System in the year 2007; it included the head/face/neck, chest, pelvis, upper extremity and lower extremity. Struck vehicle collision damage was classified in a three-dimensional system according to the J224 Collision Deformation Classification of SAE Surface Vehicle Standard. Nearside occupants seated directly adjacent to the struck side of the vehicle with MAIS 3-6 injured, in light truck vehicles-passenger cars (LTV-PC) side impact crashes. Distribution of MAIS 3-6 injured occupants by body regions and specific location of damage (lateral direction, horizontal direction and vertical direction) were examined. Injury risk ratio was also assessed. The lateral crush zone contributed to MAIS 3-6 injured occupants (n=705) and 50th centile injury risks when extended into zone 3. When the crush extended to zone 4, the injury risk ratio of MAIS 3-6 injured occupants approached 81%. The horizontal crush zones contributing to the highest injury risk ratio of MAIS 3-6 occupants were zones 'D' and 'Y', and the injury risk ratios were 25.4% and 36.9%, respectively. In contrast, the lowest injury risk ratio was 5.67% caused by zone 'B'. The vertical crush zone which contributed to the highest injury risk ratio of MAIS 3-6 occupants was zone 'E', whose injury risk ratio was 58%. In contrast, the lowest injury risk ratio was 0.14% caused by zone 'G+M'. The highest injury risk ratio of MAIS 3-6 injured occupants caused by crush intrusion between 40 and 60 cm in LTV-PC nearside impact collisions and the damage region of the struck vehicle was in the zones 'E' and 'Y'.
Othman, Wan Nor Afiqah Wan; Abdullah, Aziman
This preliminary study was conducted to address the issue of academic planning skills among new university student. Due to lack of proper measurement mechanism for awareness and readiness among students, this study proposes Metacognitive Awareness Inventory (MAI) to assess the connection between student self-efficacy and college readiness. Qualitative and quantitative approach were used by provide an online self-assessment for new student of Faculty of Computer Systems & Software Engineering (FSKKP) and analyse the data respectively. The possible relationships between MAI and College Readiness Item (CRI) in self-assessment has been evaluated. The sample size of 368 respondents from UMP are responding to the online self-assessment. The initial finding shows most student (71%) of the respondent lack of skills in planning. We manage to use Pearson Product-moment correlation coefficient to find the significant relationship between MAI and CRI. Thus, we found that College Readiness provide sufficient evidence that there is a significant correlation with most of MAI items. The findings also indicated not much difference was found between gender in terms of self-efficacy level. This paper suggests the MAI and CRI is a reliable and valid scale to respond the planning skills issues among new university students.
Full Text Available This study was aimed to investigate the effect of heat treatment and shelf life on chilling injury of mango cv.Nam Dok Mai.The heat treatment of mango pulp during storage were determined by hot air oven set at 34 and 38°C for three intervals, as 24, 48, and 72 hours, then they were subsequently stored at 5°C for 10, 20, and 30 days to determine the appropriate shelf life. The findings showed that the symptom of mango fruit after chilling injury appeared within the 30th day of storage at 5°C. Several symptoms of mango fruit after chilling injury treatment were observed, i.e., pitting, browning on the skin, water soaking, and rapid rotting of the fruits that resulted in shorter shelf life. It was found that chilling injury mangoes had lower level of total soluble solid, higher disease incidence, and lower quality of fruit when compared with normal ripe-mango fruits at 25°C. Mango fruits treated at 34°C for either 24 or 48 hours, and at 38°C for 24 hours prior to cold storage at 5°C for 10 and 20 days showed a significant reduction in the chilling injury (CI index when compared to that of non-heated fruits. On the other hand, the heat treatment did not affect fruit weight loss, firmness, color changes, and water soaking at 5°C.
Huang, Huide; Zhang, Wanzhen; Liu, Enping; Zhang, Xizhu
This paper gives an overview of the distribution, member scale, production and operation of banana cooperatives in Hainan Province, and points out the market risk and natural risk faced by the production of banana cooperatives in Hainan Province. In order to promote the banana cooperatives to form new agricultural management system integrating organization and intensification, this paper puts forth the production and operation recommendations, such as joint production of banana cooperatives, ...
Full Text Available Objective: The present study is based on an ethnobotanical research project conducted in Hormozgan province that is located in south of Iran, bordering waters of the Persian Gulf and Oman Sea. This survey was carried out in order to recover the ethnobotanical and ethnomedicinal knowledge of the residents of this province. They are using medicinal and functional plants for treating or preventing several diseases. Materials and Methods: Ethnobotanical data sheets were run with the native inhabitants and people of the province by arranging frequent field trips to different parts of the province and direct interviews with them especially those who were more familiar with the plants and their usage.Results: A total of 150 plant species belonging to 53 families were recorded for their ethnobotanical and ethnomedicinal uses among the people of province. The records were developed by scientific names, family names, local names, medicinal parts used, different ways of their application, and traditional uses of the plants. There was high compliance in the use of plants in painful disorders, gastrointestinal, and dermatological diseases.Conclusion: This study revealed that the people of Hormozgan province have a rich knowledge of natural resources. The use and consumption of medicinal plants are still important parts of their life. Rational use of native medicinal plants may benefit and improve their living standards and quality of life. The results of this study can be used as a basis for selecting herbs for further pharmacological, phytochemical, and pharmacognostical studies.
Joel del Río
Full Text Available Desde a fundação, em 1959, do Instituto Cubano da Arte e Indústria Cinematográficas (Icaic, apareceu um grupo de filmes dedicados a incentivar a polêmica social e a fustigar os erros do socialismo na Ilha. Este texto se propõe a analisar alguns dos principais vetores de pensamento que gravitaram sobre alguns desses filmes (documentários e de ficção capazes de levantar a polêmica, sobretudo, em seu caráter de espelhos fiéis da realidade. Também se tenta demonstrar o vertical compromisso com a realidade e seus dilemas quotidianos que tem caracterizado o melhor cinema cubano - quer dizer, o cinema cubano mais polêmico -, amparado numa política institucional decidida a demonstrar, coerentemente, a relevância artística e social de um cinema anticonformista que revele e denuncie um cinema que critique e questione, profundamente ligado ao compromisso, ao esforço coletivo para atingir uma sociedade mais justa, igualitária e humanista. Desde PM até Fresa y chocolate [Morango e chocolate], passando por Un día de noviembre e Papeles secundarios, o texto se propõe a interpretar as nuanças de cada polêmica, enquanto descreve os aportes de tais filmes à fibra medular da cultura cubana.Desde la fundación, en 1959, del Instituto Cubano del Arte e Industria Cinematográficos (Icaic han aparecido un grupo de filmes dedicados a incentivar la polémica social y a fustigar los errores del socialismo en la Isla. Este texto se propone analizar algunos de los vectores principales de pensamiento que gravitaron sobre algunos de los filmes (documentales y de ficción capaces de levantar la polémica, sobre todo en cuanto a su carácter de espejos fieles de la realidad. También se intenta demostrar el vertical compromiso con la realidad y sus dilemas cotidianos que ha caracterizado al mejor cine cubano - es decir, al cine cubano más polémico - amparado en una política institucional decidida a demostrar, coherentemente, la relevancia art
Franco Ezequiel Harlos
Full Text Available Na presente pesquisa objetiva-se sistematizar histórias e teorias associadas com a Sociologia da Deficiência, e identificar, nestes elementos sistematizados, vozes para repensar o significado da deficiência e práticas da Educação Especial. Para tanto, percorreu-se na pesquisa bibliográfica e documental 48 obras compiladas, primordialmente, da revista Disability and Society, da Asociación Española de Sociología de la Discapacidad e da base de dados do Centre of Disability Studies da Universidade de Leeds. As obras compiladas foram analisadas por meio de análise categorial. A primeira das categorias identificadas centra-se nas principais interpretações adotadas pelas Ciências da Saúde (paradigma médico para pensar a deficiência; a segunda, em histórias associadas com a constituição da Sociologia da Deficiência - nos movimentos sociais que, em resposta às interpretações da deficiência adotadas pelas Ciências da Saúde, (resignificaram a deficiência e fundaram os Estudos da Deficiência (Disability Studies; e, a terceira, nas múltiplas faces teóricas da Sociologia da Deficiência e nos novos modelos de compreensão da deficiência. A sistematização do conteúdo desvelou um paradigma sociológico de interpretação da deficiência: este paradigma apresenta vozes por significados e práticas mais inclusivas.
Melo Victor Hugo de
Full Text Available OBJETIVO: apresentar os achados ginecológicos mais freqüentes de uma coorte de 300 mulheres infectadas pelo HIV, acompanhadas ambulatorialmente. MÉTODOS: estudo prospectivo e descritivo de mulheres HIV-soropositivas atendidas em clínica ginecológica, no período de novembro de 1996 a dezembro de 2002. As pacientes foram submetidas ao protocolo de atendimento ginecológico que incluiu anamnese, exame ginecológico, colpocitologia oncótica (Papanicolaou, pesquisa de HPV (PCR e colposcopia. A biópsia cervical, quando necessária, foi realizada. Os dados foram armazenados e analisados no Epi-Info, versão 6.0. RESULTADOS: a idade média foi 34,5 anos. Destaca-se o pequeno número de parceiros sexuais, média de três parceiros, e a predominância do contágio heterossexual: 271 (90,6% pacientes adquiriram o vírus por meio do contato sexual com seus parceiros. Foi alta a prevalência de neoplasias intra-epiteliais cervicais (NIC, representando 21,7% do total da amostra. Dentre as 109 pacientes submetidas a PCR encontraram-se 89 (81,7% com algum genótipo do HPV. Esfregaço inflamatório à citologia esteve presente em 69% das pacientes. CONCLUSÕES: a infecção pelo HIV se associa com freqüência a NIC e a processos infecciosos genitais, em especial o HPV.
Singhla, Tawatchai; Punyapornwithaya, Veerasak; VanderWaal, Kimberly L.; Alvarez, Julio; Sreevatsan, Srinand; Phornwisetsirikun, Somphorn; Sankwan, Jamnong; Srijun, Mongkol; Wells, Scott J.
The objective of this case-control study was to identify farm-level risk factors associated with bovine tuberculosis (bTB) in dairy cows in northern Thailand. Spatial analysis was performed to identify geographical clustering of case-farms located in Chiang Mai and Chiang Rai provinces in northern Thailand. To identify management factors affecting bTB status, a matched case-control study was conducted with 20 case-farms and 38 control-farms. Case-farms were dairy farms with at least single intradermal tuberculin test- (SIT-) reactor(s) in the farms during 2011 to 2015. Control-farms were dairy farms with no SIT-reactors in the same period and located within 5 km from case-farms. Questionnaires were administered for data collection with questions based on epidemiological plausibility and characteristics of the local livestock industry. Data were analyzed using multiple logistic regressions. A significant geographic cluster was identified only in Chiang Mai province (p < 0.05). The risk factor associated with presence of SIT-reactors in dairy herds located in this region was purchasing dairy cows from dealers (OR = 5.85, 95% CI = 1.66–20.58, and p = 0.006). From this study, it was concluded that geographic clustering was identified for dairy farms with SIT-reactors in these provinces, and the cattle movements through cattle dealers increased the risks for SIT-reactor farm status. PMID:28553557
Amanda de M. Souza
Full Text Available OBJETIVO: Caracterizar o consumo alimentar mais frequente da população brasileira. MÉTODOS: Foram analisados dados referentes ao primeiro dia de registro alimentar de 34.003 indivíduos com dez anos ou mais de idade que responderam ao Inquérito Nacional de Alimentação, composto por amostra probabilística da Pesquisa de Orçamentos Familiares 2008-2009. O padrão de consumo foi analisado segundo sexo, grupo etário, região e faixa de renda familiar per capita. RESULTADOS: Os alimentos mais frequentemente referidos pela população brasileira foram arroz (84,0%, café (79,0%, feijão (72,8%, pão de sal (63,0% e carne bovina (48,7%, destacando-se também o consumo de sucos e refrescos (39,8%, refrigerantes (23,0% e menor presença de frutas (16,0% e hortaliças (16,0%. Essa configuração apresenta pouca variação quando se consideram os estratos de sexo e faixa etária; contudo, observa-se que os adolescentes foram o único grupo etário que deixou de citar qualquer hortaliça e que incluiu doces, bebida láctea e biscoitos doces entre os itens mais consumidos. Alimentos marcadamente de consumo regional incluem a farinha de mandioca no Norte e Nordeste e o chá na região Sul. Houve discrepâncias no consumo alimentar entre os estratos de menor e maior renda: indivíduos no quarto de renda mais elevada referiram sanduíches, tomate e alface e aqueles no primeiro quarto de renda citaram os peixes e preparações à base de peixe e farinha de mandioca entre os alimentos mais referidos. CONCLUSÕES: Existe um padrão básico do consumo alimentar no Brasil que inclui entre os alimentos mais consumidos arroz, café, feijão, pão de sal e carne bovina, associado ao consumo regional de alguns poucos itens. Particularmente entre os adolescentes, alimentos ricos em gordura e açúcar são também de consumo frequente.
Mai Trong Khoa; Tran Dinh Ha; Le Chinh Dai; Nguyen Quang Hung; Vu Huu Khiem
Intensity modulated radiotherapy (IMRT) is one of the modern techniques in cancer treatment, in which dose is delivered optimally into the shape of the tumor and minimally in surround benign tissues. In developed countries, this technique has been performed routinely by Linacs with MLC for tumors at the critical areas. In Vietnam, because of the wet climate, the use of Linacs with MLC is difficult to operate and maintain. However, IMRT can be implemented by Linacs without MLC via independent jaws, Jaws-only IMRT (JO-IMRT), in which beams are separated into many segments with different weights to optimize highest dose in the tumor and lowest dose in the surrounding health organs. Methods: We describe the new treatment technic application and compare it with normal radiotherapy method (3D-CRT). Results: From 7/2008, the Dep of Nuclear Medicine and Oncology at Bach Mai Hospital has been conducting JO-IMRT to treat cancer patients. Up to now, we have 81 cases treated by IMRT including head and neck cancers (NPC, larynx cancer, maxillary sinus cancer, brain tumor), cancers in the thorax (esophagus cancer, lung cancer, breast cancer), cancers in the pelvis (prostate cancer, cervical cancer, rectal cancer). On the average, beam number is from 5 to 9 and 5-9 segments per beam. Treatment time for a fraction is from 6 to 12 minutes with 2.25 Gy for CTV1 per day. Discrepancies of doses were below 3% (0.15 to 2.84%) between planning and practice. In plan, the preeminences with IMRT are clearly superior to 3D radiation therapy. In clinical, almost patients had good respond, whereas side effects were quite less than conventional radiotherapy. Conclusions: JO-IMRT is a modern technic with more advantage than normal 3D-CRT. It help radiation dose to concentrate maximally in treatment target while influence minimally for sensitive surrounding tissues. Another, it is a high technic to appropriate with the climatic condition in Vietnam. (author)
Contreras, M.; Aguirre, J.
The site effects and the source parameters, are inverted from a Fourier displacement spectra of seismograms that are corrected by geometrical spreading and regional attenuation valid for south center of Mexico(Ordaz and Singh, 1992). We used Genetic Algorithms (GA) to perform the non-linear inversion, like in the MAI method (Moya et al., 2000) . The GA have proved to produce better results than other traditional methods which are frequently trapped in a local minimum. GA is a method that mimics the evolution laws in living creatures. The best individuals reproduce and develop themselves with every generation. In our case each individual correspond to one source and the genes correspond to the source parameters. As in nature, the best source remain and are improved with each iteration. We assume that the site effect at each station are the same independently of the earthquake, because of that we can search for the combination of sources that can produce the smaller standard deviation of the estimated site effects from the different Fourier displacement earthquake spectra. Then we use the obtained site effects to generate a Fourier displacement spectra of an earthquake scenario. With this, we are able to compute the response spectra by means of random vibration theory (Reinoso et al., 1990). We apply this method to four stations located in the Acapulco City, Mexico, that recorded four earthquakes with epicenter located in the Guerrero Subduction Zone. The site effect estimated for one of the stations, called ACAZ, shows a good agreement with the estimated by Chávez-García et al. (1994) using spectral ratios between the ACAZ station and a rock reference site. Also we compare the response spectra from other earthquake, obtained by the former method and the response spectra computed using the acceleration record. We find an acceptable correlation between them. Chávez-García, J. Cuenca y M. Cárdenas (1994), "Estudio complementario de efectos de sitio en Acapulco
Roberta Petry Gorziza
Full Text Available Assinaturas são os grafismos mais efetuados pelas pessoas, por demonstrar conhecimento e concordância a documentos diversos. O exame grafoscópico de assinaturas disfarçadas é uma das determinações mais difíceis de proceder na Documentoscopia. Os disfarces podem confundir os peritos e conduzir a erros quanto à autoria de assinaturas. O objetivo deste trabalho foi identificar as características mais frequentes encontradas em análises grafoscópicas de assinaturas disfarçadas. Foi solicitado a 102 voluntários que assinassem sua assinatura habitual por cinco vezes e, então, que tentassem disfarçar sua assinatura. Posteriormente, realizou-se o confronto gráfico entre as assinaturas padrão e as disfarçadas, e as alterações encontradas foram anotadas, sendo que as mais frequentes foram: modificações da forma de letras maiúsculas e minúsculas, de dimensão e calibre, na forma e na posição de ataques e remates, na quantidade de levantamentos da caneta durante a escrita (andamento gráfico e a alteração ou supressão de símbolos ou caracteres especiais. Esses dados podem ajudar os peritos a identificar características gráficas indicativas de disfarces, quando da verificação de autenticidade. Por outro lado, observou-se que características alteradas com menor frequência surgem em assinaturas disfarçadas e podem levar a uma conclusão errônea no sentido da falsificação do lançamento gráfico.
Full Text Available O objetivo deste trabalho foi avaliar a atividade funcional de macrófagos de ratos diabéticos, através da liberação do ânion superóxido, na presença do composto "mais vida". Os animais foram divididos em dois grupos, controle (N=20 e diabético (N=20. Avaliou-se a glicemia, massa corpórea e a liberação de superóxido pelos macrófagos de baço de ratos. O composto "mais vida" foi obtido através da mistura de extratos de sete plantas, sendo Orbignia martiana Rodr., Tabebuia avellanedae L.G., Arctium lappa L., Rosa centifolia L., Maytenus ilicifolia Mart., Vernonia condensata Baker e Thuja occidentalis L. Observou-se que glicemia foi maior no grupo diabético. A liberação espontânea do ânion superóxido pelos macrófagos foi menor no grupo diabético. O composto "mais vida", independente dos níveis glicêmicos, aumentou a liberação de superóxido dos macrófagos. Quando as células foram estimuladas pelos extratos vegetais isolados, também houve aumento na liberação do ânion superóxido pelos macrófagos em ambos os grupos. As maiores liberações de superóxido ocorreram quando os macrófagos foram estimulados pela Thuja occidentalis L., Rosa centifolia L., Tabebuia avellanedae L.G. e Maytenus ilicifolia Mart. Estes dados sugerem que a ativação de macrófagos pelo composto "mais vida" pode representar um mecanismo alternativo de defesa para infecções em indivíduos diabéticos.This study investigated the effects of "mais vida", a commercial natural mix, on macrophages functional activity as evaluated by the superoxide release in diabetic rats. The animals were divided into two groups, control (N = 20 and diabetic (N = 20. This was achieved by determining blood glucose weight and the superoxide released by spleen macrophages. The "mais vida" mix was obtained by the combination of extracts from seven medicinal species, which were: Orbignia martiana Rodr., Tabebuia avellanedae L.G., Arctium lappa L., Rosa centifolia L
Hunter, J.; Michie, U.McL.
There is little doubt that exploration by mining companies in established districts or 'provinces' has led to the discovery of substantial additional ore reserves. However, the competition for, and expenses of, land acquisitions in these known districts often prompts companies to search further afield. In some cases, new discoveries can merely be regarded as extensions of known provinces while others are located in completely new areas. Whether the explorers utilized concepts of metallogenic provinces in the course of such discoveries is questionable; rather, they would have sought the particular combinations of geological circumstances required by the model. Once a new deposit is found, however, the concept of a province, whether correct in that situation or not, is usually responsible for stimulating further activity. Recent examples of such behaviour are the Arizona Strip and NE Nebraska (USA) in provincial extensions and Roxby Downs, Lone Gull (NW Territories, Australia) and Lagoa Real (Brazil) in new areas. More routine and scientific application of metallogenic province theory by the uranium exploration industry would require evidence that not only the bulk of the world's uranium reserves but also the majority of the individual world-class deposits fall into geologically definable provinces. Such evidence should include the demonstration that particular areas of the Earth's crust had been enriched in uranium (with or without related elements) and that this enrichment had persisted through periods of crustal reworking and been responsible for concentrations of the metal ore deposits. The evidence described in the volume is critically reviewed in this context. (author). Refs, 4 figs
Full Text Available O conceito de sustentabilidade traz consigo a preocupação com a sobrevivência da vida e com as próximas gerações. A literatura aponta para possíveis cenários futuros que impactarão as cidades gerando crises e expondo as suas vulnerabilidades. Neste contexto surge o discurso sobre a resiliência, que pode ser entendida como a capacidade, de uma comunidade exposta a riscos, de resistir, absorver e recuperar-se dos efeitos de um desastre, preservando e restaurando suas estruturas e funções essenciais. O objetivo deste trabalho é propor estratégias de caráter local para que as cidades possam se tornar mais resilientes, especialmente, com relação às mudanças climáticas e à escassez de combustíveis fósseis. A metodologia inclui revisão bibliográfica e aplicação dos conceitos contidos na obra “Resilient Cities: responding to peak oil and climate change” de Newman et. al (2009 em um estudo de caso. A cidade selecionada é Garibaldi, na Serra Gaúcha, que é uma comunidade com, aproximadamente, 30.000 habitantes. Os resultados apresentados constituem-se de recomendações que podem ser implementadas pelo Poder Público Municipal, bem como podem ser utilizadas como referencial para iniciar uma discussão sobre os temas abordados. The concept of sustainability brings the concern about the survival of life and future generations. The literature points to possible future scenarios that will impact cities generating crises and exposing the vulnerabilities of the urban settlements. In this context arises the discourse on resilience, which can be understood as the ability of a community exposed to hazards to resist, absorb and recover from the effects of a hazard through the preservation and restoration of its essential basic structures and functions. The objective of this paper is to propose local strategies to turn cities more resilient, especially in relation to climate change and the scarcity of fossil fuels. The methodology
Xavier Flávio MF
Full Text Available OBJETIVOS: Descrever a prevalência de transtorno de ansiedade generalizada (TAG em uma população de idosos residentes em uma comunidade e com idade acima de 80 anos e comparar os padrões de sono, a função cognitiva e a taxa de prevalência de outros diagnósticos psiquiátricos entre controles normais e sujeitos com TAG. MÉTODOS: Para o diagnóstico de TAG, foram utilizados os critérios do "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV. Selecionou-se uma amostra randômica e representativa de 77 sujeitos (35%, residentes em uma comunidade, entre todos os idosos com idade acima de 80 anos do município Veranópolis, RS. Os padrões de sono foram aferidos pelo índice de qualidade de sono de Pittsburgh e pelo diário sobre sono/vigília a ser preenchido ao longo de duas semanas. Cinco testes neuropsicológicos foram usados na avaliação cognitiva: teste das lembranças seletivas de Buschke-Fuld; lista de palavras da bateria CERAD (Consortium to Establish a Registry for Alzheimer's Disease; teste de fluência verbal e dois subtestes da escala de memória Wechsler. RESULTADOS: A prevalência estimada de TAG foi de 10,6%, cuja presença estava associada a uma maior ocorrência de depressão clinicamente diagnosticável, com um significativo maior número de sintomas depressivos, quando medidos pela escala de depressão geriátrica, e com uma maior ocorrência de depressão menor. Os padrões de sono e o funcionamento cognitivo, entre sujeitos com TAG, não estavam afetados. A gravidade das doenças físicas não variava entre sujeitos com TAG e os controles normais. A presença de TAG estava associada a um significativo pior padrão de qualidade de vida relativa à saúde. CONCLUSÃO: Em comparação com os estudos prévios, a prevalência de TAG é alta entre a população de idosos mais velhos. Esse transtorno ocorre em freqüente associação com a sintomatologia depressiva e também está associado a um pior padrão de
Roberta Richter Zanella
Full Text Available O penfigoide bolhoso é uma dermatose bolhosa autoimune subepidérmica, mais comumente observada na população idosa (acima dos 70 anos. Autoanticorpos são formados contra antígenos específicos da zona de membrana basal: BP180 e BP230 (proteínas do hemidesmossomo. Apresentamos três casos de penfigoide bolhoso, em adultos com menos de 50 anos de idade, destacan do as peculiaridades clínicas na faixa etária mais jovem.Bullous pemphigoid is an autoimmune subepidermal bullous dermatosis more commonly observed in the elderly (over 70 years old. Autoantibodies are produced for specific antigens of the epidermal basement membrane zone: BP 180 and BP 230 (hemidesmosome proteins. We report three cases of bullous pemphigoid in adults younger than 50 years old, discussing the clinical characteristics of the disease in younger patients.
