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Sample records for kampuchea cambodia taiwan

  1. Introduction to "Mediating Chineseness in Cambodia"

    Directory of Open Access Journals (Sweden)

    Addendum by Penny Edwards

    2012-09-01

    Full Text Available In 1981, social anthropologist William Willmott declared, “Today, no-one identifies themselves as Chinese in Kampuchea [Cambodia]” (1981:45. He certainly had the authority to publish such a statement. Having conducted sustained fieldwork on Chinese community formation in Cambodia from 1962 to 1963, Willmott offered an unprecedented examination of social structures, political organization, and patterns of identification among urban Chinese in his monographs, The Chinese in Cambodia (1967 and The Political Structure of the Chinese Community in Cambodia (1970. However, subsequent to his research, Chinese communities suffered terribly during the repression of the Lon Nol government between 1970 and 1975 and the atrocities of the Democratic Kampuchea regime. Willmott thus declared Chinese communities—and a willingness to identify as Chinese—destroyed. This understandably pessimistic vision turned out to be unfounded; the next extensive research done on Chinese in Cambodia by Penny Edwards and Chan Sambath in 1995 showed Chinese communities rebuilding. However, the descriptions of these communities showed a complexity of identity formation—from recent immigrants, “the raw Chinese,” to the five “traditional” Chinese dialect groups—that differed markedly from the indexes of identity applied by Willmott in his initial analysis. Academic ideas of how Chineseness should be configured had shifted and complicated; ascribing identity had become increasingly problematic...

  2. The Question of Land in Cambodia: Perceptions, Access, and Use since De-collectivization

    Directory of Open Access Journals (Sweden)

    Anne Y. Guillou

    2013-05-01

    Full Text Available Introduction Cambodia is one of the countries in the world which experienced the most radical disruption of its land tenure. Almost its entire present adult population has been forced at one time or another to leave its lands and houses, whether because of the American bombings (1969-1973 which were particularly murderous in the south-eastern part of the country (the bombs’ holes are still visible from an airplane; or on a far greater scale, during the Democratic Kampuchea regime, called th...

  3. The Question of Land in Cambodia: Perceptions, Access, and Use since De-collectivization

    OpenAIRE

    Anne Y. Guillou

    2013-01-01

    Introduction Cambodia is one of the countries in the world which experienced the most radical disruption of its land tenure. Almost its entire present adult population has been forced at one time or another to leave its lands and houses, whether because of the American bombings (1969-1973) which were particularly murderous in the south-eastern part of the country (the bombs’ holes are still visible from an airplane); or on a far greater scale, during the Democratic Kampuchea regime, called th...

  4. Taiwan.

    Science.gov (United States)

    1988-03-01

    Attention in this discussion of Taiwan is directed to the following: geography; the people -- education, languages, religions, and cultural background; history; administration; political conditions; the economy; defense; foreign relations; and relations between the US and Taiwan. In 1987 the population was estimated to be 19.7 million with an annual growth rate of 1.07%. The infant mortality rate in 1986 was 0.7% with a life expectancy of 70.8 for men and 75.8 for women. Taipei, which continues its claim of sovereignty over all of China in the name of the "Republic of China," exercises control only over the island of Taiwan, the Penghu Islands, and about 20 offshore islands, most near the China mainland. Most native Taiwanese speak a variant of the Amoy (Hokkien) dialect of Southern Fujian. The predominant religion is a combination of Buddhism and Taoism. Chinese sources show migration to Taiwan began as early as A.D. 500. Dutch traders 1st claimed the island in 1624 as a base for Dutch commerce with Japan and the China coast. The 1st major influx of migrants from the Chinese mainland came during the Dutch period. In 1664, a Chinese fleet led by the Ming loyalist Zheng Chenggong retreated from the mainland and occupied Taiwan. Zheng expelled the Dutch and established Taiwan as a base in his attempt to restore the Ming Dynasty. After his death in 1683, his successors submitted to Manchu control. Manchu China ruled Taiwan as a frontier district until it was declared a separate Chinese province in 1886. The authorities in Taipei claim to be the government of all China, including Taiwan. When President Chiang Ching-kuo died in 1988, he was succeeded by Vice President Lee Teng-hui, who had been elected along with Chiang by the National Assembly to a 6-year term. Until 1986, Taiwan's political system was effectively 1 party. Before elections in 1986, many "nonpartisans" grouped together to form Taiwan's 1st new political party in over 4 decades -- the Democratic

  5. China-Cambodia Friendship Association Delegation Visits Cambodia

    Institute of Scientific and Technical Information of China (English)

    Xu; Yan

    2014-01-01

    <正>To celebrate the 55th anniversary of the establishment of diplomatic relations and the China-Cambodia Friendship Year,a delegation headed by Madame Gu Xiulian,President of the China-Cambodia Friendship Association(CCFA),visited Cambodia from 3-7 December 2013 at the invitation of Mr.Ek Sam O1,President of the Cambodia-China Friendship Association and Chairman of the Constitutional Council of Cambodia.

  6. Global update: Cambodia.

    Science.gov (United States)

    1993-01-01

    Between 1991 and 1993 in Cambodia, the number of blood donors who tested seropositive for HIV multiplied by 10. During March-December 1993, 30 of 4000 (0.75%) blood donors were HIV positive. These same 30 were among 91 HIV-positive cases reported to the World Health Organization [WHO] office in Phnom Penh in the last 9 months of 1992. As Cambodia attempts to recover from many years of political and social upheaval, the recent repatriation of 370,000 Khmer refugees from Thailand intensifies the increasing AIDS threat. Thailand already has a relatively high HIV prevalence. The number of tourists and visiting business professionals is increasing, and 22,000 people from the UN Transitional Authority in Cambodia have been assigned to positions countrywide. In 1991, WHO officials designed a 1-year short-term AIDS prevention program aimed at people practicing high-risk behavior and the health, education, and media sectors. It targeted mainly Phnom Penh residents, WHO and the UN Development Programme (UNDP) are helping the National AIDS Committee in designing a more comprehensive national plan. UNDP plans to give US$ 1 million to AIDS prevention efforts in Cambodia. 20-30% of people in Cambodia are not familiar with condoms. Government AIDS prevention efforts are intended for the general public, but they also are going to target high-risk areas, especially the provinces bordering Thailand and the pot of Kompong Som. The government is working on ways to work with the many health-centered nongovernmental organizations in Cambodia. Even though it is inundated with many other problems, the government recognizes the need to combat AIDS.

  7. Fires in Thailand and Cambodia

    Science.gov (United States)

    2002-01-01

    Many fires (red pixels) were seen burning across Thailand and Southern Cambodia on January 8, 2002, by the Moderate-resolution Imaging Spectroradiometer (MODIS) flying aboard NASA's Terra satellite. Almost the entire countries of Thailand (center) and Cambodia (lower right) were remarkably cloud-free in this true-color scene. Thailand is bordered by the countries of Myanmar to the west, Laos to the north and east, and Cambodia to the southeast. Thailand's capital city of Bangkok sits on its southern shore, where the Chao Phraya River flows into the large bay in the northern Gulf of Thailand. Moving eastward from Bangkok, one can see the Tonle Sap-Cambodia's largest inland body of water. Waters from the Tonle Sap flow southeastward and converge with the mighty Mekong River, just east of Phnom Penh, Cambodia's capital. The Mekong River defines much of the border between Thailand and Laos. The captal of Laos-Viangchan-is situated just across the Mekong from Thailand's northern border. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  8. ALIS deployment in Cambodia

    Science.gov (United States)

    Sato, Motoyuki; Takahashi, Kazunori

    2012-06-01

    Dual sensor is one of the most promising sensors for humanitarian demining operations. Conventional landmine detection depends on highly trained and focused human operators manually sweeping 1m2 plots with a metal detector and listening for characteristic audio signals indicating the presence of AP (Anti-personnel) landmines. In order to reduce the time of plodding detected objects, metal detectors need to be combined with a complimentary subsurface imaging sensor. i.e., GPR(Ground Penetrating Radar). The demining application requires real-time imaging results with centimetre resolution in a highly portable package. We are currently testing a dual sensor ALIS which is a real-time sensor tracking system based on a CCD camera and image processing. In this paper we introduce ALIS systems which we have developed for detection of buried antipersonnel mines and small size explosives. The performance of ALIS has been tested in Cambodia since 2009. More than 80 anti-personnel mines have been detected and removed from local agricultural area. ALIS has cleared more than 70,000 m2 area and returned it to local farmers.

  9. Oncology in Cambodia.

    Science.gov (United States)

    Eav, S; Schraub, S; Dufour, P; Taisant, D; Ra, C; Bunda, P

    2012-01-01

    Cambodia, a country of 14 million inhabitants, was devastated during the Khmer Rouge period and thereafter. The resources of treatment are rare: only one radiotherapy department, renovated in 2003, with an old cobalt machine; few surgeons trained to operate on cancer patients; no hematology; no facilities to use intensive chemotherapy; no nuclear medicine department and no palliative care unit. Cervical cancer incidence is one of the highest in the world, while in men liver cancer ranks first (20% of all male cancers). Cancers are seen at stage 3 or 4 for 70% of patients. There is no prevention program - only a vaccination program against hepatitis B for newborns - and no screening program for cervical cancer or breast cancer. In 2010, oncology, recognized as a full specialty, was created to train the future oncologists on site at the University of Phnom Penh. A new National Cancer Center will be built in 2013 with modern facilities for radiotherapy, medical oncology, hematology and nuclear medicine. Cooperation with foreign countries, especially France, and international organizations has been established and is ongoing. Progress is occurring slowly due to the shortage of money for Cambodian institutions and the lay public.

  10. Critical Literacy in Elementary Education in Cambodia

    Science.gov (United States)

    In, Vichea

    2012-01-01

    This study focuses on a quest for insights into the introduction and negotiation of critical literacy in elementary education in Cambodia, whose recent past was scarred by devastating conflicts and wars. In this study, critical education is seen as a key to avoiding the reproduction of an unwanted past and minimizing social injustice in Cambodia.…

  11. DoD Program for Stability of Civilian Employment: Policies, Procedures, and Programs Manual

    Science.gov (United States)

    1990-09-01

    DESCRIPTIONS CODES Pulmonary or respiratory disorders (e.g., tuberctlosis, emphysema, asthma , etc...VIETNAM VM JORDAN JO VIRGIN ISLANDS VQ KAMPUCHEA (CAMBODIA) CB YEMEN YS KENYA KE ZAIRE CG KOREA KS tSee DoD 5000.12-M, DoD Manual for Standard Data...KE - Kenya SP - Spain CS - Costa Rica KS - Korea SU - Sudan CR - Crete KU - Kuwait TW - Taiwan CU - Cuba LB - Labrador TH - Thailand DA - Denmark LA

  12. Otter Training Workshop Phnomh Penh, Cambodia

    Directory of Open Access Journals (Sweden)

    Waseem Ahmad Khan

    2009-10-01

    Full Text Available International Otter Survival Fund (IOSF, Conservation International (CI and IUCN Otter Specialist Group (OSG jointly organized an 8-day International Workshop on Asian Otter Conservation in Phnom Penh, Cambodia from February 24 to March 03, 2009. The main objective of the workshop was to raise the interest and awareness about otters and their conservation in Cambodia and to train Cambodian University students in otter research. However, a few international students and researchers were also invited to share their experiences.

  13. Decomposition of childhood malnutrition in Cambodia.

    Science.gov (United States)

    Sunil, Thankam S; Sagna, Marguerite

    2015-10-01

    Childhood malnutrition is a major problem in developing countries, and in Cambodia, it is estimated that approximately 42% of the children are stunted, which is considered to be very high. In the present study, we examined the effects of proximate and socio-economic determinants on childhood malnutrition in Cambodia. In addition, we examined the effects of the changes in these proximate determinants on childhood malnutrition between 2000 and 2005. Our analytical approach included descriptive, logistic regression and decomposition analyses. Separate analyses are estimated for 2000 and 2005 survey. The primary component of the difference in stunting is attributable to the rates component, indicating that the decrease of stunting is due mainly to the decrease in stunting rates between 2000 and 2005. While majority of the differences in childhood malnutrition between 2000 and 2005 can be attributed to differences in the distribution of malnutrition determinants between 2000 and 2005, differences in their effects also showed some significance. © 2013 John Wiley & Sons Ltd.

  14. POVERTY AND LAND POLICY IN CAMBODIA

    OpenAIRE

    Engvall, Anders; Kokko, Ari

    2007-01-01

    Slow agricultural development has restrained economic growth and poverty alleviation in Cambodia. The country's volatile history has left a legacy of weak tenure security and large areas of underutilized land. This study estimates the impact of access to land on poverty in a logistic regression framework using household survey data. Increased access to land is shown to significantly lower the risk of household poverty. Tenure security, land improvements and irrigation strengthens this effect....

  15. Low Circulation of Zika Virus, Cambodia, 2007–2016

    Science.gov (United States)

    Duong, Veasna; Ong, Sivuth; Leang, Rithea; Huy, Rekol; Ly, Sowath; Mounier, Ugo; Ou, Teyputita; In, Saraden; Peng, Borin; Ken, Sreymom; Buchy, Philippe; Tarantola, Arnaud; Horwood, Paul F.

    2017-01-01

    We describe a retrospective study on circulation of Zika virus in Cambodia during 2007–2016 among patients with dengue-like symptoms and Aedes aegypti mosquitoes. Our findings suggest that Zika virus in Cambodia belongs to the Asia genotype, is endemic, has low prevalence, and has had low-level impact on public health. PMID:27875110

  16. Cambodia - Sharing growth : Equity and Development in Cambodia, Equity Report 2007

    OpenAIRE

    World Bank

    2007-01-01

    Cambodia's changing distribution of income-related outcomes is consistent with the process of transition from a planned to an open market economy, and the accompanying growth of incomes. This transformation has promoted better resource reallocation, expanded the spectrum of gainful activities, and widened the distribution of earnings. Aided by robust economic growth and improved capacity f...

  17. Ground-water resources of Cambodia

    Science.gov (United States)

    Rasmussen, William Charles; Bradford, Gary M.

    1977-01-01

    Cambodia (now the Khmer Republic), in tropical, humid southeast Asia, has an area of 175,630 km and a population of about 5 million. The Mekong River, one of the world's largest rivers, flows through Cambodia. Also, the Tonle Sap (Grand Lac), a highly productive fresh-water lake, functions as a huge off-channel storage reservoir for flood flow of the Mekong River. Surfacewater discharge in streams and rivers of Cambodia is abundant during the wet season, mid-May through mid-November, when 85 percent of the precipitation falls, but is frequently deficient during the remainder of the year. Annual rainfall ranges from 1,370 mm in the central lowlands to more than 5,000 mm in the mountainous highlands. The mean annual temperature for the country is 27.5?C and the evaporation rate is high. During 1960-63, 1,103 holes were drilled in 16 of the 18 khets (provinces), of which 795 or approximately 72 percent, were productive wells at rates ranging from 1.1 to 2,967 l/min. The productive wells ranged in depth from 2 to 209.4 m and were 23.2 m deep on the average. Mr. Rasmussen ' studied the subsurface geology of Cambodia in considerable detail by examining drillers' logs and constructing nine geologic cross sections. The principal aquifer tapped by drilled wells in Cambodia is the Old Alluvium. In many places, however, dug wells and a few shallow drilled wells obtain water from the Young Alluvium. Sandstone of the Indosinias Formation yields moderate to small quantities of water to wells in a number of places. Also, wells tapping water-bearing basalt have a small to moderate yield. The quality of water is recorded in only a few analyses. The dissolved solids concentrations appear to be generally low so that the water is usable for most purposes without treatment. Some well waters, however, are high in iron and would have to be aerated and filtered before use. In this report, well records are tabulated, and the geology and hydrology is discussed by khets. The bulk of the

  18. Molecular Epidemiology of Hemoglobinopathies in Cambodia.

    Science.gov (United States)

    Munkongdee, Thongperm; Tanakulmas, Jatuporn; Butthep, Punnee; Winichagoon, Pranee; Main, Barbara; Yiannakis, Miriam; George, Joby; Devenish, Robyn; Fucharoen, Suthat; Svasti, Saovaros

    2016-06-01

    Determining the magnitude of the thalassemia problem in a country is important for implementing a national prevention and control program. In order to acquire accurate thalassemia prevalence data, the gene frequency of α- and β-thalassemia (α- and β-thal) in different regions of a country should be determined. The molecular basis of thalassemia in Cambodia was performed by polymerase chain reaction (PCR)-based techniques in a community-based cross-sectional survey of 1631 unrelated individuals from three regions, Battambang, Preah Vihear and Phnom Penh. Thalassemia mutations were detected in 62.7% of the three studied population of Cambodia. Hb E (HBB: c.79G > A) was the most common β-globin gene mutation with a frequency ranging from 0.139 to 0.331, while the most frequent α-globin gene mutation was the -α(3.7) (rightward) deletion (0.098-0.255). The other frequencies were 0.001-0.003 for β-thal, 0.008-0.011 for α-thal-1 (- -(SEA)), 0.003-0.008 for α-thal-2 [-α(4.2) (leftward deletion)], 0.021-0.044 for Hb Constant Spring (Hb CS, HBA2: c.427T > C) and 0.009-0.036 for Hb Paksé (HBA2: c.429A > T). A regional specific thalassemia gene frequency was observed. Preah Vihear had the highest prevalence of Hb E (55.9%), α-thal-2 (24.0%) and nondeletional α-thal (15.1%), whereas Phnom Penh had the lowest frequency of thalassemia genes. Interestingly, in Preah Vihear, the frequency of Hb Paksé was extremely high (0.036), almost equivalent to that of Hb CS (0.044). Our results indicate the importance of micromapping and epidemiology studies of thalassemia, which will assist in establishing the national prevention and control program in Cambodia.

  19. Counterfeit and substandard antimalarial drugs in Cambodia.

    Science.gov (United States)

    Lon, C T; Tsuyuoka, R; Phanouvong, S; Nivanna, N; Socheat, D; Sokhan, C; Blum, N; Christophel, E M; Smine, A

    2006-11-01

    Counterfeit and substandard antimalarial drugs can cause death and contribute to the growing malaria drug resistance problem, particularly in Southeast Asia. Since 2003 in Cambodia the quality of antimalarial drugs both in the public and private health sector is regularly monitored in sentinel sites. We surveyed 34% of all 498 known facilities and drug outlets in four provinces. We collected 451 drug samples; 79% of these were not registered at the Cambodia Department of Drugs and Food (DDF). Twenty-seven percent of the samples failed the thin layer chromatography and disintegration tests; all of them were unregistered products. Immediate action against counterfeit drugs was taken by the National Malaria Control Program (NMCP) and the DDF. They communicated with the Provincial Health Department about the presence of counterfeit antimalarial drugs through alert letters, a manual, annual malaria conferencing and other training occasions. Television campaigns to alert the population about counterfeit drugs were conducted. Moreover, the NMCP has been promoting the use of good quality antimalarial drugs of a blister co-packaged combination of artesunate and mefloquine in public and private sectors. Appropriate strategies need to be developed and implemented by relevant government agencies and stakeholders to strengthen drug quality assurance and control systems in the country.

  20. Caring for the Dead Ritually in Cambodia

    Directory of Open Access Journals (Sweden)

    John Clifford Holt

    2012-04-01

    Full Text Available Buddhist conceptions of the after-life, and prescribed rites in relation to the dead, were modified adaptations of brahman ical patterns of religious culture in ancient India. In this article, I demonstrate how Buddhist conceptions, rites and dispositions have been sustained and transformed in a contemporary annual ritual of rising importance in Cambodia, pchum ben. I analyze phcum ben to determine its fundamental importance to the sustenance and coherence of the Khmer family and national identity. Pchum ben is a 15-day ritual celebrated toward the end of the three-month monastic rain retreat season each year. During these 15 days, Buddhist laity attend ritually to the dead, providing special care for their immediately departed kin and other more recently deceased ancestors. The basic aim of pchum ben involves making a successful transaction of karma transfer to one’s dead kin, in order to help assuage their experiences of suffering. The proximate catalyst for pchum ben’s current popularity is recent social and political history in Southeast Asia, especially the traumatic events that occurred nationally in Cambodia during the early 1970s through the 1980s when the country experienced a series of convulsions. Transformations in religious culture often stand in reflexive relationship to social and political change.

  1. An Impact Evaluation of Feed the Future Cambodia HARVEST project

    Data.gov (United States)

    US Agency for International Development — Helping Address Rural Vulnerabilities and Ecosystem Stability (Cambodia-HARVEST) was a five-year program (2011-2016) supported under the Global Hunger and Food...

  2. A new reportable disease is born: Taiwan Centers for Disease Control's response to emerging Zika virus infection.

    Science.gov (United States)

    Huang, Angela Song-En; Shu, Pei-Yun; Yang, Chin-Hui

    2016-04-01

    Zika virus infection, usually a mild disease transmitted through the bite of Aedes mosquitos, has been reported to be possibly associated with microcephaly and neurologic complications. Taiwan's first imported case of Zika virus infection was found through fever screening at airport entry in January 2016. No virus was isolated from patient's blood taken during acute illness; however, PCR products showed that the virus was of Asian lineage closely related to virus from Cambodia. To prevent Zika virus from spreading in Taiwan, the Taiwan Centers for Disease Control has strengthened efforts in quarantine and surveillance, increased Zika virus infection diagnostic capacity, implemented healthcare system preparedness plans, and enhanced vector control program through community mobilization and education. Besides the first imported case, no additional cases of Zika virus infection have been identified. Furthermore, no significant increase in the number of microcephaly or Guillain- Barré Syndrome has been observed in Taiwan. To date, there have been no autochthonous transmissions of Zika virus infection.