Ohba, Kohki; Miyazawa, Takaya; Sasase, Iwao
In this paper, we propose a mitigation system of high-level multiple access interference (MAI) for multimedia optical Code-Division Multiple-Access (CDMA) systems using the optical power selector (OPS). The proposed system can eliminate high-intensity MAI at the receiver for low-priority users. Moreover, the proposed system can reduce by half the required number of code sequences compared to the conventional scheme. As a result, the proposed system can increase the number of weights at the same code-length and, thus, obtain higher code spreading gain. We analyze performances of the proposed system and show that both high-priority users and low-priority users achieve lower bit error rates in comparison to the conventional scheme.
Rodrigo Manoel Dias da Silva
Full Text Available This article aims to understand the relationship between heritage education and cultural diversity in Brazilian educational politics, with emphasis on analysis of ministerial documents that belong to heritage education as a theme in Programa Mais Educação. The authors analyze two shifts in the production of sense historically attributed to heritage education and its relationship with contemporary schooling processes.
Metionina mais cistina digestível e relação metionina mais cistina digestível: lisina para codornas japonesas Digestible methionine plus cystine and relation digestible methionine plus cystine: lysine for japanese quails
Julio Francisco Valiati Marin
Full Text Available Objetivou-se determinar o melhor nível de metionina mais cistina digestível e a melhor relação metionina mais cistina digestível:lisina digestível em diferentes níveis de proteína para codorna em postura. Foram utilizadas 400 codornas japonesas produtoras de ovos de consumo com 45 dias de idade, em delineamento inteiramente casualizado, num esquema fatorial 2 x 5, dois níveis de proteína bruta (19,5% e 21,5% e cinco níveis de metionina mais cistina digestível (0,60%; 0,67%; 0,74%; 0,81% e 0,88%, com cinco repetições e oito aves por unidade experimental. Foram analisadas as taxas de postura (%, peso médio dos ovos (g, massa de ovos (g de ovos/ave/dia, consumo de ração (g/ave/dia, conversão alimentar (g de ração/g de ovos, peso e porcentagem de gema (g e %, peso e porcentagem de clara (g e % e peso e porcentagem de casca (g e %. Para o nível de 19,5% de proteína 0,60% de metionina mais cistina digestível e relação metionina mais cistina digestível:lisina digestível de 0,66% foram suficientes para otimizar a produção. Para o nível de 21,5% de proteína 0,851% de metionina mais cistina digestível com relação metionina mais cistina digestível:lisina digestível de 0,935% com consumo diário de 223,3mg/ave levou a uma melhor produção de ovos de codornas.This research had the purpose to determine the best level of digestible methionine plus cystine and the best relation of digestible methionine plus cystine:digestible lysine in different levels of protein for laying Japanese quails. 400 laying Japanese quails, with 45 days of age were used in a completely randomized design, with a factorial 2 x 5, two crude protein levels (19,5% and 21,5% and five levels of digestible methionine plus cystine (0,60%; 0,67%; 0,74%; 0,81% e 0,88%, with five replicates and eight quails per experimental unity. There were analysis of the posture rate (%, egg average weight (g egg mass (egg grams/bird/day, feed intake (g/bird/day, feed
Glaucia Muniz Proença Lara
Full Text Available Este artigo apresenta, à luz dos aportes oriundos da Linguística do Texto e do Discurso, o breve relato de uma experiência de ensino, com os seguintes objetivos: (a refletir, no âmbito da discussão em torno dos gêneros textuais/discursivos, sobre alguns conceitos caros aqueles que trabalham nesse domínio, particularmente o de transgressão de gêneros; e (b retratar, de forma sucinta, alguns desafios e pontos positivos das práticas de ensino construídas a partir dos conceitos previamente descritos. A referida experiência foi realizada, no período de março a dezembro de 2010, com alunos de uma escola estadual de Minas Gerais. O lapso temporal de seis anos entre a experiência e seu relato permitiu-nos analisar o processo, de forma mais objetiva e distanciada, de modo a apreender seus aspectos mais relevantes, de acordo com os objetivos traçados. Grosso modo, a partir dos estudos de Bakhtin (1992, 2000, Marcuschi (2002, Bronckart (2003, Maingueneau (2004 e Lara (2008, 2009, 2013, entre outros estudiosos, e com base em uma metodologia qualitativa, pretendemos, com este estudo, contribuir para o avanço das práticas de ensino, tomadas numa vertente mais dinâmica e integradora.
Liu Yanju; Zhu Yongguan; Ding Hui
Lead and cadmium uptake was investigated for common deciduous street trees in Beijing in this study. Species having Cd accumulation included Populus tomentosa, Sophora japonica and Catalpa speciosa. P. tomentosa had the highest ratios between leaf and soil Cd (0.848), followed by S. japonica (0.536), C. speciosa (0.493), Paulownia tomentosa (0.453) and Juglans regia (0.415). Pb levels were high in leaves of C. speciosa, J. regia and Pa. tomentosa. S. japonica had the highest ratio between leaf Pb and soil Pb (0.146), followed by Pa. tomentosa (0.143), Ginko biloba (0.103) and C. speciosa (0.095). A predictive foliar metal accumulation index (MAI) was developed and C. speciosa was calculated to have the highest MAI value (53.8). This suggests that C. speciosa would be a good choice for planting in areas of Beijing where soil contamination with Cd and Pb may be a problem. - Catalpa speciosa had the highest MAI value
Soares, Joaquim José; Machado, Maria Helena; Alves, Cecília Brito
The main objective of this article was to examine the context in which professionals working within the Mais Médicos (More Doctors) Program operate. This study used the infrastructure scale of primary health units (PHUs), which was recently developed by Soares Neto and colleagues to provide more information regarding the relationship between the infrastructure of PHUs and the Municipal Human Development Index (MHDI) of municipalities that received Mais Médicos Program doctors. Using exploratory and inferential statistics, the article shows that 65.2% of the PHUs that received Mais Médicos Program doctors had medium-quality infrastructure and only 5.8% of them had low-quality infrastructure. The correlation of 0.50 between the infrastructure indicator and the MHDI points to a moderate tendency for municipalities with low MHDIs to have more precarious PHUs. Using multiple linear regression analysis it can be inferred that the main factor that contributed to the increase in the infrastructure indicator of the PHUs was the average municipal income. On the other hand, the factor that negatively affected the infrastructure of the PHUs was being located in the north or northeast regions.
Luiz Gustavo Silva Souza
Full Text Available O objetivo deste artigo é discutir o papel social da escola sob o ângulo da experiência estudantil e das relações que os alunos estabelecem com as regras. Relatamos um estudo de caso feito a partir de entrevistas com duas alunas ingressantes no ensino médio. Em seu discurso, as alunas criticaram o funcionamento da escola e demandaram mais disciplina e regras mais rigorosas. Em nossa análise, refletimos sobre a construção histórica da escola como instrumento disciplinar. Em seguida, analisamos os sentidos conferidos pelas alunas às experiências escolares, à família, à adolescência, às regras e ao futuro profissional. Discutimos o pedido por mais disciplina feito pelas alunas, tendo em vista, além do contexto sociohistórico, o conjunto de suas práticas, vivências e sentidos subjetivos. Afirmamos que, para construir uma escola capaz de promover autonomia, os educadores precisam considerar esses sentidos subjetivos, e as práticas escolares devem contemplar análises da existência psicossocial. Para concluir, afirmamos que a escola deve sustentar seu lugar de autoridade e referência para os jovens e, ao mesmo tempo, abrir-se para a compreensão e para a incorporação da alteridade.
Scaron, P.; Garau Tous, M.
With the aim of the uranium minerals exploration has been carried out several studies by UTE technicians in Cerro Largo Province from 1968 to 1969. In uranium concentration has been found pyrite, phosphate, iron oxides and manganese in uranium. Furthermore in La Divisa Ore were studied concentration Uranium enrichment has been studied in La Divisa ore
The draft Western Cape Community Safety Bill, introduced in the provincial legislature in February 2012, is part of a broader provincial government initiative to tackle issues of safety in the province. The Bill sets out to concretise the powers allocated to provincial governments by the Constitution. Specific provisions reflect the ...
Søager, Nina; Holm, Paul Martin; Llambias, Eduardo Jorge
The Pleistocene to Holocene Payenia volcanic province is a backarc region of 60,000 km2 in Mendoza, Argentina, which is dominated by transitional to alkaline basalts and trachybasalts. We present major and trace element compositions of 139 rocks from this area of which the majority are basaltic...
With the arrival of natural gas in New Brunswick in November 1999, the province will be faced with new power generation development opportunities in four different categories of power projects. These include industrial self generation (including cogeneration), merchant power plants, power projects to replace aging facilities, and power projects to help meet future environmental needs. New Brunswick's competitive advantage in harnessing the power generation development opportunities lies in the fact that it is close to major electricity markets in Quebec and New England. It also has many available generation sites. The province's many pulp and paper plants with large process steam needs are also ideal candidates for cogeneration. Some of the major competitive advantages of natural gas over coal are its lower operation and maintenance costs, it is thermally more efficient, produces lower emissions to the environment and prices are competitive. One of the suggestions in New Brunswick Power's new restructuring proposal is to unbundle electricity service in the province into generation and transmission and distribution services. Three gas-fired projects have already been proposed for the province. The 284 MW Bayside Power Project at the Courtenay Bay Generating Station is the most advanced
this study was to determine the sero-prevalence of brucellosis in Jazan Province, Saudi Arabia and assess the ... Conclusion: These results indicate the need for a vaccination program in Jazan Province and for public .... from blue to yellow.
Full Text Available Myo Nyein Aung,1 Saiyud Moolphate,2 Thin Nyein Nyein Aung,3 Chitima Katonyoo,2 Songyos Khamchai,4 Pongsak Wannakrairot1 1Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 2Department of Public Health, Chiang Mai Rajabhat University, Chiang Mai, Thailand; 3Department of Public Health, Juntendo University School of Medicine, Tokyo, Japan; 4Chiang Mai Provincial Health Office, Chiang Mai, Thailand Background: Having a diverse social network is considered to be beneficial to a person’s well-being. The significance, however, of social network diversity in the geriatric assessment of people aged ≥80 years has not been adequately investigated within the Southeast Asian context. This study explored the social networks belonging to the elderly aged ≥80 years and assessed the relation of social network and geriatric depression. Methods: This study was a community-based cross-sectional survey conducted in Chiang Mai Province, Northern Thailand. A representative sample of 435 community residents, aged ≥80 years, were included in a multistage sample. The participants’ social network diversity was assessed by applying Cohen’s social network index (SNI. The geriatric depression scale and activities of daily living measures were carried out during home visits. Descriptive analyses revealed the distribution of SNI, while the relationship between the SNI and the geriatric depression scale was examined by ordinal logistic regression models controlling possible covariants such as age, sex, and educational attainment. Results: The median age of the sample was 83 years, with females comprising of 54.94% of the sample. The participants’ children, their neighbors, and members of Buddhist temples were reported as the most frequent contacts of the study participants. Among the 435 participants, 25% were at risk of social isolation due to having a “limited” social network group (SNI 0–3, whereas 37% had a “medium” social network
Ernst, Richard E.; Bell, Keith
There is increasing evidence that many carbonatites are linked both spatially and temporally with large igneous provinces (LIPs), i.e. high volume, short duration, intraplate-type, magmatic events consisting mainly of flood basalts and their plumbing systems (of dykes, sills and layered intrusions). Examples of LIP-carbonatite associations include: i. the 66 Ma Deccan flood basalt province associated with the Amba Dongar, Sarnu-Dandali (Barmer), and Mundwara carbonatites and associated alkali rocks, ii. the 130 Ma Paraná-Etendeka (e.g. Jacupiranga, Messum); iii. the 250 Ma Siberian LIP that includes a major alkaline province, Maimecha-Kotui with numerous carbonatites, iv. the ca. 370 Ma Kola Alkaline Province coeval with basaltic magmatism widespread in parts of the East European craton, and v. the 615-555 Ma CIMP (Central Iapetus Magmatic Province) of eastern Laurentia and western Baltica. In the Superior craton, Canada, a number of carbonatites are associated with the 1114-1085 Ma Keweenawan LIP and some are coeval with the pan-Superior 1880 Ma mafic-ultramafic magmatism. In addition, the Phalaborwa and Shiel carbonatites are associated with the 2055 Ma Bushveld event of the Kaapvaal craton. The frequency of this LIP-carbonatite association suggests that LIPs and carbonatites might be considered as different evolutionary ‘pathways’ in a single magmatic process/system. The isotopic mantle components FOZO, HIMU, EM1 but not DMM, along with primitive noble gas signatures in some carbonatites, suggest a sub-lithospheric mantle source for carbonatites, consistent with a plume/asthenospheric upwelling origin proposed for many LIPs.
Ma, L.; Gui, G.
Shanxi Province is abundant in coal reserve. Taiyuan Coal Gasification Corporation is a large sized union enterprise engaged in comprehensive use of coal in Shanxi province, and significant economic, social, environmental benefits have been brought forth with it. This leads people to believe that coal comprehensive utilization is the gateway for Shanxi Province in the fields of improvement of environment and development of economy
Ruengorn, Chidchanok; Sanichwankul, Kittipong; Niwatananun, Wirat; Mahatnirunkul, Suwat; Pumpaisalchai, Wanida; Patumanond, Jayanton
Chidchanok Ruengorn1, Kittipong Sanichwankul2, Wirat Niwatananun3, Suwat Mahatnirunkul2, Wanida Pumpaisalchai2, Jayanton Patumanond11Clinical Epidemiology Unit, Faculty of Medicine, Chiang Mai University; 2Suanprung Psychiatric Hospital; 3Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, ThailandBackground: The incidence and risk factors of suicide reattempts within 1 year after psychiatric hospital discharge in mood disorder patients remain uninvestig...
Chiang Mai : Silkworm Books, 2010), 113. 4 John Vasquez and Marie T. Henehan, "Territorial Disputes and the Probability of War, 1816–1992...Soldier’s Boot: Assessing Civil Military Relations in Thailand,” in Legitimacy Crisis in Thailand, ed. Mark Askew ( Chiang Mai : Silkworm books, 2010), 197...Confrontation and Crisis in Thailand, 2008–2010,” in Legitimacy Crisis in Thailand, ( Chiang Mai : Silkworm books, 2010), 35. 57 constitutional
workers in 1958 on Doi Suthep mountain near Chiang Mai . Additional specimens in the SEATO collection were made by human biting collections, or...to be restricted to forested hills. The specimens taken in the human biting collections at Chiang Mai \\vere not permitted to engorge, and the biting...ditches, seepages, and sumps. Distribution in Thailand: Ayutthaya, Chanthaburi, Chiang Mai , Chon Buri, Phra Nakhon (Bangkok), Nakhon Nayok, Nakhon
to its large subscription and the weighted voting system. Instead of establishing an AMF, Japan and China took part in the multilateral Chiang Mai Initiative...and its damaging impact on trade. Therefore, it too has taken part in the Chiang Mai Initiative. Southeast Asia China remains a minor trade partner for...with the multilateral structure of the Chiang Mai Initiative to manage currency exchange rates than a Japan-dominated AMF. For this reason, they are
25th ACRS 2004 Chiang Mai , Thailand 347 Data Processing B-4.6 AN OBJECT-ORIENTED CLASSIFICATION METHOD ON...unlimited 13. SUPPLEMENTARY NOTES Proceedings of the 25th Asian Conference on Remote Sensing, Held in Chiang Mai , Thailand on 22-26 November 2004...panchromatic (left) and multispectral (right) 25th ACRS 2004 Chiang Mai , Thailand 349 Data Processing B-4.6 First of all, the
8 Craig J. Reynolds (ed.), National Identity and its Defenders: Thailand Today ( Chiang Mai : Silkworm Books, 2002). 9...and Authority in Thailand,” in National Identity and its Defenders: Thailand Today (rev. ed.), ed. Craig J. Reynolds ( Chiang Mai : Silkworm Books, 2002...Business of Politics in Thailand ( Chiang Mai : Silkworm Books, 2004), 230. 128 Ockey, “Thailand,” 199. 52 days of the military directly administering
in central Asia as observed at the high-gain long- period sites. Preliminary results from observations at Chiang Mai (CHG) show that the complexity...Preliminary results from observations at Chiang Mai (CHG) show that the complexity of the surface wave signals from many events in the Tadzhik-Kirgiz...and receivers. A number of Interesting features can be illustrated by examining portions of three selsmograms recorded at Chiang Mai (CHO
Ethnic Nationalist Party? (Washington: East-West Center, 2007), 26-27. 37 Bertil Lintner, Burma in Revolt: Opium and Insurgency Since 1948 ( Chiang Mai : Silkworm...Heroin, 101-103. 137 Ibid, 115-120. 138 David K. Wyatt, Thailand: A Short History ( Chiang Mai : Silkworm Books, 2003), 248. 49 by the Siamese or...Opium and Conflict in Burma, ed. Martin Jelsma, Tom Kramer and Pietje Vervest ( Chiang Mai : Silkworm Books, 2005), 65. 67 Figure 8. The Wa Proto-State
northern region down to Bangkok as can be seen by the decrease in narcotics prices in parts of the country like Chiang Mai . We must praise the Border...the deputy rector of Chiang Mai University. I think that this project will proceed without any difficulty. CSO: 5300 17 THAILAND UNIVERSITY...ANTINARCOTICS CENTER--A new antinarcotics centre has been set up in Chiang Mai to deal with the suppression of drug trafficking in the north, the
Chiang Mai , Thailand (CHTO) from a presumed explosion in eastern Kazakhstan .................... 24 5. Seismogram written at Tatalina, Alaska, for the same...results for the station located at Chiang Mai , Thailand (CHTO) ... .......... . 55 15c. VFM results for the station located at Zongo Valley, Bolivia...seismogram written at the Seismic Research Observatory (SRO) in Chiang Mai , Thailand (CHTO) from a presumed explosion in eastern Kazakhstan. The top is the
65 Figure 30. Chiang Mai , Thailand March Climatology AREPS M-unit graphic. ..............66 Figure 31. Standard Atmosphere AREPS M-unit...experiment as a precursor to the annual capstone field experiment (May and June) at the Mae Ngat Dam north of Chiang Mai , Thailand. COASTS R&D...Motorola 802.16 network components as discussed in Chapter II. Testing occurred approximately 40 km north of Chiang Mai , Thailand, at the Mae Ngat Dam
degree of financial interdependence was evidenced by the 1997 financial crisis, which resulted in the Chiang Mai + 3 Initiative.ř Intra-company trade...financial crisis, the finance ministers of ASEAN+3 countries (China, Japan, and South Korea) reached agreement on the " Chiang Mai Initiative," which...stability. The Chiang Mai Initiative has contributed to improving exchange rate stability and in doing so may also have contributed to closer regional
Muratova, Yulia; Arnoldi, Jakob; Chen, Xin
The underdeveloped institutional framework and trade barriers between China’s provinces make cross-province acquisitions challenging. We explore how Chinese firms can mitigate this problem. Drawing on social network theory we propose that cross-province rotation of political leaders—a key element...... of the promotion system of political cadres in China—is a mechanism enabling growth through cross-province acquisitions. We conceptualize rotated leaders as brokers between two geographically dispersed networks. We contribute to the literature on the characteristics of Chinese social networks, the effect...... of political connections on firm strategy, and the impact of political rotations on firm growth in China’s provinces....
The paper analyzes the development and structure of inbound tourism in Fujian Province by Excel software and conducts the cluster analysis on the inbound tourism market by SPSS 23.0 software based on the inbound tourism data of Fujian Province from 2006 to 2015. The results show: the rapid development of inbound tourism in Fujian Province and the diversified inbound tourist source countries indicate the stability of inbound tourism market; the inbound tourist source market in Fujian Province can be divided into four categories according to the cluster analysis, and tourists from the United States, Japan, Malaysia, and Singapore are the key of inbound tourism in Fujian Province.
Eduardo Gomes Carvalho
Full Text Available Um dos principais veículos, se não o principal, para comunicação científica são os periódicos. Portanto, faz sentido estudar uma ou mais revistas científicas. Tais tipos de estudos não são raros na literatura, mesmo na brasileira, podendo citar como exemploMueller e Pecegueiro (2001. Esses estudos são importantes pois apresentam indicadores científicos de produção científica em uma determinada área. Assim, é objetivo do presente trabalho realizar uma análise bibliométrica da revista Navus buscando identificar características significativas da produção científica em gestão e tecnologia. A escolha do referido periódico se justifica primeiramente por publicar majoritariamente trabalhos nacionais, e em segundo por ser uma publicação jovem, trimestral e indexada em importantes bases. Serão apresentados os principais autores, os trabalhos mais relevantes do periódico e as palavras-chave mais utilizadas. Também serão apresentados caminhos para a melhoria da classificação do periódico no sistema Qualis de avaliação da Coordenação de Aperfeiçoamento de Pessoal de Nível superior.
Huang, Hsiang-Ling; Lim, Swee-Ling; Lu, Kuan-Hung; Sheen, Lee-Yan
Depression is a highly prevalent and recurrent mental disorder that impacts all aspects of human life. Undesirable effects of the antidepressant drugs led to the development of complementary and alternative therapies. Gan-Mai-Da-Zao-Tang (, gān mài dà zǎo tang) is a traditional herbal formula commonly used for the treatment of depression, but lack of scientific proof on its mechanism. It consisted of Glycyrrhiza uralensis Fisch. (licorice), Triticum aestivum L. (wheat) and Zizphus jujuba Mill. (jujube). The objective of this study is to investigate the antidepressant effects of Gan-Mai-Dazao-Tang and its ingredients in rats exposed to forced swimming test (FST). The 72 of male Nerl: Wistar rats (8 weeks old) were randomized into control (10 mL/kg bw H 2 O), licorice (0.4 g/kg bw), wheat (1.6 g/kg bw), jujube (0.5 g/kg bw), Gan-Mai-Da-Zao-Tang (2.5 g/kg bw of licorice: wheat: jujube in ratio of 5:20:6) and Prozac (18 mg/kg bw) groups. Samples were administered by oral gavage for 21 days. FST was performed on 21st day, with 15 min for pretest followed by 5 min for real test. Then, the animals were sacrificed and brain tissues were collected for monoamines analyses. The Gan-Mai-Da-Zao-Tang (LWJ) showed significantly down-regulation of immobility time, 3,4-dihydroxyphenylacetic acid (DOPAC) and DOPAC/dopamine (DA) turnover rates, and also enhanced the concentration of serotonin (5-HT) and DA in brain tissues, as compared with the control. The LWJ stated the potent antidepressant-like effect by modulating these monoamines concentration, while the licorice, wheat and jujube did not reported significant results as compared with control group. The positive control (Prozac) was noted with significantly reduction in body weight and appetite. In conclusion, the antidepressant-like effects of LWJ might be mediated by the regulation of monoamine neurotransmitters. Thus, it could beneficial in depression treatment as a complementary approach.
Full Text Available This study addresses a subject of great interest from the major deficiencies in female softball pitchers in the community “Los Arados” from Maisí municipality. In this sense, the researcher offers in detail a group of elements on an activity that is very young in the territory and where its practitioners are started for the first time. From the review and updating of these physical activities the specialists criteria method was applied, which confirmed the feasibility of the proposal to insert it into the female softball lesson plans.
Leonor Maria Pacheco Santos
Full Text Available O Programa Mais Médicos objetiva diminuir a carência de médicos e reduzir as desigualdades regionais em saúde e envolve três frentes estratégicas: i i mais vagas e novos cursos de Medicina baseados em Diretrizes Curriculares revisadas; ii investimentos na construção de Unidades Básicas de Saúde;iii provimento de médicos brasileiros e estrangeiros. O programa efetuou, até julho de 2014, o provimento de 14.462 médicos em 3.785 municípios com áreas de vulnerabilidade. Evidências indicam redução em 53% no número de municípios com escassez de médicos; na região Norte 91% dos municípios que apresentavam escassez foram atendidos, com quase cinco médicos cada, em média. A integração dos profissionais nas Equipes de Saúde da Família fortaleceu e expandiu a capacidade de intervenção, especialmente na perspectiva da adoção de um modelo de atenção que englobe as diferentes demandas de promoção da saúde, prevenção, diagnóstico e tratamento de doenças e agravos, para enfrentar o desafio da dupla carga de doença. Prevalecem na população a obesidade e doenças crônicas não transmissíveis, lado a lado com as enfermidades infecciosas, parasitárias e carências nutricionais remanescentes. O povo das cidades, do campo e da floresta quer mais médicos e mais perspectivas de saúde e de justiça social.
Full Text Available Depression is a highly prevalent and recurrent mental disorder that impacts all aspects of human life. Undesirable effects of the antidepressant drugs led to the development of complementary and alternative therapies. Gan-Mai-Da-Zao-Tang (甘麥大棗湯, gān mài dà zǎo tang is a traditional herbal formula commonly used for the treatment of depression, but lack of scientific proof on its mechanism. It consisted of Glycyrrhiza uralensis Fisch. (licorice, Triticum aestivum L. (wheat and Zizphus jujuba Mill. (jujube. The objective of this study is to investigate the antidepressant effects of Gan-Mai-Dazao-Tang and its ingredients in rats exposed to forced swimming test (FST. The 72 of male Nerl: Wistar rats (8 weeks old were randomized into control (10 mL/kg bw H2O, licorice (0.4 g/kg bw, wheat (1.6 g/kg bw, jujube (0.5 g/kg bw, Gan-Mai-Da-Zao-Tang (2.5 g/kg bw of licorice: wheat: jujube in ratio of 5:20:6 and Prozac (18 mg/kg bw groups. Samples were administered by oral gavage for 21 days. FST was performed on 21st day, with 15 min for pretest followed by 5 min for real test. Then, the animals were sacrificed and brain tissues were collected for monoamines analyses. The Gan-Mai-Da-Zao-Tang (LWJ showed significantly down-regulation of immobility time, 3,4-dihydroxyphenylacetic acid (DOPAC and DOPAC/dopamine (DA turnover rates, and also enhanced the concentration of serotonin (5-HT and DA in brain tissues, as compared with the control. The LWJ stated the potent antidepressant-like effect by modulating these monoamines concentration, while the licorice, wheat and jujube did not reported significant results as compared with control group. The positive control (Prozac was noted with significantly reduction in body weight and appetite. In conclusion, the antidepressant-like effects of LWJ might be mediated by the regulation of monoamine neurotransmitters. Thus, it could beneficial in depression treatment as a complementary approach.
Márcia da Silva Costa
Full Text Available Resumo Discussão sobre o fenômeno da subcontratação nas organizações contemporâneas. Tal fenômeno é aqui entendido como parte do processo mais amplo de flexibilização das instituições sociais e do trabalho que acompanhou o desmonte do fordismo e tem sido responsável pela fragmentação e precarização dos mercados de trabalho em todos os países industrializados. Adota-se aqui a perspectiva de análise na qual são discutidas as implicações da terceirização para os trabalhadores. À luz das teses da crise da sociedade salarial e da acumulação flexível, cuja referência é encontrada no pensamento da escola da regulação fordista, argumenta-se que a subcontratação, mais conhecida no Brasil como terceirização, reforça as relações de dominação e o controle social sobre a força de trabalho, rebaixando ou retirando direitos historicamente conquistados. Esse processo tem sido muito mais pernicioso em sociedades de democracia recente, como a brasileira, nas quais as novas práticas de flexibilização do trabalho contribuíram para fragilizar, ainda mais, a estrutura do mercado de trabalho, historicamente marcada pelos baixos salários, pela excessiva instabilidade do vínculo empregatício, pela baixa qualificação dos seus trabalhadores, pela fraca organização coletiva, pelos parcos direitos cidadãos. A despeito dos avanços nos indicadores do emprego e da renda na última década no país, a subcontratação tem se disseminado, o que reitera esse padrão predatório de relações de trabalho.
the national power of Afghanistan, but continued to challenge each other for control at the provincial level . The Akhundzadek clan dominated...external powers dominating the central government of the province through the capital of Lashkar Gah, but demanded some autonomy at the local level .18...commands in a MAGTF are the ground combat element ( GCE ), air combat element (ACE), and logistic combat element (LCE). Flexibility and tempo are the
@@ Chinese oil industry keeps on developing in 1994. The oil production of Bohai Bay Oil Province located in East China also keeps on growing. Geologically,the total area of Bohai Bay Basin is about 200 000 km2 and the main structural units are: Liaohe Depression, Huanghua Depression,Jizhong Depression, Linqing Depression, Jiyang Depression, Changwei Depression, Bozhong Depression,Chengning Uplift and Cangjing Uplift (see figure 1). Area of the main structural units is listed in following:
Conclusion: This study revealed that the people of Hormozgan province have a rich knowledge of natural resources. The use and consumption of medicinal plants are still important parts of their life.Rational use of native medicinal plants may benefit and improve their living standards and quality of life. The results of this study can be used as a basis for selecting herbs for further pharmacological, phytochemical, and pharmacognostical studies.
22-VI-1975, Peyton and Huang), 3d, 3$ terminalia. THAILAND. Chiang Mai . Chiang Mai (25-V-1952, D. C. and E. B. Thurman), Id, ld terminalia; Doi...the labels with pinned adults from Cambodia read “repos sous bois” and “cascade, for& ” Adults also have been taken at light traps in Chiang Mai , Thailand...Lahore District (1962, D. J. Gould), 17?. THAILAND. Chiang Mai . Hoad, Huay Mae Lon (8-X-1963, Neely, Oonruan and Sahem), 6d, 6d terminalia, 5?, 3
Full Text Available MaisTer® power is a combination of the well-known active ingredients Foramsulfuron (31,5 g/L, Iodosulfuron (1,04 g/L and the new developed ai Thiencarbazone-methyl (10,0 g/L and the new safener Cyprosulfamide (15,0 g/L. All three active ingredients belong to the group of the ALS inhibitors. The product can be applied with a dose rate of 1,5 L/ha or 1,0 L/ha. Foramsulfuron and Iodosulfuron will be taken up via the leaves of the plants whereas Thiencarbazone-methyl can penetrate the plants via the roots and the leaves. By using a dose rate of 1,5 L/ha a very good residual activity against new flushes of grass or broadleaf weeds will be observed. All relevant grass and broadleaf weeds in maize will be controlled after the application of MaisTer power including Polygonum species. If a dose rate of 1,0 L/ha is used it could make sense to add a tank mix partner like Aspect to complete the spectrum against some weeds like Chenopodium album or Polygonum convolvulus.
Sebastião Afonso Viana Macedo Neves
Full Text Available Introdução: Uma educação mais voltada para humanização da relação médico paciente forma um profissional mais hábil para lidar com situações adversas na prática cotidiana. Objetivo: Relatar ações de extensão desenvolvidas pelos acadêmicos de medicina em ambiente hospitalar e domiciliar. Metodologia: As atividades foram realizadas durante as visitas nas enfermarias do hospital-escola e nos domicílios, contando com a participação de 5860 pessoas, durante o período de dezembro de 2005 a março de 2014. Resultados: Observou-se o desenvolvimento da abertura para escuta e o diálogo com os pacientes pelos profissionais da saúde. Conclusão: Verificou-se que as visitas domiciliares e hospitalares integraram o acadêmico de medicina a comunidade e permitiu o desenvolvimento das capacidades de humanização.
Full Text Available Objective: To determine the correlations between the meteorological data and the number of hand foot mouth disease (HFMD cases in 2016 in Northern Thailand, and to estimate the medical costs. Methods: A prospective cohort study was conducted. Data on numbers of HFMD cases were collected from 49 hospitals in three different provinces in Northern Thailand: 16 hospitals from Chiang Rai Province, 7 hospitals from Pha Yao Province, and 26 hospitals from Chiang Mai Province. A questionnaire had been developed and tested for validity and reliability before used. The specific form for collecting meteorological data was developed and used in the field. All information was recorded in the same data spread sheet before analysis. Chi-square and correlation tests were used for explaining the epidemiology of HFMD in the areas. An alpha error at 0.05 was used to determine the statistical significance level. Results: A total of 8 261 cases were analyzed in the study. 56.0% were males, 97.5% aged less than 6 years, 82.6% were out-patient department (OPD cases, 75.5% were reported in raining season, and 43.2% were from Chiang Mai Province. The number of HFMD cases had statistically significant correlations with temperature, air pressure, relative humidity, and rainfall amount. Averagely, 216 baht and 3 678 baht per case per visit had to be expended for medical cost in OPD and IPD cases, respectively. Most of the cases had been reported in the border areas: Thai-Myanmar, and Thai-Lao. Conclusions: Thailand health care system should provide a concrete schedule for taking care of HFMD patients during raining season, and should develop an effective preventive and control program for HFMD particularly among children less than 6 years.
Full Text Available Background: In disasters, large number of causalities rash into the hospitals in order to get health facilities. So, hospitals are the reference point for delivering the health services in all levels for helping to the most percent of injured people. Aim of study was to assess hospital disaster preparedness of Bushehr province. Maretial and Methods: This was a cross-sectional descriptive study which has been done in all Bushehr province hospitals. In order to collect data, we used 210 questions checklist with 10 different aims each aim had consisted of 6 different domains (equipment, working stuff, physical space, structure, protocols and functional chart. The checklists were completed by direct observation and evaluation of equipment, programs and documents based on their domains with different people. Results: The hospital preparedness in traffic base was very poor with mean number of 19/04±16/10 evaluation of security education and management domain with mean number 35/29±26/52, 38/65±19/46, 36/36±24/05, respectively were poor. In logistics, workforce, communications, excused transportation and addition to the hospitals with the mean number of 53/26±26/31, 49/65±27/61, 45/53±18/29, 43/33±19/72, and 40/47±20/37 were estimated as average. The most number was belonged to the emergency with the mean number of 53/80±19/18. Conclusion: The Bushehr province hospitals have not enough preparation against unexpected disasters and cannot be a good supporter for disaster happening, and in the occasions of happenings so many serious problems will occur. It will be suggested that the hospital managers should pay more attention to the unexpected disasters.
27. jaanuaril Stockholmi Eesti Majas Mai-Liis ja Jaan Teäre juhtimisel, sellel aastal oli külaliseks Tiiu Valmet, muusikaliste vahepaladega esinesid Charlotte, Carolina, Cecilia, Cassandra ja Alexander
Santana Hernández, Elayne Esther; Lantigua Cruz, Paulina Araceli
Fundamento: El síndrome de Usher es una enfermedad determinada genéticamente, con una gran heterogeneidad clínica y genética; está caracterizada por hipoacusia neurosensorial de moderada a severa, retinosis pigmentaria progresiva y puede acompañarse de alteración vestibular. Por la alta prevalencia de esta enfermedad en la provincia de Holguín, se considera necesario este estudio. Objetivo: Caracterizar clínicamente todos los enfermos con diagnóstico clínico de síndrome de Usher en la provinc...
Cappellari, Márcia Schmitt Veronezi
Full Text Available A sequência é o principal fator de ligação entre duas das mais apaixonantes formas de comunicação de todos os tempos: o cinema e as histórias em quadrinhos. O surgimento da internet e as possibilidades que o meio dispõe estão proporcionando uma aproximação cada vez maior entre ambos. Os cybercomics estão ganhando som e movimento, rompendo barreiras com o que antes havia sido produzido analogicamente em histórias em quadrinhos. Desse modo, definir o que ainda é desenho seriado e o que é cinema no mundo digital pode acabar se tornando apenas uma questão de ponto de vista
José Delfino Sá
Full Text Available Este artigo apresenta um modelo de otimização matemática não linear que determina novas alíquotas para o Imposto sobre a Propriedade Predial e Territorial Urbana (IPTU incidente sobre os apartamentos residenciais no município do Salvador (BA. São considerados a progressividade das alíquotas, os valores venais dos imóveis, as rendas médias dos contribuintes e as usuais metodologias de cálculo do valor do imposto. Os resultados obtidos na aplicação desse modelo demonstram ser possível tratar de forma objetiva e socialmente mais justa a definição das alíquotas de IPTU para todos os tipos de imóveis de um município.
Nguyen Thanh Long; Thanh-Lam Nguyen
This study aims at sustainably developing rural tourism in An Giang Province, an agricultural province located in the South of Vietnam, by identifying the determinants of the satisfaction and revisit intention of tourists based on both qualitative and quantitative approaches. From exploratory interviews with experts and comprehensive group discussions, we developed a questionnaire for an official survey of 507 tourists at different tour-sites in An Giang Province. It is found that: (1) there ...
Full Text Available “Cartografia Geográfica” designa o campo da formação superior em Geografia que se dedica à cartografia. Ao se considerar as diversas possibilidades de cartografias e espacialidades que coexistem no contemporâneo, propõe-se entender este campo num “entre” o “já-estabelecido” e o “não mais suficiente”. Ambos os domínios, tomados separadamente, podem ser considerados como despotencializadores da cartografia na Geografia. Contudo, no “entre” os dois domínios pode ser situada a pertinência e a riqueza de se fazer e pensar a cartografia na geografia na atualidade. O propósito deste texto é trazer elementos para dar visibilidade ao “entre” mencionado. Parte-se inicialmente de uma discussão sobre a linguagem e sobre os caminhos da semiótica cartográfica que, ao se inspirar na linguística estrutural voltou-se para dentro do mapa (arranjos de signos, imprimindo um modelo fortemente representacional para a cartografia, aqui identificado como o “já-estabelecido”. A seguir são apresentadas ideias de alguns autores contemporâneos que trazem abordagens pós-representacionais, que ressituam a relação entre a ciência (cartografia e seu objeto (o mapa, pois, face às modificações contemporâneas de entendimento da espacialidade, o “já-estabelecido” passa a ser “não mais suficiente”. Nas considerações finais são delineadas algumas estratégias para se habitar este “entre” como potência criativa para expansão do campo da Cartografia geográfica.
Treial, Mai, 1952-
Ilmunud ka: Vooremaa 27. sept., lk. 4; Meie Maa 27. sept., lk. 2; Koit 27. sept., lk. 2; Põhjarannik 27. sept., lk. 6; Severnoje Poberezje 28. sept., lk. 2; Pärnu Postimees 3. okt., lk. 2; Hiiu Leht 2. okt., lk. 2; Virumaa Teataja 2. okt., lk. 7; Valgamaalane 2. okt., lk. 2. 12. sept. lükkasid koalitsioonierakonnad tagasi opositsioonierakondade otsuse "AS Narva Elektrijaamade erastamisest". Autor: ERL. Parlamendisaadik
Levin, Mai, 1942-
Näitusest "19. sajandi saksa ja inglise graafikat Selma Lepa kunstikogust" Tallinna Keskraamatukogus. Eksponeeritakse James Abbot McNeill Whistleri, Wilhelm Leibli, Peter Halmi, Karl Stauffer-Berni, Max Klingeri, Franz von Stucki jt. töid
Treial, Mai, 1952-
Ilmunud ka: Meie Maa, Põhjarannik, Severnoje Poberezhje 1. apr. lk. 2, Hiiu Leht 7. apr. lk. 2, Valgamaalane 11. apr. lk. 2. Autori sõnul on vanuripoliitika nurgakiviks soliidne pension, mis võimaldab igale inimesele väärika vananemise. Enam ei piisa vaesuse leevendamiseks abinõudest, mis taandatud üksnes rahaliste hüvitiste maksmisele, olulisem on paindlik sotsiaalteenuste süsteem
Levin, Mai, 1942-
Richard Uutmaa näitus "Tuntud ja tundmatu Uutmaa" Tallinnas US Art Gallerys 12. detsembrini 2010. Richard Sagritsa näitus Rakvere Näitustemajas 31. jaanuarini 2011. Kuraator Teet Veispak, kujundaja Valeri Vinogradov
Full Text Available Cybergeo se dote d'un éditorial pour signaler aux lecteurs les nouveautés du mois. D'abord, un nom enfin plus simple pour accéder au site: tapez désormais: www.cybergeo.presse.fr Sans doute avez-vous déjà repéré nos nouveaux services, sinon, regardez dans la colonne de gauche! Nous aimerions en outre insérer dans nos rubriques des résumés, en anglais, des thèses soutenues récemment. Les résumés en français sont déjà publiés dans la Lettre d'Intergéo, Cybergeo nous paraît l'endroit idéal pour...
Levin, Mai, 1942-
Suurte metropolide mõju. Heimatkunst. Kristjan Raua naivism. Ants Laikmaa pastellid. Paul Raud ja juugend. Eestlased Peterburis. Nikolai Triigi ekspressionismigeenidega stiilsus. Konrad Mägi lõõmavad värvid. Aleksander Tassa minimalism. Roman Nyman ja teatridekoratsioon. August Jansen ja Peet Aren ning vene maalikool. Herbert Lukk. Laikmaa õpilased. Varaküps Erik Obermann. Balder Tomasberg. Eduard Wiiralt. Jaan Koorti juugendlik algus. Tarbekunst
Reygondeau, Gabriel; Longhurst, Alan; Martinez, Elodie; Beaugrand, Gregory; Antoine, David; Maury, Olivier
In recent decades, it has been found useful to partition the pelagic environment using the concept of biogeochemical provinces, or BGCPs, within each of which it is assumed that environmental conditions are distinguishable and unique at global scale. The boundaries between provinces respond to features of physical oceanography and, ideally, should follow seasonal and interannual changes in ocean dynamics. But this ideal has not been fulfilled except for small regions of the oceans. Moreover, BGCPs have been used only as static entities having boundaries that were originally established to compute global primary production. In the present study, a new statistical methodology based on non-parametric procedures is implemented to capture the environmental characteristics within 56 BGCPs. Four main environmental parameters (bathymetry, chlorophyll a concentration, surface temperature, and salinity) are used to infer the spatial distribution of each BGCP over 1997-2007. The resulting dynamic partition allows us to integrate changes in the distribution of BGCPs at seasonal and interannual timescales, and so introduces the possibility of detecting spatial shifts in environmental conditions.
Baratov, R.B.; Kozyrev, V.I.; Shchukin, S.I.
The principal space-time regularities are studied of the U and Th geochemical evolution as well as ratios of values of the U and Th accumulation in dominating formations of the region to their probable concentrations in a basaltic (0.6x10 -4 per cent of U and 2.2x10 -4 per cent of Th) and a granite-metamorphic (2.7x10 -4 per cent of U and 18x10 -4 per cent of Th) layers. Six types of radiogeochemical provinces are distinguished; 1 - of simatic profile with the continuous tendency to the accumulation of Th accompanied with the deficit of U; 2 - of sialitic profile with the normal distribution of radioactive elements; 3 - of simatic profile with the normal distribution of radioactive elements and with the tendency to the sialitic accumulation; 4 - of sialitic profile with the disturbed distribution of radioactive elements and with the tendency to the U accumulation; 5 - of sialitic profile with the tendency towards the accumulation of radioactive elements; 6 - of sialitic profile with the tendency towards the U accumulation - regions of the spread of Mezozoic - Cenozoic formations of the mantle of Turans plateau. For the U and Th accumulation in provinces of the first four principal types endogeneous factors have been the most essential, the degree of the accumulation of these elements being the function of their concentration in a granite - metamorphic and a basaltic layers. For the 5-th and 6-th types exogenous factors have been determination
Kokkuvõte inglise k. lk. 95-96. Ka Ungaris välja antud eesti luuleantoloogiast "Kellade hellus" (koost. Mai Kiisk-Bereczki, Szombathely, 2000). Mais 2000 viibis Ungari Eesti Instituudi kutsel Budapestis Jaan Kaplinski
Background: Phyto-therapy studies on Chimborazo province in Ecuador are really limited. This area, located within the Andes, is considered a millenarian and intercultural province, where multiples cultures and ethnic groups coexist. Materials and Methods: The study was conducted through direct interviews with 84 ...
Migrant Rights in Fujian Province (China). China has the largest internal migrant population in the world, and women account for nearly half of it. Fujian province has been a traditional source of large numbers of Chinese migrants to Southeast Asia and the United States. Now, with the burgeoning economies of southeast ...
Challenges for emerging livestock farmers in Limpopo province, South Africa. ND MacLeod, CK McDonald, FP van Oudtshoorn. Abstract. Land redistribution schemes (e.g. Settlement Land Acquisition Grant and Land Redistribution for Agricultural Development) initiated since the mid-1990s in Limpopo province under ...
The Province of Ontario Nuclear Emergency Plan has been developed pursuant to Section 8 of the Emergency Plans Act, 1983. This plan replaces the Province of Ontario Nuclear Contingency Off-Site Plan (June 1980) which is no longer applicable. The wastes plan includes planning, preparation, emergency organization and operational responsibilities and policy
Little, T. A.; Boulton, C. J.; Webber, S. M.; Mizera, M.; Oesterle, J.; Ellis, S. M.; Norton, K. P.; Wallace, L.; Biemiller, J.; Seward, D.; Boles, A.
The Mai'iu Fault is a corrugated low-angle normal fault (LANF) that has slipped >24 km. It emerges near sea level at 21° N dip, and flattens southward over the dome crest at 3000 m. This reactivated Paleogene suture is slipping at up to 1 cm/year based on previous GPS data and preliminary 10Be cosmogenic nuclide exposure scarp dating. An alignment of microseismicity (Eilon et al. 2015) suggests a dip of 30° N at 15-25 km depth. Pseudotachylites are abundant in lower, mylonitic parts of the footwall. One vein yielded 40Ar/39Ar ages of 1.9-2.2 Ma, implying seismicity at 8-10 km depth at the above slip rate. Widespread, antithetic normal faults in the footwall are attributed to rolling-hinge controlled yielding during exhumation. A single rider block is downfolded into synformal megamullion. Unconformities within this block, and ductile folding and conjugate strike-slip faulting of mylonitic footwall fabrics record prolonged EW shortening and constriction. Many normal and strike-slip faults cut the metabasaltic footwall recording Andersonian stresses and flipping between σ1 and σ2. To exhume the steep faults, the LANF must have remained active despite differential stress being locally high enough to initiate well-oriented faults—relationships that bracket the frictional strength of the LANF. Quantitative XRD on mafic and serpentinitic gouges reveal the Mai'iu fault core is enriched in weak clays corrensite and saponite. Hydrothermal friction experiments were done at effective normal stresses of 30-210 MPa, and temperatures of 50-450oC. At shallow depths (T≤200 oC), clay-rich fault gouges are frictionally weak (μ=0.13-0.15 and 0.20-0.28) and velocity-strengthening. At intermediate depths (T>200 oC), the footwall is frictionally strong (μ=0.71-0.78 and 0.50-0.64) and velocity-weakening. Velocity-strengthening is observed at T≥400 oC. The experiments provide evidence for deep unstable slip, consistent with footwall pseudotachylites and microseismicity at
Jespersen, Line Marie Bruun
the size of the province communities have in relation to the application of experience economy thinking in cultural planning. The paper presents a reading of the current 13 Danish “Culture Agreements” made between the ministry of culture and the cultural regions (Kulturstyrelsen) The reading has a special...... the utilization of cultural institutions, creative industries and the demands of the creative class were drivers in the development of the major cities, i.e. the ”Bilbao Effect”. From the major cities these ideas spread to smaller cities, which raised questions about critical mass, etc. This ”second wave...... of the welfare state, which focus on accessibility, a democratic and inclusive approach expressed in the form of culture projects that will enhance the quality of life and liveability in the local community. The paper discusses how and if the two rationales can be executed in the same projects: economic growth...