  3. Strongyloides stercoralis genotypes in humans in Cambodia.

    Science.gov (United States)

    Schär, Fabian; Guo, Li; Streit, Adrian; Khieu, Virak; Muth, Sinuon; Marti, Hanspeter; Odermatt, Peter

    2014-06-01

    Little is known about the genetic variability of the soil-transmitted nematode, Strongyloides stercoralis, in humans. We sequenced portions of the small subunit rDNA (SSU), including the hyper variable regions (HVR) I and IV from S. stercoralis larvae derived from individuals living in a rural setting in Cambodia. We identified three polymorphic positions, including a previously reported one within the HVR I. HVR IV was invariable. Six different SSU alleles existed in our sample. Although different genotypes of S. stercoralis were found in the same individuals, no heterozygous larvae were found. This indicates that there is no or very little interbreeding between the different genotypes. Further studies are needed to examine if this is because sexual reproduction, which is facultative, is rare in our study area's S. stercoralis population or because what is considered to be S. stercoralis today is actually a complex of closely related species or subspecies.

  4. Dementia in Taiwan area

    Institute of Scientific and Technical Information of China (English)

    Yuanhan Yang

    2016-01-01

    Objective:Taiwan has an increasing aging population like other developed areas. The aging population will lead to an increased prevalence of dementia. Methods:This article will reflect the status of dementia in Taiwan, including updated epidemiology, diagnosis, subtypes, and optimal treatment of dementia. Results:The article also describes and interprets the Taiwan Dementia Policy to establish a clear, large view of the current state of management of dementia in Taiwan and future policy implementation. Conclusion:A comprehensive policy to dementia, from the basic researches to clinical care and treatment, is necessary to the increased aged population in Taiwan.

  5. Avian influenza: the political economy of disease control in Cambodia.

    Science.gov (United States)

    Ear, Sophal

    2011-01-01

    Abstract In the wake of avian flu outbreaks in 2004, Cambodia received $45 million in commitments from international donors to help combat the spread of animal and human influenza, particularly avian influenza (H5N1). How countries leverage foreign aid to address the specific needs of donors and the endemic needs of the nation is a complex and nuanced issue throughout the developing world. Cambodia is a particularly compelling study in pandemic preparedness and the management of avian influenza because of its multilayered network of competing local, national, and global needs, and because the level of aid in Cambodia represents approximately $2.65 million per human case-a disproportionately high number when compared with neighbors Vietnam and Indonesia. This paper examines how the Cambodian government has made use of animal and human influenza funds to protect (or fail to protect) its citizens and the global community. It asks how effective donor and government responses were to combating avian influenza in Cambodia, and what improvements could be made at the local and international level to help prepare for and respond to future outbreaks. Based on original interviews, a field survey of policy stakeholders, and detailed examination of Cambodia's health infrastructure and policies, the findings illustrate that while pandemic preparedness has shown improvements since 2004, new outbreaks and human fatalities accelerated in 2011, and more work needs to be done to align the specific goals of funders with the endemic needs of developing nations.

  6. "Research in Cambodia, Half a Century Ago: An Address to the Thailand, Laos, Cambodia Studies Group"

    Directory of Open Access Journals (Sweden)

    William E. Willmott

    2012-09-01

    Full Text Available Address to the Thailand, Laos, Cambodia Studies Association at the Association for Asian Studies Annual Conference in Toronto, March 16, 2012This event has given me the opportunity to return to almost the beginning of my academic career: my doctoral fieldwork in Cambodia fifty years ago. (It was preceded by fieldwork in an Inuit community in the Ungava, Northern Canada; not relevant here. Rereading my publications from that research has allowed me to relive the excitement of my Cambodian year, living with my wife and child in Phnom Penh apart from a month in Siem Reap, where I could hire a cyclo for ten riels and visit the various ruins of Angkor every afternoon. Research on overseas Chinese was informed by different paradigms in those days. Bill Skinner was a leading thinker in the field, and Maurice Freedman, my mentor and supervisor, was another. Our issues focused on community social structure and nationalism—many of us were supporters of the national liberation movements in Southeast Asian countries. For most of us, Chinese identity was simply a methodological issue...

  7. Drought Monitoring for Rice Production in Cambodia

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    Nyda Chhinh

    2015-10-01

    Full Text Available Rice production underpins the national economy and the most rural livelihoods in Cambodia, but it is negatively impacted by repeated droughts. The research reported on in this paper focuses on relationships between drought occurrences in Cambodia’s most drought-prone province (Kampong Speu and (i damage to the annual rice harvest between 1994 and 2011, and (ii the Niño 3.4 index. Droughts were identified using the Standardised Precipitation Index (SPI. In seven of the years between 1994 and 2006 droughts damaged >1000 ha of rice in the Kampong Speu province. Furthermore, in 11 years >200 ha of rice were damaged. A critical success index of 0.66 obtained for an analysis of SPI-defined drought and area rice damage in the province indicates a strong statistical relationship. A statistically significant correlation (r = −0.455 was achieved between Niño 3.4 and 12-month SPI values lagged by three months, this indicates the importance of ENSO linkages in explaining drought in this region. Late season droughts lead to greater rice damage than early- and mid-season droughts.

  8. Disability from Japanese encephalitis in Cambodia and Viet Nam.

    Science.gov (United States)

    Hills, Susan L; Van Cuong, Nguyen; Touch, Sok; Mai, Hoang Hong; Soeung, Sann Chan; Lien, Tran Thi Huong; Samnang, Chham; Sovann, Ly; Van Diu, Pham; Lac, Luc Duy; Heng, Seng; Huong, Vu Minh; Grundy, John J; Huch, Chea; Lewthwaite, Penny; Solomon, Tom; Jacobson, Julie A

    2011-08-01

    A cohort of Japanese encephalitis (JE) survivors in Cambodia and Viet Nam were assessed at least 4 months after hospital discharge in order to understand the extent of disability after JE. We used a simple assessment tool which focuses on the impact on daily life. In total, 64 disability assessments were conducted: 38 in Cambodia and 26 in Viet Nam. In Cambodia, 4 (11%) children had severe sequelae, suggesting the children would likely be dependent, 15 (39%) had moderate sequelae and 17 (45%) had mild sequelae. In Viet Nam, two (8%) persons had severe sequelae, five (19%) had moderate sequelae and eight (31%) had mild sequelae. In many JE-endemic areas there are no multi-disciplinary teams with sophisticated equipment to assess patients after JE disease. This assessment tool can assist with patient management and generate data to support the need for programmes to prevent disease and improve outcomes for survivors.

  9. Cambodia: From Dependency to Sovereignty - Emerging National Leadership

    Directory of Open Access Journals (Sweden)

    Vincent Mcnamara

    2015-10-01

    Full Text Available In the millennium leading up to its days of glory and regional leadership under the iconic Angkor empire, and even in the centuries of dependence since, Cambodia has often benefited significantly from the influence of its patrons, starting with traders from India who sailed up the Mekong at the beginning of a magnificent water transport system including an inland sea. Most recently such benefits have been from global and multilateral sources. Equally, due to its pivotal strategic location at the centre of the South-East corner of Asia, Cambodia has also suffered, at times enormously, from the competing influences of a plethora of well-intentioned but radically different influences: religious, cultural, linguistic, imperial, political, ideological and educational. This article will review the educational system of Cambodia and the issues that come with achieving political and now psychological freedom from dependence on foreign dominance and tutelage.

  10. European Commission programmes with Asia: the case of Cambodia

    Directory of Open Access Journals (Sweden)

    Jesús Carlos Corral Fuentes

    2003-12-01

    Full Text Available After reviewing the historical, political, and, above all, social context of Cambodia, in which this Southeast Asian country’s progress but also its great shortfalls are shown, the author enters fully into the previous history and current situation of relations between theEU and Cambodia. For this, he analyses the different existing economic, trade and cooperation agreements, to focus on the EU-Cambodia Programme (1993-2000 concerning technical and financial assistance, restoration, disaster victims, NGOs, refugees, democracy and human rights, as well as the environment, drugs and economic cooperation. The EU, along with Japan, is one of the main contributors to Cambodia’s process of restoration and reconstruction, although the overall size of the EU’s cooperation is still considerably lower than that provided by the bilateral cooperation of its member states.

  11. Maternity Leave in Taiwan

    Science.gov (United States)

    Feng, Joyce Yen; Han, Wen-Jui

    2010-01-01

    Using the first nationally representative birth cohort study in Taiwan, this paper examines the role that maternity leave policy in Taiwan plays in the timing of mothers returning to work after giving birth, as well as the extent to which this timing is linked to the amount of time mothers spend with their children and their use of breast milk…

  12. French colonial medicine in Cambodia: reflections of governmentality.

    Science.gov (United States)

    Trankell, Ing-Britt; Ovesen, Jan

    2004-04-01

    Studies of colonial medicine, mostly from former British colonies, have shown that colonial medical interventions mostly benefited the European colonisers and often had very little positive effects on the health of the native populations at large. A common assumption is that this was also the case for French colonial medicine in general, and for colonial medicine in Cambodia in particular, and that the unsatisfactory contemporary state of the medical services in the country may be partly explained by its colonial past. As a way to test this assumption, this paper presents an ethnography of colonial medicine in Cambodia in the first decades of the twentieth century. Documents in the Cambodian National Archives provided the primary sources, and their significance was assessed against the background of the authors' experience of medical anthropological research in contemporary Cambodia. Michel Foucault's concept of governmentality is used as the interpretative frame. Elements of colonial governmentality in the medical field included the promotion of modern medicine through the free dispensing of medicines and medical treatment and rudimentary medical training of members of the local population, as well as compulsory vaccinations and surveillance of the colonial subjects. It is concluded that both the idea of medicine as a 'tool of empire' and that of the colonial physician as a humanitarian hero are equally incomplete as general descriptions, and that specific ethnographies of medical policies and practices should be undertaken for particular colonial settings. This paper provides the first anthropological account of colonial medicine in Cambodia.

  13. Chinese Autos' Debut in Cambodia--Let more Cambodians know high-quality Chinese products

    Institute of Scientific and Technical Information of China (English)

    Jing; Xiong; Phnom; Penh

    2005-01-01

      The 3rd Mudan Cup China International Auto Exhibition (Vietnam & Cambodia) was held in January 28, 2005 in Phnom Penh Hotel. This is the first debut of Chinese autos in Cambodia. 11 buses, 12 seats tourism vans, cargo vans and trucks and 9 motorcycles of different brands showed Cambodians the real Chinese famous brands and high-quality automobiles. The 3rd "Mudan Cup"China International Auto Exhibition Tour was organized by the Society of Automotive Engineers of China, Department of Media and Press of CCPIT, Cambodia Tang Ren International Co., Ltd.,Cambodia Kaide Trade Co., Ltd. andChina Grand River Group.……

  14. Chinese Autos' Debut in Cambodia--Let more Cambodians know high-quality Chinese products

    Institute of Scientific and Technical Information of China (English)

    Jing Xiong; Phnom Penh

    2005-01-01

    @@ The 3rd Mudan Cup China International Auto Exhibition (Vietnam & Cambodia) was held in January 28, 2005 in Phnom Penh Hotel. This is the first debut of Chinese autos in Cambodia. 11 buses, 12 seats tourism vans, cargo vans and trucks and 9 motorcycles of different brands showed Cambodians the real Chinese famous brands and high-quality automobiles. The 3rd "Mudan Cup"China International Auto Exhibition Tour was organized by the Society of Automotive Engineers of China, Department of Media and Press of CCPIT, Cambodia Tang Ren International Co., Ltd.,Cambodia Kaide Trade Co., Ltd. andChina Grand River Group.

  15. Paleotsunamis in Eastern Taiwan

    Science.gov (United States)

    Yen, Jiun-Yee; Yu, Neng-Ti; Hirakawa, Kazuomi; Chyi, Shyh-Jeng; Huang, Shao-Yi

    2017-04-01

    Although Taiwan is located in the active collision zone between Eurasian and the Philippine Sea plate with very high seismicity in and surrounding the island, and supposedly highly susceptible to tsunami hazard. However, there is no record of tsunami hazard in the past one hundred years, and only very few historical records show some possible extreme event occurred. Therefore study of tsunami was scarce in Taiwan. Although historical records do show possible tsunami events, the records were too sparse and incomplete to confidently reconstruct the paleotsunami events. In the past few years, numerical simulations based on possible tsunami-genic zones near Taiwan show that the island could be affected by the correctly directed tsunami. Nevertheless, there is no detail, scientific research of paleotsunami records yet in Taiwan. Our field survey in eastern Taiwan (facing the western Pacific Ocean) along the coast uncovered several outcrops contain gravels embedded in well-developed soil layers. The rounded meta-sandstone gravels are clearly beach-origin and were brought to their current location upon extreme wave events, which is composed of either volcanic-clastic deposits from nearby hills or organic soil layers formed locally. Our investigation indicates that there are at least 3 events in the northern half of eastern Taiwan and at least 2 events in southern part of eastern Taiwan. Although these outcrops are next to the shoreline and Taiwan is susceptible from typhoons, these gravels could be farther away from the beach at the time of their deposition due to current high retreat rate of the sea cliff. Further investigations are needed to delineate possible sources of tsunamis that caused the deposits.

  16. Determinants of Farmers’ Agricultural Diversification: The Case of Cambodia

    Directory of Open Access Journals (Sweden)

    Kimty Seng

    2014-08-01

    Full Text Available A Heckman sample selection approach is employed with the data on Cambodia Socio-Economic Survey CSES-2007 to explore price and non-price factors determining farmers’ crop diversification decision, and consequently affecting diversification intensity. "The findings suggest that high relative price discourages farmers from diversifying crops." Irrigation, agricultural equipment ownership and farming expenditure have significantly positive effects on the decision, and sequentially increasing the intensity. Arable land size per household member, agricultural and transportation equipments have positive correlation with the diversification decision. Small scale of farming is a major hindrance to the decision, and consequently reducing the intensity. Land dispute, one of the main institutional matters in Cambodia, is found to have significantly negative marginal-effect on farmers’ decision on crop diversification.

  17. Microgomphus alani (Odonata, Gomphidae) sp. nov. from Cambodia.

    Science.gov (United States)

    Kosterin, Oleg E

    2016-05-24

    Microgomphus alani sp. nov. is described from two males from the coastal southwestern foothills of the Cardamom Mts. in southwestern Cambodia (type locality: Cambodia, Koh Kong Province, 17 km ENE of Koh Kong, 'Macromia Rivulet', 11°40'17'' N, 103°07'28'' E, 296 m a.s.l., 3 vi 2014, RMNH). The species is characterised by its small size (hindwing 21-23 mm), cerci with outer angulations, truncated apices and crescent-shaped inner arms sprouting from their middle and not reaching their apices, synthorax with two parallel black lateral stripes and dorsal and collar yellow stripes fused in 7-like manner. Probably females of the same species were earlier reported from Phrae Province in northern Thailand.

  18. Prodasineura hoffmanni sp. nov. (Odonata, Platycnemididae, Disparoneurinae) from eastern Cambodia.

    Science.gov (United States)

    Kosterin, Oleg E

    2015-10-06

    Prodasineura hoffmanni sp. nov. is described from Annamense Mountains in eastern Cambodia (holotype: Cambodia, Mondulkiri Province, 4.2 km SE of Dak Dam village, 12°23'10-18'' N 107°19'22-30'' E, 877-878 m asl, 14. VI. 2014, RMNH). The species has a blue pattern, and the male is characterised by medium-broad blue stripes on synthorax and blue colour at the end of the abdomen confined to a tiny spot on S9, dorsum of S10 and cerci. A female of P. doisuthepensis Hoess, 2007 is described. Based on original descriptions, the following synonymy is proposed: Prodasineura fujianensis Xu, 2006 = Prodasineura huai Zhou et Zhou, 2007, syn. n.

  19. Evaluation test of ALIS in Cambodia for humanitarian demining

    Science.gov (United States)

    Sato, Motoyuki

    2010-04-01

    ALIS is a hand-held dual sensor developed by Tohoku University, Japan since 2002. Dual sensor is a general name of sensor for humanitarian demining, which are equipped with metal detector and GPR. ALIS is only one hand-held dual sensor, which can record the sensor position with sensor signals. Therefore, the data can be processed after data acquisition, and can increase the imaging capability. ALIS has been tested in some mine affected courtiers including Afghanistan (2004), Egypt(2005), Croatia(2006-) and Cambodia(2007-). Mine fields at each country has different conditions and soil types. Therefore testes at the real mine fields are very important. ALIS has detected more than 30 AP-Mines in evaluation test in Cambodia held in 2009.

  20. Options for enforcing labor standards: Lessons from Bangladesh and Cambodia

    OpenAIRE

    Berik, Günseli; van der Meulen Rodgers, Yana

    2008-01-01

    This study examines labor standards enforcement and compliance in two Asian economies (Bangladesh and Cambodia) that have amongst the lowest labor costs in the world but are experiencing strong pressures to improve the price competitiveness of their textile and garment exports. Analysis of survey, focus group, and inspection data indicate differing trajectories in compliance with basic labor standards. While extremely low wages and poor working conditions have persisted in Bangladesh, complia...

  1. Influenza activity in Cambodia during 2006-2008

    Directory of Open Access Journals (Sweden)

    Zhou Weigong

    2009-10-01

    Full Text Available Abstract Background There is little information about influenza disease among the Cambodian population. To better understand the dynamics of influenza in Cambodia, the Cambodian National Influenza Center (NIC was established in August 2006. To continuously monitor influenza activity, a hospital based sentinel surveillance system for ILI (influenza like illness with a weekly reporting and sampling scheme was established in five sites in 2006. In addition, hospital based surveillance of acute lower respiratory infection (ALRI cases was established in 2 sites. Methods The sentinel sites collect weekly epidemiological data on ILI patients fulfilling the case definition, and take naso-pharyngeal specimens from a defined number of cases per week. The samples are tested in the Virology Unit at the Institut Pasteur in Phnom Penh. From each sample viral RNA was extracted and amplified by a multiplex RT-PCR detecting simultaneously influenza A and influenza B virus. Influenza A viruses were then subtyped and analyzed by hemagglutination inhibition assay. Samples collected by the ALRI system were tested with the same approach. Results From 2006 to 2008, influenza circulation was observed mainly from June to December, with a clear seasonal peak in October shown in the data from 2008. Conclusion Influenza activity in Cambodia occurred during the rainy season, from June to December, and ended before the cool season (extending usually from December to February. Although Cambodia is a tropical country geographically located in the northern hemisphere, influenza activity has a southern hemisphere transmission pattern. Together with the antigenic analysis of the circulating strains, it is now possible to give better influenza vaccination recommendation for Cambodia.

  2. The formalization fix? Land titling and land concessions in Cambodia

    OpenAIRE

    Dwyer, Michael B.

    2015-01-01

    Issuing land titles to smallholder farmers has long been embraced as a way to promote lending and land markets, but is increasingly being reframed as a way to protect smallholders from irresponsible agricultural investment. This brief examines the case of Cambodia, where over the last decade extensive land titling efforts have occurred alongside a wave of large-scale land concessions. The problem, however, is that titling has failed to live up to the rhetoric of systematic coverage, and has o...

  3. A Multimedia Approach to ODL for Agricultural Training in Cambodia

    Directory of Open Access Journals (Sweden)

    Helena Grunfeld

    2013-03-01

    Full Text Available Open distance learning (ODL has long been an important option for formal and non-formal education (NFE in most developed and developing countries, but less so in post-conflict countries, including Cambodia. However, in Cambodia there is now greater awareness that ODL can complement traditional face-to-face educational approaches, particularly as there is a shortage of teachers in the country. Thus, understanding how ODL can achieve learning and other objectives has important implications for both formal education and NFE. If it can be found to be effective, ODL has the potential of reaching a large number of people at comparatively lower average costs. This paper reports on a project where the same content was taught to farmers in Cambodia via traditional face-to-face and via ODL and compares outcomes between the different training methods. Exploring the extent to which farmers had adopted new farm practices taught in the course, our results indicate that the outcomes did not vary considerably between those trained using the different approaches.