In this contribution we discuss geochemical and isotope characteristics of volcanism of the Aragats volcanic province and possible petrogenetical models of magma generation in collision zone of Armenian highland. We talk about combination of some specific features of collision related volcanism such as dry and high temperature conditions of magma generation, that demonstrate some similarities to intraplate-like petrogenesis and presence of mantle source enriched by earlier subductions, indicative to island-arc type magma generation models. Based on comprehensive analysis of isotope and geochemical data and some published models of magma generation beneath Aragats we lead to a petrogenetic model of origin of Aragats system to be a result of magma mixture between mantle originated mafic magma with felsic, adakite-type magmas
Chen, Ya-fen; Jia, Hai-tao; Chen, Zhong-hai; Song, Jia-ping; Liang, Yu; Pei, Jing-jing; Wu, Zhi-jun; Wang, Jing; Qiu, Ya-li; Liu, Gang; Sun, Dong-mei; Jiang, Xin-ye
Phenylketonuria (PKU) is caused by variants in the phenylalanine hydroxylase (PAH) gene. We systematically investigated all 13 exons of the PAH gene and their flanking introns in 31 unrelated patients and their parents using next-generation sequencing (NGS). A total of 33 different variants were identified in 58 of 62 mutant PAH alleles. The prevalent variants with a relative frequency of 5 % or more were c.721C > T, c.1068C > A, c.611A > G, c.1197A > T, c.728G > A, c.331C > T, and c.442-1G > A. One novel variant was identified in this study-c.699C > G. We studied genotype-phenotype correlations using the Guldberg arbitrary value (AV) system, which revealed a consistency rate of 38 % (8/21) among the 21 predicted phenotypes. The genotype-based prediction of BH4 responsiveness was also evaluated, and 14 patients (45.2 %) were predicted to be BH4 responsive. This study presents the spectrum of PAH variants in Jiangsu province. The information obtained from the genotype-based prediction of BH4 responsiveness might be used for the rational selection of candidates for BH4 testing. • Phenylketonuria (PKU) is caused by variants in the phenylalanine hydroxylase (PAH) gene. • The spectrum of PAH variants in different Chinese populations has been reported. What is new: • This is the first report on the spectrum of PAH variants in Jiangsu province. • This study identified one novel PAH variant-c.699C>G-and and tries to show a genotype-phenotype relationship also regarding BH4-responsiveness.
Smutkupt, S.; Wongpiyasatid, A.; Lamseejan, S.
In 1979, seeds of 11 soybean cultivars were gamma irradiated with 15 and 30 krad. Treated and control seeds of each cultivar were planted in the rainy season. In the rainy season of 1980, M 3 populations were screened for rust resistance in Nong Hoi Valley and Mae Joe Experiment Station, both in Chiang Main province. The IWGSR rust rating system was used. Based upon the slow growth of rust on soybean plants, 6 and 115 plants were selected from 2,802 control plants and from 28,824 treated plants, respectively. Selected lines were evaluated in Nong Hoi Valley in the rainy season of 1981. Sixteen selections with average good seed yield per plant and low percentage of shrivelled seeds were obtained. Among them, two lines, namely G8586/Line number 81-1-072 and S.J. 4/Line number 81-1-037 gave the higher average seed yield per plant than other lines. They are at present in a preliminary yield trial in Chiang Mai. Chiang Mai. (author)
L P Fernández-Cárdenas
Full Text Available When the electrochemical proton gradient is disrupted in the mitochondria, IF1 (Inhibitor Factor-1 inhibits the reverse hydrolytic activity of the F1Fo-ATP synthase, thereby allowing cells to conserve ATP at the expense of losing the mitochondrial membrane potential (Δψm. The function of IF1 has been studied mainly in different cell lines, but these studies have generated contrasting results, which have not been helpful to understand the real role of this protein in a whole organism. In this work, we studied IF1 function in Caenorhabditis elegans to understand IF1´s role in vivo. C. elegans has two inhibitor proteins of the F1Fo-ATPase, MAI-1 and MAI-2. To determine their protein localization in C. elegans, we generated translational reporters and found that MAI-2 is expressed ubiquitously in the mitochondria; conversely, MAI-1 was found in the cytoplasm and nuclei of certain tissues. By CRISPR/Cas9 genome editing, we generated mai-2 mutant alleles. Here, we showed that mai-2 mutant animals have normal progeny, embryonic development and lifespan. Contrasting with the results previously obtained in cell lines, we found no evident defects in the mitochondrial network, dimer/monomer ATP synthase ratio, ATP concentration or respiration. Our results suggest that some of the roles previously attributed to IF1 in cell lines could not reflect the function of this protein in a whole organism and could be attributed to specific cell lines or methods used to silence, knockout or overexpress this protein. However, we did observe that animals lacking IF1 had an enhanced Δψm and lower physiological germ cell apoptosis. Importantly, we found that mai-2 mutant animals must be under stress to observe the role of IF1. Accordingly, we observed that mai-2 mutant animals were more sensitive to heat shock, oxidative stress and electron transport chain blockade. Furthermore, we observed that IF1 is important to induce germ cell apoptosis under certain types of
Full Text Available During the annual fly survey at Doi Nang Kaew in Doi Saket District, Chiang Mai Province of Thailand in 2011, Isomyia paurogonita Fang & Fan, 1986 (Diptera: Calliphoridae and Sumatria latifrons Malloch, 1926 (Diptera: Calliphoridae were collected for the first time in Thailand. They are the rare species of the subfamily Rhiniinae (tribe Cosminini. Prior to this finding, fifteen species of Isomyia and two species of Sumatria were recorded from Thailand. Therefore, 96 blow fly species have been found in this country. These new locality records of both flies are very important for further research on their biology and ecology in Thailand.
Hêider Aurélio Pinto
Full Text Available O Programa Mais Médicos foi criado em 2013 para enfrentar desafios que condicionavam a expansão e o desenvolvimento da Atenção Básica (AB, sobretudo, a insuficiência e má distribuição de médicos e o perfil de formação inadequado às necessidades da população. O programa é composto por três eixos: provimento emergencial, qualificação da infraestrutura e mudança da formação. Neste artigo realizamos análise documental, análise de bancos de dados oficiais e revisão de literatura, com o objetivo de avaliar resultados do provimento de médicos alcançados até 2015. Identificamos avanços importantes na alocação dos médicos com equidade; na ampliação da cobertura da AB; na ampliação do acesso da população às ações de AB; no impacto nos indicadores de saúde; e na avaliação positiva que usuários, médicos e gestores têm do programa. Na conclusão, são apontados desafios enfrentados pelo programa para alcançar efetivamente seus objetivos.
Cataldo-Maria, Thiago Marcellus de S.
Full Text Available Não seria exagerado afirmar que a importância da relação entre Freud e Brentano tem sido negligenciada. Embora o tema não tenha sido ignorado, dentre os nomes que compõem a fileira dos que influenciaram Freud, o de Brentano certamente é um dos mais apagados. Este ensaio pretende sublinhar algumas marcas do filósofo nas formulações do metapsicólogo. Para tanto, começamos destacando as evidências históricas da estreiteza da relação Freud- Brentanto. Em seguida, investigamos o conceito de intencionalidade tendo em vista a proximidade das concepções de Freud e Brentano a respeito da representação em dois pontos principais: o primeiro é a impossibilidade de um ato de representação ocorrer na ausência de objeto representado e o segundo é o fato de o objeto representado não necessariamente existir enquanto coisa real. Após estes desenvolvimentos, finalizamos, apontando para outras marcas das concepções brentanianas na teoria freudiano e, portanto, para a riqueza desta linha de pesquisa
Bráulio de Britto Neves
Full Text Available O ciberativismo, surgido na cultura hacker, constitui a principal referência para os movimentos de resistência às formas de dominação por controle difuso, exatamente porque é um movimento político que tematiza a liberdade de comunicação e informação. A despeito dos duros golpes sofridos pelo movimento, em decorrência da política de "guerra ao terror", o ciberativismo logrou produzir uma expressão no cinema documentário que inflete a tendência da retórica documentária subjetiva para um uso coletivo, a autopoiese de contrapúblicos. Para demonstrar as características dessa nova estratégia de resistência, este artigo examina as peculiaridades do ciberdocumentário Brad – Uma noite mais nas barricadas em termos de interpretabilidade e de condições de validez ética (sinceridade intencional, veracidade proposicional e correção relacional.
capacity to promote Chiang Mai as an alternative site to Bangkok for foreign trade and investment. • Also in January 2003 Thaksin unveiled a 100 billion...and Chris Baker, Thailand’s Crisis ( Chiang Mai : Silkworm Books, 2000). 13. See for example Joseph Stiglitz, "Dealing With Debt: How to Reform the
control, p. 149–157. In: B. Aubert, S. Tontyaporn, and D. Buangsuwon (eds.). Proc. Asia Pacific Intl. Conf. Citriculture, Chiang Mai , Thailand, 4–10...planning and management, p. 77–82. In: B. Aubert, S. Tontyaporn, and D. Buangsuwon (eds.). Proc. Asia Pacific Intl. Conf. Citriculture, Chiang Mai , Thailand
Chen, 1. 7 David K. Wyatt, Thailand: A Short History ( Chiang Mai , Thailand: Silkworm Books, 2003),278. 8 Wyatt, 277. 9 U.S. Department of State...westhawk.blogspot.com/2008/02/marine-corps-expeditionary-plan-is.html Wyatt, David K. Thailand: A Short History. Chiang Mai , Thailand: Silkworm Books
termi- nalia and legs mounted; #NY 123-11 from Khaoyai. Five specimens came from Chiang Mai : #T-2195-10L and #T-2123-1P from Doi Sutep; #T-2413-lP...examined. The Thailand material contained 1 whole larva and 17 males with 9 associated larval and pupal skins from Chiang Mai ; 3 males, 2 with
Moesby, Egon; Rosenørn, Torben
Documentation material and working papers for the workshop "Introduction to Problem Based Learning for Engineering Education" held at Chiang Mai University, Chiang Mai, Thailand, 6 - 10 October 2003. The material support the workshop where the participants go through a complete pre-planning cycle...
Chiang Mai Initiative.12 A slow move toward regional economic integration has continued since; however, there have been very few broad multilateral...treaty was signed at the Presidio, and was shortly followed by the U.S.-Japan Mutual Security Treaty. 11 Ibid, 24. 12 Ibid, 32-34. The Chiang Mai agreement
Japan, and South Korea—agreed to financial and economic cooperation, including the Chiang Mai Initiative, to stabilize the regional financial...outlook and strengthen cooperation in the event of a future financial crisis.51 Through the Chiang Mai Initiative (CMI), the ASEAN nations and the three
Este artigo trata da metodologia comparativa centrada nos casos mais contrastantes e mostra a utilidade crescente deste método no mundo atual, marcado pela escalada da globalização. O método dos casos mais diferentes foi desenvolvido nos anos sessenta, época em que se privilegiavam as abordagens estrutural-funcionalistas, que tendiam a mostrar a unicidade ou, pelo menos, a uniformidade das trajetórias de mudança ou de desenvolvimento das sociedades humanas. Esse método demonstrou, em contrapa...
Cericato, Alceu; Meneghello, Géri; Filippin, Ivandro
Aplicar os preceitos da Produção Mais Limpa, além de reduzir custos, apresenta benefícios ao meio ambiente por meio da redução de desperdícios e contaminantes. Dessa forma, a presente pesquisa tem por objetivo conhecer a realidade do sistema produtivo das pequenas agroindústrias apresentando uma proposta de melhoria com ênfase nos preceitos da Produção Mais Limpa. A pesquisa foi realizada em quatro agroindústrias de pequeno porte; dois empreendimentos são do setor de carnes e dois são do seto...
Noh, Myung Hyun; Shim, Taek Mo
A seismotectonic province is a kind of seismic source where, in general, seismic characteristics are assumed to be uniform. It is different from earthquake-generating geological structures such as faults or folds. It is an area or a zone where earthquakes diffusely occur but no specific geological structure is identified to be responsible for those earthquakes. The terminology, a seismotectonic province is originated from a tectonic province of U.S. federal code, with emphasis on earthquakes. The seismotectonic province is called the seismogenic source in the regulatory guides of U.S. Nuclear Regulatory Commission (NRC), and the zone of diffuse seismicity in a guide of International Atomic Energy Agency (IAEA). In Korea, existing seismotectonic province maps were constructed based on the geological information due to insufficient earthquake data. As understood in its name, however, a seismotectonic province map should be based on the seismic information. Moreover, it should be noted that the Korean (geologic) tectonic structures cannot correctly represent the current tectonic regime because they were formed before the Cenozoic. In this context, we attempted to construct a seismotectonic province map by using seismic and geophysical information as well as geologic information
Although the extraction of mineral wealth has been the major influence in the history of Johannesburg and the surrounding Witwatersrand regions (with about 45% of all gold ever mined coming from there), the discovery of now-famous hominid fossils at the Sterkfontein Caves, and the convening of the world's largest-ever conference on environment and development, are setting a new stage for the future. The United Nations began the second Development and Environment Conference in Johannesburg on August 26, 2002. This meeting addresses the implementation of international goals to fight poverty and protect the global environment that were established at the first such conference held in Rio de Janeiro in 1992. The Johannesburg summit involves about forty thousand participants, and perhaps 100 world leaders. One of several official opening ceremonies for the conference was held at the Sterkfontein Caves to recognize the outstanding universal value of the paleo-anthropological fossils found there.These views from the Multi-angle Imaging SpectroRadiometer (MISR) highlight a number of the land use, vegetation, and geological features found within Gauteng Province (including the urban center of Johannesburg and the capital city Pretoria) and parts of the North West and Free State Provinces. The image on the right displays vegetation in red hues and is a false-color view utilizing data from MISR's near-infrared, red and blue bands. Both the natural-color view (left) and the false-color version were acquired by MISR's nadir camera on June 16, 2002. The urban areas appear as gray-colored pixels in the natural-color view, and exhibit colors corresponding with the relative abundance of vegetation found in the urban parts of this arid region.The mountains trending east-west near the center of the images extend from Pretoria in the east to Rustenberg in the west. These ranges, the Magaliesberg and Witwatersberg, separate the low-lying, hotter bushveld to the north from the cooler
Full Text Available Sha Shen Mai Men Dong Tang (SMD-2; 沙參麥冬湯 shā shēn mài dōng tāng is a Chinese medicinal herb (CMH; 中草藥 zhōng cǎo yào used to treat symptoms associated with cancer therapy. The objective of this study was to assess the effect of SMD-2 on the levels of urinary copper (Cu, zinc (Zn, and selenium (Se in lung cancer patients and head and neck cancer patients receiving chemoradiotherapy. Forty-two head and neck cancer patients and 10 lung cancer patients participated in our clinical trial. Each patient received chemoradiotherapy for 4 weeks. In addition, each patient was treated with SMD-2 for 8 weeks, including 2 weeks prior to and after the chemoradiotherapy treatment. Comparison of urinary Cu, Zn, and Se levels and the ratios of Zn to Cu and Se to Cu at three time points in the two types of cancer were assessed using the generalized estimating equations (GEEs. After the patients received chemoradiotherapy for 4 weeks, SMD-2 treatment was found to be associated with a significant decrease in urinary Cu levels, whereas urinary Zn and Se levels increased significantly. In addition, the ratios of Zn to Cu and Se to Cu in the urine samples of these patients also increased significantly. Both the urinary Zn levels and the ratio of Zn to Cu in head and neck cancer patients were significantly higher than in lung cancer patients. Urinary Zn and Se levels and the ratios of Zn to Cu and Se to Cu, but not urinary Cu levels, increased significantly during and after treatment when assessed using the GEE model. The SMD-2 treatments significantly increased Zn and Se levels in the urine of head and neck cancer patients. Increased Zn and Se levels in urine strengthened immune system.
Débora Francielly de Oliveira
Full Text Available Considerando-se a evidente busca por alimentos de rápido e fácil preparo, as comunidades industrial e científica vêm investindo no desenvolvimento de novos produtos que, além de atenderem a essa demanda, possam oferecer benefícios à saúde do consumidor. Dentre os alimentos que não demandam muito tempo para o preparo no domicílio, o hambúrguer merece destaque, em função do seu elevado consumo. No entanto, em razão de conter gordura saturada e por ser submetido a processo de fritura, o consumo demasiado desse produto pode ser prejudicial à saúde humana, podendo causar doenças crônicas, entre as quais, a obesidade e a hipertensão. Estudos têm demonstrado a possibilidade de substituição de ingredientes na formulação de hambúrgueres, com a intenção de incorporar substâncias com propriedades funcionais; portanto, substâncias que possam contribuir para a saúde e o bem-estar dos consumidores. Nesse contexto, esta revisão aborda questões referentes ao hambúrguer, no sentido de conceituar o produto e, à luz da literatura, oferecer alternativas possíveis e que têm sido estudadas para tornar esse alimento mais saudável, com foco na substituição de gordura animal por fibras e na redução do teor de cloreto de sódio.
Cristina Becker Lopes Perna
Full Text Available O presente artigo almeja trazer à agenda das discussões sobre letramento na universidade a lacuna existente entre o ensino e a aprendizagem de gêneros escolares e de gêneros acadêmicos. Nossa inquietação é fruto de uma preocupação com os alunos ingressantes em instituições de ensino superior que não tiveram uma experiência escolar com vistas a uma prática social de letramento acadêmico. A partir do tema proposto, refletimos sobre como a teoria dos gêneros discursivos, bem como sua aplicabilidade, auxilia no desenvolvimento do letramento acadêmico desses alunos universitários. A proficiência, ou inserção, na esfera discursiva acadêmica está muito relacionada com a competência genérica que o aluno deve possuir para assegurar sua comunicação de forma a alcançar seu status de sujeito discursivo e transformador. Portanto, defendemos que, aliada à análise de gêneros discursivos acadêmicos, a metodologia de ensino de Português para Fins Acadêmicos, aos moldes da consagrada área de Inglês para Fins Acadêmicos (English for Academic Purposes, pode, em muito, contribuir para se criar uma tradição de letramento acadêmico que propicie ao estudante uma experiência mais significativa não somente na sua esfera acadêmica, mas também no domínio discursivo do qual ele venha a participar, uma vez egresso da universidade e apto para atuar na sua profissão.
Marcela Colussi Cypel
Full Text Available OBJETIVO: Determinar as condições visuais e oculares em indivíduos com mais de 99 anos. MÉTODO: Estudo prospectivo e descritivo de série casos. Trinta idosos com mais de 99 anos se inscreveram no Instituto da Visão da Universidade Federal de São Paulo, de forma voluntária, respondendo à busca ativa. O exame oftalmológico constou de anamnese, ectoscopia, acuidade visual, exame refracional, citologia e cultura de cílios e conjuntiva com antibiograma, teste de Schirmer basal, tempo de ruptura do filme lacrimal, coloração com Rosa Bengala da conjuntiva e córnea, exame de biomicroscopia, tonometria de aplanação e fundoscopia direta e indireta. Foram realizados exames complementares, como retinografia e tomografia de coerência óptica, quando indicados. RESULTADOS: Trinta pacientes acima de 99 anos (média de 101,5±1,8 anos, dos quais, 25 mulheres e 5 homens, foram examinados; destes, 10 não tinham condições de exame completo, em razão de limitações de saúde e mobilidade. A doença sistêmica mais encontrada foi hipertensão arterial (8 pacientes = 40%. Cinco pacientes (25% negaram qualquer doença ou uso de medicação. A melhor acuidade visual corrigida para longe foi de 20/100 ou melhor em 11 pacientes (55% e para perto variou de J4 ou melhor também em 11 pacientes (55%, sendo que sete destes idosos (63% não haviam sido submetidos à cirurgia de catarata. A principal queixa foi dificuldade para leitura em 55% e 40% demonstrou estar satisfeito com a sua visão. A melhora da acuidade com prescrição de óculos novos ocorreu em 4 casos (20%. Catarata foi identificada como comprometendo a visão de forma significativa em 5 casos (25%; porém, apenas 2 concordaram com a cirurgia. A principal causa de baixa visão foi a degeneração macular relacionada à idade, presente em todos os casos; na maioria da vezes (95%, na forma seca. CONCLUSÃO: As necessidades da população nessa faixa etária devem ser entendidas para o
Bjørnskov, Christian; Potrafke, Niklas
This paper examines how political ideology influenced economic freedom in the Canadian provinces. We analyze the dataset of economic freedom indicators compiled by the Fraser Institute in 10 Canadian provinces over the 1981-2005 period and introduce two different indices of political ideology......: government and parliament ideology. The results suggest that government ideology influenced labor market reforms: market-oriented governments promoted liberalization of the labor market. Parliamentary ideology did not influence economic liberalization at all. This finding (1) identifies differences between...... leftist and rightwing governments concerning the role of government in the economy and (2) indicates that ideological polarization concerns governments but less parliamentary fractions in the Canadian provinces. ...
An educational program for female farmers in Keshan County, Heilongjiang Province, originally limited to the topics of women's health care and family planning has not only improved health status, but has also helped increase income level among the participants. Keshan County is one of China's grain bases composed of seventeen townships with a total population of 460,000. The education program resulted from the health check-up for women conducted in 1985 which found 62.1% of local women with gynecological diseases, largely ignorant of health care, and too shy to visit doctors. A textbook was subsequently compiled on women's health care and family planning, and lectures were commenced on the topics. Lectures were soon expanded to cover health care for teenagers, newlyweds, pregnant women, young mothers, and middle-aged and elderly people. It was also found after some time that farmers wanted to be wealthier, to secure good educations for their children, and enjoy good health and longevity. Education topics were again expanded to include subjects relevant to farmers' income-production desires. These education sessions are now being replicated in most rural areas countrywide.
Mohammad Reza Shojaie
Full Text Available Today, regarding rapid changes in the environment, any organization, institution or country that overlooks its capabilities, strengths and weaknesses, will face real challenges. Strategic planning in organizations is a common response to these challenges which also facilitate achieving goals in an organization. Today, the importance of ICT is increased, which necessitates ICT strategic planning to use ICT in organizations. So, this study aimed to propose ICT strategic plans for Mazandaran province. For this end, at first using stakeholders' viewpoints, the vision, mission and goals are provided. Then, Internal & External Matrix was suggested and identified factors were ranked using Analytic Network Processing (ANP. Then, concerning strengths, weaknesses, opportunities, threats, and using SWOT analysis, ICT strategies were provided. Finally, using QSPM matrix, the strategies were ranked. Regarding this ranking, dedicated budget to ICT in governmental organizations, using integration architecture, developing organizational and inter-organizational information systems, developing mechanisms to absorb national and local financial resources for extending ICT infrastructures and finally concerning ICT trainings for managers and people, were in the top of the list.
Ndamkou, C N; Nchare, A [Laboratoire National Veterinaire de Bokle (LANAVET), Garoua (Cameroon)
The results of the examination of 2959 bovine blood samples collected from four divisions of North Province of Cameroon showed a prevalence of 1.72 for T. brucei, 0.98 for T. congolense and 4.03 for T. vivax using parasitological techniques, such as the buffy coat technique (BCT) and the microhaematrocrit centrifugation technique (MHCT). Prevalence rates in tsetse infested areas were higher than in tsetse free areas for T. brucei and T. congolense, but not for T. vivax. The Antigen ELISA was used to detect trypanosomal antigens in serum samples of a subset of the same animals. By using the Ag-ELISA many more animals were detected positive for T. brucei and T. vivax, but not for T. congolense, than when just the two parasitological techniques were used. As a matter of fact 90% of the T. brucei infections were detected by the Ag-ELISA and 10% by using either the BCT or the MHCT. (author).6 refs, 5 figs, 6 tabs.