  4. Potential for rural electrification based on biomass gasification in Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Abe, Hitofumi [Ecosystems Research Group, School of Plant Biology, The University of Western Australia, Crawley, WA 6009 (Australia); JICA study team for ' The Master Plan Study on Rural Electrification by Renewable Energy in The Kingdom of Cambodia' , Phnom Penh (Democratic Kampuchea); Katayama, Akio [JICA study team for ' The Master Plan Study on Rural Electrification by Renewable Energy in The Kingdom of Cambodia' , Phnom Penh (Democratic Kampuchea); Nippon Koei Co. Ltd., Tokyo 102-0083 (Japan); Sah, Bhuwneshwar P. [JICA study team for ' The Master Plan Study on Rural Electrification by Renewable Energy in The Kingdom of Cambodia' , Phnom Penh (Democratic Kampuchea); Pasco Corporation, Tokyo 153-0043 (Japan); Toriu, Tsuyoshi [JICA study team for ' The Master Plan Study on Rural Electrification by Renewable Energy in The Kingdom of Cambodia' , Phnom Penh (Democratic Kampuchea); Sojitz Research Institute, Ltd., Tokyo 107-0052 (Japan); Samy, Sat; Pheach, Phon [Ministry of Industry, Mines and Energy, Phnom Penh (Democratic Kampuchea); Adams, Mark A. [School of Biological Earth and Environmental Science, University of New South Wales, Sydney, NSW 2052 (Australia); Grierson, Pauline F. [Ecosystems Research Group, School of Plant Biology, The University of Western Australia, Crawley, WA 6009 (Australia)

    2007-09-15

    Around 76% of the 10,452 villages of Cambodia will still be without electricity in the year 2010. We examined the potential of biomass gasification fuelled by alternative resources of agricultural residues and woody biomass to increase rural power supply, using geographic and social economic databases provided by the Royal Government of Cambodia. About 77% of villages currently without electricity have sufficient land available for tree planting for electricity generation based on a requirement of 0.02 ha per household. Among 8008 villages with sufficient land, we assumed that those villages that had greater than 10% of households owning a television (powered by a battery or a generator) would have both a high electricity demand and a capacity to pay for electricity generation. Those 6418 villages were considered appropriate candidates for mini-grid installation by biomass gasification. This study demonstrated that while agricultural residues such as rice husks or cashew nut shells may have high energy potential, only tree farming or plantations would provide sufficient sustainable resources to supply a biomass gasification system. Cost per unit electricity generation by biomass gasification is less than diesel generation when the plant capacity factor exceeds 13%. In order to ensure long-term ecological sustainability as well as appropriate tree-farming technology for farmers, there is an urgent need for studies aimed at quantifying biomass production across multiple rotations and with different species across Cambodia. (author)

  5. Technical Efficiency and Its Determinants of Rice Production in Cambodia

    Directory of Open Access Journals (Sweden)

    Sokvibol Kea

    2016-10-01

    Full Text Available The present study aims to measure the technical efficiency and establish core factors affecting rice production in Cambodia. A four‐year dataset generated from the central government document “Profile on Economics and Social” of 25 entire provinces between 2012 and 2015 and the stochastic production frontier model (SFA was applied. The results indicated that the level of output (quantity of Cambodian rice production varied according to the different level of capital investment in agricultural machineries, total rice actual harvested area, and technical fertilizer application within provinces. Furthermore, evidence revealed that the overall mean efficiency of rice production is 78.4%, which implies that there is still room to further improve technical efficiency given the same level of inputs and technology. More importantly, the findings revealed that irrigation, production techniques and amount of agricultural supporting staff are the most important influencing factors of rice production’s technical efficiency in Cambodia. In conclusion, the present study strongly recommends the development of irrigation systems and good water management practices to be considered and bring about more effective actions by the central government as well as related agencies for improving rice production in Cambodia in addition to capital investment and improving technical skills of supporting staff and rural farmers.

  6. "A Frog in a Well": The Exclusion of Disabled People from Work in Cambodia

    Science.gov (United States)

    Gartrell, Alexandra

    2010-01-01

    Based on ethnographic research conducted in north-west Cambodia in 2000-2001, this paper examines why disabled people experience systematic marginalisation in the labour market. Although there are no official data on the relationship between disability and employment status in Cambodia, this research suggests that disabled people are more likely…

  7. Educational Cooperation between Thailand and Cambodia: Outcomes on Human Development, International Understanding and Future Prospect

    Science.gov (United States)

    Kijtorntham, Wichuda; Ruangdej, Phumjit; Saisuwan, Chatchanog

    2015-01-01

    Thailand and Cambodia set up educational cooperation since 1996, before signed a Memorandum of Understanding on Cooperation in the Promotion of Education in 2003. This research aimed to investigate outcomes of educational cooperation projects on Cambodia human development and international understanding, process of participatory learning and…

  8. 78 FR 56832 - Extension of Import Restrictions Imposed on Archaeological Material From Cambodia From the Bronze...

    Science.gov (United States)

    2013-09-16

    ... Extension of Import Restrictions Imposed on Archaeological Material From Cambodia From the Bronze Age... material from Cambodia from the Bronze Age through the Khmer era. The restrictions, which were originally... archaeological material from the Bronze Age through the Khmer Era. Import restrictions listed in 19 CFR...

  9. Imaging in the Khmer’s Land: Cambodia Country Report

    Directory of Open Access Journals (Sweden)

    Samantha\tG. Harrington

    2015-11-01

    Full Text Available Cambodia is located in Southeast Asia on the Indochina Peninsula and borders Vietnam, Laos, Thailand and the Gulf of Thailand (Figure 1. With a total area of 69,898 square miles and population of 15,458,332, Cambodia’s population density has steadily increased since 1980. The country’s annual rate of urbanization is 2.65 %. As of 2014, 20.5% of the population lives in an urban setting. The estimated population growth rate is 1.63% (1. The capital of Cambodia is Phnom Penh, which is located in the southern part of the country. Other major cities include Battambang and Siem Reap, both of which have populations over 150,000. There are officially 24 provinces and one municipality (Phnom Penh. However, many consider Phnom Penh to be its own province. As a result, some research puts the number of Cambodian provinces at 25. The climate is tropical with two seasons: monsoon season (May to November and dry season (December to April. Temperatures range from approximately 70 to 95°F. Cambodia’s economy largely depends on the garment industry, tourism, construction, real estate and agriculture. Cambodia gained independence from France in 1953 and was first ruled by a constitutional monarchy under King Norodom Sihanouk. After a five-year struggle starting in 1970, the Khmer Rouge captured Phnom Penh in 1975. Pol Pot, the leader of the Khmer Rouge, oversaw a brutal regime that, through executions and forced labor, was responsible for the deaths of at least 1.5 million Cambodians. The Vietnamese drove out the Khmer Rouge in 1979. After years of Vietnamese occupation, the 1991 Paris Peace Accords established a ceasefire and a democratic framework for the country. By 1993 elections established a new coalition government; yet, political instability and violence persisted throughout the 1990s. Cambodia most recently held elections in 2013, as a multiparty democracy under a constitutional monarchy.The devastation caused by the Khmer Rouge has had long

  10. The unfinished health agenda: Neonatal mortality in Cambodia

    Science.gov (United States)

    Hong, Rathmony; Ahn, Pauline Yongeun; Rathavy, Tung; Gauthier, Ludovic; Hong, Rathavuth; Laillou, Arnaud

    2017-01-01

    Background Reduction of neonatal and under-five mortality rates remains a primary target in the achievement of universal health goals, as evident in renewed investments of Sustainable Development Goals. Various studies attribute declines in mortality to the combined effects of improvements in health care practices and changes in socio-economic factors. Since the early nineties, Cambodia has managed to evolve from a country devastated by war to a nation soon to enter the group of middle income countries. Cambodia's development efforts are reflected in some remarkable health outcomes such as a significant decline in child mortality rates and the early achievement of related Millennium Development Goals. An achievement acknowledged through the inclusion of Cambodia as one of the ten fast-track countries in the Partnership for Maternal, Newborn and Child Health. This study aims to highlight findings from the field so to provide evidence for future programming and policy efforts. It will be argued that to foster further advances in health, Cambodia will need to keep neonatal survival and health high on the agenda and tackle exacerbating inequities that arise from a pluralistic health system with considerable regional differences and socio-economic disparities. Methods/Findings Data was drawn from Demographic Health Surveys (2000, 2005, 2010, 2014). Information on a series of demographic and socio-economic household characteristics and on child anthropometry, feeding practices and child health were collected from nationally representative samples. To reach the required sample size, live-births that occurred over the past 10 years before the date of the interview were included. Demographic variables included: gender of the child, living area (urban or rural; four ecological regions (constructed by merging provinces and the capital), mother’s age at birth (asset-based index). Data on antenatal care, tetanus injection and skilled assistance at birth were used for the

  11. Effectiveness of community forestry in Prey Long forest, Cambodia.

    Science.gov (United States)

    Lambrick, Frances H; Brown, Nick D; Lawrence, Anna; Bebber, Daniel P

    2014-04-01

    Cambodia has 57% forest cover, the second highest in the Greater Mekong region, and a high deforestation rate (1.2%/year, 2005-2010). Community forestry (CF) has been proposed as a way to reduce deforestation and support livelihoods through local management of forests. CF is expanding rapidly in Cambodia. The National Forests Program aims to designate one million hectares of forest to CF by 2030. However, the effectiveness of CF in conservation is not clear due to a global lack of controlled comparisons, multiple meanings of CF, and the context-specific nature of CF implementation. We assessed the effectiveness of CF by comparing 9 CF sites with paired controls in state production forest in the area of Prey Long forest, Cambodia. We assessed forest condition in 18-20 randomly placed variable-radius plots and fixed-area regeneration plots. We surveyed 10% of households in each of the 9 CF villages to determine the proportion that used forest products, as a measure of household dependence on the forest. CF sites had fewer signs of anthropogenic damage (cut stems, stumps, and burned trees), higher aboveground biomass, more regenerating stems, and reduced canopy openness than control areas. Abundance of economically valuable species, however, was higher in control sites. We used survey results and geographic parameters to model factors affecting CF outcomes. Interaction between management type, CF or control, and forest dependence indicated that CF was more effective in cases where the community relied on forest products for subsistence use and income. © 2014 Society for Conservation Biology.

  12. Cost and disease burden of Dengue in Cambodia

    Directory of Open Access Journals (Sweden)

    Beauté Julien

    2010-08-01

    Full Text Available Abstract Background Dengue is endemic in Cambodia (pop. estimates 14.4 million, a country with poor health and economic indicators. Disease burden estimates help decision makers in setting priorities. Using recent estimates of dengue incidence in Cambodia, we estimated the cost of dengue and its burden using disability adjusted life years (DALYs. Methods Recent population-based cohort data were used to calculate direct and productive costs, and DALYs. Health seeking behaviors were taken into account in cost estimates. Specific age group incidence estimates were used in DALYs calculation. Results The mean cost per dengue case varied from US$36 - $75 over 2006-2008 respectively, resulting in an overall annual cost from US$3,327,284 in 2008 to US$14,429,513 during a large epidemic in 2007. Patients sustain the highest share of costs by paying an average of 78% of total costs and 63% of direct medical costs. DALY rates per 100,000 individuals ranged from 24.3 to 100.6 in 2007-2008 with 80% on average due to premature mortality. Conclusion Our analysis confirmed the high societal and individual family burden of dengue. Total costs represented between 0.03 and 0.17% of Gross Domestic Product. Health seeking behavior has a major impact on costs. The more accurate estimate used in this study will better allow decision makers to account for dengue costs particularly among the poor when balancing the benefits of introducing a potentially effective dengue vaccine.

  13. First report of human intestinal sarcocystosis in Cambodia.

    Science.gov (United States)

    Khieu, Virak; Marti, Hanspeter; Chhay, Saomony; Char, Meng Chuor; Muth, Sinuon; Odermatt, Peter

    2017-10-01

    Human intestinal sarcocystosis (HIS), caused by Sarcocystis species, is acquired by eating undercooked meat from sarcocyst-containing cattle (S. hominis, S. heydorni) and pigs (S. suihominis). We report on the detection of human intestinal Sarcocystis infections in a cross-sectional survey of Strongyloides stercoralis in early 2014, in Rovieng District, Preah Vihear Province, northern Cambodia. Among 1081 participants, 108 (10.0%) were diagnosed with Sarcocystis spp. oocysts in stool samples. Males had a significantly higher risk of infection than females (OR: 1.9, 95% CI: 1.3-2.9, p=0.001). None of the reported symptoms (abdominal discomfort, diarrhea, muscle pain and itching skin) occurring in the two weeks preceding the examinations were associated with a Sarcocystis infection. Many Sarcocystis cases were found among those who had participated in a wedding celebration and Chinese New Year festivities, where they had consumed raw or insufficiently cooked beef (83.3%) and pork (38.9%) based dishes. This report documents the first HIS cases in Cambodia. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Rodent-borne hantaviruses in Cambodia, Lao PDR, and Thailand.

    Science.gov (United States)

    Blasdell, Kim; Cosson, Jean François; Chaval, Yannick; Herbreteau, Vincent; Douangboupha, Bounneuang; Jittapalapong, Sathaporn; Lundqvist, Ake; Hugot, Jean-Pierre; Morand, Serge; Buchy, Philippe

    2011-12-01

    In order to evaluate the circulation of hantaviruses present in southeast Asia, a large scale survey of small mammal species was carried out at seven main sites in the region (Cambodia, Lao People's Democratic Republic, and Thailand). Small scale opportunistic trapping was also performed at an eighth site (Cambodia). Using a standard IFA test, IgG antibodies reacting to Hantaan virus antigens were detected at six sites. Antibody prevalence at each site varied from 0 to 5.6% with antibodies detected in several rodent species (Bandicota indica, B. savilei, Maxomys surifer, Mus caroli, M. cookii, Rattus exulans, R. nitidius, R. norvegicus, and R. tanezumi). When site seroprevalence was compared with site species richness, seropositive animals were found more frequently at sites with lower species richness. In order to confirm which hantavirus species were present, a subset of samples was also subjected to RT-PCR. Hantaviral RNA was detected at a single site from each country. Sequencing confirmed the presence of two hantavirus species, Thailand and Seoul viruses, including one sample (from Lao PDR) representing a highly divergent strain of Seoul virus. This is the first molecular evidence of hantavirus in Lao PDR and the first reported L segment sequence data for Thailand virus.

  15. The prevalence and molecular basis of hemoglobinopathies in Cambodia.

    Science.gov (United States)

    Carnley, Benedict P; Prior, John F; Gilbert, Anne; Lim, Erna; Devenish, Robyn; Sing, Heng; Sarin, Eng; Guhadasan, Rathi; Sullivan, Sheena G; Wise, Cheryl A; Bittles, Alan H; Chan, Kaimin; Wong, Man-Sim; Chan, Vivian; Erber, Wendy N

    2006-01-01

    Blood counts, hemoglobin (Hb) high performance liquid chromatography (HPLC), and DNA analyses were performed on 260 children, aged 5 months to 16 years, at Siem Reap to assess the prevalence of thalassemia and other hemoglobinopathies in regional Cambodia. Hemoglobinopathies were present in 134 children (51.5%) with 20 abnormal genotypes identified. alpha-Thalassemia (thal) (35.4%) was the most prevalent disorder and the -alpha3.7 gene deletion was the most common alpha-globin gene abnormality. The - -SEA deletion and nondeletional forms of alpha-thal, Hb Constant Spring [Hb CS, alpha142, Term-->Gln, TAA-->CAA (alpha2)], Hb Paksé [alpha142, Term-->Tyr, TAA-->TAT (alpha2)] and triplicated alpha genes, were also present but at low frequencies. Hb E [beta26(B8)Glu-->Lys, GAG-->AAG] (28.8%) was the most common beta-globin gene abnormality, whilst beta-thal was only detected in two children (0.8% of cases). Although hemoglobinopathies were common, the majority of abnormalities detected (heterozygous -alpha3.7 and Hb E) were not clinically significant. On the basis of these findings, and with the majority of abnormalities being mild, it seems improbable that thalassemia represents a major health burden in this region of Cambodia.

  16. Country Report WIN Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Shin [Atomic Energy Council, 6F, No 80, Sec 1, Cheng-Gong Road, Yonghe City, 23452 Taipei, Taiwan (China)

    2008-07-01

    A. Nuclear Power Facilities and Performance: In 2007, 98.24% of energy sources were imported in Taiwan. Taiwan's six existing nuclear power units, operated by the state owned utility Taiwan Power Company (TPC), generated a total of 40.55 terawatt-hours (TWh) of electricity (gross) in 2007 - a record high and up 1.7% from the previous year's figure (39.87 TWh). The three nuclear plants at Chinshan, Kuosheng and Maanshan, with two operating units at each site, provided a total installed capacity of 5,144 MWe, accounting for 11.32% of the total installed electricity capacity in 2007 - compared to 11.41% in 2006. Performance wise, the average capacity factor for all six units in 2007 was 90.28%, up from 88.93% in 2006, and best record ever in Taiwan's nuclear power operation. The annual average number of abnormal events per unit was 2.33 (or 14 events for all six units), and the average number of automatic scrams per unit was 0.33 (or 2 scrams for all six units) in 2006. Production of solidified low-level radioactive waste from all six units totaled 259 drums, also best record ever, down 21% from 327 drums in 2006 and down as much as 57% from 601 drums in 2005. A new record was also set at Unit 1 of Maanshan plant for a refueling outage of 31.62 days, shortest ever for a TPC's nuclear unit. Construction continues at Lungmen plant for two ABWR units with 77.29% completion by the end of February 2008. The project had encountered significant delays due to the suspension in 2000, rising price of construction materials, finding new subcontractors to replace the bankrupted and negotiating new contracts to succeed the expired. Commercial operation has been reset in 2006 as 2009 and 2010 for units 1 and 2, respectively, and fuel loading is expected by end of this year for unit 1. B. Highlights of Nuclear R and D and Regulatory Activities: Major research focuses of the Institute of Nuclear Energy Research (INER) include: time limited comprehensive safety

  17. Total and free available fluoride in toothpastes in Brunei, Cambodia, Laos, the Netherlands and Suriname

    NARCIS (Netherlands)

    Benzian, H.; Holmgren, C.J.; Buijs, M.; van Loveren, C.; van der Weijden, F.; van Palenstein Helderman, W.H.

    2012-01-01

    OBJECTIVES: This study assessed total and free fluoride concentrations in samples of toothpaste from Brunei, Cambodia, Laos, the Netherlands and Suriname, and investigated the labelling practices of the respective manufacturers. MATERIALS AND METHODS: Convenience samples were bought in the five

  18. Integration of comprehensive abortion‐care services in a Maternal and Child Health clinic in Cambodia

    National Research Council Canada - National Science Library

    Delvaux, Thérèse; Sœur, Sophal; Rathavy, Tung; Crabbé, François; Buvé, Anne

    2008-01-01

    Objectives  To document the pilot experience of provision of safe abortion/post‐abortion services implemented in 2002 at the Mother Child Health clinic in Sihanoukville, Cambodia, and to profile clients and assess their uptake of post...

  19. Mental health survey among landmine survivors in Siem Reap province, Cambodia.

    Science.gov (United States)

    Lopes Cardozo, Barbara; Blanton, Curtis; Zalewski, Tami; Tor, Svang; McDonald, Laura; Lavelle, James; Brooks, Robert; Anderson, Mark; Mollica, Richard

    2012-01-01

    Many survivors of the Khmer Rouge period in Cambodia and the subsequent war with Vietnam have now returned to Cambodia. In this two-stage household cluster survey in Siem Reap Province in Cambodia, we explored the mental health consequences on 166 landmine injury survivors selected from 1000 household in 50 clusters and an oversample of all landmine survivors. We found a prevalence of anxiety of 62% for all respondents, 74% for depression, and 34% for post-traumatic stress disorder (PTSD). These prevalences were statistically significantly higher than among the adult population who had not been injured by landmines. These data underscore the importance of providing mental health care services for the people in Siem Reap Province in Cambodia who have been injured by landmines.

  20. Prevalence of musculoskeletal symptoms among garment workers in Kandal province, Cambodia

    National Research Council Canada - National Science Library

    Van, Leap; Chaiear, Naesinee; Sumananont, Chat; Kannarath, Chheng

    2016-01-01

    Objectives: The main objectives of this cross-sectional descriptive study were to identify the prevalence of musculoskeletal symptoms and workstation biomechanical risk levels for garment workers in Kandal Province, Cambodia. Methods...

  1. Technical Modifications for the Quality Improvement of Rice Liquor (Sraa Sar) in Cambodia

    National Research Council Canada - National Science Library

    HAMANO, Mitsuru; MATSUMOTO, Tetsuo; ITO, Kasumi

    2013-01-01

    One of the key strategies for economic development and poverty alleviation, especially in rural areas of Cambodia, is brought about by adding value to local agricultural products by agro-processing...

  2. A new reportable disease is born: Taiwan Centers for Disease Control's response to emerging Zika virus infection

    Directory of Open Access Journals (Sweden)

    Angela Song-En Huang

    2016-04-01

    Full Text Available Zika virus infection, usually a mild disease transmitted through the bite of Aedes mosquitos, has been reported to be possibly associated with microcephaly and neurologic complications. Taiwan's first imported case of Zika virus infection was found through fever screening at airport entry in January 2016. No virus was isolated from patient's blood taken during acute illness; however, PCR products showed that the virus was of Asian lineage closely related to virus from Cambodia. To prevent Zika virus from spreading in Taiwan, the Taiwan Centers for Disease Control has strengthened efforts in quarantine and surveillance, increased Zika virus infection diagnostic capacity, implemented healthcare system preparedness plans, and enhanced vector control program through community mobilization and education. Besides the first imported case, no additional cases of Zika virus infection have been identified. Furthermore, no significant increase in the number of microcephaly or Guillain- Barré Syndrome has been observed in Taiwan. To date, there have been no autochthonous transmissions of Zika virus infection.

  3. Carry Forward China-Cambodia Friendship and Console Our Great Friend with Development

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>Norodom Sihanouk, the former king of Cambodia,passed away in Beijing on October 15, 2012-an event that caused particular grief to the people of Changyang Township. It was in Changyang that the China-Cambodia Friendship People’s Commune was established 41 years ago and much historical evidence of the profound friendship between the Chinese and Cambodian people remains.In 1971, the Cambodian people led by Prince Sihanouk were

  4. The Long Term Educational Cost of War: Evidence from Landmine Contamination in Cambodia

    OpenAIRE

    Merrouche, Ouarda

    2011-01-01

    The economic impact of war may be visible in the long run and particularly through its impact on human capital. This paper uses unique district level data on landmine contamination intensity in Cambodia combined with survey data on individuals to evaluate the long-run impact of Cambodia's 30 years of war (1970-1998) on education levels and earnings. These effects are identified using difference-in-differences (DD) and instrumental variables (IV) estimators. In the DD framework I exploit two s...