Full Text Available The Trentino Province (Italy has more than 320 lakes diverse in size, geological substrate, altitude and trophic status, and representing most physico-chemical types of temperate lakes. A recent research project (SALTO offered the opportunity to study the dinoflagellate flora of 27 of these water bodies representing all lake types. In this paper 34 taxa of dinoflagellates assigned to eight genera (Ceratium, Glenodiniopsis, Glochidinium, Gymnodinium, Gyrodinium, Peridinium, Peridiniopsis and Tovellia in five families (Ceratiaceae, Glenodiniopsidaceae, Gymnodiniaceae, Peridiniaceae and Tovelliaceae and four genera of uncertain collocation (Baldinia, Borghiella, Durinskia and Staszicella are described. Two previously undescribed species and two new combinations are also included. Classification is based in part on Popovsk´y and Pfiester (1990, modified according to the results of recent molecular and ultrastructural analyses. Dinoflagellate taxonomy is currently undergoing extensive revision, and taxonomic decisions in the present article follow the recent orientations in dinoflagellate systematics. The taxonomical issues of the more problematic genera are discussed. Where appropriate, comments on ecological features of the species are also given.
Ndamkou, C.N.; Nchare, A.
The results of the examination of 2959 bovine blood samples collected from four divisions of North Province of Cameroon showed a prevalence of 1.72 for T. brucei, 0.98 for T. congolense and 4.03 for T. vivax using parasitological techniques, such as the buffy coat technique (BCT) and the microhaematrocrit centrifugation technique (MHCT). Prevalence rates in tsetse infested areas were higher than in tsetse free areas for T. brucei and T. congolense, but not for T. vivax. The Antigen ELISA was used to detect trypanosomal antigens in serum samples of a subset of the same animals. By using the Ag-ELISA many more animals were detected positive for T. brucei and T. vivax, but not for T. congolense, than when just the two parasitological techniques were used. As a matter of fact 90% of the T. brucei infections were detected by the Ag-ELISA and 10% by using either the BCT or the MHCT. (author).6 refs, 5 figs, 6 tabs
Mohammad Mehdi Dehshiri
Full Text Available The aim of this research was plant identification, introduction to the flora, determination of life forms and geographical distribution in Khargushan Mountain. This Mountain, with 6000 hectares, situated on the east of Poldokhtar and south-west of Khorramabad. The maximum altitude of this mountain is thought 2329 m. Plant specimens were collected from different parts of the area during two growing seasons 2013-2014. The plant biological spectrum of the area was plotted by means of life forms results. The position of the area within Iran’s phytogeography classification was studied based on geographical distribution data and references. From 211 identified species in the studied area, 3 Pteridophytes, 1 Gymnosperm, 176 dicotyledons and 31 monocotyledons were presented. These species belong to 50 families and 150 genera. The important families are Fabaceae, Asteraceae, Apiaceae and Lamiaceae with 12.79%, 10.42%, 8.05% and 7.58%, respectively. Life forms of the plant species include Therophytes 36.49%, Hemicryptophytes 31.28%, Cryptophytes 18.96%, Phanerophytes 8.06%, and Chamaephytes 5.21%. 138 species (65.4% were endemics of Irano-Turanian region; 32 species of them were endemics of Iran which among them, distribution of 4 species (Astragalus lurorum, Dionysia gaubae, Hedysarum gypsophilum and Phlomis lurestanica limited to Lorestan province.
JAYZEL ANN. T. DE CASTRO
Full Text Available Church tourism has clearly increased over the past ten years. Churches are an important part of the tourism product of many parts of the country. This study aimed to determine the contribution of the churches in terms of social, cultural and economic aspects of the place, to identify the problems encountered in the promoting church tourism and propose plan of action to sustain the tourism of the Province of Batangas through churches. The researchers used the descriptive method of research and utilized self-made questionnaire as the main data gathering instrument of the study. The respondents were consisting of 5 people in the offices of the pilgrim churches from Batangas City and 10 churchgoers. The respondents agree that pilgrim churches contribute to tourism in terms of social and economics aspect while they strongly agree in term of cultural aspect. The most commonly experienced problems were the accessibility of the transportation and an action plan was proposed to address the problems encountered. The recommendation addressed that roving guards should be provided to ensure the safety and security of the tourists during their visit in the church. The church personnel may provide creative and command activities that will encourage people. Also they may have a briefing about the history of the church so that if visitor needs information it easy for them to answer and an action plan may be implemented to solve the problem encountered.
Raud-Pähn, Mai, 1920-
Ettekannetega esinesid: Tiiu Kravtsev, Riina Reinvelt, Juta Kivimäe, Piret Noorhani, Merike Kiipus, Anu Korb, Anne Valmas, Mihkel Volt, Mare Rand, Inga Kuljus, Enn Mainla, Roland Weiler, Teas Tanner, Tiina Kirss, Jüri Kivimäe, Enda-Mai Michelson-Holland, Andrae, Carl Göran, Katrin Meerits ja Maie Barrow
Reurings, M.C.B. & Bos, N.M.
Seriously injured road crash casualties in the Netherlands in the period 1993-2008; The real number of in-patients with a minimum MAIS of 2. Road safety policy is aimed at reducing the numbers of road deaths and seriously injured in road safety crashes. In the Netherlands, a 'seriously injured
National Oceanic and Atmospheric Administration, Department of Commerce — These grid files were used to produce gravity and basin depth maps of the Basin and Range Province, western United States. The maps show gravity values and modeled...
National Oceanic and Atmospheric Administration, Department of Commerce — These grid files were used to produce gravity and basin depth maps of the Basin and Range Province, western United States. The maps show gravity values and modeled...
National Oceanic and Atmospheric Administration, Department of Commerce — These grid files were used to produce gravity and basin depth maps of the Basin and Range Province, western United States. The maps show gravity values and modeled...
Raposo, C.; Matos, E.C. de
It is narrated a historic about the anomalies descovered in Lagoa Real province (BA), focusing the aspects related to geology, mineralization, drillings data and reserves evaluation. Geologic and radiometric maps of the anomalies are shown. (A.B.) [pt
Metallogenic epoch of the Jiapigou gold belt, Jilin Province, China: ... The Jiapigou gold belt is located on the northern margin of the North China Craton, and is one of the ... 29, Xueyuan Road, Beijing 100083, People's Republic of China.
Full Text Available The main objective of this study was to investigate the feasibility of prone areas for apple cultivation in Razavi Khorasan province. Therefore in this study criteria and sub criteria were considered to determine suitable areas for growing apple trees and due to the importance of data integration Analytic Hierarchy Process AHP was selected to determine the weight of layers. The software ArcGIS version 10.2.2 was used to analyze the spatial and overlapping layers after data analysis in terms of growing apple trees Razavi Khorasan province was divided into four levels very good good average and bad. The results showed that suitable areas for growing apple trees in the studied area are located in the south east northeast and center of the province including Sarakhs Neyshaboor Gonabad and Kashmar stations with an area of over 4364789.32 hectares which is about 48.34 of the total area of the province.
Iyer, S.D.; Sudhakar, M.
Based on various lines of evidence such as the widespread occurrence of basalts, pumice, volcanic glass shards and their transformational products (zeolites, palagonites, and smectite-rich sediments), we suggest the presence of a volcanic province...
Nadali Musanejad; Gholamali Jursarayee; Ayyub Barzegarnejad; Sepideh Peivandi; Narges Moslemizadeh; Amir Esmailnejad Moghaddam; Abbasali Karimpour Malekshah
Background: The prevalence and etiology of infertility are not similar in different parts of the world. There are only few reports of this topic in Iran. Objective: This study was conducted to determine the clinical patterns and major causes of infertility in Mazandaran province in north of Iran. Materials and Methods: The medical records of 3734 consecutive couples attending two infertility clinics in Mazandaran province, from 2003 to 2008, were reviewed. The couples had not had a viable bir...
XIAO, Yongtian; CUI, Yu; HU, Lijia
The problem of farmers' income growth is the key of issues concerning agriculture, countryside and farmers, so the farmersâ€™ income growth is the fundamental starting point for agricultural and rural economic development. In this paper, we use the statistics concerning farmers' income in Yunnan Province from 1995 to 2012, to perform the path analysis of components of farmers' income in Yunnan Province, study the path of influence of components of farmers' income on farmers' net income, and t...
Mohammadi, Ali Akbar; Tohidinik, Hamid Reza; Zardosht, Mitra; Seyed Jafari, Seyed Morteza
BACKGROUND The alarming incidence of self- burning provoked to set up a multidisciplinary preventive program to decrease the incidence and complications of this harmful issue. This study investigated the incidence and the preventive measures in self-burn in Fars Province, southern Iran. METHODS This study was a longitudinal prospective design on trend of self-inflicted burn injuries in Fars province after setting up a regional multidisciplinary preventive plan (2009-2012). RESULTS From 18862 ...
Isnaniawardhani, Vijaya; Sukiyah, Emi; Sudradjat, Adjat; Nanlohy, Martha Magdalena
The characteristic of small to medium size islands is the limited amount of natural resources for electric generation. Presently the needs of energy in Maluku Province are supplied by the diesel generation units. The electricity distributes through an isolated grid system of each island. There are 10 separate systems in Maluku Province, namely Ambon, Namlea, Tual, Saumlaki, Mako, Piru, Bula, Masohi, Dobo and Langgur. From the geothermal point of view, this condition is suitable because the na...
Full Text Available RACT Protein consumption level of society in Yogyakarta Province has yet to meet the target, but the beef is a source of animal protein that is easily obtainable. Therefore, research on the analysis of demand for beef in this province needs to be done. Objective: (1 Determine the factors that affect the demand for beef in Yogyakarta. (2 Determine the own price elasticity and income elasticity of demand for beef in this province, and to know the cross-price elasticity of demand for beef to changes in the price of mutton, chicken, rice, and cooking oil. Metode: descriptive statistics, followed by inductive statistics , and hypothesis testing. The data used are primary and secondary data. Data were analyzed by multiple linear regression with the value of t and F tests, and analysis of the coefficient of determination. Results: Taken together, the factors that affect the demand for beef in the province is the price of beef, mutton, chicken, rice, cooking oil, income, number of inhabitants. Individually, beef demand is influenced by the price of beef and income residents. Beef inelastic demand means that beef is the daily necessities that are affordable and easy to obtain population of Yogyakarta Province. The increase in income population does not add to demand for beef. Substitutes of beef in the province is goat and chicken, while the complementary goods are rice and cooking oil.
Pang, Guanghua; Feng, Jikun; Lin, Jun
We imaged the crust structure beneath Jilin Province and Liaoning Province in China with fundamental mode Rayleigh waves recorded by 60 broadband stations deployed in the region. Surface-wave empirical Green's functions were retrieved from cross-correlations of inter-station data and phase velocity dispersions were measured using a frequency-time analysis method. Dispersion measurements were then utilized to construct 2D phase velocity maps for periods between 5 and 35 s. Subsequently, the phase-dispersion curves extracted from each cell of the 2D phase velocity maps were inverted to determine the 3D shear wave velocity structures of the crust. The phase velocity maps at different periods reflected the average velocity structures corresponding to different depth ranges. The maps in short periods, in particular, were in excellent agreement with known geological features of the surface. In addition to imaging shear wave velocity structures of the volcanoes, we show that obvious low-velocity anomalies imaged in the Changbaishan-Tianchi Volcano, the Longgang-Jinlongdingzi Volcano, and the system of the Dunmi Fault crossing the Jingbohu Volcano, all of which may be due to geothermal anomalies.
Leite, Jayme Alfredo Dexheimer; Saes, Gerson Souza; Macambira, Moacir Jose Buenano
Large Igneous Provinces (LIPs) are important features of the Earth history especially recognized during Paleo to Mezosoic times when they are related to the break up of supercontinents (Coffin and Eldhom, 1994). These provinces occur in several different tectonic settings such as volcanic passive margins, submarine ridges and continental and oceanic plateaux. Mafic-dominanted provinces are the most well known among the LIPs and the best examples are the Karoo, Kerguelem and Ontong-Java. LIPs including an important silicic component have been described in some basaltic provinces of southern Africa (Milner et al. 1992). More recently, silicic-dominated LIPs have been recognized in eastern Australia (Bryan et al., 2000), in southern South America (Pankhurst et al. 1998) and in Antartica Penninsula (Riley and Leat, 1999). The common characteristics of this kind of LIP include: 1) large volume of silicic rocks with dominance of ignimbrites, 2) active over 40 to 50 m.y.; and 3) spatially and temporally associated with plate break up. In this paper we present the main geologic and geochronologic characteristics of the Teles Pires volcanic province from southwest Amazon Craton, which allow its classification as a Paleoprotorozoic silicic-dominated LIP. Geologic implications of this suggestion includes the existence of a large cratonic plate as old as 1.81Ga for the Amazon Craton, therefore the proposed 1.85-1.55 Ga magmatic arc of Rio Negro-Juruena Province should be reviewed (au)
Abduli, Mohammad Ali; Nasrabadi, Touraj
Kurdistan Province, with an area of 28,203 square kilometers, is located in a mountainous area in the western part of Iran. From 1967 to 1997, the urban population in the major eight cities of the Kurdistan Province-namely, Baneh, Bijar, Divan Darreh, Saghez, Sanandaj, Ghorveh, Kamyaran, and Marivan-increased from 102,250 to 705,715. The proportion of the population residing in urban areas increased 90 percent during this period. In most of the cities, solid waste handling remains primitive, and well-organized procedures for it have not been established. Traditional methods of disposal, with marginal inclusion of modern conveniences, appear to be the common practice. In general, the shortcomings of the prevailing practices can be summarized as follows: The municipal solid waste management systems (MSWMSs) in this province include unsegregated collection and open dumping of municipal solid wastes. Separation of municipal solid waste in this province is in the hands of scavengers. The MSWMSs in this province lack essential infrastructure. Thus, design and implementation of modern MSWMSs in this province are essential. Principal criteria for and methods of implementing these systems are as follows: (1) rationally evaluating all functional elements so that they operate in a steady-state or equilibrium manner; (2) creating all support elements for the MSWMS in each city; (3) introducing gradual privatization of MSWMS activities; (4) creating guidelines, regulations, and instructions for all elements of MSWMSs; and (5) giving priorities to source separation and recycling programs. This paper reviews the present status of MSWMSs in eight major cities of Kurdistan Province and outlines the principle guidelines and alternatives for MSWMSs.
BAMBANG HERO SAHARJO
Full Text Available During dry season it is easily recognized that smoke will emerge at certain place both in Sumatra and Kalimantan that is in peatland. The worst situation occurred when fire burnt buried log in the logged over area where the fire fighter did not have any experience and knowledge on how to work with fire in peatland. Finally it had been found that one of the reasons why firefighter failed to fight fire in peatland is because they do not have any knowledge and experience on it. In order to know the fire behavior characteristics in different level of peat decomposition for fire management and sustainable management of the land for the community, research done in Pelalawan area, Riau Province, Indonesia, during dry season 2001. Three level of peat decomposition named Sapric, Hemic, and Fibric used. To conduct the research, two 400 m2 of plot each was established in every level of the peat decomposition. Burning done three weeks following slashing, cutting and drying at different time using circle method. During burning, flame length, rate of the spread of fire, flame temperature and following burning fuel left and the depth of peat destruction were measured. Results of research shown that in sapric site where sapric 2 has fuel load 9 ton ha-1 less than sapric 1, fire behavior was significantly different while peat destructed was deepest in sapric 2 with 31.87 cm. In hemic site where hemic 2 has fuel load 12.3 ton ha-1 more than hemic 1, fire behavior was significantly different and peat destructed deeper than hemic 1 that was 12.6 cm. In fibric site where fibric 1 has fuel load 3.5 ton ha-1 more than fibric 1, fire behavior was significantly different that has no burnt peat found. This results found that the different fuel characteristics (potency, moisture, bed depth, and type at the same level of peat decomposition will have significantly different fire behavior as it happened also on the depth of peat destruction except fibric. The same condition
Full Text Available Large igneous provinces (LIPs formed by mantle superplume events have irreversibly changed their composition in the geological evolution of the Earth from high-Mg melts (during Archean and early Paleoproterozoic to Phanerozoic-type geochemically enriched Fe-Ti basalts and picrites at 2.3 Ga. We propose that this upheaval could be related to the change in the source and nature of the mantle superplumes of different generations. The first generation plumes were derived from the depleted mantle, whereas the second generation (thermochemical originated from the core-mantle boundary (CMB. This study mainly focuses on the second (Phanerozoic type of LIPs, as exemplified by the mid-Paleoproterozoic Jatulian–Ludicovian LIP in the Fennoscandian Shield, the Permian–Triassic Siberian LIP, and the late Cenozoic flood basalts of Syria. The latter LIP contains mantle xenoliths represented by green and black series. These xenoliths are fragments of cooled upper margins of the mantle plume heads, above zones of adiabatic melting, and provide information about composition of the plume material and processes in the plume head. Based on the previous studies on the composition of the mantle xenoliths in within-plate basalts around the world, it is inferred that the heads of the mantle (thermochemical plumes are made up of moderately depleted spinel peridotites (mainly lherzolites and geochemically-enriched intergranular fluid/melt. Further, it is presumed that the plume heads intrude the mafic lower crust and reach up to the bottom of the upper crust at depths ∼20 km. The generation of two major types of mantle-derived magmas (alkali and tholeiitic basalts was previously attributed to the processes related to different PT-parameters in the adiabatic melting zone whereas this study relates to the fluid regime in the plume heads. It is also suggested that a newly-formed melt can occur on different sides of a critical plane of silica undersaturation and can
Zhejiang Province in China has promoted a new family planning program since April 1993. The program stresses delayed marriage and childbearing, fewer and healthier births, modernization of family life, and prosperity through hard work. The people are receptive to the new program out of a desire for an improved standard of living. The objective is to build small, modern families who 1) practice deferred marriage and childbearing; 2) voluntarily practice family planning and have no unplanned births; 3) practice avoidance of consanguineous marriage, become sterilized if a carrier of a hereditary disease of chromosomal abnormality, and use premarital education and counseling and proper prenatal care; 4) uphold the laws and maintain discipline in action to avoid criminal behavior; 5) establish families that respect the old, care for children, and help their neighbors; 6) complete 9 years of compulsory education; and 7) create well being through hard work. The program is compatible with the strategy of the "three stresses" and an integrated approach. IEC and service provision are important components in program implementation. The target population are the masses and grassroots cadres, particularly those in the childbearing ages. IEC will be directed in different ways to different groups. Those aged 18-35 years will receive education. Face to face interaction with family planning workers and lectures will be directed to grassroots cadres. The mass media will be employed to reach the masses. The messages will include information and persuasion to adopt new families, accept family planning regulations, and learn about contraceptive use, healthy births and childrearing, education, health care, sex education, and income generation skills. Classes will be conducted for groups, such as teenagers, unmarried youth, pregnant women, and lactating women. Priority will be given to couples that accept the certificates for one child; favoritism will be granted for allocation of
Silvania Moraes Costa
Full Text Available The “Mais Médicos” (“More Doctors” Program in Brazil aims to solve the shortage of doctors by providing Brazilian and foreign professionals to work in cities with difficult access and marked socioeconomic vulnerability. This study aims to describe existing researches on the implementation of the “Mais Médicos” (More Doctors Program on Primary Healthcare. This is a descriptive research, in the form of an integrative review of literature according to data collection in the online databases: BVS and Scielo, with interrelations of Boolean operators and and or. The studies analyzed are: opinion articles, editorials, open space technology and debates, denoting the scarcity of original research carried out in this area. It is perceived that SUS (“Brazilian Unified Health System” needs to develop much more to guarantee the universal right to health, since the population, besides the necessity of more doctors, also needs better perspectives of health and social justice.
Cleide Aparecida Pereira Cirino
Full Text Available Esta pesquisa investigou as possibilidades de intensificar a jornada escolar na formação integral dos alunos que estão inseridos no Programa Mais Educação, instituído pelo Governo Federal em 2007 para a ampliação da jornada escolar e a organização curricular, na perspectiva da educação integral que visa atender o aluno em período integral. A metodologia foi de cunho qualitativo desenvolvida na Escola de Educação Básica Basiliano do Carmo de Jesus no Município de Sinop, onde foi desenvolvido o Programa, ressaltando a importância de compreender na prática como é o processo de escolarização e aprendizagem. Palavras-chave: Programa Mais Educação; escolarização; aprendizagem.
Master's thesis in International hotel and tourism management Social networks have become an integral part of everyday life for many. With an increasing number of companies using social media to communicate and build relationships with their customers, social media might be considered as the newest element of the marketing mix. The thesis’ objective is to explore the use of social media communication tools used by the jazz music festival, MaiJazz, in Stavanger, to define key...
Full Text Available The characteristic of small to medium size islands is the limited amount of natural resources for electric generation. Presently the needs of energy in Maluku Province are supplied by the diesel generation units. The electricity distributes through an isolated grid system of each island. There are 10 separate systems in Maluku Province, namely Ambon, Namlea, Tual, Saumlaki, Mako, Piru, Bula, Masohi, Dobo and Langgur. From the geothermal point of view, this condition is suitable because the nature of the generation is small to medium and the locations are dispersed. The geological condition of Maluku Province is conducive for the formation of geothermal resources. The advanced utilization of geothermal energy in Maluku Province is in Tulehu located about 8 kilometers NE of Ambon. It is expected that 60 MW electric will be produced at the first stage in 2019. A total of 100 MW resources were estimated. Other places of geothermal potentials are Lauke and Tawen both located in Ambon Island with the potentials of 25 MW respectively. In Oma Haruku, Saparua and Nusa Laut the geothermal potentials were estimated to be 25 MW each. The total amount of geothermal energy in Maluku Province is thus, 225 MW which will contribute significantly to the needs of projected 184 MW in the year 2025.
Full Text Available Spatial distribution of cancer is one of the powerful tools in epidemiology of cancer. The present study is designed to understand the geographical distribution of most frequent types of cancer in K&B province. Methods: All registered cases of cancer are reviewed and duplicate cases were removed. The data was analyzed using Arcgis software. Results: Of all registered cases, 1273 remained for analysis of which 57% were residences of urban areas. Cities including Sisakht, Yasuj and Dehdsasht were shown to have highest incidence rates among the Urban areas. Dena, Sepidar and Kohmare Khaleghi had the highest rates among the rural areas in the province. Skin cancer was the most common type of cancer which had the highest rates of incidence in Sisakht and Dehdasht and Dena and Sepidar among urban and rural areas respectively. Conclusion: The distribution of cancer was not even in the province. Attitude and consumption of wild and regional plants are introduced as the potential risk factors for such a spatial distribution of the common cancers I the province. The results of this study could be used for further analytical studies to understand the regional etiology of cancer in the province.
Nguyen Thanh Long
Full Text Available This study aims at sustainably developing rural tourism in An Giang Province, an agricultural province located in the South of Vietnam, by identifying the determinants of the satisfaction and revisit intention of tourists based on both qualitative and quantitative approaches. From exploratory interviews with experts and comprehensive group discussions, we developed a questionnaire for an official survey of 507 tourists at different tour-sites in An Giang Province. It is found that: (1 there are seven key factors affecting the satisfaction of the tourists, including: spirituality, tourism safety and security, people, food and beverage, natural environment, service prices and tourism infrastructure; and (2 revisit intention of tourists is affected by six factors, including: satisfaction, spirituality, tourism safety and security, people, food and beverage and service prices. Among them, spirituality is a new factor to be thoughtfully considered due to its significant influence on both the tourist satisfaction and revisit intention. From these findings, we proposed some managerial implications for the sustainable development of rural tourism in An Giang Province by enhancing the satisfaction and revisit intention of the tourists after they visit the province.
Mjelde, R.; Breivik, A. J.; Faleide, J. I.