  5. NEW AND RARE ORCHIDS (ORCHIDACEAE IN THE FLORA OF CAMBODIA AND LAOS

    Directory of Open Access Journals (Sweden)

    L. V. Averyanov

    2015-04-01

    Full Text Available Herbarium material collected in 2009–2013 in Cambodia and Laos provides 240 new localities for 156 orchid species (from 73 genera. Among them, 13 and 45 species respectively are new for the flora of each country. One species (Bulbophyllum konstantinovii discovered in Cambodia is described as new for science. Eight genera (Acanthephippium, Didymoplexiopsis, Eclecticus, Herpysma, Hetaeria, Lecanorchis, Neuwiedia, and Trichosma were found in Laos at first.

  6. Asiagomphus reinhardti sp. nov. (Odonata, Gomphidae) from eastern Cambodia and southern Laos.

    Science.gov (United States)

    Kosterin, Oleg E; Yokoi, Naoto

    2016-04-11

    Asiagomphus reinhardti sp. nov. is described by two males from Annamense Mountains in eastern Cambodia (holotype: Cambodia, Mondulkiri Province, the left tributary of the main river downstream from Buu Sraa Waterfall, 12°34'01-19'' N 107°24'50''-25'03'' E, ca 450 m a.s.l., 15 vi 2014, RMNH) and southern Laos. The species is characterised by a large caudal lobe on S10 in males and a blunt medial lateroventral projection at cercus.

  7. TAIWAN, The Treasure of China

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ The island of Taiwan lies some 120 kilometers off the southeastern coast of mainland China, across the Taiwan Strait, and has an area of 35,801 km2(13,822.8 sq mi). The East China Sea lies to the north, the Philippine Sea to the east, the Luzon Strait directly to the south and the South China Sea to the southwest.

  8. [Tuberculosis and HIV co-infection: clinical trial under the coordination of the Institut Pasteur in Cambodia].

    Science.gov (United States)

    Borand, Laurence; Pheng, Phearavin; Saman, Manil; Leng, Chanthy; Chea, Phalla; Sarady Ay, Sao; Suom, Sophea; Roat Men, Nimul; Nerrienet, Eric; Marcy, Olivier

    2013-10-01

    Tuberculosis is a major cause of death among adults infected by HIV. The CAMELIA (ANRS 1295/CIPRA KH001) randomized clinical trial aimed to determine the optimal timing of ARV initiation after tuberculosis treatment onset to reduce mortality. Here, we describe the trial implementation in five hospitals in Cambodia under the coordination of the Institut Pasteur in Cambodia, its conduct, the challenges and public health benefits in Cambodia and beyond.

  9. Winds of Change Blow in Taiwan

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Researcher Peng Weixue from the Institute of Taiwan Studies of the Chinese Academy of Social Sciences,and also Executive Editor in Chief of Taiwan Weekly,a publication affiliated to the research institute,comments on the outcome of the recently concluded"legislature"election in Taiwan and its impacts on relations across the Taiwan Straits.

  10. Space programs in Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Lou-Chuang [Academia Sinica, Institute of Earth Sciences, 128, Sec. 2, Academia Road, Nangang, Taipei 115, Taiwan (China); Institute of Space Science, National Central University, 300, Jhongda Rd., Jhongli City, Taoyuan County 32001, Taiwan (China); Chang, Guey-Shin, E-mail: gschang@nspo.narl.org.tw [National Space Organization, 8F, 9 Prosperity 1st Rd., Hsinchu Science Park, Hsinchu 30078, Taiwan (China); Ting, Nan-Hong [National Applied Research Laboratories, 3F, 106, Sec. 2, Hepin East Rd., Taipei 10622, Taiwan (China)

    2013-10-15

    Taiwan's current and future space programs are briefly introduced in this paper. The National Space Organization (NSPO) in Taiwan has successfully carried out three satellite programs (FORMOSAT-1, 2, and 3) since its establishment in 1991. FORMOSAT-1 is a scientific satellite performing three scientific experiments for measuring the density, velocity and temperature of ionospheric plasmas, taking the ocean color image, and conducting Ka-band communication experiments. Equipped with a 2m ground resolution remote sensing instrument, FORMOSAT-2 operates in a sun-synchronous orbit with revisit time equal to one day. This unique feature of the daily revisit capability is significantly useful for post disaster assessment and environmental monitoring. FORMOSAT-2 also carries a scientific payload “Imager of Sprites and Upper Atmospheric Lightning (ISUAL)”. ISUAL provides the world's first long-term satellite observations on the lighting phenomenon in the earth's upper atmosphere. FORMOSAT-3 is a constellation of six micro-satellites to collect atmospheric and ionospheric data for weather prediction and for climate, ionosphere, and geodesy research. FORMOSAT-3 has demonstrated the ability to significantly increase the accuracy of weather forecasting by utilizing the GPS Radio Occultation (GPS-RO) technique. Currently, NSPO is pursuing the follow-on space missions of FORMOSAT-5 and FORMOSAT-7. FORMOSAT-5 will be the first to utilize a CMOS detector on a high-resolution earth-observation camera. FORMOSAT-7 is a joint mission of Taiwan/US to deploy a 12-satellite constellation operational system to provide dense and timely GNSS RO data to the global communities for real-time weather forecast as well as space science research.

  11. Surveillance of road crash injuries in Cambodia: an evaluation of the Cambodia Road Crash and Victim Information System (RCVIS).

    Science.gov (United States)

    Parker, Erin M; Ear, Chariya; Roehler, Douglas R; Sann, Socheata; Sem, Panhavuth; Ballesteros, Michael F

    2014-01-01

    Worldwide, 1.24 million deaths and 20-50 million road crash injuries occur annually, with a disproportionate burden on low- and middle-income countries. Facing continued growth in motorized vehicles, Cambodia has begun to address road safety, including the creation of a nationwide road crash surveillance system, the Road Crash and Victim Information System (RCVIS). This study evaluates the RCVIS to understand whether road crash injuries are being monitored efficiently and effectively and to identify areas for improvement. We used the Centers for Disease Control and Prevention's "Guidelines for Evaluating Public Health Surveillance Systems" (CDC 2001) as an evaluation framework. To assess system attributes, we conducted in-person interviews with Cambodian road safety stakeholders, including representatives from the Ministries of Health and Interior, and reviewed RCVIS annual reports and system operation documents. Characteristics assessed include usefulness, flexibility, acceptability, sensitivity, representativeness, data quality, and timeliness. The Cambodian government uses RCVIS data extensively for road safety planning purposes. RCVIS participation varies by type of data source, with 100 percent of police districts and 65 percent of hospitals reporting in 2010. Representativeness over time is a limitation-between 2007 and 2008, the number of reporting hospitals decreased from 65 to 42. From 2007 to 2010, the number of nonfatal injuries reported to RCVIS decreased by 35 percent, despite rapid growth in vehicle registrations. The system is timely, with annual reports disseminated within 10 months to more than 250 stakeholders. The RCVIS provides a strong foundation for the surveillance of road crash injuries and fatalities in Cambodia. Differences in participation by data source and reduced hospital participation over time affect data representativeness and may indicate issues with acceptability. Recommendations include working with hospitals to standardize

  12. ICU service in Taiwan.

    Science.gov (United States)

    Cheng, Kuo-Chen; Lu, Chin-Li; Chung, Yueh-Chih; Huang, Mei-Chen; Shen, Hsiu-Nien; Chen, Hsing-Min; Zhang, Haibo

    2014-01-01

    The aim of the study was to understand the current status of intensive care unit (ICU) in order to optimize the resources achieving the best possible care. The study analyzed the status of ICU settings based on the Taiwan National Health Insurance database between March 2004 and February 2009. A total of 1,028,364 ICU patients were identified. The age was 65 ± 18 years, and 61% of the patients were male. The total ICU bed occupancy rate was 83.8% which went up to 87.3% during winter. The ICU bed occupancy was 94.4% in major medical centers. The ICU stay was 6.5 ± 0.5 days, and the overall ICU mortality rate was 20.2%. The hospital stay was 16.4 ± 16.8 days, and the average cost of total hospital stay was approximately US$5,186 per patient. The rate of ICU bed occupancy was dependent on seasonal changes, and it reached near full capacity in major medical centers in Taiwan. The ICU beds were distributed based on the categories of hospitals in order to achieve a reasonable cost efficiency. ICU faces many challenges to maintain and improve quality care because of the increasing cost of state-of-the-art technologies and dealing with aging population.

  13. 3 CFR - Presidential Determination for the Kingdom of Cambodia Under Section 2(b)(2) of the Export-Import...

    Science.gov (United States)

    2010-01-01

    ... 3 The President 1 2010-01-01 2010-01-01 false Presidential Determination for the Kingdom of... Determination for the Kingdom of Cambodia Under Section 2(b)(2) of the Export-Import Bank Act of 1945, as... Kingdom of Cambodia has ceased to be a Marxist-Leninist country within the definition of such term...

  14. Radar Image with Color as Height, Ancharn Kuy, Cambodia

    Science.gov (United States)

    2002-01-01

    This image of Ancharn Kuy, Cambodia, was taken by NASA's Airborne Synthetic Aperture Radar (AIRSAR). The image depicts an area northwest of Angkor Wat. The radar has highlighted a number of circular village mounds in this region, many of which have a circular pattern of rice fields surrounding the slightly elevated site. Most of them have evidence of what seems to be pre-Angkor occupation, such as stone tools and potsherds. Most of them also have a group of five spirit posts, a pattern not found in other parts of Cambodia. The shape of the mound, the location in the midst of a ring of rice fields, the stone tools and the current practice of spirit veneration have revealed themselves through a unique 'marriage' of radar imaging, archaeological investigation, and anthropology.Ancharn Kuy is a small village adjacent to the road, with just this combination of features. The region gets slowly higher in elevation, something seen in the shift of color from yellow to blue as you move to the top of the image.The small dark rectangles are typical of the smaller water control devices employed in this area. While many of these in the center of Angkor are linked to temples of the 9th to 14th Century A.D., we cannot be sure of the construction date of these small village tanks. They may pre-date the temple complex, or they may have just been dug ten years ago!The image dimensions are approximately 4.75 by 4.3 kilometers (3 by 2.7 miles) with a pixel spacing of 5 meters (16.4 feet). North is at top. Image brightness is from the C-band (5.6 centimeters, or 2.2 inches) wavelength radar backscatter, which is a measure of how much energy the surface reflects back toward the radar. Color is used to represent elevation contours. One cycle of color; that is going from blue to red to yellow to green and back to blue again; corresponds to 10 meters (32.8 feet) of elevation change.AIRSAR flies aboard a NASA DC-8 based at NASA's Dryden Flight Research Center, Edwards, Calif. In the TOPSAR

  15. Rapid assessment of injection practices in Cambodia, 2002

    Directory of Open Access Journals (Sweden)

    Goldstein Susan

    2005-06-01

    Full Text Available Abstract Background Injection overuse and unsafe injection practices facilitate transmission of bloodborne pathogens such as hepatitis B virus (HBV, hepatitis C virus (HCV, and human immunodeficiency virus (HIV. Anecdotal reports of unsafe and unnecessary therapeutic injections and the high prevalence of HBV (8.0%, HCV (6.5%, and HIV (2.6% infection in Cambodia have raised concern over injection safety. To estimate the magnitude and patterns of such practices, a rapid assessment of injection practices was conducted. Methods We surveyed a random sample of the general population in Takeo Province and convenience samples of prescribers and injection providers in Takeo Province and Phnom Penh city regarding injection-related knowledge, attitudes, and practices. Injection providers were observed administering injections. Data were collected using standardized methods adapted from the World Health Organization safe injection assessment guidelines. Results Among the general population sample (n = 500, the overall injection rate was 5.9 injections per person-year, with 40% of participants reporting receipt of ≥ 1 injection during the previous 6 months. Therapeutic injections, intravenous infusions, and immunizations accounted for 74%, 16% and 10% of injections, respectively. The majority (>85% of injections were received in the private sector. All participants who recalled their last injection reported the injection was administered with a newly opened disposable syringe and needle. Prescribers (n = 60 reported that 47% of the total prescriptions they wrote included a therapeutic injection or infusion. Among injection providers (n = 60, 58% recapped the syringe after use and 13% did not dispose of the used needle and syringe appropriately. Over half (53% of the providers reported a needlestick injury during the previous 12 months. Ninety percent of prescribers and injection providers were aware HBV, HCV, and HIV were transmitted through unsafe

  16. Microbiological effectiveness of mineral pot filters in Cambodia.

    Science.gov (United States)

    Brown, Joe; Chai, Ratana; Wang, Alice; Sobsey, Mark D

    2012-11-06

    Mineral pot filters (MPFs) are household water treatment (HWT) devices that are manufactured and distributed by the private sector, with millions of users in Southeast Asia. Their effectiveness in reducing waterborne microbes has not been previously investigated. We purchased three types of MPFs available on the Cambodian market for systematic evaluation of bacteria, virus, and protozoan surrogate microbial reduction in laboratory challenge experiments following WHO recommended performance testing protocols. Results over the total 1500 L testing period per filter indicate that the devices tested were highly effective in reducing Esherichia coli (99.99%+), moderately effective in reducing bacteriophage MS2 (99%+), and somewhat effective against Bacillus atrophaeus, a spore-forming bacterium we used as a surrogate for protozoa (88%+). Treatment mechanisms for all filters included porous ceramic and activated carbon filtration. Our results suggest that these commercially available filters may be at least as effective against waterborne pathogens as other, locally available treatment options such as ceramic pot filters or boiling. More research is needed on the role these devices may play as interim solutions to the problem of unsafe drinking water in Cambodia and globally.

  17. [Dermatology in Cambodia: Sustainable establishment of a medical discipline].

    Science.gov (United States)

    Bendick, Ch

    2015-05-01

    After almost 25 years of dictatorship and civil war, in the mid 1990s, Cambodia was in dire need of improvement of its medical infrastructure on all levels. Attention had already been focused on establishing primary care services such as emergency surgery, paediatrics and gynaecology/obstetrics; however dermatovenereology services had so far not been addressed. Using a comprehensive approach aiming at sustainable development, German, French and Cambodian institutions worked together to identify four core areas in need of improvement: postgraduate training, development of skin clinics, quality management, and integration of dermatology services into the health insurance scheme. Since 2005, this "Masterplan Dermatology" was financially supported by the Centre for International Migration and Development (CIM) based in Frankfurt am Main and Else Kröner Fresenius-Stiftung (EKFS) based in Bad Homburg auf der Höhe. Significant improvements have been made due to the efforts of the above institutions with the support of the donors; however challenges of this complex endeavor still remain.

  18. Financial sustainability planning for immunization services in Cambodia.

    Science.gov (United States)

    Soeung, Sann Chan; Grundy, John; Maynard, Jim; Brooks, Alan; Boreland, Marian; Sarak, Duong; Jenkinson, Karl; Biggs, Beverley-Ann

    2006-07-01

    The expanded programme of immunization was established in Cambodia in 1986. In 2002, 67% of eligible children were immunized, despite significant health sector and macro-economic financial constraints. A financial sustainability planning process for immunization was introduced in 2002, in order to mobilize national and international resources in support of the achievement of child health objectives. The aim of this paper is to outline this process, describe its early impact as an advocacy tool and recommend additional strategies for mobilizing additional resources for health. The methods of financial sustainability planning are described, including the advocacy strategies that were applied. Analysis of financial sustainability planning results indicates rising programme costs associated with new vaccine introduction and new technologies. Despite this, the national programme has demonstrated important early successes in using financial sustainability planning to advocate for increased mobilization of national and international sources of funding for immunization. The national immunization programme nevertheless faces formidable system and financial challenges in the coming years associated with rising costs, potentially diminishing sources of international assistance, and the developing role of sub-national authorities in programme management and financing.

  19. Prevalence of counterfeit anthelminthic medicines: a cross-sectional survey in Cambodia.

    Science.gov (United States)

    Khan, Mohiuddin Hussain; Okumura, Junko; Sovannarith, Tey; Nivanna, Nam; Akazawa, Manabu; Kimura, Kazuko

    2010-05-01

    To assess the prevalence of counterfeit anthelminthic medicines in Cambodia, and to determine influential factors. Commonly used anthelminthic medicines were collected from private drug outlets. Medicines were carefully observed including their registration labelling, and their authenticity was investigated with the manufacturers and the Medicines Regulatory Authorities. Samples were analysed by High-Performance Liquid Chromatography at the National Health Product Quality Control Centre, Cambodia. Two hundred and three samples of anthelminthics were collected from 137 drug stores. Domestic products constituted 36.9%. Of 196 samples which were verified for registration, 15.8% were not registered. Of 165 samples successfully investigated for their authenticity, 7 (4.2%) were identified as counterfeit. All of these medicines were purchased in open packs or containers, and most of them were foreign manufactured and/or without registration. The results of our survey urge strict implementation of drug registration and vigilance on the availability of unregistered medicines to combat counterfeit medicines in Cambodia.

  20. HIV/AIDS, beersellers and critical community health psychology in Cambodia: a case study.

    Science.gov (United States)

    Lubek, Ian; Lee, Helen; Kros, Sarath; Wong, Mee Lian; Van Merode, Tiny; Liu, James; McCreanor, Tim; Idema, Roel; Campbell, Catherine

    2014-01-01

    This case study illustrates a participatory framework for confronting critical community health issues using 'grass-roots' research-guided community-defined interventions. Ongoing work in Cambodia has culturally adapted research, theory and practice for particular, local health-promotion responses to HIV/AIDS, alcohol abuse and other challenges in the community of Siem Reap. For resource-poor communities in Cambodia, we recycle such 'older' concepts as 'empowerment' and 'action research'. We re-imagine community health psychology, when confronted with 'critical', life-and-death issues, as adjusting its research and practices to local, particular ontological and epistemological urgencies of trauma, morbidity and mortality.

  1. Humanitarian military medical mission in a postconflict environment: lessons from Cambodia.

    Science.gov (United States)

    Hubner, M E; Ditzler, Thomas F

    2004-09-01

    In the aftermath of a genocidal civil war, the Government of Cambodia is left with major deficiencies in its healthcare system. This article recounts a military medical mission to Cambodia; the authors describe the objectives of the mission and provide a summary of the lessons learned. Specific areas of concern include healthcare infrastructure, logistics, standards of care, social traditions, organizational issues and potential problems in civil-military collaboration. This report is offered as a heuristic device to illuminate some of the issues that can mediate the success of military medical missions in postconflict environments.

  2. Resistance and renewal: health sector reform and Cambodia's national tuberculosis programme.

    Science.gov (United States)

    Hill, Peter S; Tan Eang, Mao

    2007-08-01

    Following the destruction of Cambodia's health infrastructure during the Khmer Rouge period (1975-1979) and the subsequent decade of United Nations sanctions, international development assistance has focused on reconstructing the country's health system. The recognition of Cambodia's heavy burden of tuberculosis (TB) and the lapse of TB control strategies during the transition to democracy prompted the national tuberculosis programme's relaunch in the mid-1990s as WHO-backed health sector reforms were introduced. This paper examines the conflicts that arose between health reforms and TB control programmes due to their different operating paradigms. It also discusses how these tensions were resolved during introduction of the DOTS strategy for TB treatment.

  3. [Laboratory medicine in Taiwan].

    Science.gov (United States)

    Chen, J S

    1998-07-01

    Laboratory medicine and hospital central laboratory system were adopted in Taiwan after World War II. In medical schools, laboratory medicine or clinical pathology teaching is allocated to junior students. Three years of clinical pathology or four years of anatomical pathology training is required for pathology resident. Recent trend indicates that both the hospitals and the young doctors favor the five years combined C.P. (two-years) and A.P. (three years) training program. At present, 75 clinical pathologists and 213 anatomical pathologists are qualified. Approximately 70% of them work in medical centers and medical schools. Consequently, the medium and small size hospitals suffer from serious shortage of pathologist. Studies during the part 50 years indicate substantial difference in the improvement of laboratory medicine and central laboratory before and after 1975. Significant improvement in the working space, facility, equipment, staff, quality control and productivity was evident after 1975. The three health care policies contributing to the overall improvement are: 1. hospital accreditation project, 2. medical care network plan, and 3. medical specialist system.

  4. Taiwan strait dispute

    Directory of Open Access Journals (Sweden)

    Kastrati Bilbil

    2015-12-01

    Full Text Available The end of the Cold War resulted in a diffusion of the level of threat worldwide and concluded the system of bipolarity in the world. Beside the European continent, where the rivalries were at the highest level, the consequences of the end of the Cold War were especially visible in North-East Asia. A decrease of military activities of Russia and China, and the retreat of the USA from the region, give way for improvement of political and economical relations between the countries of the region. The end of hostilities produced by the Cold War no doubt have relaxed relations between countries in the region and opened ways for a new more peaceful co-existence. However, this does not mean that the region is not vulnerable to some of the hot spots such as North Korea, Spratly Parcels and especially Taiwan Strait. The latter is considered to be the most dangerous potential Asian zone of crisis in the twenty-first century.

  5. Taiwan Universities: Where to Go?

    Directory of Open Access Journals (Sweden)

    Yu-Ying Kuo

    2016-02-01

    Full Text Available The dramatic expansion of Taiwan universities/colleges from about 100 to 160 from the late 1980s has encountered problems due to social and global changes. What should Taiwan universities move toward and how? This research relies on secondary data to explore the issues Taiwan universities currently face—a low birth rate and global competition. The decreasing number of incoming students will result in a lower registration rate and less tuition revenue, which will make some universities struggle to survive. Hence, government policies, proposed by the Ministry of Education, have been implemented to assist Taiwan universities to adjust to external changes. The Innovative Transformation Policy, adopted in 2015, consists of strategies for university–industry cooperation, university mergers, university closures, and a re-shaping of the university paradigm. This policy has begun to be implemented and its initial outcome will be continually evaluated. In accordance with the Innovative Transformation Policy, this study encourages Taiwan universities to improve governance, set prominent unique characteristics of development, and enhance global competitiveness.

  6. Professional Counseling in Taiwan: Past to Future

    Science.gov (United States)

    Guo, Yuh-Jen; Wang, Shu-Ching; Combs, Don C.; Lin, Yi-Chun; Johnson, Veronica

    2013-01-01

    Because of the recent introduction of a licensure law, professional counseling has grown rapidly in Taiwan after decades of slow development. The authors provide a historical review of the development of professional counseling in Taiwan and discuss the current status and future trajectory of professional counseling in Taiwan.

  7. Use of Antenatal Services in Kampung District, Cambodia

    Directory of Open Access Journals (Sweden)

    Ahmed A. Zafar

    2003-01-01

    Full Text Available This study was conducted to assess factors that influence use of antenatal care services with both quantitative and qualitative designs. Methods used were structured questionnaire interviews and focus group discussions in the Kampung District, Kampot Province in Cambodia with a volunteer sample of 260 postnatal mothers. The outcome measure was factors influencing use of antenatal care services. The results showed that first-time mothers (primigravidas were more likely to use antenatal services than multiparous mothers (OR = 1.87; p = 0.001. Mothers with some school education used antenatal services more than those with no school education (OR = 2.0; p = 0.01. Mothers engaged in professional occupations by virtue of their higher levels of educational attainment were more likely to use antenatal services than those engaged in agriculture (OR = 2.54; p = 0.001. Use of antenatal care services was higher in the districts whose health centers were supported by a foreign nongovernmental organization as compared to other districts with no such support (OR = 2.44; p = 0.001. Although services were generally inadequate, those that existed were underutilized by the mothers. Major factors influencing use of services include distance, lack of transport, and lack of awareness of the benefits of antenatal care by the mothers, thus resulting in a general notion that antenatal care is only important when problems occur during pregnancy. It is concluded that for remote villages, mobile antenatal clinics should be provided to improve access, and greater emphasis should be placed on health educating the mothers about the potential benefits of antenatal care, with special attention to multiparous mothers and those from the lower socio-economic class, among whom use of antenatal services was lowest.

  8. Marchantia L. (Marchantiaceae-Marchantiophyta in Taiwan

    Directory of Open Access Journals (Sweden)

    Yen-Wen LU

    2017-02-01

    Full Text Available Floristic study of Marchantia L. in Taiwan has been presented in this paper. Six taxa, namely, M. emarginata subsp. tosana, M. formosana, M. paleacea subsp. paleacea, M. paleacea subsp. diptera, M. pinnata and M. polymorpha are confirmed in Taiwan. Among them, M. formosana is endemic, M. pinnata is shared by Japan and Taiwan, M. paleacea subsp. diptera is distributed in China, Japan and Taiwan, while the remainings are more or less widespreading. Key for taxa in Taiwan is provided for convenience of identification, and descriptions, photos and distribution maps are also provided for each taxon as a basic materials for further studies.

  9. Black monazite from Taiwan

    Science.gov (United States)

    Matzko, J.J.; Overstreet, W.C.

    1977-01-01

    Two forms of detrital monazite are known in offshore bars in southwestern Taiwan: a yellow-green to colorless form and an unusual but abundant pelletlike form, generally black but also colored gray or brown. These black pellets, which are about 160 by 200 microns in size, are composed of fine-grained monazite crystals from 2 to 20 microns in size. The pellets are associated with highly variable amounts of discrete grains of detrital quartz, rutile, amphibole, tourmaline, and other minerals. Intergrown with the monazite are quartz, a cerium oxide mineral, chlorite, sulfides, and other minerals. Opaqueness of the pelletlike monazite is due principally to the cryptocrystalline nature of part of the monazite; only a small part of the opaqueness can be attributed to opaque inclusions. The black pelletlike monazite lacks thorium and has a high content of europium. In this respect, as in color, shape, size, and inclusions, the pelletlike monazite differs from the yellow-green detrital monazite. Despite the fact that they occur together in the littoral placers, they appear to have had different origins. The yellow-green monazite originated as an accessory mineral in plutonic rocks and has accumulated at the coast through erosion and transport. The origin of the pelletlike monazite is as yet unknown, but it is here inferred that it originated in unconsolidated coastal plain sediments through migration of cerium from the detrital monazite during weathering, and of the intermediate weight mobile rare earths from clay minerals during diagenesis. Possibly these pelletlike grains are detrital particles formed through erosion and transport from originally larger aggregates cemented by diagenetic monazite.

  10. Situation Reports--Brasil, Cambodia, Fiji, Malaysia (West), Thailand, and Uganda.

    Science.gov (United States)

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in six foreign countries are presented in these situation reports. Countries included are Brazil, Cambodia, Fiji, Malaysia (West), Thailand, and Uganda. Information is provided, where appropriate and available, under two topics, general background and family planning situation. General background…

  11. Height, Zinc and Soil-Transmitted Helminth Infections in Schoolchildren: A Study in Cuba and Cambodia

    Directory of Open Access Journals (Sweden)

    Brechje de Gier

    2015-04-01

    Full Text Available Soil-transmitted helminth (STH infections and zinc deficiency are often found in low- and middle-income countries and are both known to affect child growth. However, studies combining data on zinc and STH are lacking. In two studies in schoolchildren in Cuba and Cambodia, we collected data on height, STH infection and zinc concentration in either plasma (Cambodia or hair (Cuba. We analyzed whether STH and/or zinc were associated with height for age z-scores and whether STH and zinc were associated. In Cuba, STH prevalence was 8.4%; these were mainly Ascaris lumbricoides and Trichuris trichiura infections. In Cambodia, STH prevalence was 16.8%, mostly caused by hookworm. In Cuban children, STH infection had a strong association with height for age (aB-0.438, p = 0.001, while hair zinc was significantly associated with height for age only in STH uninfected children. In Cambodian children, plasma zinc was associated with height for age (aB-0.033, p = 0.029, but STH infection was not. Only in Cambodia, STH infection showed an association with zinc concentration (aB-0.233, p = 0.051. Factors influencing child growth differ between populations and may depend on prevalences of STH species and zinc deficiency. Further research is needed to elucidate these relationships and their underlying mechanisms.

  12. Time to unsuccessful tuberculosis treatment outcome, Cambodia, China, and Viet Nam

    DEFF Research Database (Denmark)

    Hoa, N B; Sokun, C; Wei, C

    2012-01-01

    OBJECTIVE: To determine the frequency and characteristics of patients with unsuccessful tuberculosis (TB) treatment. METHODS: Random selection of TB case registers among all treatment units in Cambodia, two provinces in China, and Viet Nam. The data of two calendar years were analyzed to assess u...

  13. Challenges of Adopting the Use of Technology in Less Developed Countries: The Case of Cambodia

    Science.gov (United States)

    Richardson, Jayson W.

    2011-01-01

    Drawing on Everett Rogers's theory of the diffusion of innovations, this article identifies the barriers, challenges, and successes in the adoption of technology training by teacher trainers in Cambodia. The analysis was based on data collected from an open-ended survey, face-to-face interviews, and document analysis. Findings reveal that the…

  14. Japanese encephalitis in a Danish short-term traveler to Cambodia

    DEFF Research Database (Denmark)

    Werlinrud, Anne M; Christiansen, Claus B; Koch, Anders

    2011-01-01

    We present a recent case of Japanese encephalitis in a Danish male traveler to Cambodia, who we believe is the second Danish case within the last 15 years. Although both this and a number of other travel-related cases occurred in short-term travelers, change in vaccination recommendations...

  15. Total and free available fluoride in toothpastes in Brunei, Cambodia, Laos, the Netherlands and Suriname

    NARCIS (Netherlands)

    H. Benzian; C.J. Holmgren; M. Buijs; C. van Loveren; F. van der Weijden; W.H. van Palenstein Helderman

    2012-01-01

    OBJECTIVES: This study assessed total and free fluoride concentrations in samples of toothpaste from Brunei, Cambodia, Laos, the Netherlands and Suriname, and investigated the labelling practices of the respective manufacturers. MATERIALS AND METHODS: Convenience samples were bought in the five coun

  16. Impact of School Readiness Program Interventions on Children's Learning in Cambodia

    Science.gov (United States)

    Nonoyama-Tarumi, Yuko; Bredenberg, Kurt

    2009-01-01

    To reduce the high repetition rates in early years of primary school, the government of Cambodia piloted a school readiness program (SRP) in the first two months of Grade 1 of primary school. This study examines whether such intervention has effects on students' immediate acquisition of school readiness skills as well as students' longer term…

  17. Perinatal consumption of thiamine-fortified fish sauce in rural Cambodia. A randomized clinical trial

    Science.gov (United States)

    Infantile beriberi, a potentially fatal disease caused by thiamine deficiency, is a public health concern in Cambodia and regions where thiamine-poor white rice is a staple food. Low maternal thiamine intake reduces breast milk thiamine placing breastfed infants at risk of beriberi. The objective wa...

  18. Perinatal consumption of thiamin-fortified fish sauce in rural Cambodia: a randomized controlled efficacy trial

    Science.gov (United States)

    Importance: Infantile beriberi, a potentially fatal disease caused by thiamin deficiency, remains a public health concern in Cambodia and regions where B-vitamin poor, polished white rice is a staple food. Low maternal thiamin intake reduces breast milk thiamin concentrations, placing breastfed infa...

  19. KESIAPAN NEGARA-NEGARA CLMV (CAMBODIA, LAOS, MYANMAR, VIETNAM) DALAM MENGHADAPI ASEAN ECONOMIC COMMUNITY

    OpenAIRE

    SULAEMAN, AJI AKBAR SULAEMAN

    2016-01-01

    2016 Aji Akbar Sulaeman, E131 11 273, skripsi yang berjudul : Kesiapan Negaranegara CLMV (Cambodia, Laos, Myanmar, Vietnam) Dalam Menghadapi ASEAN Economic Community, di bawah bimbingan H. Adi Suryadi B. selaku pembimbing I dan Muh. Ashry Sallatu sebagai pembimbing II, Jurusan Ilmu Hubungan Internasional, Fakultas Ilmu Sosial dan Ilmu Politik, Universitas Hasanuddin. Penulisan skripsi ini bertujuan untuk menggambarkan bagaimana kondisi kesiap...

  20. Height, zinc and soil-transmitted helminth infections in schoolchildren: a study in Cuba and Cambodia.

    Science.gov (United States)

    de Gier, Brechje; Mpabanzi, Liliane; Vereecken, Kim; van der Werff, Suzanne D; D'Haese, Patrick C; Fiorentino, Marion; Khov, Kuong; Perignon, Marlene; Chamnan, Chhoun; Berger, Jacques; Parker, Megan E; Díaz, Raquel Junco; Núñez, Fidel Angel; Rivero, Lázara Rojas; Gorbea, Mariano Bonet; Doak, Colleen M; Ponce, Maiza Campos; Wieringa, Frank T; Polman, Katja

    2015-04-20

    Soil-transmitted helminth (STH) infections and zinc deficiency are often found in low- and middle-income countries and are both known to affect child growth. However, studies combining data on zinc and STH are lacking. In two studies in schoolchildren in Cuba and Cambodia, we collected data on height, STH infection and zinc concentration in either plasma (Cambodia) or hair (Cuba). We analyzed whether STH and/or zinc were associated with height for age z-scores and whether STH and zinc were associated. In Cuba, STH prevalence was 8.4%; these were mainly Ascaris lumbricoides and Trichuris trichiura infections. In Cambodia, STH prevalence was 16.8%, mostly caused by hookworm. In Cuban children, STH infection had a strong association with height for age (aB-0.438, p = 0.001), while hair zinc was significantly associated with height for age only in STH uninfected children. In Cambodian children, plasma zinc was associated with height for age (aB-0.033, p = 0.029), but STH infection was not. Only in Cambodia, STH infection showed an association with zinc concentration (aB-0.233, p = 0.051). Factors influencing child growth differ between populations and may depend on prevalences of STH species and zinc deficiency. Further research is needed to elucidate these relationships and their underlying mechanisms.

  1. A survey for potentially zoonotic gastrointestinal parasites of dogs and pigs in Cambodia

    DEFF Research Database (Denmark)

    Inpankaew, Tawin; Murrell, Kenneth Darwin; Pinyopanuwat, Nongnuch;

    2015-01-01

    There is little information available on parasites of zoonotic significance in Cambodia. In 2011, in an effort to obtain data on potentially zoonotic gastrointestinal parasites in domestic animals, 50 dogs and 30 pigs residing in 38 households located in Ang Svay Check village, Takeo province, Ca...

  2. Setting road safety targets in Cambodia : a methodological demonstration using the latent risk time series model.

    NARCIS (Netherlands)

    Commandeur, J.J.F. Wesemann, P. Bijleveld, F.D. Chhoun, V. & Sann, S.

    2017-01-01

    The authors present the methodology used for estimating forecasts for the number of road traffic fatalities in 2011—2020 in Cambodia based on observed developments in Cambodian road traffic fatalities and motor vehicle ownership in the years 1995—2009. Using the latent risk time series model

  3. Human Sentinel Surveillance of Influenza and Other Respiratory Viral Pathogens in Border Areas of Western Cambodia.

    Directory of Open Access Journals (Sweden)

    Ans Timmermans

    Full Text Available Little is known about circulation of influenza and other respiratory viruses in remote populations along the Thai-Cambodia border in western Cambodia. We screened 586 outpatients (median age 5, range 1-77 presenting with influenza-like-illness (ILI at 4 sentinel sites in western Cambodia between May 2010 and December 2012. Real-time reverse transcriptase (rRT PCR for influenza was performed on combined nasal and throat specimens followed by viral culture, antigenic analysis, antiviral susceptibility testing and full genome sequencing for phylogenetic analysis. ILI-specimens negative for influenza were cultured, followed by rRT-PCR for enterovirus and rhinovirus (EV/RV and EV71. Influenza was found in 168 cases (29% and occurred almost exclusively in the rainy season from June to November. Isolated influenza strains had close antigenic and phylogenetic relationships, matching vaccine and circulating strains found elsewhere in Cambodia. Influenza vaccination coverage was low (<20%. Western Cambodian H1N1(2009 isolate genomes were more closely related to 10 earlier Cambodia isolates (94.4% genome conservation than to 13 Thai isolates (75.9% genome conservation, despite sharing the majority of the amino acid changes with the Thai references. Most genes showed signatures of purifying selection. Viral culture detected only adenovirus (5.7% and parainfluenza virus (3.8%, while non-polio enteroviruses (10.3% were detected among 164 culture-negative samples including coxsackievirus A4, A6, A8, A9, A12, B3, B4 and echovirus E6 and E9 using nested RT-PCR methods. A single specimen of EV71 was found. Despite proximity to Thailand, influenza epidemiology of these western Cambodian isolates followed patterns observed elsewhere in Cambodia, continuing to support current vaccine and treatment recommendations from the Cambodian National Influenza Center. Amino acid mutations at non-epitope sites, particularly hemagglutinin genes, require further investigation in

  4. Characteristics of tuberculosis patients at intake in Cambodia, two provinces in China, and Viet Nam

    Directory of Open Access Journals (Sweden)

    Lauritsen Jens M

    2011-05-01

    Full Text Available Abstract Background The tuberculosis register is a critical data source for the information system of national tuberculosis control programs. From the information in the tuberculosis case register, it is possible to extend the standard analysis of age and sex characteristics among sputum smear-positive cases to all tuberculosis case categories. National tuberculosis programs might utilize such information to identify problems related to referral and access to diagnosis and treatment. Objectives Based on the electronic database we created, our objectives were to provide a detailed description of age and sex characteristics of tuberculosis patients at registration and to provide a comparison of age-specific sex characteristics among incident and prevalent sputum smear-positive cases. Methods A representative sample of tuberculosis case registers from 1 January 2003 to 31 December 2005 was selected in Cambodia, two provinces in China and Viet Nam. Age and sex characteristics of cases in the three separate prevalence surveys in the three jurisdictions (Cambodia: year 2002; China: year 2000; and Viet Nam: year 2006-2007 were obtained for comparison. Results A total 37,635 patients had been registered during the period in the selected units in the three countries. Cases were more frequently male in all three countries with 53%, 71%, and 69% in Cambodia, China, and Viet Nam, respectively. The ratios of the female-to-male odds in the notification system to that in the prevalence survey in smear-positive cases in Cambodia, China and Viet Nam were 2.1, 0.9, and 1.8, respectively. Because of the small proportion of extrapulmonary tuberculosis registered in China, we limited the analysis on age and sex distribution for extrapulmonary cases to Cambodia and Viet Nam. The proportion with extrapulmonary tuberculosis among all cases was 18.5% in Cambodia and 15.7% in Viet Nam, decreasing in frequency with increasing age. Conclusions Characteristics of patients

  5. Ophthalmic plastic and orbital surgery in Taiwan.

    Science.gov (United States)

    Hsu, Chi-Hsin; Lin, I-Chan; Shen, Yun-Dun; Hsu, Wen-Ming

    2014-06-01

    We describe in this paper the current status of ophthalmic plastic and orbital surgery in Taiwan. Data were collected from the Bureau of National Health Insurance of Taiwan, the Bulletin of the Taiwan Ophthalmic Plastic and Reconstructive Society, and the Statistics Yearbook of Practicing Physicians and Health Care Organizations in Taiwan by the Taiwan Medical Association. We ascertained that 94 ophthalmologists were oculoplastic surgeons and accounted for 5.8% of 1621 ophthalmologists in Taiwan. They had their fellowship training abroad (most ophthalmologists trained in the United States of America) or in Taiwan. All ophthalmologists were well trained and capable of performing major oculoplastic surgeries. The payment rates by our National Health Insurance for oculoplastic and orbital surgeries are relatively low, compared to Medicare payments in the United States. Ophthalmologists should promote the concept that oculoplastic surgeons specialize in periorbital plastic and aesthetic surgeries. However, general ophthalmologists should receive more educational courses on oculoplastic and cosmetic surgery.

  6. Genomic analysis of Salmonella enterica serotype Paratyphi A during an outbreak in Cambodia, 2013–2015

    Science.gov (United States)

    Fawal, Nizar; Fabre, Laetitia; Tourdjman, Mathieu; Dufour, Muriel; Sar, Dara; Kham, Chun; Phe, Thong; Vlieghe, Erika; Bouchier, Christiane; Jacobs, Jan

    2016-01-01

    In 2013, an unusual increase in the number of Salmonella enterica serotype Paratyphi A (Salmonella Paratyphi A) infections was reported in patients in Phnom Penh, Cambodia, and in European, American and Japanese travellers returning from Cambodia. Epidemiological investigations did not identify a common source of exposure. To analyse the population structure and genetic diversity of these Salmonella Paratyphi A isolates, we used whole-genome sequencing on 65 isolates collected from 1999 to 2014: 55 from infections acquired in Cambodia and 10 from infections acquired in other countries in Asia, Africa and Europe. Short-read sequences from 80 published genomes from around the world and from 13 published genomes associated with an outbreak in China were also included. Pulsed-field gel electrophoresis (PFGE) was performed on a subset of isolates. Genomic analyses were found to provide much more accurate information for tracking the individual strains than PFGE. All but 2 of the 36 isolates acquired in Cambodia during 2013–2014 belonged to the same clade, C5, of lineage C. This clade has been isolated in Cambodia since at least 1999. The Chinese outbreak isolates belonged to a different clade (C4) and were resistant to nalidixic acid, whereas the Cambodian outbreak isolates displayed pan-susceptibility to antibiotics. Since 2014, the total number of cases has decreased, but there has been an increase in the frequency with which nalidixic acid-resistant C5 isolates are isolated. The frequency of these isolates should be monitored over time, because they display decreased susceptibility to ciprofloxacin, the first-choice antibiotic for treating paratyphoid fever. PMID:28348832

  7. The Political Ecology of Chinese Large Dams in Cambodia: Implications, Challenges and Lessons Learnt from the Kamchay Dam

    Directory of Open Access Journals (Sweden)

    Giuseppina Siciliano

    2016-09-01

    Full Text Available Given the opportunities offered by foreign investment in energy infrastructure mostly by Chinese firms, the Government of Cambodia is giving high priority to developing hydropower resources for reducing energy poverty and powering economic growth. Using a “Political ecology of the Asian drivers” framework, this paper assesses China’s involvement in the development of large dams’ in Cambodia and its impacts on the access of natural resources such as water and energy by dam builders, local communities and the government. This analysis is based on 61 interviews and 10 focus group discussions with affected communities, institutional actors, Chinese dam builders and financiers in relation to the first large Chinese dam built in Cambodia: the Kamchay dam. Based on the results of the analysis this paper makes recommendations on how to improve the planning, implementation and governance of future large dams in Cambodia.