Early Eocene continental breakup in the NE Atlantic Volcanic Province (NAIP) was associated with voluminous extrusive and intrusive magmatism, and initial seafloor spreading produced anomalously thick oceanic crust. Recent publications based on crustal-scale wide-angle seismic data show that there is a positive correlation between igneous crustal thickness (H) and average P-wave velocity (Vp) on all investigated margins in the NAIP. Vp can be used as a proxy for crustal composition, which can be related to the mode of mantle melting. A positive H-Vp correlation indicates that excessive mantle melting the first few million years after breakup was driven by an initial increased temperature that cools off as seafloor spreading develops, consistent with a mantle plume model. Variations in mantle composition can explain excess magmatism, but will generate a negative H-Vp correlation. Active mantle convection may increase the flux of mantle rocks through the melting zone above the rate of passive corner flow, which can also produce excessive magmatism. This would produce little H-Vp correlation, and place the curve lower than the passive flow melting curve in the diagram. We have compiled earlier published results with our own analyses of published and unpublished data from different groups to look for systematic variations in the mantle melting mode along the NAIP margins. Earlier studies (Holbrook et al., 2002, White et al, 2008) on the southeast Greenland conjugate system, indicate that the thick igneous crust of the southern NAIP (SE Greenland ? Hatton Bank) was dominated by increased mantle temperature only, while magmatism closer to the southern side of and including the Greenland-Iceland-Færøy Ridge (GIFR) was created by combined temperature increase and active mantle convection. Recent publications (Breivik et al., 2008, White et al, 2008) north of the GIFR for the Norway Basin segment, indicate temperature dominated magmatism between the Jan Mayen Fracture
Emetz, A.; Cuney, M.
Ukraine produces ~1,100 t U per year from the Michurinske, Centralne, Novokostantynivske and Vatutinske U deposits in the Kirovograd U district of the Central Ukraine Uranium Province (CUUP) consisting of about 20 deposits and numerous showings related to ~1.8 Ga sodium metasomatites developed in the Lower Paleoproterozoic granite-gneiss and iron formations of the Ingul Megablock of the Ukrainian Shield. Two deposits (the Zhovta Richka and Pervomayske) were mined out tens kilometers eastward in iron formations of the Kryvy Rig – Kremenchug mining district. Nametasomatite fields with scarce sub-economical U-mineralization were revealed by geophysical (magnetometry and gravimetry) and drilling programs northward in granitised gneisses around the younger Korsun-Novomyrgorod rapakivi pluton consisting of A2-type within plate granitoids which were emplaced during decompression melting at ~1.75 Ga. The present work aims to demonstrate structural and geochemical factors related to Na-metasomatism, and to mark out geochemical and tectonical parameters which were favorable for U-accumulation using data on deep seismic survey, geological structure analysis, and mineralogical and geochemical investigations of metasomatites. In the Ingul Megablock, Na-metasomatites occur along shear fault zones mostly oriented N-S. Metasomatites form complicate systems of plate- and lens-like bodies of aegirine-riebeckite albitites surrounded by dequartzified host rocks. Elemental alteration during Na-metasomatism demonstrates simple exchange of Si, K, Rb, Ba and Cs by Na, Ca, and locally V and U. δ 18 O H 2 O (300-400ºC) for albitizing hydrothermal solutions is near “zero”, typically for surficial water. These data suggest host rock interaction with hot marine waters. Persistent Na-metasomatic alterations extend along major tectonic faults for several kilometres with variable thicknesses reaching some hundreds meters in the zones of intense brecciation developed in the places of fault
Coffin, M. F.
The formation of large igneous provinces (LIPs)—continental flood basalts, ‘volcanic’ margins, and oceanic plateaus—may impact the atmosphere, oceans, and biosphere by rapidly releasing huge amounts of particulates, magmatic volatiles (CO2, SO2, Cl, F, etc.), and potentially volatiles (CO2, CH4, SO2, etc.) from intruded sediments (e.g., carbonates, organic-rich shales, evaporites). A key factor affecting the magnitude of volatile release is whether eruptions are subaerial or marine; hydrostatic pressure inhibits vesiculation and degassing of relatively soluble volatile components (H2O, S, Cl, F) in deep water submarine eruptions, although low solubility components (CO2, noble gases) are mostly degassed even at abyssal depths. Directly or indirectly, such injections may cause changes in the atmosphere/ocean system that can lead to perturbations of atmosphere/ocean chemistry, circulation, ecology, and biological productivity. These changes can be global in extent, particularly if environmental conditions were at or near a threshold state or tipping point. LIPs may have been responsible for some of the most dramatic and rapid changes in the global environment. For example, between ~145 and ~50 Ma, the global ocean was characterized by chemical and isotopic variations (especially in C and Sr isotope ratios, trace metal concentrations, and biocalcification), relatively high temperatures, high relative sea level, episodic deposition of black shales (oceanic anoxic events), high production of hydrocarbons, mass extinctions of marine organisms, and radiations of marine flora and fauna. Temporal correlations between the intense pulses of igneous activity associated with LIP formation and environmental changes suggest more than pure coincidence. The 1783-84 eruption of Laki on Iceland provides the only historical record of the type of volcanism that constructs transient LIPs. Although Laki produced a basaltic lava flow representing only ~1% of the volume of a typical
J. Gregory Shellnutt
Full Text Available The late Permian Emeishan large igneous province (ELIP covers ∼0.3 × 106 km2 of the western margin of the Yangtze Block and Tibetan Plateau with displaced, correlative units in northern Vietnam (Song Da zone. The ELIP is of particular interest because it contains numerous world-class base metal deposits and is contemporaneous with the late Capitanian (∼260 Ma mass extinction. The flood basalts are the signature feature of the ELIP but there are also ultramafic and silicic volcanic rocks and layered mafic-ultramafic and silicic plutonic rocks exposed. The ELIP is divided into three nearly concentric zones (i.e. inner, middle and outer which correspond to progressively thicker crust from the inner to the outer zone. The eruptive age of the ELIP is constrained by geological, paleomagnetic and geochronological evidence to an interval of ≤3 Ma. The presence of picritic rocks and thick piles of flood basalts testifies to high temperature thermal regime however there is uncertainty as to whether these magmas were derived from the subcontinental lithospheric mantle or sub-lithospheric mantle (i.e. asthenosphere or mantle plume sources or both. The range of Sr (ISr ≈ 0.7040–0.7132, Nd (ɛNd(t ≈ −14 to +8, Pb (206Pb/204Pb1 ≈ 17.9–20.6 and Os (γOs ≈ −5 to +11 isotope values of the ultramafic and mafic rocks does not permit a conclusive answer to ultimate source origin of the primitive rocks but it is clear that some rocks were affected by crustal contamination and the presence of near-depleted isotope compositions suggests that there is a sub-lithospheric mantle component in the system. The silicic rocks are derived by basaltic magmas/rocks through fractional crystallization or partial melting, crustal melting or by interactions between mafic and crustal melts. The formation of the Fe-Ti-V oxide-ore deposits is probably due to a combination of fractional crystallization of Ti-rich basalt and fluxing of CO2-rich fluids
Han, Mi Ra; Kang, Byung Cheol; Yoon, Suk Ja; Lee, Jae Seo; Kim, Young Hee
To establish reference doses of periapical radiography in Chonnam Province, Korea. The target-skin distances were measured for dental patient's 1235 exposures including 345 mandibular molar areas. Each periapical radiation exposure was simulated with exactly the same patients exposure parameters and the simulated radiation doses were measured utilizing Mult-O-Meter (Unfors Instruments, Billadal, Sweden). The measurements were done in 44 dental clinics with 49 dental x-ray sets in Chonnam Province for one or two weeks at each dental clinic during year 2006. The third quartile patient surface doses were 2.8 mGy for overall periapical exposures and 3.2 mGy for periapical mandibular molar exposures. The third quartile patient surface doses in Chonnam Province can be used as a guide to accepted clinical practice to reduce patient radiation exposure for the surveyed reference doses were below the recommended dental periapical radiography dose of 7 mGy by IAEA.
Full Text Available This research presents an optimum framework for hardboard industry location selection in Mazandaran Province. Considering the existence of only two depreciated hardboard plants with very old technology in Iran, the establishment of new plants are vital. To materialize this goal, Mazandaran province enjoys priorities to other provinces based on its resources of raw lignocellulosic materials required for wood and paper industries. The model presented in this article uses AHP benefit/cost ratios. The results indicate that the criterion of ‘material and production’ with a weight of 0.327 and the sub-criterion of ‘reliability of supply’ with a weight of 0.146 have the highest priorities, and the city of Sari is the best alternative.
Han, Mi Ra; Kang, Byung Cheol; Yoon, Suk Ja [Department of Oral and Maxillofacial Radiology, College of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju (Korea, Republic of); Lee, Jae Seo [Department of Oral and Maxillofacial Radiology, Chonnan National University Hospital, Gwangju (Korea, Republic of); Kim, Young Hee [Department of Oral and Maxillofacial Radiology, Hallym University Sacred Heart Hospital, Chuncheon (Korea, Republic of)
To establish reference doses of periapical radiography in Chonnam Province, Korea. The target-skin distances were measured for dental patient's 1235 exposures including 345 mandibular molar areas. Each periapical radiation exposure was simulated with exactly the same patients exposure parameters and the simulated radiation doses were measured utilizing Mult-O-Meter (Unfors Instruments, Billadal, Sweden). The measurements were done in 44 dental clinics with 49 dental x-ray sets in Chonnam Province for one or two weeks at each dental clinic during year 2006. The third quartile patient surface doses were 2.8 mGy for overall periapical exposures and 3.2 mGy for periapical mandibular molar exposures. The third quartile patient surface doses in Chonnam Province can be used as a guide to accepted clinical practice to reduce patient radiation exposure for the surveyed reference doses were below the recommended dental periapical radiography dose of 7 mGy by IAEA.
Full Text Available The Mycetophagidae (hairy fungus beetles of the Maritime Provinces of Canada are surveyed. Seven species in the genera Mycetophagus, Litargus, and Typhaea are found in the region. Six new provincial records are reported including Mycetophagus punctatus and Mycetophagus flexuosus, whichare newly recorded in the Maritime Provinces. The distribution of all species is mapped, colour habitus photographs of all species are figured, and an identification key to species is provided. The discussion notes that four of the species found in the region are apparently rare, possibly due to the history of forest management practices in the region; a situation similar to that of a significant proportion of other saproxylic beetles found in the Maritime Provinces.
Effects of pharmacists' interventions on appropriateness of prescribing and evaluation of the instruments' (MAI, STOPP and STARTs' ability to predict hospitalization--analyses from a randomized controlled trial.
Full Text Available Appropriateness of prescribing can be assessed by various measures and screening instruments. The aims of this study were to investigate the effects of pharmacists' interventions on appropriateness of prescribing in elderly patients, and to explore the relationship between these results and hospital care utilization during a 12-month follow-up period.The study population from a previous randomized controlled study, in which the effects of a comprehensive pharmacist intervention on re-hospitalization was investigated, was used. The criteria from the instruments MAI, STOPP and START were applied retrospectively to the 368 study patients (intervention group (I n = 182, control group (C n = 186. The assessments were done on admission and at discharge to detect differences over time and between the groups. Hospital care consumption was recorded and the association between scores for appropriateness, and hospitalization was analysed.The number of Potentially Inappropriate Medicines (PIMs per patient as identified by STOPP was reduced for I but not for C (1.42 to 0.93 vs. 1.46 to 1.66 respectively, p<0.01. The number of Potential Prescription Omissions (PPOs per patient as identified by START was reduced for I but not for C (0.36 to 0.09 vs. 0.42 to 0.45 respectively, p<0.001. The summated score for MAI was reduced for I but not for C (8.5 to 5.0 and 8.7 to 10.0 respectively, p<0.001. There was a positive association between scores for MAI and STOPP and drug-related readmissions (RR 8-9% and 30-34% respectively. No association was detected between the scores of the tools and total re-visits to hospital.The interventions significantly improved the appropriateness of prescribing for patients in the intervention group as evaluated by the instruments MAI, STOPP and START. High scores in MAI and STOPP were associated with a higher number of drug-related readmissions.
Yang Qi; Li Jie
Sichuan province should take this opportunity to develop nuclear power actively since the application of nuclear power has been enhanced worldwide. It is accepted that nuclear power is one kind of safe and clean energy, and the economic has been improved greatly. Considering the electricity demands and structure conflict in near 20 years, nuclear power could solve the problem of electricity shortness in Sichuan, optimize the electricity structure and meliorate the environment, and thus maintain the sustainable development of the economy in Sichuan Province
Full Text Available This paper is the first report on Cladonia species from Ardahan, a north-eastern province of Turkey. A circumpolar boreal-low arctic species, Cladonia acuminata, rarely reported from Asia, and the recently described Cladonia monomorpha are reported as new for Turkey. Their detailed descriptions and taxonomical remarks are provided. Localities of other ascertained Cladonia species in the province supplement the knowledge of their distribution patterns in the country. In addition, the typically corticolous/lignicolous species Vulpicida pinastri is mentioned as also growing on primary squamules and podetia of C. pyxidata.
Full Text Available The purpose of this research is for identifying the types of industriesthat become leading industries in Central Java Province. The methods, used are LQ (SLQ and DLQ and Shift Share. The result of this research shows that the the leading industries in Central Java Province are beverage industry, tobacco processing industry, textile industry, apparel industry, wood industry, printing industry, furniture industry and other processing industries.In the future, the development of the industry should not only focus on the leading industries but also onnon-leading industries, so that the non leading industries will not be left behind.
Bailey, J. C.; Gwozdz, R.
Lithium was analysed in 392 basalts and related igneous rocks from the North Atlantic Tertiary-Recent province using activation analysis and Čerenkov counting. Monotonous Li values of 5.5±2 ppm in NE Atlantic basalts define a low-Li geochemical province which has persisted for 60 million years...... basalt series. No whole-rock coherence is observed between Li and Mg, K, Rb or Ca. Mantle phlogopite is considered to play an insignificant rôle in controlling the Li levels of NE Atlantic basalts....
Dong WANG; Yingjie LIN; Xiaodong ZHANG; Runfang LI; Shihua LIU; Cun'e WANG; Lingyun LU; Nana LI; Hanfeng DING; Xiaomu WANG; Xiaohong GU
Shandong Province has abundant and diverse crop germplasm resources, but it is in lack of unified and effective preservation and management, leading to the decline and even extinction of many rare germplasm resources. In this study, the necessity for the establishment of crop genebank in Shandong Province was briefly described. In addition, the type, functions and technical indicators, as well as the operation of the crop genebank were introduced comprehensively to provide a reference for the establishment of genebank by other units or organizations.
The Western Interstate Energy Board held a workshop and liaison activities among western states, provinces, and utilities on the formation of Regional Transmission Groups (RTGs). Purpose of the activities was to examine the policy implications for western states and provinces in the formation of RTGs in the West, the implications for western ratepayers and utilities of the RTG formation and potential impacts of RTGs on the western electricity system. The workshop contributed to fulfilling the transmission access and competition objectives of Title VII of the Energy Policy Act of 1992.
AJRH Managing Editor
au hasard pour participer. Cette étude est la première étude sur les femmes dans la province de Tete, Mozambique qui a été basée ... sex, or as a symbol of cultural identity. The population-level ... component informed the development of the.
Chen Yibin; Wu Qun; Zhang Bo; Chen Daifu
There are 110 million people in Sichuan Province, China. Although most of the people in cities of Sichuan use river water, which contains low levels of radon, as potable water, people in countryside and in some communities of big cities still use well water as domestic consumption. This paper reports the radon concentrations in well water investigated in four cities, i.e. Chengdu, Chongqing, Leshan and Leijiang in Sichuan Province. Of the 80 wells investigated, the radon concentrations range from 3.5 to 181.6 KBqm -3 . Of the four cities, Chongqing has the highest well water radon concentration with the average 49.6 ± 54.1 KBqm -3 and the greatest variation. The investigation in four cities showed that the radon concentrations in well water are much higher than that in tap-water. In Chongqing where there are complex geological structures, mainly granite stratum, for example, the average radon concentration in well water is 112 times higher than that in the tap-water, and even much higher than that in river water in Yangtse River, Jialing River, Jinsha River and Mingjiang River. The population in four cities is about one sixth of the total population in Sichuan Province. Because of the common use of well water and the high radon concentrations in well water in Sichuan Province, the health effect of radon in well water to the public should be stressed. (author)
Stephenson, Rob; Sheikhattari, Payam; Assasi, Nazilla; Eftekhar, Hassan; Zamani, Qasem; Maleki, Bahram; Kiabayan, Hamid
Objective: This study examines the determinants of three types of child maltreatment: physical maltreatment, mental maltreatment, and child neglect among school children in the Kurdistan Province of Iran. The analysis examines the impact of socioeconomic, familial, demographic, and household dynamic factors on the three child maltreatment…
Afifi, Tracie O; Sareen, Jitender; Taillieu, Tamara; Turner, Sarah; Fortier, Janique
The gambling landscape among provinces in Canada is diverse. Yet, few studies have investigated provincial differences related to life interference due to gambling. The objectives of the current study were to examine: (1) provincial differences with regard to gambling types and (2) if gender, family history of gambling, and alcohol or drug use while gambling were related to an increased likelihood of life interference in three Canadian provinces. Data were drawn from the 2013 and 2014 cycles of the Canadian Community Health Survey from Manitoba, Saskatchewan, and British Columbia (n = 30,150). Analyses were conducted stratified by provinces and also combined using logistic regression models. Provincial differences were noted with individuals from British Columbia compared to Manitoba being less likely to play VLTs outside of casinos, play live horse racing at a track or off track, and participate in sports gambling. Those in Saskatchewan compared to Manitoba were more likely to play VLTs inside a casino. When examining all provinces combined, family history of gambling was associated with increased odds of life interference. Gender was not associated with life interference. Provincial differences were noted, which may be in part related to differences in gambling landscapes. Family history of gambling may have clinical relevance for understanding which individuals may be more likely to experience life interference due to gambling. Further research is needed to clarify the link between alcohol and drug use while gambling and life interference due to gambling as the models in the current research were likely underpowered.
Maryam KamalZade Gilani
Full Text Available Tourism as a necessity for economic development in many countries, therefore, in this study we intended to investigate the strengths, weaknesses, opportunities and threats of Halal tourism in Gilan province, by using SWOT model to introduce strategic solutions to further developments. This study is practical based on questionnaire in terms of practical objectives, in terms of data collection. The population of this study was 25 tourism experts, which according to Morgan table, 24 people were selected as sample size.To identify relationships and priority setting criteria , at first internal and external factors were identified and then multi-criteria decision-making models and AHP model was used. After that by using internal factors evaluation matrix (IFE and external (EFE final weight determined and at the end the model was design and the strengths, weaknesses, opportunities, threats were analyzed .The result of SWOT analysis in this research indicates that strategies for Gilan provinces according its environmental strengths and opportunities should be offensive strategy. Surveys show that due to the diversity of tourist attractions and geographical location of Gilan province, this province has the necessary capabilities to develop Halal tourism
Mohammad Hasan Khadem Ansari
CONCLUSIONS: The results reveal that D genotype is the main genotype of HBV in West Azarbayjan province. Presence of this genotype conformed with the low rate of acute liver diseases caused by hepatitis B chronic infection, cirrhosis of the liver and hepatocellular carcinoma.
In order to identify the treatment methods used in different sewage treatment plants (STPs) in the Mpumalanga Province and to determine the efficiency of wastewater treatment by these plants, municipal STPs were surveyed, and raw and treated wastewater samples collected. A total of 14 STPs were visited and the ...
Sang, Shuping; Wang, Zhenkun; Yu, Chuanhua
This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the "Result Chain" logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio methods. Ultimately, the study established a set of indicators including four grade-1 indicators, 16 grade-2 indicators and 76 grade-3 indicators. The effects of the reforms increased year by year from 2009 to 2011 in Hubei Province. The health status of urban and rural populations and the accessibility, equity and quality of health services in Hubei Province were improved after the reforms. This sub-national case can be considered an example of a useful approach to the evaluation of the effects of health care system reform, one that could potentially be applied in other provinces or nationally.
Jan 11, 1997 ... 2008 in the Sinop province of Turkey this study presents a seismic hazard analysis based on ... Considering the development and improvement ... It is one of the most populated cities in the coun- ... done as reliably as the seismic hazard of region per- .... Seismic safety work of underground networks was.
Full Text Available Background: Brucellosis is a zoonotic, chronic and infectious disease in many developing countries, including Iran. This study investigated some of the epidemiological features of the disease in Kermanshah province in 2011. Methods: In this descriptive study, all of the patients with brucellosis reported to the health center of the province during the year 2011 were studied. The demographic and some epidemiologic parameters of the disease were recorded in the questionnaires. All collected data were analyzed using SPSS (version19 software. Results: Totally, 777 cases of brucellosis were reported to the health center of the province in 2011. The lowest incidence of brucellosis in the province was 40.8/100000 .The highest and lowest incidence rates were seen in Dalahoo (215.2/100 000 and Javanrood (12.6/100 000 districts, respectively. 47.4% of the patients were female and about half of the patients were under 30 years old. Raw milk was the most common cause of the disease consumed by 81.9% of the cases. Also, 87.6% of the patients were living in rural areas and the peak of disease was seen in the spring and summer months. Conclusion: Despite the significant reduction, it seems that the incidence of disease in some rural areas of the districts such as Dalahoo and Sarpol-e-Zahab are very high.
Hunan province is rich in agriculture products and their by-products. The processing and preservation of those products after porduction is an urgent problem to solve. However, radiation techniques can solve the problem of the processing and preservation of part of those products which can not be solved by normal ways. Only in Changsha area, the products such as leather and their products, dried and fresh fruit, medical equipments, industrial chemicals and so on, which can be provided to irradiate, weigh over 1 x 10 5 tons a year. In order to advance the research and application of radiation techniques in the province, over 40 units have been investigated in the province and other provinces. Since 1983, six informal discussions or demonstration meetings were held. 15 pieces of various reports and materials have been put forward. The necessity, possibility, size, place, development aim and united research of building a radiation centre have been scientificly demonstrated and a certain basis have been provided for building radiation centre
<正>Recently,Chinalco and Gansu Provincial People’s Government signed"Framework Agreement for Strategic Cooperation on Reform,Restructuring and Transition Development of Chinalco’s Electrolytic Aluminum Enterprises in Gansu",signifying that the strategic cooperation between Chinalco and Gansu Province had made new substantive progress.
Maryati, S.; Humaira, A. N. S.; Pratiwi, F.
Population growth has an implication on increasing demand for land. The demand for built-up area is filled by land conversion, mostly from agricultural land. On the other hand, population growth requires an increase in food production as well as land for agriculture. Conversion of agricultural land can threaten the availability and food security. The purpose of this study is to identify the spatial pattern of changes in agricultural land in West Java Province as input to improve food security condition in this province. Descriptive statistics and spatial analysis were used to analyse the area of agricultural land, conversion of agricultural land, and spatial pattern of changes in agricultural land in West Java Province. The data used is time series data in the period of 2005-2014. The result of analysis shows that there are still areas with a high percentage of agricultural land in West Java Province. The rate of conversion of agricultural land varies widely. Cities or regions with very high land conversion rate tend to concentrate in metropolitan areas.
Iloweka, Ernest Manganda
The Lower Congo is one of eleven provinces in the Democratic Republic of Congo, and is located southwest of Kinshasa Town Province. It has an area of approximately 53.947 km2 with a population of 1,504,361 at an estimated 237 persons per km2. The Province comprises five districts, including Lukaya and Cataracts where rural poverty is severe and the population struggle to make a living through agriculture and woodcutting. These activities result in excessive resource exploitation. The high demand for foodstuffs and the high consumption of wood (for energy, construction and export) in Kinshasa, the capital city of the Democratic Republic of Congo and the expanding towns of Matadi and Boma in the Lower Congo Province, are speeding the deforestation rate and unbalancing forest ecosystems. In addition there is the stress resulting from reduced josher (the rest period for agriculture ground), plus climate change and erosion. The phenomena that that we need to address in these two districts include deforestation, reduced josher, excessive agriculture, erosion, burning and climate change which taken together largely explain the current soil degradation. These areas are marked by excessive post deforestation savannah formation and extended areas of sandy soil, distributed throughout grass and shrub savannahs. This desertification, which is rampant in Lukaya and Cataracts, risks imprisoning the rural population in a vicious cycle of poverty if adequate solutions are not found.