  8. Water-borne diseases and extreme weather events in Cambodia: review of impacts and implications of climate change.

    Science.gov (United States)

    Davies, Grace I; McIver, Lachlan; Kim, Yoonhee; Hashizume, Masahiro; Iddings, Steven; Chan, Vibol

    2014-12-23

    Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia.

  9. Water-Borne Diseases and Extreme Weather Events in Cambodia: Review of Impacts and Implications of Climate Change

    Directory of Open Access Journals (Sweden)

    Grace I. Davies

    2014-12-01

    Full Text Available Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia.

  10. Severe Dengue Fever Outbreak in Taiwan

    Science.gov (United States)

    Wang, Sheng-Fan; Wang, Wen-Hung; Chang, Ko; Chen, Yen-Hsu; Tseng, Sung-Pin; Yen, Chia-Hung; Wu, Deng-Chyang; Chen, Yi-Ming Arthur

    2016-01-01

    Dengue fever (DF) is a vector-borne disease caused by dengue viruses (DENVs). Epidemic dengue occurs intermittently in Taiwan. In 2014, Taiwan experienced its largest DF outbreak. There were 15,732 DF cases reported. There were a total of 136 dengue hemorrhagic fever (DHF) cases, of which 20 resulted in death. Most DF cases were reported in southern Taiwan. A total of 15,043 (96%) cases were from Kaohsiung, a modern city in southern Taiwan. This report reviews DF epidemics in Taiwan during 2005–2014. The correlation between DF and DHF along with temperature and precipitation were conjointly examined. We conclude that most dengue epidemics in Taiwan resulted from imported DF cases. Results indicate three main factors that may have been associated with this DF outbreak in Kaohsiung: an underground pipeline explosion combined with subsequent rainfall and higher temperature. These factors may have enhanced mosquito breeding activity, facilitating DENV transmission. PMID:26572871

  11. The U.S. Debate on Taiwan

    Institute of Scientific and Technical Information of China (English)

    Tao Wenzhao

    2012-01-01

    The Taiwan issue is both a sensitive and an important element of Sino-U.S. relations. In the 30 years and more since the normalization of Sino-U.S. relations, the Taiwan Relations Act and U.S. arms sales to Taiwan have interfered with Sino-U.S. relations, and have been a major obstacle to the further development of bilateral relations. In recent years,

  12. Fujian/Taiwan Agricultural Cooperation Prosperity

    Institute of Scientific and Technical Information of China (English)

    WUJIANHUA

    2005-01-01

    SINCE implementation of the reform and opening policy, Fujian Province has seen rapid economic growth. Located on China's southeast coast across the Taiwan Straits from Taiwan,Fujian is this island province's nearest neighbor and has benefited greatlv from their cooperation, particularly in the agricultural field. In the early 1980s, Fujian's GDP was only 1/40 that of Taiwan. By the early 1990s, this ratio had narrowed to 1/13,

  13. Genotoxic Klebsiella pneumoniae in Taiwan.

    Directory of Open Access Journals (Sweden)

    Yi-Chyi Lai

    Full Text Available BACKGROUND: Colibactin is a nonribosomal peptide-polyketide synthesized by multi-enzyme complexes encoded by the pks gene cluster. Colibactin-producing Escherichia coli have been demonstrated to induce host DNA damage and promote colorectal cancer (CRC development. In Taiwan, the occurrence of pyogenic liver abscess (PLA has been suggested to correlate with an increasing risk of CRC, and Klebsiella pneumoniae is the predominant PLA pathogen in Taiwan. METHODOLOGY/PRINCIPAL FINDINGS: At the asn tRNA loci of the newly sequenced K. pneumoniae 1084 genome, we identified a 208-kb genomic island, KPHPI208, of which a module identical to the E. coli pks colibactin gene cluster was recognized. KPHPI208 consists of eight modules, including the colibactin module and the modules predicted to be involved in integration, conjugation, yersiniabactin production, microcin production, and unknown functions. Transient infection of BALB/c normal liver cells with K. pneumoniae 1084 increased the phosphorylation of histone H2AX, indicating the induction of host DNA damage. Colibactin was required for the genotoxicity of K. pneumoniae 1084, as it was diminished by deletion of clbA gene and restored to the wild type level by trans-complementation with a clbA coding plasmid. Besides, BALB/c mice infected with K. pneumoniae 1084 exhibited enhanced DNA damage in the liver parenchymal cells when compared to the isogenic clbA deletion mutant. By PCR detection, the prevalence of pks-positive K. pneumoniae in Taiwan is 25.6%, which is higher than that reported in Europe (3.5%, and is significantly correlated with K1 type, which predominantly accounted for PLA in Taiwan. CONCLUSIONS: Our knowledge regarding how bacteria contribute to carcinogenesis has just begun. The identification of genotoxic K. pneumoniae and its genetic components will facilitate future studies to elucidate the molecular basis underlying the link between K. pneumoniae, PLA, and CRC.

  14. Crisis in the Taiwan Strait

    Science.gov (United States)

    1997-09-01

    the-Fence While it perhaps is more proper to credit Beijing’s general escala - tion between July and March as having forced Washington to get off...hard to argue. In short, were this idea to work, it would be nigh on to miraculous. Seize a Port and Take Taiwan ~ om There A second concept now in...political initiative j~ om Beijing (in which case, by baptizing the status quo, it could be achieved very easily). The current situation, moreover

  15. Community and school-based health education for dengue control in rural Cambodia: a process evaluation.

    Directory of Open Access Journals (Sweden)

    Sokrin Khun

    Full Text Available Dengue fever continues to be a major public health problem in Cambodia, with significant impact on children. Health education is a major means for prevention and control of the National Dengue Control Program (NDCP, and is delivered to communities and in schools. Drawing on data collected in 2003-2004 as part of an ethnographic study conducted in eastern Cambodia, we explore the approaches used in health education and their effectiveness to control dengue. Community health education is provided through health centre outreach activities and campaigns of the NDCP, but is not systematically evaluated, is under-funded and delivered irregularly; school-based education is restricted in terms of time and lacks follow-up in terms of practical activities for prevention and control. As a result, adherence is partial. We suggest the need for sustained routine education for dengue prevention and control, and the need for approaches to ensure the translation of knowledge into practice.

  16. Double inequity? The social dimensions of deforestation and forest protection in local communities in Northern Cambodia

    DEFF Research Database (Denmark)

    Pasgaard, Maya; Chea, Lily

    2013-01-01

    In Cambodia, numerous powerful drivers of land-use change threaten the remaining natural for-est and the livelihoods of local communities living on the forest periphery. In an attempt to protect remaining forests, Community Forestry (CF) and Reduced Emissions from Deforestation and Forest...... disproportionately affect the poorest households, which are more reliant on forest products due to less land and more insecure tenure. Meanwhile, the benefits from CF/REDD+ hardly reach these vulnerable households since their access to forest resources is constrained by physical barriers and a lack of resources...... governance, contested tenure arrangements, high agricultural dependency, and power discrepancies, this paper analyzes and critically discusses this ‘double inequity’ of deforestation and forest protection in Cambodia, and recommendations on how to ensure more equitable distribution of costs and benefits...

  17. Occupational Neurotoxic Diseases in Taiwan

    Directory of Open Access Journals (Sweden)

    Chi-Hung Liu

    2012-12-01

    Full Text Available Occupational neurotoxic diseases have become increasingly common in Taiwan due to industrialization. Over the past 40 years, Taiwan has transformed from an agricultural society to an industrial society. The most common neurotoxic diseases also changed from organophosphate poisoning to heavy metal intoxication, and then to organic solvent and semiconductor agent poisoning. The nervous system is particularly vulnerable to toxic agents because of its high metabolic rate. Neurological manifestations may be transient or permanent, and may range from cognitive dysfunction, cerebellar ataxia, Parkinsonism, sensorimotor neuropathy and autonomic dysfunction to neuromuscular junction disorders. This study attempts to provide a review of the major outbreaks of occupational neurotoxins from 1968 to 2012. A total of 16 occupational neurotoxins, including organophosphates, toxic gases, heavy metals, organic solvents, and other toxic chemicals, were reviewed. Peer-reviewed articles related to the electrophysiology, neuroimaging, treatment and long-term follow up of these neurotoxic diseases were also obtained. The heavy metals involved consisted of lead, manganese, organic tin, mercury, arsenic, and thallium. The organic solvents included n-hexane, toluene, mixed solvents and carbon disulfide. Toxic gases such as carbon monoxide, and hydrogen sulfide were also included, along with toxic chemicals including polychlorinated biphenyls, tetramethylammonium hydroxide, organophosphates, and dimethylamine borane. In addition we attempted to correlate these events to the timeline of industrial development in Taiwan. By researching this topic, the hope is that it may help other developing countries to improve industrial hygiene and promote occupational safety and health care during the process of industrialization.

  18. Improving Rice Production and Commercialization in Cambodia: Findings from a Farm Investment Climate Assessment

    OpenAIRE

    Asian Development Bank (ADB)

    2014-01-01

    Cambodia has a potential advantage in agricultural production due to significant amounts of fertile land and high levels of agricultural employment, but rice production and commercialization remain well below this potential. This study uses a farm investment climate assessment to provide evidence on key areas where government investments and policy reforms can lead to higher levels of rice production and commercialization in small farms. Improving output markets through domestic milling and i...

  19. Parental styles in second generation effects of genocide stemming from the Khmer Rouge regime in Cambodia.

    Science.gov (United States)

    Field, Nigel P; Om, Chariya; Kim, Thida; Vorn, Sin

    2011-11-01

    This study examined the impact of parental styles on second generation effects of trauma among adolescent offspring of survivors of the Khmer Rouge (KR) genocide in Cambodia. Two hundred high school students completed measures addressing their parents' trauma stemming from the KR regime, parental styles (role reversing, overprotective), depression and anxiety. Parents' role reversing parental style and mothers' overprotective parenting were shown to mediate the impact of their trauma symptoms on the child's depression and anxiety. The implications of the findings are discussed.

  20. Are Village Animal Health Workers Able to Assist in Strengthening Transboundary Animal Disease Control in Cambodia?

    Science.gov (United States)

    Stratton, J; Toribio, J-A L M L; Suon, S; Young, J R; Cowled, B; Windsor, P A

    2017-04-01

    A cross-sectional survey of 445 Village Animal Health Workers (VAHWs) from 19 provinces in Cambodia was undertaken. The aim was to establish their levels of training, farm visit frequency, reasons for visits and disease reporting practices, enabling the strengths and weaknesses of the VAHW system in Cambodia to be determined, in providing both a fee-based smallholder livestock clinical service and a government partnership in transboundary animal disease (TAD) surveillance and control. The study used 'guided group interviews' and identified that VAHWs had good contact with farmers with 61.5% making more than one farm visit daily. However, incomes from services remained low, with 45% VAHWs obtaining between 20 and 40% of their household income from VAHW activities. VAHWs recorded relatively high rates of disease reporting, with 72% claiming they report diseases immediately and 74% undertaking monthly reporting to veterinary authorities. Logistic regression analysis revealed VAHW contact frequency with district and/or provincial officers was associated with more VAHW farm visits, and frequency of VAHW visits to smallholder farms was positively associated with average monthly expenditure on animal medication and equipment. This suggests that increased veterinary extension to VAHWs and access to veterinary equipment, vaccines and drugs may further increase VAHW-farmer engagement. VAHWs provide an accessible, market-based, animal health 'treatment and reporting' service linked to livestock smallholders across Cambodia. However, for improved TAD prevention and more efficient control of outbreaks, research that assesses provision of an animal health 'preventive-based' business model is urgently needed to reduce both the costs to farmers and the risks to the economy due to foot-and-mouth disease and other TADs in Cambodia. © 2015 Blackwell Verlag GmbH.

  1. Meet Cambodia's Needs——The 3rd China Auto International Exhibition Tour

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ The 3rd China Auto International Exhibition Tour in 2005 gathered 39 well-known Chinese home brands,traveled across the Indo-China Peninsula and finally arrived at Phnom Penh,the capital of Cambodia.The Chinese automobiles got warm welcome from the local people due to the low price and good quality of the Chinese automobiles and living standard of this developing country.

  2. Building the capacity of nursing professionals in Cambodia: Insights from a bridging programme for faculty development

    OpenAIRE

    Koto?Shimada, Kyoko; Yanagisawa,, Satoko; Boonyanurak, Puangrat; Fujita, Noriko

    2016-01-01

    To upgrade nursing instruction capacity in Cambodia, two bridging programmes were opened for the Bachelor of Science in Nursing simultaneously in?country and out?of?country (Thailand). A descriptive qualitative study was conducted to assess effectiveness of both programmes jointly and to explore needs concerning the further development of nursing education. This study included interviews with 34 current or previous programme participants (nursing instructors or hospital preceptors) and 10 man...

  3. The Molecular and Spatial Epidemiology of Typhoid Fever in Rural Cambodia.

    Science.gov (United States)

    Pham Thanh, Duy; Thompson, Corinne N; Rabaa, Maia A; Sona, Soeng; Sopheary, Sun; Kumar, Varun; Moore, Catrin; Tran Vu Thieu, Nga; Wijedoru, Lalith; Holt, Kathryn E; Wong, Vanessa; Pickard, Derek; Thwaites, Guy E; Day, Nicholas; Dougan, Gordon; Turner, Paul; Parry, Christopher M; Baker, Stephen

    2016-06-01

    Typhoid fever, caused by the bacterium Salmonella Typhi, is an endemic cause of febrile disease in Cambodia. The aim of this study was to better understand the epidemiology of pediatric typhoid fever in Cambodia. We accessed routine blood culture data from Angkor Hospital for Children (AHC) in Siem Reap province between 2007 and 2014, and performed whole genome sequencing (WGS) on the isolated bacteria to characterize the S. Typhi population. The resulting phylogenetic information was combined with conventional epidemiological approaches to investigate the spatiotemporal distribution of S. Typhi and population-level risk factors for reported disease. During the study period, there were 262 cases of typhoid within a 100 km radius of AHC, with a median patient age of 8.2 years (IQR: 5.1-11.5 years). The majority of infections occurred during the rainy season, and commune incidences as high as 11.36/1,000 in children aged typhoid fever in rural communes in Cambodia. Our data provide a platform for additional population-based typhoid fever studies in this location, and suggest that this would be a suitable setting in which to introduce a school-based vaccination programme with Vi conjugate vaccines.

  4. Experiences From Developing and Upgrading a Web-Based Surveillance System for Malaria Elimination in Cambodia.

    Science.gov (United States)

    Fu, Clementine; Lopes, Sérgio; Mellor, Steve; Aryal, Siddhi; Sovannaroth, Siv; Roca-Feltrer, Arantxa

    2017-06-14

    Strengthening the surveillance component is key toward achieving country-wide malaria elimination in Cambodia. A Web-based upgraded malaria information system (MIS) was deemed to essentially act as the central component for surveillance strengthening. New functionality (eg, data visualization) and operational (eg, data quality) attributes of the system received particular attention. However, building from the lessons learned in previous systems' developments, other aspects unique to Cambodia were considered to be equally important; for instance, feasibility issues, particularly at the field level (eg, user acceptability at various health levels), and sustainability needs (eg, long-term system flexibility). The Cambodian process of identifying the essential changes and critical attributes for this new information system can provide a model for other countries at various stages of the disease control and elimination continuum. Sharing these experiences not only facilitates the establishment of "best practices" but also accelerates global and regional malaria elimination efforts. In this article, Cambodia's experience in developing and upgrading its MIS to remain responsive to country-specific needs demonstrates the necessity for considering functionality, operationalization, feasibility, and sustainability of an information system in the context of malaria elimination. ©Clementine Fu, Sérgio Lopes, Steve Mellor, Siddhi Aryal, Siv Sovannaroth, Arantxa Roca-Feltrer. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 14.06.2017.

  5. Nuclear security policy in the context of counter-terrorism in Cambodia

    Science.gov (United States)

    Khun, Vuthy; Wongsawaeng, Doonyapong

    2016-01-01

    The risk of nuclear or dirty bomb attack by terrorists is one of the most urgent and threatening danger. The Cambodian national strategy to combat weapons of mass destruction (WMD) depicts a layered system of preventive measures ranging from securing materials at foreign sources to interdicting weapons or nuclear or other radioactive materials at ports, border crossings, and within the Cambodian institutions dealing with the nuclear security to manage the preventive programs. The aim of this study is to formulate guidance, to identify scenario of threat and risk, and to pinpoint necessary legal frameworks on nuclear security in the context of counterterrorism based on the International Atomic Energy Agency nuclear security series. The analysis of this study is guided by theoretical review, the review of international laws and politics, by identifying and interpreting applicable rules and norms establishing the nuclear security regime and how well enforcement of the regime is carried out and, what is the likelihood of the future reform might be. This study will examine the existing national legal frameworks of Cambodia in the context of counterterrorism to prevent acts of nuclear terrorism and the threat of a terrorist nuclear attack within the Cambodia territory. It will shed light on departmental lanes of national nuclear security responsibility, and provide a holistic perspective on the needs of additional resources and emphasis regarding nuclear security policy in the context of counterterrorism in Cambodia.

  6. Correlates of household food insecurity and low dietary diversity in rural Cambodia.

    Science.gov (United States)

    McDonald, Christine M; McLean, Judy; Kroeun, Hou; Talukder, Aminuzzaman; Lynd, Larry D; Green, Timothy J

    2015-01-01

    The objective of this study was to identify correlates of household food insecurity and poor dietary diversity in rural Cambodia. Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng Province, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. Multivariate logistic regression models were constructed to identify independent correlates of household food insecurity and poor dietary diversity (HDDSfood insecurity were 33%, 37%, and 12%; and 23% of households had an HDDSfood security status, although the latter association lost its significance in models that adjusted for household income. Similarly, although ownership of agricultural and homestead land was initially associated with poorer dietary diversity, income mitigated these associations. The presence of electricity and vegetable production were the only other variables that were significantly associated with both outcomes. In this rural area of Cambodia, the prevalence of any degree of household food insecurity was very high and dietary diversity was generally low. Interventions to improve food security and dietary diversity should encompass income-generating activities and be targeted toward the poorest households.

  7. A survey for potentially zoonotic gastrointestinal parasites of dogs and pigs in Cambodia.

    Science.gov (United States)

    Inpankaew, Tawin; Murrell, K Darwin; Pinyopanuwat, Nongnuch; Chhoun, Chamnan; Khov, Kuong; Sem, Tharin; Sorn, San; Muth, Sinuon; Dalsgaard, Anders

    2015-12-01

    There is little information available on parasites of zoonotic significance in Cambodia. In 2011, in an effort to obtain data on potentially zoonotic gastrointestinal parasites in domestic animals, 50 dogs and 30 pigs residing in 38 households located in Ang Svay Check village, Takeo province, Cambodia were examined for parasites from faecal samples. The samples were processed using the formalin-ethyl acetate concentration technique (FECT). Hookworms were the most common zoonotic parasite found in dogs (80.0%) followed by Echinostomes (18.0%). While, in pigs, Fasciolopsis buski was the most common zoonotic parasite (30.0%) followed by Ascaris suum (13.3%). This study provides baseline data on gastrointestinal parasites in dogs and pigs from Cambodia and underscores the importance of domestic animals as reservoir hosts for human parasites for Cambodian veterinary and public health agencies. Follow-up studies are required to further taxonomically characterize these dog and pig parasites and to determine their role in human parasites in this community.

  8. Nuclear security policy in the context of counter-terrorism in Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Khun, Vuthy, E-mail: vuthy.khun@gmail.com; Wongsawaeng, Doonyapong [Department of Nuclear Engineering, Faculty of Engineering, Chulalongkorn University, 254 Phayathai Road, Pathumwan, Bangkok 10330 (Thailand)

    2016-01-22

    The risk of nuclear or dirty bomb attack by terrorists is one of the most urgent and threatening danger. The Cambodian national strategy to combat weapons of mass destruction (WMD) depicts a layered system of preventive measures ranging from securing materials at foreign sources to interdicting weapons or nuclear or other radioactive materials at ports, border crossings, and within the Cambodian institutions dealing with the nuclear security to manage the preventive programs. The aim of this study is to formulate guidance, to identify scenario of threat and risk, and to pinpoint necessary legal frameworks on nuclear security in the context of counterterrorism based on the International Atomic Energy Agency nuclear security series. The analysis of this study is guided by theoretical review, the review of international laws and politics, by identifying and interpreting applicable rules and norms establishing the nuclear security regime and how well enforcement of the regime is carried out and, what is the likelihood of the future reform might be. This study will examine the existing national legal frameworks of Cambodia in the context of counterterrorism to prevent acts of nuclear terrorism and the threat of a terrorist nuclear attack within the Cambodia territory. It will shed light on departmental lanes of national nuclear security responsibility, and provide a holistic perspective on the needs of additional resources and emphasis regarding nuclear security policy in the context of counterterrorism in Cambodia.