An overview is given of the environmental quality in the Dutch province Noord-Holland in the year 2002. Special attention is paid to safety, energy, agriculture and the airport Schiphol. The report is available in electronic form in parts, discussing Social developments, the quality of Air, Soil, and Water, Public Health, Nature, Safety, Energy, Agriculture, and Schiphol (airport) [nl
Full Text Available The present study examined the prevalence and genotypes of Cryptosporidium andersoni in cattle in Shaanxi province, China. A total of 2071 fecal samples (847 from Qinchuan cattle and 1224 from dairy cattle were examined for the presence of Cryptosporidium oocysts, and 70 samples (3.4% were C. andersoni-positive and those positive samples were identified by PCR amplification of the small subunit ribosomal RNA (SSU rRNA and the Cryptosporidium oocyst wall protein (COWP genes. C. andersoni was the only species found in the examined cattle in this province. Fifty-seven C. andersoni isolates were characterized into 5 MLST subtypes using multilocus sequence typing analysis, including a new subtype in the native beef breed Qinchuan cattle. All of these C. andersoni isolates presented a clonal genetic structure. These findings provide new insights into the genetic structure of C. andersoni isolates in Shaanxi province and basic data of Cryptosporidium prevalence status, which in turn have implications for controlling cryptosporidiosis in this province.
Mount Kisingiri comprises a much overlooked highland massif in southern Nyanza. Province with a hitherto ..... This imbalance in relative species abundance within a defined ecological niche could .... Hills is unsuitable for foraging or breeding but there is extensive savanna grassland and suitable ..... Columba guinea nf.
First a brief overview of multi-coded school sport organization in Cape Town is present ed. Next, the emergence of the Western Province Senior Schools Sport Union (WPSSSU) and how this organization differed with all existing patterns of school sport management is explored. The ideology underpinning this organization, ...
Dec 5, 2011 ... α-Thalassemia is a widespread inherited disease particularly prevalent in the middle East Asia population, including Iran. The aim of this study was to define the molecular spectrum and frequency of α-thalassemia mutations in prospective couples of Qazvin province. A total of 120,000 subjects were.
Design. A descriptive study with analytic components. Characteristics of patients who died from the most ... authorities on how to collect data on maternal deaths throughout a whole region. This surveillance may be ... Following the publication of perinatal data from 18 ruraJ. hospitalsT in the Cape Province, the Continuing ...
Full Text Available Myrmecophyte is a common medicinal plant used by local people in Indonesia for treating various diseases especially in Papua. Bengkulu province is one of the Myrmecophyte habitats, but there has no report on its identity and distribution. The objectives of this research were to identify the diversity and analyze the Myrmecophytes distribution as well as factor affecting its presence. This study used purposive sampling method by exploring the area where Myrmecophytes commonly found. The Myrmecophyte distribution based on host tree was analyzed using Morishita index and the autecological analysis of abiotic factors was performed using Principal Component Analysis (PCA generated from Minitab 16. The results of this research showed that there were two species of Myrmecophytes in Bengkulu province, namely Hydnophytum formicarum and Myrmecodia tuberosa, as well as two variants of M. tuberosa i.e. M. tuberosa ‘armata’ and M. tuberosa ‘siberutensis’. The distribution of Myrmecophytes based on host tree was mostly randomly scattered in Central Bengkulu regency, Seluma, North Bengkulu, South Bengkulu, and Kaur. Their distributions were affected by light intensity and temperature. The data of this research can be used as basic information for carried out conservation efforts in Bengkulu province. The abundance of Myrmecophytes is also used as a source of additional income for local people in Bengkulu province.
Purpose: Brucellosis is responsible for considerable public health issues involving economic losses due to abortion, loss of milk production and infertility in adult males. The purpose of this study was to determine the sero-prevalence of brucellosis in Jazan Province, Saudi Arabia and assess the possible risk factors.
M F AYDIN
Full Text Available Background: Malaria is an infectious disease caused by Plasmodium spp. with high morbidity and mortality in human in tropical and subtropical regions. In recent years, number of malaria cases has been significantly reduced because of fight with the disease in Turkey. This study intended to investigate the malaria epidemiology in Mersin Province from 2002 to 2011 using data from the provincial Public Health Directorate.Methods: Over ten years, 303573 blood samples were taken from the people by active and passive surveillance methods and blood smears were prepared. Smears were stained with Giemsa and examined under the microscope.Results: Totally, 73 people including 44 male and 29 female were positive in terms of Plasmodium spp. It was determined that P. vivax observed in 67 cases while P. falciparum in 6 cases. Cases were mainly observed in 15 to 44 years old range, showed an increase between June-September periods and a significant decrease after 2006. Out of the 73 malaria cases, 54 cases were from Mersin Province and 13 cases were imported from another province of Turkey. Six cases were transmitted from abroad.Conclusion: These results provide information about malaria epidemiology in an endemic area in Turkey and contribute its prevention in Mersin Province
Feb 9, 2009 ... the lowest number of heavy and very heavy rainfall days. The highest 24-h ... With regard to seasonal rainfall, the 1995/96 summer rainfall season had ..... The Gauteng Province is approximately 16 500 km2 in size. When the ...
2010). The province has 9 hospitals and 229 clinics . Water is obtained from ka- rezes, shallow wells, rivers, and springs. Safe drinking water is...compiled into USACE Hydrologic Engineering Center Data Storage System (HEC- DSS ) obtained through National Climatic Data Center (NCDC). and varies ac
Odyssean malaria cases are inevitable in South Africa, given the volume of road, rail and air traffic from malaria risk areas into Gauteng and other non-endemic provinces. It is likely that many cases are missed, owing to the rare and sporadic nature of the condition. Malaria should always be kept in mind as a cause of ...
size, the Northern Cape (NC) Province has the smallest population of the ... whether skin cancer incidence in SA has followed the global trend. ... high risk of mortality. As ... 2012 was conducted using public and private health sector databases. .... majority of KSs occurred in the younger age group 30 - 39 years.
Objective: To determine the histopathological pattern of thyroid diseases among patients in Hadhramout Province, Yemen. Materials and Methods: A descriptive retrospective study was conducted at Ibn Sina Central Teaching Hospital, in Mukalla city, Hadhramout, Yemen between January 2007 and December 2012.
The article describes the characteristic features of preventive activities within the System of Education at Camaguey province. This information herein gathers results from a research investigation project and might be of interest for teachers, principals and investigators as a professional tool.
Ian H. von Lindern
Conclusions. The success of the demonstration project was recognized and has provided direction and momentum for a wider effort by the Province to address mining pollution and water contamination challenges. It demonstrates the success of using known techniques for environmental remediation in the US, with local partners in China responding to their communities’ health and environmental problems.
Groote, Peter D.; Ciccarelli, Carlo
This paper presents new annual estimates of railway extension in Italian provinces at 1913 borders for the period 1839-1913. The main operator of the Italian railway network (Ferrovie dello Stato) published in 1911 a unique set of homogeneous historical five year maps illustrating the routes of
Priscilla Chamelete Andrade
Full Text Available OBJETIVO: avaliar os resultados perinatais em gestantes com mais de 35 anos e verificar diferenças nos grupos entre 35 e 39 anos e acima de 40 anos. MÉTODOS: entre janeiro de 2000 e julho de 2003, realizou-se estudo retrospectivo por análise de fichas obstétricas de 3093 gestantes, excluindo-se 933 gestantes. As pacientes foram divididas em 3 grupos: 18 a 29 anos (grupo controle, 30 a 39 anos e mais de 40 anos. A coleta de dados foi realizada por meio de formulário padronizado e os dados foram transferidos para uma planilha eletrônica (Excel - Microsoft Office 2000. Para a análise estatística, foram utilizados o teste do chi2 e o teste de Fisher, sendo considerado risco a (alfa menor ou igual a 5% e intervalo de confiança de 95%. RESULTADOS: a via de parto mais utilizada para essas pacientes foi a cesárea, tanto no grupo de 35 a 39 anos (438/792; 55,3%, quanto nas gestantes com mais de 40 anos (153/236; 64,8%. A taxa de prematuridade (39/236; 16,5%, o baixo peso ao nascer (37/236; 15,7% e a restrição de crescimento fetal (38/236; 16,1% foram mais altas entre as gestantes tardias, com mais de 40 anos, com diferença significante em relação aos demais grupos. Quanto à ocorrência de óbito fetal, foi constatado nas gestantes de 40 anos incidência cinco vezes maior quando comparado aos outros grupos (diferença estatisticamente significante. CONCLUSÃO: a comparação entre o grupo de gestantes de 35 a 39 anos com o grupo controle apenas diferiu significantemente quanto ao índice de cesáreas, o que nos permite sugerir acompanhamento pré-natal diferenciado para o grupo de gestantes acima de 40 anos.PURPOSE: to evaluate perinatal results in pregnant women over 35 years old and to check differences between two groups: 35 to 39-year-old women and women older than 40. METHODS: a retrospective survey was made during the period between January/2000 and July/2003, through the analysis of obstetric charts of 3,093 pregnant women who
Full Text Available The burden of psychiatric disorders in the developed countries has been identified by the screening questionnaires and standard clinical interviews at a high level, but the epidemiological studies of psychiatric disorders in our country are brief and their numbers are few. Planning for providing essential mental health services to the people requires us to be knowledgeable about the present status of psychiatric disorders in the society. The objective of this research was to carry out the epidemiological study of the psychiatric disorders in the individuals 18 years and above in urban and rural areas of Hamadan province. 664 individuals selected through randomized clustered and systematic sampling methods among the existing families of Hamadan province and the Schedule for Affective Disorders and Schizophrenia (SADS questionnaires completed by the clinical psychologist. The diagnosis of the disorders was based on DSM-IV classification criteria.The results of the study showed that the overall prevalence of psychiatric disorders in the province was 11.28% (17.2% in women , 5.8% in men. The anxiety and mood disorders with 5.87 and 2.71% respectively had the highest prevalence in the province. The prevalence of psychotic disorders in this study was 0.60% , neuro- cognitive disorders 1.35% and dissociative disorders 0.75%. In the group of mood disorders, major depression with 2.56% and in the group of anxiety disorders, phobia with 2.56% had the higher prevalence. This study showed that 8.13% of studied individuals suffered from at least one of the psychiatric disorders. The prevalence of psychiatric disorders in the province among the individuals in the age group of 66 years and above was 13.33%, individuals whose spouses had passed away 18.75%, urban residents of province 9.81%, illiterate individuals 12.80% and housewife individuals 12.31% was more than other individuals in the sample. Being aware of this matter reveals the responsibility of the
Hamid Reza Babolhavaegi
Conclusion: The results of this study indicate the presence of AFM1 toxin contamination in traditional and pasteurized milks of Hamedan province. Further investigation and monitoring is needed in Hamedan province.
What started with one province Gadag has now been replicated in 23 other provinces throughout Karnataka. COTPA compliance or comprehensive tobacco control is achievable, replicable and will aid in building momentum for endgame of tobacco in India
Full Text Available O desenvolvimento e o caráter oficial das avaliações internacionais e de padrões nacionais de rendimento escolar favorecem a coexistência de uma dupla definição institucional de sucesso escolar. A definição habitual leva em conta o ensino efetivamente ministrado, adapta-se ao nível dos alunos e apresenta uma fidedignidade duvidosa. A segunda é mais objetiva, mas privilegia o que pode ser medido por testes padronizados: o cognitivo mais do que o socioafetivo, as capacidades e conhecimentos mais que as competências e a relação com o saber. As duas avaliações entram em conflito. As regulações necessárias poderiam levar a uma aproximação do ideal: considerar, na avaliação do sucesso escolar, todos os componentes do currículo prescrito e tão-somente eles.Development and the official character of international assessments surveys and national standards of school performance favour the coexistence of a double institutional definition of success at school. The usual ones take into account the curriculum effectively taught, adapt itself to the levels of the pupils and present a rather doubtful reliability. The second one is more objective, but gives a too great weight to what can be measured through standardised tests: the cognitive more than the socio-emotional, the capacities and the knowledge more than the competencies and the relationship to knowledge. Both assessment and ordinary school evaluations are now in conflict. Necessary regulations could move them closer to the ideal, if they employed in order to consider the success at school, all the components of the formal curriculum and them only.
Jeannine M. Fontaine
Full Text Available Metaphor is pervasive in literature, and metaphorical choices can be seen as central to what we call an author's 'style.' This study provides an illustrative overview, based on fifty-page prose excerpts from fourteen authors representing diverse genres and periods. Categorizing examples by frequency, syntactic form and meaning, a clear characteristic or combination of characteristics readily emerges for each novelist. Having covered these, we then look in more detail at the semantics of metaphor in Arundhati Roy's novel The God of Small Things. Finally, we hypothesize that an expanded study, considering the function of metaphors in text and their interre lationships, could yield an increasingly fine-grained measure of metaphorical style.A metáfora é uma constante na literatura, e escolhas metafóricas podem ser consideradas essenciais ao que chamamos do estilo do autor. Este estudo fornece uma revisão ilustrada, baseada em trechos de cinqüenta páginas, selecionadas de catorze autores que representam diversos gêneros e períodos. Quando categorizamos exemplos por freqüência, forma sintática, e significado, facilmente emerge uma característica evidente, ou uma combinação de características para cada autor. Nós então analisamos mais detalhadamente a semântica da metáfora no livro The God of Small Things, de Arundhati Roy. Finalmente, propomos que um estudo mais extensivo, considerando a função das metáforas e suas Inter-relações, pode resultar numa medida cada vez mais precisa do estilo metafórico.
Soares, Elaine Cristina; Botelho, Marcos César
This paper studies the legal relationships created by the law 12.871/2.013 that instituted the program “Mais Médicos para o Brasil”, which translates to “more medics or doctors for Brazil”. This program allows Brazilian and foreign doctors to practice medicine in the Brazilian territory and allows for the possible legal relationship ?s framework of physicians as an employment relationship. The law 12.871/2.013 disciplined the practice of medicine by the program ?s doctors and is acknowledged ...
Full Text Available Este artigo de revisão da literatura centra tópicos relevantes na investigação e intervenção em redes familiares e sociais no âmbito do aconselhamento genético. Foca o papel dos familiares mais idosos na gestão psicossocial do risco genético a doenças hereditárias (particularmente, cancros hereditários e suas implicações no aconselhamento genético, nomeadamente apoio social e comunicação intrafamiliar sobre o risco genético.
Nengher N. Vang
Full Text Available This article provides a book review of Mai Na M. Lee’s Dreams of the Hmong Kingdom: The Quest for Legitimation in French Indochina, 1850-1960. Dreams of the Hmong Kingdom. It highlights the contribution of the book to the historiography of the Hmong and provides a critical assessment of the dichotomous analytical framework that Lee uses to analyze the rivalry between Hmong messianic leaders and Hmong political brokers and the competition between the Ly and Lo clans for paramountcy in French Indochina
Made, Felix; Wilson, Kerry; Jina, Ruxana; Tlotleng, Nonhlanhla; Jack, Samantha; Ntlebi, Vusi; Kootbodien, Tahira
Cancer mortality rates are expected to increase in developing countries. Cancer mortality rates by province remain largely unreported in South Africa. This study described the 2014 age standardised cancer mortality rates by province in South Africa, to provide insight for strategic interventions and advocacy. 2014 deaths data were retrieved from Statistics South Africa. Deaths from cancer were extracted using 10th International Classification of Diseases (ICD) codes for cancer (C00-C97). Adjusted 2013 mid-year population estimates were used as a standard population. All rates were calculated per 100 000 individuals. Nearly 38 000 (8%) of the total deaths in South Africa in 2014 were attributed to cancer. Western Cape Province had the highest age standardised cancer mortality rate in South Africa (118, 95% CI: 115-121 deaths per 100 000 individuals), followed by the Northern Cape (113, 95% CI: 107-119 per 100 000 individuals), with the lowest rate in Limpopo Province (47, 95% CI: 45-49 per 100 000). The age standardised cancer mortality rate for men (71, 95% CI: 70-72 per 100 000 individuals) was similar to women (69, 95% CI: 68-70 per 100 000). Lung cancer was a major driver of cancer death in men (13, 95% CI: 12.6-13.4 per 100 000). In women, cervical cancer was the leading cause of cancer death (13, 95% CI: 12.6-13.4 per 100 000 individuals). There is a need to further investigate the factors related to the differences in cancer mortality by province in South Africa. Raising awareness of risk factors and screening for cancer in the population along with improved access and quality of health care are also important. Copyright © 2017 Elsevier Ltd. All rights reserved.
Nga, Nguyen T; Målqvist, Mats; Eriksson, Leif; Hoa, Dinh P; Johansson, Annika; Wallin, Lars; Persson, Lars-Åke; Ewald, Uwe
We report baseline results of a community-based randomized trial for improved neonatal survival in Quang Ninh province, Vietnam (NeoKIP; ISRCTN44599712). The NeoKIP trial seeks to evaluate a method of knowledge implementation called facilitation through group meetings at local health centres with health staff and community key persons. Facilitation is a participatory enabling approach that, if successful, is well suited for scaling up within health systems. The aim of this baseline report is to describe perinatal services provided and neonatal outcomes. Survey of all health facility registers of service utilization, maternal deaths, stillbirths and neonatal deaths during 2005 in the province. Systematic group interviews of village health workers from all communes. A Geographic Information System database was also established. Three quarters of pregnant women had ≥3 visits to antenatal care. Two hundred and five health facilities, including 18 hospitals, provided delivery care, ranging from 1 to 3258 deliveries/year. Totally there were 17 519 births and 284 neonatal deaths in the province. Neonatal mortality rate was 16/1000 live births, ranging from 10 to 44/1000 in the different districts, with highest rates in the mountainous parts of the province. Only 8% had home deliveries without skilled attendance, but those deliveries resulted in one-fifth of the neonatal deaths. A relatively good coverage of perinatal care was found in a Vietnamese province, but neonatal mortality varied markedly with geography and level of care. A remaining small proportion of home deliveries generated a substantial part of mortality. © 2010 The Author(s)/Journal Compilation © 2010 Foundation Acta Paediatrica.
Full Text Available Purpose: Toxocariasis is a zoonotic disease caused by the ascarid of dogs and cats, the main representative of which is a Toxocara canis. Distribution of the disease is world wide and is more prevalent in children. The present study was carried out in children of East Azerbaijan Province, Iran, to determine the toxocariasis seropositivity. Material and Methods: For the present seroepidemiological study, blood samples were collected at random from children of all the five districts of the East Azerbaijan Province. A total of 336 children, 187 males and 149 females in age group of 0-15 years were selected for the present study. ELISA was used for detection of IgG antibodies against Toxocara excretory secretary antigen. A questionnaire interview was conducted to obtain the data concerning their age, sex and habits. The particular points in the questionnaire asked were recorded on the format right on the spot. Results: Gender was found to be a significant risk factor for the Toxocara infection in children population. Male children were found more infected (41.71% as compared to females (24.16%. The total seroprevalence of T. canis antibodies in children of East Azerbaijan Province was 29.46 %. The risk factors that were found associated with the infection of toxocariasis in children population of East Azerbaijan Province include family back ground, status of living conditions, awareness, etc. Conclusion: The present study reveals high prevalence of T. canis infection in children of East Azerbaijan Province. It is important to raise the awareness of health professionals, public and educators to the fact that toxocariasis is a public health problem. Health promotion by means of a school based educational approach, diagnosis and continuous programme of treatment are necessary. [Cukurova Med J 2013; 38(4.000: 581-586
This study examines the barriers to sustainable water resources management in water vulnerable, yet a mining booming area. The case study is conducted in Omnogovi province of Mongolia in Nov-Dec 2016. This study presents how the Omnogovi province manages its water with increased mining and examines what hinders the province from practicing sustainable water resources management and examines the involvement of residents in the water resources management of Omnogovi province. Qualitative approa...
The industry S&T missioners, industry-university-institute innovation alliances, industry-university-institute regional model bases, and other provincial-level industry-university-institute cooperation mechanisms that Guangdong Province has formed through its practical efforts play an important role in training a large batch of practical…
1998. a. Pariisis Catherine Alice Mamet' poolt asutatud mööblisalongist, seal tegutsevate disainerite (Pucci de Rossi, Satch, Guy Ferrer, Pablo Pares jt.) loomingunäiteid. Pariisis disaini õppiva tudengi Isabel Chiangi eluloolisi andmeid. 15 illustratsiooni
Full Text Available A metáfora da distância cultural vem dominando a área de estudos transculturais há mais de quatro décadas por meio de uma visão centrada, sobretudo, no interesse econômico e nas diferenças culturais entre países. O uso dessa metáfora se fundamenta em epistemologia positivista e adota lentes de uma visão estreita; embora, paradoxalmente, seja aplicada à área internacional. O objetivo deste artigo é problematizar os argumentos de Shenkar (2001; 2008 e Luo e Shenkar (2007, segundo os quais a metáfora de "distância" não é apropriada para compreensão, descrição e análise do impacto da questão cultural em negócios internacionais. Propõe-se, aqui, sua substituição pela metáfora da "fricção cultural", que captura de forma mais legítima a essência das questões transculturais aplicadas aos fenômenos em negócios internacionais.
Annabelle de Fátima Modesto Vargas
Full Text Available O artigo busca analisar desafios e impasses na implementação do Programa Mais Médicos, no município de Campos dos Goytacazes, no Estado do Rio de Janeiro. O estudo pretende ressaltar a guinada nas estratégias e ações da gestão pública municipal de saúde e, mais especificamente, traz como diferencial analítico a mudança de status orçamentário do município, decorrente da queda dos royalties do petróleo e as implicações na condução das políticas públicas. O argumento parte, de um lado, dos tempos de abundância e de escassez de recursos; e de outro, da empiria, relatada pela experiência profissional na Estratégia Saúde da Família. Os achados apontam que a chegada de médicos estrangeiros promoveu uma reestruturação positiva dos serviços de saúde. No entanto, pode-se perceber que o intercâmbio cultural, possibilitado pelo contato entre os profissionais brasileiros e cubanos no cotidiano de trabalho, propiciou novas práticas profissionais, valorizando as tecnologias relacionais.
Full Text Available Mapping deformation field time-series, including vertical and horizontal motions, is vital for landslide monitoring and slope safety assessment. However, the conventional differential synthetic aperture radar interferometry (DInSAR technique can only detect the displacement component in the satellite-to-ground direction, i.e., line-of-sight (LOS direction displacement. To overcome this constraint, a new method was developed to obtain the displacement field time series of a slope by coupling DInSAR based small baseline subset approach (DInSAR-SBAS with multiple-aperture InSAR (MAI based small baseline subset approach (MAI-SBAS. This novel method has been applied to a set of 11 observations from the phased array type L-band synthetic aperture radar (PALSAR sensor onboard the advanced land observing satellite (ALOS, spanning from 2007 to 2011, of two large-scale north–south slopes of the largest Asian open-pit mine in the Northeast of China. The retrieved displacement time series showed that the proposed method can detect and measure the large displacements that occurred along the north–south direction, and the gradually changing two-dimensional displacement fields. Moreover, we verified this new method by comparing the displacement results to global positioning system (GPS measurements.
A request for co-operation on a system for water quality surveillance of Songhuajiang River System in Heilongjiang Province, China, was received by NIVA from the Environmental Protection Agency (EPA) of the Heilongjiang Province. Funds were made available from NORAD, to initiate a co-operative work with the EPA. T. Skancke, NORGIT Centre, and B. M. Wathne, NIVA, travelled to Harbin, capital of Heilongjiang Province, to make a pre-feasibility study and project plans for further co-operation. T...
Monica R. Perracini
Full Text Available BACKGROUND: Fall-related factors in older adults with different levels of physical activity, within a multidimensional approach, have not been widely investigated. OBJECTIVE: To explore fall-related factors among older adults with different physical activity levels. METHODS: A cross-sectional, exploratory study with 118 older adult outpatients. Participants who reported at least one fall in the previous 12 months were considered fallers. The activity level was assessed through the Human Activity Profile. A cutoff of 54 points was used to define the less active group and the more active group. A multidimensional questionnaire and a set of physical functioning tests were applied. RESULTS: Fall prevalence was lower among the more active older adults (47.4% when compared with the less active older adults (71.4% (pCONTEXTUALIZAÇÃO: Fatores relacionados a quedas em idosos com diferentes níveis de atividade física, por meio de uma abordagem multidimensional, não têm sido amplamente investigados. OBJETIVO: Explorar os fatores relacionados a quedas em idosos com diferentes níveis de atividade física. MÉTODOS: Estudo transversal exploratório com 118 pacientes idosos ambulatoriais. Participantes que relataram ao menos uma queda nos últimos 12 meses foram considerados caidores. O nível de atividade física foi avaliado por meio do Perfil de Atividade Humana (PAH. O ponto de corte de 54 pontos foi usado para definir o grupo menos ativo e o grupo mais ativo. Um questionário multidimensional e uma bateria de testes físico-funcionais foram utilizados. RESULTADOS: A prevalência de quedas foi menor no grupo de idosos mais ativos (47,4% quando comparada à dos idosos menos ativos (71,4% (p<0,013. A análise de regressão logística multivariada identificou que, no grupo mais ativo, ter caído estava associado a sintomas depressivos (OR=0,747, IC95%=0,575-0,970; p=0,029, preocupação em cair (OR=1,17, IC95%=1,072-1,290; p=0,001 e velocidade de
of 32 coaches and young athletes went to Chiang Mai in Thailand on 23 May 1988 to participate in the Friendship of Peace and the Thai-Lao and Lao...rented for us. We left Nongkhai at 6:45 pm on 23 May, and headed for Chiang Mai via Udorn, Loei, Phitsanulok and Lamphun. On the bus, Mr Nopphadon...introduced us to each other, then we enjoyed dinner on the bus. We arrived in Chiang Mai at 5:50 am the next morning, 24 May 1988. After breakfast
2 1, 2 p . I THAILAND. Chiang Mai : Huey Keo (4-H-1953, D. C. Thurman Jr.) Id, Id terminalia. 107/s, REMARKS. There are 3 larval and pupal skin...part of Thailand. In Southeast Asia, it is known from only Chiang Mai , Thailand and is recorded here for the first time from this country. BIOLOGY...1923, Bar- raud), 5d, 59, 1.d terminalia; Punjab: Rawalpindi, Murree, W. Kimal (1922, Gill), Id, 19. THAILAND. Chiang Mai : (4-IV-1953, Thurman), 3d
Leng, Bi-Bin; Le, Xi-lin; Yuan, Gang; Ji, Xue-Qiang
Shanxi province, Anhui province, Jiangxi province, Henan province, Hubei province and Hunan province are located in the central part of China. They are playing an essential role in China’s economic and social development. In this article, we use analytic hierarchy process(AHP), on the basis of the statistical yearbook data of 2016, conduct an appraisal research about the economic support index of the pig breeding scale in the six provinces of central China. The evaluation shows that Hubei tops all of the provinces on the economic support index, followed by Hunan, Anhui, Henan, Jiangxi. The lowest index is in Shanxi province. It indicates the economic conditions in Hubei province is the most capable for it to support the pig breeding scale, Shanxi province is the opposite.
Noonim, P.; Mahakarnchanakul, W.; Nielsen, Kristian Fog
In 2006 and 2007, 32 Thai dried coffee bean samples (Coffea arabica) from two growing sites of Chiang Mai Province, and 32 Thai dried coffee bean samples (Coffea canephora var. robusta) from two growing sites of Chumphon Province, Thailand, were collected and assessed for the distribution of fungi...... with the potential to produce ochratoxin A (OTA). The overall percentage of fungal contamination in coffee was 98% and reduced to 60% after surface disinfection. There were remarkable ecological differences in the composition of ochratoxigenic species present in these two regions. Arabica coffee bean samples from...... the North had an average of 78% incidence of colonization with Aspergillus of section Circumdati with Aspergillus westerdijkiae and A. melleus as the predominant species. Aspergillus spp. of section Nigri were found in 75% of the samples whereas A. ochraceus was not detected. Robusta coffee beans from...
Guevara, Ángel; Moreira, Juan; Criollo, Hipatia; Vivero, Sandra; Racines, Marcia; Cevallos, Varsovia; Prandi, Rosanna; Caicedo, Cynthia; Robinzon, Francisco; Anselmi, Mariella
Chagas disease was described in Ecuador in 1930 in the province of Guayas and thereafter in various provinces. Triatomine were reported in the province of Esmeraldas but no human infection has been described. Here we report the first evidence that the disease does exist in the province of Esmeraldas. In indigenous Awá communities located in the northwest jungle of the Esmeraldas province, 144 individuals were tested using ELISA and PCR for T.cruzi of which 5 (3.47%) were positive. Twenty eight triatomine were collected, 27 were Triatoma dispar and 1 Pastrongylus rufotuberculatus, T.cruzi was detected in 11 (42.3%) of 26 insects.
This paper discusses issues of political influence and power struggles in connection with environmental projects through the lenses of a low-income settlement in the City of Chiang Mai, North Thailand. That low-income settlement has been an object of intervention in four different projects...... Mai 30 year Master Plan designed by the Lanna Architects Association for Chiang Mai Municipality; (c) the Living City Project elaborated by the Department of Town Planning at Chiang Mai Provincial Government, following an initiative by the Prime Minister Mr. Taksin Shinawatra, who is originally from...... Chiang Mai; and (d) the Programme for Conservation of Historic Monuments, currently under implementation by the Department of Fine Arts (Central Government)....
Michalski, Joseph R; Bleacher, Jacob E
Several irregularly shaped craters located within Arabia Terra, Mars, represent a new type of highland volcanic construct and together constitute a previously unrecognized Martian igneous province. Similar to terrestrial supervolcanoes, these low-relief paterae possess a range of geomorphic features related to structural collapse, effusive volcanism and explosive eruptions. Extruded lavas contributed to the formation of enigmatic highland ridged plains in Arabia Terra. Outgassed sulphur and erupted fine-grained pyroclastics from these calderas probably fed the formation of altered, layered sedimentary rocks and fretted terrain found throughout the equatorial region. The discovery of a new type of volcanic construct in the Arabia volcanic province fundamentally changes the picture of ancient volcanism and climate evolution on Mars. Other eroded topographic basins in the ancient Martian highlands that have been dismissed as degraded impact craters should be reconsidered as possible volcanic constructs formed in an early phase of widespread, disseminated magmatism on Mars.
Milton Norman Dejadena Medina
Full Text Available The present paper is the updated list of Philippine Plecoptera starting from the 1940’s Philippine Zoological Expedition up to the recent discoveries of Sivec and Stark on 2011. A poorly known group, there is scanty literature and several part of the Philippine archipelago is poorly explored. In order to address this information gap particularly in Compostela Valley Province, a provincial survey was conducted from January to November 2012. Opportunistic sampling using hand netting and standard light trapping methods were used to collect species from nine municipalities. There were 181 individuals collected representing two genera and four species comprising about 11.76% of the recorded species to occur in the archipelago. This paper reports the first record of Plecoptera in the province.
Induced mutation breeding employed on soybean, spring wheat, maize, millet, fiber flax, chinese cabbage, kidney been and garlic in Heilongjiang province. Thirty-six new varieties had introduced and released from 1980 to 1994, made up 20.6% of total released varieties for the same period, accumulated cultivated area of 3.746 million hm 2 , and increased the income of formers to US dollar 168 million; 72 mutants having specific and utilizing values and traits have also been bred in the province. Basic research such as radiation breeding in combination with distant hybridization, biotechnology, and application new induced factors, improving selection methods, have been achieved; 91 articles have been published. These researches play an important role for increasing induced mutation breeding. Three items of suggestion to develop induced mutation breeding are made. (1 tab.)
Ferguson-Martin, Christopher J.; Hill, Stephen D.
Wind energy deployment varies widely across regions and this variation cannot be explained by differences in natural wind resources alone. Evidence suggests that institutional factors beyond physical wind resources can influence the deployment of wind energy systems. Building on the work of , this study takes a historical institutionalist approach to examine the main factors influencing wind energy deployment across four Canadian provinces Canada: Alberta, Manitoba, Ontario and Nova Scotia. Our case studies suggest that wind energy deployment depends upon a combination of indirect causal factors-landscape values, political and social movements, government electricity policy, provincial electricity market structure and incumbent generation technologies and direct causal factors-grid architecture, ownership patterns, renewable incentive programs, planning and approvals processes and stakeholder support and opposition. - Research highlights: → Examines the reasons for variations in wind deployment between Canadian provinces. → Employs a historical institutional approach to the analysis. → Discusses social factors that affect wind deployment across Canadian jurisdictions.
The U.S. Atlantic offshore, especially the mid-Atlantic, was an exciting exploration area from the 1970s into the 1980s. Much pioneering 'frontier' activity in both scientific and policy matters occurred in this area. Although production was not achieved, objective geological evidence indicates that the province does have potential. Major population centers of the mid-Atlantic area demand large amounts of energy and enormous amounts of crude and product are shipped through East Coast waters. Nevertheless, exploration has been shut down by moratoria, environmental concerns, and international pricing. It is suggested that the province will be revisited in the future and that the geologic and environmental information that has been generated at great cost should be preserved for use by the next generation of explorationists and policy-makers.
Rodis, Harry G.; Hassan, Abdulla; Wahadan, Lutfi
For much of Kordofan Province, surface-water supplies collected and stored in hafirs, fulas, and tebeldi trees are almost completely appropriated for present needs, and water from wells must serve as the base for future economic and cultural development. This report describes the results of a reconnaissance hydrogeologic investigation of the Province and the nature and distribution of the ground-water resources with respect to their availability for development. Kordofan Province, in central Sudan, lies within the White Nile-Nile River drainage basin. The land surface is largely a plain of low relief; jebels (hills) occur sporadically, and sandy soils are common in most areas except in the south where clayey soils predominate. Seasonal rainfall, ranging from less than 100 millimeters in the north to about 800 millimeters in the south, occurs almost entirely during the summer months, but little runoff ever reaches the Nile or White Nile Rivers. The rocks beneath the surficial depsits (Pleistocene to Recent) in the Province comprise the basement complex (Precambrian), Nawa Series (upper Paleozoic), Nubian Series (Mesozoic), laterite (lower to middle Tertiary), and the Umm Ruwaba Series (Pliocene to Pleistocene). Perennial ground-water supplies in the Province are found chiefly in five hydrologic units, each having distinct geologic or hydrologic characteristics. These units occur in Nubian or Umm Ruwaba strata or both, and the sandstone and conglomerate beds form the :principal aquifers. The water is generally under slight artesian head, and the upper surface of the zone of saturation ranges from about 50 meters to 160 meters below land surface. The surficial deposits and basement rocks are generally poor sources of ground water in most of the Province. Supplies from such sources are commonly temporary and may dissipate entirely during the dry season. Locally, however, perennial supplies are obtained from the surficial deposits and from the basement rocks. Generally
Douglas C. Larson; Matt Lowry; Sharon Irwin
OAK-B135 This paper is submitted in fulfillment of DOE Grant No. DE-FG03-015F22369 on the experience of western states/provinces with demand response (DR) in the electricity sector. Demand-side resources are often overlooked as a viable option for meeting load growth and addressing the challenges posed by the region's aging transmission system. Western states should work together with utilities and grid operators to facilitate the further deployment of DR programs which can provide benefits in the form of decreased grid congestion, improved system reliability, market efficiency, price stabilization, hedging against volatile fuel prices and reduced environmental impacts of energy production. This report describes the various types of DR programs; provides a survey of DR programs currently in place in the West; considers the benefits, drawbacks and barriers to DR; and presents lessons learned and recommendations for states/provinces.
Loureiro, F.E.V.L.; Di Valderano, M.H.W.
The principal characteristics of the Brazil-Angola Alkaline Carbonatite Province are defined and described with specific reference to tectonic setting and economic aspects. The economic aspects of the Brazilian uranium deposits are emphasised. The Brazil-Angola Alkaline-Carbonatite Province can be divided into six Brazilian sub-provinces and two Angolan sub-provinces. Correlation between the sub-provinces of Brazil and Angola remains speculative due to the lack of detailed information, especially age determinations on the Angolan rocks. However, an analysis of the tectonic and petrochemical aspects suggests that the two Brazilian sub-provinces situated along the littoral of Rio de Janeiro/ Sao Paulo and around the periphery of the Parana Basin may be more easily comparable to the two Angolan sub-provinces than the remaining four. (Author) [pt
This research aims to examine the impact of marketing orientation on the innovation level among Small and Medium Size (SMEs) from Podlaskie Province. A survey utilizing a questionnaire was conducted among 137 companies in the Podlaskie Voivodeship. Altogether 3 hypotheses concerning marketing orientation and innovativeness level have been examined with the use of the hierarchical regression techniques. The relation between three types of marketing orientation and innovativeness has been analy...
Russo, Ana M; Mancebo, Orlando A; Monzón, Carlos M; Gait, Juan J; Casco, Rubén D; Torioni de Echaide, Susana M
An epidemiological study of brucellosis was carried out in 516 goats and mixed flocks (goat/sheep) from the three agro-ecological regions of Formosa province, Argentina. Serum samples from a total of 25401 goats and 2453 sheeps were analyzed using buffered plate agglutination test (BPAT) and complement fixation test (CFT). Bacteriological and PCR analyses on milk samples from goats in three flocks with a history of brucellosis and recent abortions were also performed. Brucellosis was detected in four of the nine departments of the province with an overall prevalence of 2% and an intra-flock prevalence ranging between 1% and 40%. The proportion of infected flocks was 3.6%, 12% and 36% for the eastern, central and western regions, respectively. Brucella melitensis bv. 1 was isolated efrom goats for the first time in the province. The expected fragments of 827bp from the omp2ab gene (Brucella spp.) and 731bp from the insert IS711 (B. melitensis) were amplified by PCR. Detection of antibodies by BPAT and FCT in sheep cohabiting with goats suggests that infections could have been caused by B. melitensis, posing an additional risk to public health. Control and eradication programs for brucellosis should consider mixed flocks as a single epidemiological unit. The results indicate that brucellosis by B. melitensis bv1 is highly endemic in the central and western regions of Formosa province. Copyright © 2015 Asociación Argentina de Microbiología. Publicado por Elsevier España, S.L.U. All rights reserved.
Zahra Jomehzadeh; Ali Jomehzadeh; Mohammad Bagher Tavakoli
Introduction Application of quality control (QC) programs at diagnostic radiology departments is of great significance for optimization of image quality and reduction of patient dose. The main objective of this study was to perform QC tests on stationary radiographic X-ray machines, installed in 14 hospitals of Kerman province, Iran. Materials and Methods In this cross-sectional study, QC tests were performed on 28 conventional radiographic X-ray units in Kerman governmental hospitals, based ...
Au Maroc, les parcours font l'objet d'une grave dégradation, et cela a suscité des interventions publiques visant à réduire les pressions exercées sur les ressources naturelles et à favoriser une gestion durable. Dans la province de Rhamna, où l'on pratique depuis des générations la transhumance, les interventions n'ont ...
Coastal and marine problems were collected from the coastal community in area of the Municipality of Balikpapan East Kalimantan Province, from fishermen, NGO's and government officials. The technique used was that of the Field Participatory Workshop's. the result of the study revealed some coastal community awarenees, coastal resources USAge, and governmental policy. The local government's failure to solve those problems was mainly due to lack of social awarenees for environmental coastal man...
Baeza, A; Del Rio, M; Miro, C; Paniagua, J M [Extremadura Univ., Caceres (Spain). Facultad de Veterinaria
Soils from all over the province of Caceres (Spain) were studied by gamma spectrometry to determine their [sup 226]Ra, [sup 232]Th and [sup 40]K concentrations. The rock types are fundamentally granites, shales and sedimentary materials. The analyses were designed for three different studies of the radionuclide concentration: at the surface, as a function of depth, and as a function of grain size. (author).
Sanhueza, Antonio; Roldán, Jakeline Calle; Ríos-Quituizaca, Paulina; Acuña, Maria Cecilia; Espinosa, Isabel
This study set out to describe the association between the maternal mortality ratio (MMR) estimates and a set of socioeconomic indicators and compute the MMR inequalities among the provinces of Ecuador. A cross-sectional ecological study was conducted, using data for 2014 from the country's 24 provinces. The MMR estimate was calculated for each province, as well as the association and its strength between MMR and specific socioeconomic indicators. For the indicators that were found to be significantly associated with MMR, inequality measurements were computed. Despite a relatively low MMR for Ecuador overall, ratios differed substantially among the provinces. Five socioeconomic indicators proved to be statistically significantly associated with MMR: total fertility rate, the percentage of indigenous population, the percentage of households with children who do not attend school, gross domestic product, and the percentage of houses with electrical service. Of these five, only three had MMR inequalities that were significant: total fertility rate, gross domestic product, and the percentage of households with electricity. This study supports research arguing that national averages can be misleading, as they often hide differences among subgroups at the local level. The findings also suggest that MMR is significantly associated with some socioeconomic indicators, including ones linked with significant health outcome inequalities. In order to reduce health inequities, it is crucial that countries look beyond national averages and identify the subgroups being left behind, explore the particular social determinants that generate these health inequalities, and examine the specific barriers and other factors affecting the subgroups most vulnerable to maternal health inequalities.
Velazquez Fernandez, Victor
The Alto Paraguay Province is located at the border of the State of Mato Grosso do Sul and Paraguay, between the coordinates 21 deg 10 ' to 23 deg 25 ' of Southern latitude and 57 deg 10 ' to 58 deg 00 ' , having the city of Porto Murtinho as the main reference point. The geotectonic domain of the area is governed by the precambric units of the Southern extreme of the Amazonic craton which developed a long and accentuated activity, giving rise to folds and important faults, that in several cases seem to have exerted an effective control of the magmatic manifestations. Radiometric data indicate that the emplacement of the syenitic bodies took place in the Permo-Triassic period, with a major incidence in the interval 260-240 Ma, representing thus, an important phase of alkaline magmatic affinity associated to the Parana Basin which is believed is to be unique, since the other known areas (Central, Amambay and Rio Apa Provinces, Paraguay, Velasco Province, Bolivia) are considerably younger (140-120 Ma). Syenitic rocks from the Alto Paraguay Province show wide variation in the ratio 87 Sr/ 86 Sr (0.703361 - 0.707734). Excluding the Cerro Boggiani rocks (0.703837-0.707734), values for the nepheline syenites (0.703361-0.703672) general lower than those of the other syenites types. Alkaline syenites cover the interval 0.703510- 0.703872, while quartz syenites and syenogranites are 0.704562 and 0.707076, respectively. geologic evidence, in addition to petrographic, geochemical and isotopic (Sr) data, suggest that the syenitic rocks have been derived from an unique mantelic parental liquid, by fractional crystallization and assimilation processes, which are assumed to be occurred during the emplacement of the magma in the crust. (author)
Alkahtani, Shaea A.
Objectives: To compare the levels of blood pressure (BP) between male and female adolescents in the Eastern Province of Saudi Arabia and reference percentiles for Saudi adolescents. A secondary aim was to explore the distribution of BP among the participants based on age and gender. Methods: This cross-sectional study was conducted among 146 boys and girls attending intermediate and secondary schools in 2 regions (Al-Mallaha and Al-Mubarraz) in the Eastern Province of Saudi Arabia. Weight, random blood glucose, and BP were collected by a team of health educators in the morning of the school day between April and May 2014. Results: Of the current sample of adolescents originally from the Eastern Province, 30% had systolic blood pressure (SBP) of ≥140 mm Hg and 22% had diastolic blood pressure of ≥90 mm Hg. For girls between 13 and 16 years old, the SBP was greater than the 95th percentile of Saudi national norms. Participants were classified by gender and school stage, and one-way analysis of variance showed significant differences in the means of SBP between intermediate boys (127±2.5 mm Hg) and secondary boys (136±2.1 mm Hg) (p<0.05), and between intermediate boys and intermediate girls (138±1.6 mm Hg) (p<0.01). Conclusion: The increased level of BP among adolescents originally from the Eastern Province raises the need to update the current BP nomograms, considering possible differences for specific geographic areas across the country. Implementing therapeutic life style management in girls’ schools is recommended. PMID:25987114
Karavida, Angeliki; Stamouli, Maria-Aggeliki; Balis, Charalampos
Patient satisfaction related to the provided health services is a key indicator of the quality of the health sector. The SERVQUAL model was employed as a way of measuring the level of patient satisfaction with the services of the Health Center of Elis Province. Although certain aspects such as "Assurance" and "Empathy" meet the users' needs, improvements like a detailed medical record and an overhaul of the equipment need to be introduced.
Full Text Available Como conhecer o trabalho quando o trabalho não é mais o trabalho? Esta pergunta comporta dois aspectos: o primeiro é de ordem metodológica (como conhecer o trabalho?. O segundo diz respeito a este objeto hipotético que seria 'o trabalho que não é mais o trabalho'. Se este último designa o trabalho não mercantil e o trabalho informal por distinção (ou oposição ao trabalho mercantil, então o 'trabalho que não é mais o trabalho' continua sendo, na realidade, um trabalho. Todavia, ele é diferente do trabalho mercantil, que, de acordo com uma postura etnocêntrica, supostamente constitui uma referência para a avaliação da natureza das atividades humanas. Mas, qualquer que seja o modo de trabalho dominante num coletivo de vida, uma análise da norma na atividade dita informal, do duplo ponto de vista do conceito e da experiência, permite sugerir que uma atividade humana socializada não pode ser verdadeiramente informal. Algumas balizas metodológicas permitem tentar compreender as atividades supostamente informais, chamando a atenção para os princípios epistemológicos da ergonomia e da ergologia.How to recognize work when is not work anymore? This question entails two aspects: the first one is a question of method (how to recognize work?. The second one is about this hypothetical subject that is 'work when it is not work anymore?'. If we talk about non-profit and informal work opposed to 'standard' work, then 'work that is not work anymore' is actually still work. Although, from an ethnocentric point of view, it is different from 'standard' work, which is supposed to be a reference in order to identify the nature of human activities. However, when analyzing the norm in informal activities, whatever the prevailing kind of work in a society, and from a conceptual as well as from a practical point of view, allows us to consider that a social human activity cannot be informal. A few methodological points will help us to
Pereira, Lucélia L; Santos, Leonor M P; Santos, Wallace; Oliveira, Aimê; Rattner, Daphne
The Mais Médicos program was introduced in 2013 with the aim of reducing the shortage of doctors in priority regions and diminishing regional inequalities in health. One of the strategies has been to offer 3-year contracts for doctors to work in primary healthcare services in small towns, inland, rural, remote, and socially vulnerable areas. This report describes the program's implementation and the allocation of doctors to these target areas in 2014. To describe the provision of doctors in the first year of implementation, we compared the doctor-to-population ratio in the 5570 municipalities of Brazil before and after the program, based on the Federal Board of Medicine database (2013), and the official dataset provided by the Ministry of Health (2014). In its first public call (July 2013) 3511 municipalities joined the Mais Médicos program, requesting a total of 15 460 doctors; although the program prioritizes the recruitment of Brazilians, only 1096 nationals enrolled and were hired, together with 522 foreign doctors. As a consequence, an international cooperation agreement was set in place to recruit Cuban doctors. In 12 months the program recruited 14 462 doctors: 79.0% Cubans, 15.9% Brazilians and 5.1% of other nationalities, covering 93.5% of the doctors demanded; they were assigned to all the 3785 municipalities enrolled. The study reveals a major decrease in the number of municipalities with fewer than 0.1 doctors per thousand inhabitants, which dropped from 374 in 2013 to 95 in 2014 (75% reduction). Of the total, 294 doctors were sent to work in the country's 34 Indigenous Health Districts (100% coverage) and 3390 doctors were deployed in municipalities containing certified rural maroon communities (formed centuries ago by runaway slaves). After 1 year of implementation, the municipalities with maroon communities with less than 0.1 doctors per thousand inhabitants were reduced by 87% in the poorest north region. More than 30% of municipalities with