  9. The rationale for integrated childhood meningoencephalitis surveillance: a case study from Cambodia

    Science.gov (United States)

    Touch, Sok; Hills, Susan; Rani, Manju; Samnang, Chham; Khalakdina, Asheena; Jacobson, Julie

    2009-01-01

    Abstract Problem Recent progress in vaccine availability and affordability has raised prospects for reducing death and disability from neurological infections in children. In many Asian countries, however, the epidemiology and public health burden of neurological diseases such as Japanese encephalitis and bacterial meningitis are poorly understood. Approach A sentinel surveillance system for Japanese encephalitis was developed and embedded within the routine meningoencephalitis syndromic surveillance system in Cambodia in 2006. The sentinel surveillance system was designed so surveillance and laboratory testing for other etiologies of neurological infection could be incorporated. Local setting The Communicable Disease Control department of the Ministry of Health in Cambodia worked with partners to establish the sentinel surveillance system. Relevant changes The sentinel surveillance system has provided important information on the disease burden of Japanese encephalitis in Cambodia and is now providing a platform for expansion to incorporate laboratory testing for other vaccine-preventable neurological infections in children. Lessons learned Sentinel surveillance systems, when linked to syndromic reporting systems, can characterize the epidemiology of meningoencephalitis and identify the proportion of hospital-based neurological infection in children that is vaccine preventable. Integrated systems enable consistency in data collection, analysis and information dissemination, and they enhance the capacity of public health managers to provide more credible and integrated information to policy-makers. This will assist decision-making about the potential role of immunization in reducing the incidence of childhood neurological infections. PMID:19551241

  10. Prospects for Vascular Access Education in Developing Countries: Current Situation in Cambodia.

    Science.gov (United States)

    Naganuma, Toshihide; Takemoto, Yoshiaki

    2017-09-05

    We report our activities training doctors on vascular access procedures at International University (IU) Hospital in Cambodia through a program facilitated by Ubiquitous Blood Purification International, a nonprofit organization that provides medical support to developing countries in the field of dialysis medicine. Six doctors from Japan have been involved in the education of medical personnel at IU, and we have collectively visited Cambodia about 15 times from 2010 to 2016. In these visits, we have performed many operations, including 42 for arteriovenous fistula, 1 arteriovenous graft, and 1 percutaneous transluminal angioplasty. Stable development and management of vascular access is increasingly required in Cambodia due to increased use of dialysis therapy, and training of doctors in this technique is urgently required. However, we have encountered several difficulties that need to be addressed, including (1) the situation of personnel receiving this training, (2) problems with facilities, including medical equipment and drugs, (3) financial limitations, and (4) problems with management of vascular access. © 2017 S. Karger AG, Basel.

  11. Prevalence and barriers to HIV testing among mothers at a tertiary care hospital in Phnom Penh, Cambodia. Barriers to HIV testing in Phnom Penh, Cambodia

    Directory of Open Access Journals (Sweden)

    Sasaki Yuri

    2010-08-01

    Full Text Available Abstract Background One-third of all new HIV infections in Cambodia are estimated to be due to mother-to-child transmission. Although the Ministry of Health adopted a policy of provider-initiated HIV testing and counseling (PITC, nearly a quarter of pregnant mothers were not tested in 2007. Greater acceptance of HIV testing is a challenge despite Cambodia's adoption of the PITC policy. Methods A hospital-based quantitative and cross-sectional survey was conducted to assess the prevalence of and barriers to HIV testing among mothers after delivery at the National Maternal and Child Health Center in Phnom Penh. The Center is one of the largest maternal and child care hospitals in the country to offer PITC services. All 600 eligible mothers who were admitted to the hospital after delivery from October to December 2007 were approached and recruited. Data were collected via a semi-structured questionnaire. Results The prevalence of HIV testing among women who delivered at the hospital was 76%. In multivariate logistic regression, factors such as the perceived need to obtain a partner's permission to be tested (OR=0.27, 95% CI=0.14-0.51, p Conclusion To achieve greater acceptance of HIV testing, counseling on HIV prevention and treatment must be provided not only to mothers but also to their partners. In addition, utilization of non-laboratory staff such as midwives to provide HIV testing services in rural health facilities could lead to the greater acceptance of HIV testing.

  12. Taiwan Garment Makers Plan Branding in Mainland

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Seeing the promising branded fashions market in mainland, Taiwan textile manufacturers plan to promote branded products here. Precedent has been set by Tainan Enterprises Co., a leading garment maker in Taiwan, has been in business in mainland for nearly two decades and in recent years successfully promoted its own line of "Tony Wear" fashions.

  13. History and development of ophthalmology in Taiwan

    Directory of Open Access Journals (Sweden)

    Yu-Chih Hou

    2016-12-01

    Full Text Available Western medicine was first introduced to Taiwan by medical missionaries in the mid-19th century. Modernization of medicine was systematically transplanted to Taiwan in the Japanese colonial period, and ophthalmology was established third among hospital departments, following internal medicine and surgery. Dr Hidetaka Yamaguchi, an ophthalmologist, was the first head of the Taihoku Hospital, later known as National Taiwan University Hospital (NTUH; Taipei, Taiwan. Ophthalmologists during the colonial period conducted studies on tropical and infectious eye diseases. After World War II, ophthalmologists at NTUH played an important role in medical education, residency training, studies, and teaching. Dr Yan-Fei Yang established the Taiwan Ophthalmological Society in 1960 and instituted its official journal in 1962. Dr Ho-Ming Lin established the Department of Ophthalmology at the Tri-Service General Hospital in the 1950s and the Veterans General Hospital in the 1960s. Taiwan ophthalmologists eradicated trachoma by 1971. Cataract surgery and penetrating keratoplasty were initially performed in the 1960s. Currently, there are about 1600 ophthalmologists in Taiwan conducting an estimated 120,000 cataract surgeries and 600 corneal transplantations annually. Many subspecialty societies have been established recently that serve to educate Taiwanese ophthalmologists and to connect with international ophthalmic societies. Taiwan ophthalmologists continue to contribute to the advancement of ophthalmic knowledge globally.

  14. Magnitude of arsenic pollution in the Mekong and Red River Deltas - Cambodia and Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Berg, Michael [Swiss Federal Institute of Aquatic Science and Technology (Eawag), CH-8600 Dubendorf (Switzerland)]. E-mail: michael.berg@eawag.ch; Stengel, Caroline [Swiss Federal Institute of Aquatic Science and Technology (Eawag), CH-8600 Dubendorf (Switzerland); Trang, Pham Thi Kim [Centre for Environmental Technology and Sustainable Development (CETASD), Hanoi University of Science, Hanoi (Viet Nam); Hung Viet, Pham [Centre for Environmental Technology and Sustainable Development (CETASD), Hanoi University of Science, Hanoi (Viet Nam); Sampson, Mickey L. [Resource Development International-Cambodia (RDIC), P.O. Box 494, Phnom Penh (Cambodia); Leng, Moniphea [Resource Development International-Cambodia (RDIC), P.O. Box 494, Phnom Penh (Cambodia); Samreth, Sopheap [Resource Development International-Cambodia (RDIC), P.O. Box 494, Phnom Penh (Cambodia); Fredericks, David [Phnom Penh (Cambodia)

    2007-01-01

    Large alluvial deltas of the Mekong River in southern Vietnam and Cambodia and the Red River in northern Vietnam have groundwaters that are exploited for drinking water by private tube-wells, which are of increasing demand since the mid-1990s. This paper presents an overview of groundwater arsenic pollution in the Mekong delta: arsenic concentrations ranged from 1-1610 {mu}g/L in Cambodia (average 217 {mu}g/L) and 1-845 {mu}g/L in southern Vietnam (average 39 {mu}g/L), respectively. It also evaluates the situation in Red River delta where groundwater arsenic concentrations vary from 1-3050 {mu}g/L (average 159 {mu}g/L). In addition to rural areas, the drinking water supply of the city of Hanoi has elevated arsenic concentrations. The sediments of 12-40 m deep cores from the Red River delta contain arsenic levels of 2-33 {mu}g/g (average 7 {mu}g/g, dry weight) and show a remarkable correlation with sediment-bound iron. In all three areas, the groundwater arsenic pollution seem to be of natural origin and caused by reductive dissolution of arsenic-bearing iron phases buried in aquifers. The population at risk of chronic arsenic poisoning is estimated to be 10 million in the Red River delta and 0.5-1 million in the Mekong delta. A subset of hair samples collected in Vietnam and Cambodia from residents drinking groundwater with arsenic levels > 50 {mu}g/L have a significantly higher arsenic content than control groups (< 50 {mu}g/L). Few cases of arsenic related health problems are recognized in the study areas compared to Bangladesh and West Bengal. This difference probably relates to arsenic contaminated tube-well water only being used substantially over the past 7 to 10 years in Vietnam and Cambodia. Because symptoms of chronic arsenic poisoning usually take more than 10 years to develop, the number of future arsenic related ailments in Cambodia and Vietnam is likely to increase. Early mitigation measures should be a high priority.

  15. Climate protection laws in Taiwan; Klimaschutzrecht in Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Chiu, Yen-Lin Agnes [Fu Jen Catholic Univ., Taipei, Taiwan (China). School of Law

    2014-07-01

    The contribution on climate protection laws in Taiwan is first describing the international position and cooperation with UNFCCC, The national climate protection policy covers energy and industry, trading and economy, forestry and agriculture, traffic and local affairs, society and education. The description of the actual legislation includes the constitutional framework, environmental legislation, air pollution legislation, environmental compatibility regulations, renewable energy development legislation, energy management laws, legal drafts concerning reduction of greenhouse gas emission and energy taxes. Finally the competences and responsibilities of authorities are summarized.

  16. Less research on tuberculosis than HIV and malaria when research agendas are poorly coordinated: a systematic review of research outputs from Cambodia

    Directory of Open Access Journals (Sweden)

    Mishal Khan

    2017-03-01

    Conclusions: Despite substantial investments, important research areas appear to have been neglected in Cambodia; specifically, studies on TB and studies involving economic, qualitative, interventional, and genomics methods. The inter-disease disparity in published research in Cambodia identified, considered alongside disease burden, suggests that an increase in TB research may be needed to inform control strategies.

  17. Review of Climate Change and Water-Related Diseases in Cambodia and Findings From Stakeholder Knowledge Assessments.

    Science.gov (United States)

    McIver, Lachlan J; Chan, Vibol S; Bowen, Kathyrn J; Iddings, Steven N; Hero, Kol; Raingsey, Piseth P

    2016-03-01

    This project aims to increase the resilience of Cambodian communities to the health risks posed by climate change-related impacts on water-related diseases. There are a number of water-related diseases that are present in Cambodia and are likely to be susceptible to climate change. These include diarrheal diseases, typhoid fever, leptospirosis, melioidosis, viral hepatitis, and schistosomiasis. Certain subsectors of Cambodia's population may be more vulnerable than others with respect to climate change impacts on water and health, including agricultural workers and residents of flood-and drought-prone areas. The current level of understanding on the part of health professionals and other key stakeholders in Cambodia regarding the risks posed by climate change on water-sensitive diseases is relatively low. Strategies by which this understanding might be strengthened are suggested. © 2014 APJPH.

  18. [Nursing manpower and solutions in Taiwan].

    Science.gov (United States)

    Teng, Su-Wen

    2014-04-01

    The shortage of nursing manpower is a long-term problem worldwide that affects Taiwan despite this country's internationally admired achievements in terms of its healthcare and national health insurance systems. This article reviews discussions related to the nursing shortage issue published by the World Health Organization, International Council of Nurses, and Taiwan Ministry of Health and Welfare. Next, an overview is given of the nursing workforce profile, causal factors behind the nursing shortage, and demand for and supply of nursing manpower. Finally, problems, resolutions, and expected outcomes for the nursing shortage in Taiwan are analyzed.

  19. Prevalence and barriers to HIV testing among mothers at a tertiary care hospital in Phnom Penh, Cambodia. Barriers to HIV testing in Phnom Penh, Cambodia.

    Science.gov (United States)

    Sasaki, Yuri; Ali, Moazzam; Sathiarany, Vong; Kanal, Koum; Kakimoto, Kazuhiro

    2010-08-18

    One-third of all new HIV infections in Cambodia are estimated to be due to mother-to-child transmission. Although the Ministry of Health adopted a policy of provider-initiated HIV testing and counseling (PITC), nearly a quarter of pregnant mothers were not tested in 2007. Greater acceptance of HIV testing is a challenge despite Cambodia's adoption of the PITC policy. A hospital-based quantitative and cross-sectional survey was conducted to assess the prevalence of and barriers to HIV testing among mothers after delivery at the National Maternal and Child Health Center in Phnom Penh. The Center is one of the largest maternal and child care hospitals in the country to offer PITC services. All 600 eligible mothers who were admitted to the hospital after delivery from October to December 2007 were approached and recruited. Data were collected via a semi-structured questionnaire. The prevalence of HIV testing among women who delivered at the hospital was 76%. In multivariate logistic regression, factors such as the perceived need to obtain a partner's permission to be tested (OR=0.27, 95% CI=0.14-0.51, p<0.01), the lack of knowledge about HIV prevention and treatment (OR=0.38, CI=0.22-0.66, p<0.01), and the lack of access to ANC services (OR=0.35, 95% CI=0.21-0.58, p<0.01) were found to be the main barriers to HIV testing. To achieve greater acceptance of HIV testing, counseling on HIV prevention and treatment must be provided not only to mothers but also to their partners. In addition, utilization of non-laboratory staff such as midwives to provide HIV testing services in rural health facilities could lead to the greater acceptance of HIV testing.

  20. Reference values of hematology, biochemistry, and blood type in cynomolgus monkeys from cambodia origin.

    Science.gov (United States)

    Choi, Kangmoo; Chang, Jaejin; Lee, Min-Jae; Wang, Seungsu; In, Kimhong; Galano-Tan, Wilhelm C; Jun, Sanghun; Cho, Kahee; Hwang, Yong-Hwa; Kim, Sung-Ju; Park, Wanje

    2016-03-01

    Cynomolgus monkeys as nonhuman primates are valuable animal models because they have a high level of human gene homology. There are many reference values for hematology and biochemistry of Cynomolgus monkeys that are needed for proper clinical diagnosis and biomedical research conduct. The body weight information and blood type are also key success factors in allogeneic or xenogeneic models. Moreover, the biological parameters could be different according to the origin of the Cynomolgus monkey. However, there are limited references provided, especially of Cambodia origin. In this study, we measured average body weight of 2,518 Cynomolgus monkeys and analyzed hematology and serum biochemistry using 119 males, and determined blood types in 642 monkeys with Cambodia origin. The average body weight of male Cynomolgus monkeys were 2.56±0.345 kg and female group was 2.43±0.330 kg at the age from 2 to 3 years. The male group showed relatively sharp increased average body weight from the 3 to 4 age period compared to the female group. In hematology and biochemistry, it was found that most of the data was similar when compared to other references even though some results showed differences. The ABO blood type result showed that type A, B, AB, and O was approximately 15.6, 33.3, 44.2, and 6.9%, respectively. The main blood type in this facility was B and AB. These biological background references of Cambodia origin could be used to provide important information to researchers who are using them in their biomedical research.

  1. Mercury contamination in human hair and fish from Cambodia: levels, specific accumulation and risk assessment

    Energy Technology Data Exchange (ETDEWEB)

    Agusa, Tetsuro [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Kunito, Takashi [Department of Environmental Sciences, Faculty of Science, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621 (Japan); Iwata, Hisato [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Monirith, In [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Tana, Touch Seang [Social and Cultural Observation Unit (OBSES) of the Cabinet of the Council of Ministers, Phnom Penh (Cambodia); Subramanian, Annamalai [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Tanabe, Shinsuke [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan)]. E-mail: shinsuke@agr.ehime-u.ac.jp

    2005-03-01

    Mercury (Hg) concentrations in human hair and fish samples from Phnom Penh, Kien Svay, Tomnup Rolork and Batrong, Cambodia, collected in November 1999 and December 2000 were determined to understand the status of contamination, and age- and sex-dependent accumulation in humans and to assess the intake of mercury via fish consumption. Mercury concentrations in human hair ranged from 0.54 to 190 {mu}g/g dry wt. About 3% of the samples contained Hg levels exceeding the no observed adverse effects level (NOAEL) of WHO (50 {mu}g/g) and the levels in some hair samples of women also exceeded the NOAEL (10 {mu}g/g) associated with fetus neurotoxicity. A weak but significant positive correlation was observed between age and Hg levels in hair of residents. Mercury concentrations in muscle of marine and freshwater fish from Cambodia ranged from <0.01 to 0.96 {mu}g/g wet wt. Mercury intake rates were estimated on the basis of the Hg content in fish and daily fish consumption. Three samples of marine fish including sharp-tooth snapper and obtuse barracuda, and one sample of sharp-tooth snapper exceeded the guidelines by US EPA and by Joint FAO/WHO Expert Committee on Food Additives (JECFA), respectively, which indicates that some fish specimens examined (9% and 3% for US EPA and JECFA guidelines, respectively) were hazardous for consumption at the ingestion rate of Cambodian people (32.6 g/day). It is suggested that fish is probably the main source of Hg for Cambodian people. However, extremely high Hg concentrations were observed in some individuals and could not be explained by Hg intake from fish consumption, indicating some other contamination sources of Hg in Cambodia. - A source other than fish may be responsible for high Hg in some Cambodians.

  2. Current status of arsenic exposure and social implication in the Mekong River basin of Cambodia.

    Science.gov (United States)

    Phan, Kongkea; Kim, Kyoung-Woong; Huoy, Laingshun; Phan, Samrach; Se, Soknim; Capon, Anthony Guy; Hashim, Jamal Hisham

    2016-06-01

    To evaluate the current status of arsenic exposure in the Mekong River basin of Cambodia, field interview along with urine sample collection was conducted in the arsenic-affected area of Kandal Province, Cambodia. Urine samples were analyzed for total arsenic concentrations by inductively coupled plasma mass spectrometry. As a result, arsenicosis patients (n = 127) had As in urine (UAs) ranging from 3.76 to 373 µg L(-1) (mean = 78.7 ± 69.8 µg L(-1); median = 60.2 µg L(-1)). Asymptomatic villagers (n = 108) had UAs ranging from 5.93 to 312 µg L(-1) (mean = 73.0 ± 52.2 µg L(-1); median = 60.5 µg L(-1)). About 24.7 % of all participants had UAs greater than 100 µg L(-1) which indicated a recent arsenic exposure. A survey found that females and adults were more likely to be diagnosed with skin sign of arsenicosis than males and children, respectively. Education level, age, gender, groundwater drinking period, residence time in the village and amount of water drunk per day may influence the incidence of skin signs of arsenicosis. This study suggests that residents in Kandal study area are currently at risk of arsenic although some mitigation has been implemented. More commitment should be made to address this public health concern in rural Cambodia.

  3. Serologic evidence of human influenza virus infections in swine populations, Cambodia.

    Science.gov (United States)

    Rith, Sareth; Netrabukkana, Punnaporn; Sorn, San; Mumford, Elizabeth; Mey, Channa; Holl, Davun; Goutard, Flavie; Y, Bunthin; Fenwick, Stan; Robertson, Ian; Roger, François; Buchy, Philippe

    2013-05-01

    This study was conducted from 2006 to 2010 and investigated the seroprevalence of influenza A viruses in Cambodian pigs, including human H1N1, H3N2, 2009 pandemic H1N1 (A(H1N1)pdm09), and highly pathogenic avian H5N1 influenza A viruses. A total of 1147 sera obtained from pigs in Cambodia were tested by haemagglutination inhibition (HI) assays for antibody to human influenza A viruses along with both HI and microneutralization (MN) tests to assess immunological responses to H5N1 virus. The results were compared by year, age, and province. Antibodies against a human influenza A virus were detected in 14·9% of samples. A(H1N1)pdm09 virus were dominant over the study period (23·1%), followed by those to human H1N1 (17·3%) and H3N2 subtypes (9·9%). No pigs were serologically positive for avian H5 influenza viruses. The seroprevalence of human H1N1 and H3N2 influenza viruses peaked in 2008, while that of A(H1N1)pdm09 reached a peak in 2010. No significant differences in seroprevalence to human influenza subtypes were observed in different age groups. Cambodian pigs were exposed to human strains of influenza A viruses either prior to or during this study. The implications of these high prevalence rates imply human-to-swine influenza virus transmission in Cambodia. Although pigs are mostly raised in small non-commercial farms, our preliminary results provide evidence of sustained human influenza virus circulation in pig populations in Cambodia. © 2012 Blackwell Publishing Ltd.

  4. The sale of tarantulas in Cambodia for food or medicine: is it sustainable?

    Directory of Open Access Journals (Sweden)

    A.L. Yen

    2013-01-01

    Full Text Available The sale of tarantulas for either human consumption or for preparation of medicines has become more widespread in Cambodia over the last 10-20 years. With increased media exposure, the trade seems to be increasing, but there are serious questions as to its sustainability because of possible over-collecting of the spiders and also loss of habitats. This note outlines some of the fundamental questions that need to be addressed if this spider trade is to be sustainable or else we could see the loss of an important link in the forest food chain.

  5. High prevalence and spatial distribution of Strongyloides stercoralis in rural Cambodia.

    Directory of Open Access Journals (Sweden)

    Virak Khieu

    2014-06-01

    Full Text Available BACKGROUND: The threadworm, Strongyloides stercoralis, endemic in tropical and temperate climates, is a neglected tropical disease. Its diagnosis requires specific methods, and accurate information on its geographic distribution and global burden are lacking. We predicted prevalence, using Bayesian geostatistical modeling, and determined risk factors in northern Cambodia. METHODS: From February to June 2010, we performed a cross-sectional study among 2,396 participants from 60 villages in Preah Vihear Province, northern Cambodia. Two stool specimens per participant were examined using Koga agar plate culture and the Baermann method for detecting S. stercoralis infection. Environmental data was linked to parasitological and questionnaire data by location. Bayesian mixed logistic models were used to explore the spatial correlation of S. stercoralis infection risk. Bayesian Kriging was employed to predict risk at non-surveyed locations. PRINCIPAL FINDINGS: Of the 2,396 participants, 44.7% were infected with S. stercoralis. Of 1,071 strongyloidiasis cases, 339 (31.6% were among schoolchildren and 425 (39.7% were found in individuals under 16 years. The incidence of S. stercoralis infection statistically increased with age. Infection among male participants was significantly higher than among females (OR: 1.7; 95% CI: 1.4-2.0; P<0.001. Participants who defecated in latrines were infected significantly less than those who did not (OR: 0.6; 95% CI: 0.4-0.8; P=0.001. Strongyloidiasis cases would be reduced by 39% if all participants defecated in latrines. Incidence of S. stercoralis infections did not show a strong tendency toward spatial clustering in this province. The risk of infection significantly decreased with increasing rainfall and soil organic carbon content, and increased in areas with rice fields. CONCLUSIONS/SIGNIFICANCE: Prevalence of S. stercoralis in rural Cambodia is very high and school-aged children and adults over 45 years were the

  6. High prevalence and spatial distribution of Strongyloides stercoralis in rural Cambodia.

    Science.gov (United States)

    Khieu, Virak; Schär, Fabian; Forrer, Armelle; Hattendorf, Jan; Marti, Hanspeter; Duong, Socheat; Vounatsou, Penelope; Muth, Sinuon; Odermatt, Peter

    2014-06-01

    The threadworm, Strongyloides stercoralis, endemic in tropical and temperate climates, is a neglected tropical disease. Its diagnosis requires specific methods, and accurate information on its geographic distribution and global burden are lacking. We predicted prevalence, using Bayesian geostatistical modeling, and determined risk factors in northern Cambodia. From February to June 2010, we performed a cross-sectional study among 2,396 participants from 60 villages in Preah Vihear Province, northern Cambodia. Two stool specimens per participant were examined using Koga agar plate culture and the Baermann method for detecting S. stercoralis infection. Environmental data was linked to parasitological and questionnaire data by location. Bayesian mixed logistic models were used to explore the spatial correlation of S. stercoralis infection risk. Bayesian Kriging was employed to predict risk at non-surveyed locations. Of the 2,396 participants, 44.7% were infected with S. stercoralis. Of 1,071 strongyloidiasis cases, 339 (31.6%) were among schoolchildren and 425 (39.7%) were found in individuals under 16 years. The incidence of S. stercoralis infection statistically increased with age. Infection among male participants was significantly higher than among females (OR: 1.7; 95% CI: 1.4-2.0; P<0.001). Participants who defecated in latrines were infected significantly less than those who did not (OR: 0.6; 95% CI: 0.4-0.8; P=0.001). Strongyloidiasis cases would be reduced by 39% if all participants defecated in latrines. Incidence of S. stercoralis infections did not show a strong tendency toward spatial clustering in this province. The risk of infection significantly decreased with increasing rainfall and soil organic carbon content, and increased in areas with rice fields. Prevalence of S. stercoralis in rural Cambodia is very high and school-aged children and adults over 45 years were the most at risk for infection. Lack of access to adequate treatment for chronic

  7. Needs Assessment for Exchange Students in Taiwan

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    Kentei Takaya

    2016-04-01

    Full Text Available With the growing mobility of international students in Asia and the Pacific, Taiwan has become actively involved in promoting international academic exchange. This research investigates the experience of exchange students from the Philippines and mainland China and examines their needs while studying in Taiwan. Qualitative in-depth interviews were conducted with exchange students from the Philippines and mainland China. The findings suggest that while exchange students from the Philippines and mainland China both encountered difficulties during their study in Taiwan, exchange students from the Philippines were inclined to encounter more difficulties compared to those from mainland China due to language difficulties. Based on the findings of this study, suggested support services for future exchange students in Taiwan are outlined to match the needs of students from both Chinese and non-Chinese-speaking backgrounds.

  8. Sediment characteristics and provenance of the Taiwan Shoal in the southern Taiwan Strait

    Science.gov (United States)

    Koo, W. S.; Lin, A. T.; Kuo, L. W.; Lee, Y. H.

    2016-12-01

    The Taiwan Shoal in the southern Taiwan Strait exhibits a lobe-shaped shallow water area, with a depth less than around 40 m and an area approximately of 13,000 km2. The Shoal consists of relict sediments remnant from deltaic deposits during the last glacial period and associated with the paleo-Min River. We collected seafloor sediments in and around the Taiwan Shoal to study the sediment characteristics and provenance of the Shoal as well as Taiwanese river sediments to characterize sediment sourced from southern Taiwan. Our results help to understand possible sediment delivery pathways in a source-to-sink context from the southern Taiwan Strait to the northern South China Sea. The method of X-ray diffraction is used to identify mineral compositions for muds and mineral compositions are examined under polarized microscope for sands. Zircon grains are separated from heavy minerals for U-Pb dating in order to understand the sediment source terranes. Sediments of the Taiwan Shoal are mostly tawny-colored, medium to coarse-grained sands with abundant shell fragments and shallow-water benthic foraminifera. Sediments to the south of the Taiwan Shoal and in the outer shelf consist of dark brown-colored and fine-grained sands with rare shell fragments. Siliciclastic compositions of the Taiwan Shoal sediments are mostly quartz. The second abundant composition is rock fragments with more occurrences near the Chinese coastline and the Penghu archipelago. Slate fragments are found to occur near Taiwan, especially in the Penghu Channel area. Clay minerals from the Penghu Channels and south of the Taiwan Shoal are dominated by illite and chlorite with minor smectite and kaolinite. The sediment colors and mineral species are very different for the sediments of the Taiwan Shoal and outer shelf, revealing that these two areas featuring different oceanographic processes and sediment provenance.

  9. Naja atra snakebite in Taiwan.

    Science.gov (United States)

    Mao, Yan-Chiao; Liu, Po-Yu; Chiang, Liao-Chun; Lai, Chih-Sheng; Lai, Kuo-Lung; Ho, Cheng-Hsuan; Wang, Te-Huo; Yang, Chen-Chang

    2017-08-23

    Naja atra snakebite is uncommon in Taiwan and causes distinct effects on its victims. Although the Taiwan government produces its own specific antivenom, little information on the management of N. atra snakebite is available. We retrospectively evaluated 183 patients admitted to two medical centers. Of these, 45 were identified as definite cases of N. atra snakebite, 86 as suspected cases, and 52 as clinical cases. Demographic data, symptomatology, and management were compared between these case groups. Symptomatology and management were similar in the three groups. Among the 183 patients, 10 (5.5%) were asymptomatic and nine (4.9%) had transient and partial ptosis or body weakness. The principal effects were local tissue swelling and pain in 173 patients (94.5%), followed by clinically suspected wound infection in 148 (80.9%), skin necrosis in 120 (65.6%), necrotizing soft tissue infection in 77 (42.1%), fever in 59 (32.2%), and gastrointestinal effects in 53 (29%). The median total dose of specific antivenom needed to treat N. atra envenoming was 10 vials. In the envenomed patients, debridement was required in 74 patients (42.8%), fasciotomy/fasciectomy in 46 (26.6%), and finger or toe amputation in seven (4%). The first operation was performed at a median of 3.5 days after the bite. Based on these typical manifestations, clinical diagnosis of N. atra snakebites may be feasible and practical. In contrast to other snakes of Elapidae family, N. atra bite did not cause serious neurological effects. Early surgical consultation should be obtained because half of the patients underwent surgery due to infectious complications. Acute compartment syndrome was the surgical indication in rare cases; however, overestimation of the incidence may have occurred. This syndrome should be confirmed by serial intracompartmental pressure monitoring instead of only physical examination, and a sufficient dose of antivenom should be given prior to surgical decompression.

  10. Onychomycosis Associated with Exophiala oligosperma in Taiwan.

    Science.gov (United States)

    Wen, Yu-Min; Rajendran, Ranjith Kumar; Lin, Ying-Fang; Kirschner, Roland; Hu, Sindy

    2016-02-01

    A fungus was isolated from a nail of a 54-year-old female patient with onychomycosis in Taiwan. Based on ITS rDNA as well as beta tubulin gene sequences and microscopic analyses, this fungus was identified as Exophiala oligosperma. This is the first record of E. oligosperma in Taiwan. Negative keratin azure test indicates that keratin degradation is not involved in cases of E. oligosperma associated with skin and nail diseases.

  11. Probabilistic Seismic Hazard Assessment for Taiwan

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    Yu-Ju Wang

    2016-06-01

    Full Text Available The Taiwan Earthquake Model (TEM was established to assess the seismic hazard and risk for Taiwan by considering the social and economic impacts of various components from geology, seismology, and engineering. This paper gives the first version of TEM probabilistic seismic hazard analysis for Taiwan in these aspects. We named it TEM PSHA2015. The model adopts the source parameters of 38 seismogenic structures identified by TEM geologists. In addition to specific fault source-based categorization, seismic activities are categorized as shallow, subduction intraplate, and subduction interplate events. To evaluate the potential ground-shaking resulting from each seismic source, the corresponding ground-motion prediction equations for crustal and subduction earthquakes are adopted. The highest hazard probability is evaluated to be in Southwestern Taiwan and the Longitudinal Valley of Eastern Taiwan. Among the special municipalities in the highly populated Western Taiwan region, Taichung, Tainan, and New Taipei City are evaluated to have the highest hazard. Tainan has the highest seismic hazard for peak ground acceleration in the model based on TEM fault parameters. In terms of pseudo-spectral acceleration, Tainan has higher hazard over short spectral periods, whereas Taichung has higher hazard over long spectral periods. The analysis indicates the importance of earthquake-resistant designs for low-rise buildings in Tainan and high-rise buildings in Taichung.

  12. Forest plunder in Southeast Asia: an environmental security nexus in Burma and Cambodia.

    Science.gov (United States)

    Talbott, K; Brown, M

    1998-01-01

    This article discusses the cycle of conversion, consumption, and corruption that undermines the environment and civil society in Cambodia and Burma (Myanmar). In these countries, forests are declining in patterns similar to other Southeast Asian deforestation. Illegal logging, prostitution, and heroin trafficking constitute the bulk of Cambodia's shadow economy. Revenues are used to provide financial support for political causes and build the private wealth of the elite. Major political and guerilla groups and the Cambodian military have been major beneficiaries of logging revenue, supported private sector forestry in many military zones, and facilitated logging and trade. About 40% of land goes to forest concessions granted to Southeast Asian companies, and revenues bypass the regular state budget. In Burma, the cease fire agreements in the early 1990s, led to remote border area forests being opened up to large, nonsustainable commercial timber mining. Land was divided into ethnic and government controlled areas. Timber profits were funneled into a business owned by members of the new ruling force, the SLORC, and used to launder drug exports and profits. Trading partners include Thailand, and most recently, China. It is speculated that deforested areas are replanted with opium poppies, and trade routes carry timber and heroin. The unregulated logging industry and the lack of financial accounting of the timber trade undermine the structures of civil society and good governance. Forest policies appear progressive but are in reality unenforced. Politics and agreements in both countries are closely tied to deforestation issues.

  13. Closing the irrigation deficit in Cambodia: Implications for transboundary impacts on groundwater and Mekong River flow

    Science.gov (United States)

    Erban, Laura E.; Gorelick, Steven M.

    2016-04-01

    Rice production in Cambodia, essential to food security and exports, is largely limited to the wet season. The vast majority (96%) of land planted with rice during the wet season remains fallow during the dry season. This is in large part due to lack of irrigation capacity, increases in which would entail significant consequences for Cambodia and Vietnam, located downstream on the Mekong River. Here we quantify the extent of the dry season "deficit" area in the Cambodian Mekong River catchment, using a recent agricultural survey and our analysis of MODIS satellite data. Irrigation of this land for rice production would require a volume of water up to 31% of dry season Mekong River flow to Vietnam. However, the two countries share an aquifer system in the Mekong Delta, where irrigation demand is increasingly met by groundwater. We estimate expansion rates of groundwater-irrigated land to be >10% per year in the Cambodian Delta using LANDSAT satellite data and simulate the effects of future expansion on groundwater levels over a 25-year period. If groundwater irrigation continues to expand at current rates, the water table will drop below the lift limit of suction pump wells, used for domestic supply by >1.5 million people, throughout much of the area within 15 years. Extensive groundwater irrigation jeopardizes access for shallow domestic water supply wells, raises the costs of pumping for all groundwater users, and may exacerbate arsenic contamination and land subsidence that are already widespread hazards in the region.

  14. Deployment of dual-sensor ALIS for humanitarian demining in Cambodia

    Science.gov (United States)

    Sato, M.; Takahashi, K.

    2013-06-01

    We are in the process of developing a high-resolution landmine scanning system "ALIS" which produces horizontal slices of the shallow subsurface for visualization of buried explosives and inert clutter. As many AP mines contain minimum amounts of metal, metal detectors need to be combined with a complimentary subsurface imaging sensor. Ground Penetrating Radar (GPR) is widely accepted for subsurface sensing in the fields of geology, archaeology and utility detection. The demining application requires real-time imaging results with centimetre resolution in a highly portable package. The key requirement for sharp images of the subsurface is the precise tracking of the geophysical sensor(s) during data collection. We should also notice that GPR system is a very wide band radar system, and equivalent to UWB radar, which has recently been developed for short-range high-accuracy radar. We are testing simplified but effective signal processing for imaging mines. We are currently testing a dual sensor ALIS which is a realtime sensor tracking system based on a CCD camera and image processing. In this paper we introduce the GPR systems which we have developed for detection of buried antipersonnel mines and small size explosives. ALIS has been deployed in Cambodia since 2009 and detected more than 70 mines in mine fields, and returned more than 13ha cleaned fields to local farmers. We also report the current status of ALIS in Cambodia.

  15. Intensive Circulation of Japanese Encephalitis Virus in Peri-urban Sentinel Pigs near Phnom Penh, Cambodia

    Science.gov (United States)

    Cappelle, Julien; Duong, Veasna; Pring, Long; Kong, Lida; Yakovleff, Maud; Prasetyo, Didot Budi; Peng, Borin; Choeung, Rithy; Duboz, Raphaël; Ong, Sivuth; Sorn, San; Dussart, Philippe; Tarantola, Arnaud; Buchy, Philippe; Chevalier, Véronique

    2016-01-01

    Despite the increased use of vaccination in several Asian countries, Japanese Encephalitis (JE) remains the most important cause of viral encephalitis in Asia in humans with an estimated 68,000 cases annually. Considered a rural disease occurring mainly in paddy-field dominated landscapes where pigs are amplifying hosts, JE may nevertheless circulate in a wider range of environment given the diversity of its potential hosts and vectors. The main objective of this study was to assess the intensity of JE transmission to pigs in a peri-urban environment in the outskirt of Phnom Penh, Cambodia. We estimated the force of JE infection in two cohorts of 15 sentinel pigs by fitting a generalised linear model on seroprevalence monitoring data observed during two four-month periods in 2014. Our results provide evidence for intensive circulation of JE virus in a periurban area near Phnom Penh, the capital and most populated city of Cambodia. Understanding JE virus transmission in different environments is important for planning JE virus control in the long term and is also an interesting model to study the complexity of vector-borne diseases. Collecting quantitative data such as the force of infection will help calibrate epidemiological model that can be used to better understand complex vector-borne disease epidemiological cycles. PMID:27926937

  16. Prevalence of Opisthorchis viverrini infection in humans and fish in Kratie Province, Cambodia.

    Science.gov (United States)

    Sohn, Woon-Mok; Yong, Tai-Soon; Eom, Keeseon S; Pyo, Kyoung-Ho; Lee, Mi Youn; Lim, Hyemi; Choe, Seongjun; Jeong, Hoo-Gn; Sinuon, Muth; Socheat, Duong; Chai, Jong-Yil

    2012-12-01

    Opisthorchis viverrini is a medically important foodborne parasite in the Indochina Peninsula. In Cambodia, the prevalence of this trematode has been reported in Takeo Province, but not in other areas. In this study, we investigated the prevalence of O. viverrini infection among people in seven riparian villages along the Mekong River, Kratie Province. We also examined the status of metacercarial infection in fish hosts. Fecal specimens were collected from 2101 residents and schoolchildren, and were examined by the Kato-Katz technique. The average O. viverrini egg positive rate was 4.6%, with the highest prevalence found in Roka Kandal A village (10.4%) followed by Talous village (5.9%). In these villages, adult residents showed higher prevalences (19.4% and 9.0%, respectively) than schoolchildren (6.4% and 1.4%, respectively). O. viverrini adult worms were recovered from 2 egg-positive cases (18 and 4 specimens) after praziquantel treatment and purgation. In addition, three of seven freshwater fish species caught near the villages were positive for O. viverrini metacercariae. A total of 367 metacercariae were harvested from 19 infected fish (metacercarial density; 19 per fish). The species of the metacercariae was confirmed through adult worm recovery by experimental infection to hamsters. The results provide evidence that the surveyed areas of Kratie Province, Cambodia, are endemic for O. viverrini infection.

  17. High prevalence of Opisthorchis viverrini infection in a riparian population in Takeo Province, Cambodia.

    Science.gov (United States)

    Yong, Tai-Soon; Shin, Eun-Hee; Chai, Jong-Yil; Sohn, Woon-Mok; Eom, Keeseon S; Lee, Dong-Min; Park, Keunhee; Jeoung, Hoo-Gn; Hoang, Eui-Hyug; Lee, Yoon-Hee; Woo, Hyun-Ju; Lee, Ji-Hwa; Kang, Sin-Il; Cha, Jae-Ku; Lee, Keon-Hoon; Yoon, Cheong-Ha; Sinuon, Muth; Socheat, Duong

    2012-06-01

    Opisthorchis viverrini infection was found to be highly prevalent in 3 riverside villages (Ang Svay Chek A, B, and C) of the Prey Kabas District, Takeo Province. This area is located in the southern part of Cambodia, where the recovery of adult O. viverrini worms was recently reported. From May 2006 until May 2010, fecal examinations were performed on a total of 1,799 villagers using the Kato-Katz thick smear technique. In the 3 villages, the overall positive rate for helminth eggs ranged from 51.7 to 59.0% (av. 57.4%), and the percentage positive for O. viverrini was 46.4-50.6% (47.5%). Other helminths detected included hookworms (13.2%), echinostomes (2.9%), Trichuris trichiura (1.3%), Ascaris lumbricoides (0.6%), and Taenia spp. (0.06%). The prevalence of O. viverrini eggs appeared to reflect a lower infection in younger individuals (20 years). Men (50.4%) revealed a significantly higher (P=0.02) prevalence than women (44.3%). The Ang Svay Chek villages of the Prey Kabas District, Takeo Province, Cambodia have been confirmed to be a highly endemic area for human O. viverrini infection.

  18. Abortion choices among women in Cambodia after introduction of a socially marketed medicated abortion product.

    Science.gov (United States)

    Sotheary, Khim; Long, Dianna; Mundy, Gary; Madan, Yasmin; Blumenthal, Paul D

    2017-02-01

    To assess whether a social marketing initiative focusing on medicated abortion via a mifepristone/misoprostol "combipack" has contributed to reducing unsafe abortion in Cambodia. In a questionnaire-based cross-sectional study, annual household surveys were conducted across 13 Cambodian provinces in 2010, 2011, and 2012. One married woman of reproductive age who was not pregnant and did not wish to be within the next 2 years in each randomly selected household was approached for inclusion. Participants were interviewed using a structured questionnaire. The questionnaire was completed by 1843 women in 2010, 2068 in 2011, and 2059 in 2012. Manual vacuum aspiration was reported by 61 (72.6%) of 84 women surveyed in 2010 who reported an abortion in the previous 12 months, compared with only 28 (52.8%) of 53 in 2012 (P=0.001). The numbers of women undergoing medicated abortion increased from 22 (26.2%) of 84 in 2010 to 27 (49.1%) of 53 in 2012 (P=0.003), whereas the numbers undergoing unsafe abortion decreased from 4 (4.8%) in 2010 to 0 in 2012 (P=0.051). Social marketing of medication abortion coupled with provider training in clinical and behavioral change could have contributed to a reduction in the prevalence of unsafe abortion and shifted the types of abortion performed in Cambodia, while not increasing the overall number of abortions. © 2016 International Federation of Gynecology and Obstetrics.

  19. Improving immunization coverage through budgeted microplans and sub-national performance agreements: early experience from Cambodia.

    Science.gov (United States)

    Soeung, S C; Grundy, B M J; Ly, C K; Samnang, C; Boreland, M; Brooks, A; Maynard, J; Biggs, B A

    2006-01-01

    In recent years, Cambodia has demonstrated significant success in specific aspects of immunization with gains through campaign efforts in measles control and polio eradication. In contrast, routine immunization rates have failed to improve over the last five years. In response, the National Immunization Program of the Ministry of Health developed a coverage improvement planning (CIP) process. This paper describes the CIP process in Cambodia, including identified barriers to and strategies for improving coverage. Immunization coverage rose in 8 of 10 pilot districts in the year following the introduction of CIP in 2003. The mean increase in DPT3 coverage across pilot districts on an annual basis was 16%, which provides encouraging early evidence for the effectiveness of the intervention. Factors associated with success in coverage improvement included: (1) development of a needs-based micro-plan, (2) application of performance-based contracting between levels of management, (3) investment in social mobilization, (4) securing finance for health outreach programs and (5) strengthened monitoring systems. Lessons learned will guide program expansion to improve immunization coverage nationally.

  20. Intensive Circulation of Japanese Encephalitis Virus in Peri-urban Sentinel Pigs near Phnom Penh, Cambodia.

    Science.gov (United States)

    Cappelle, Julien; Duong, Veasna; Pring, Long; Kong, Lida; Yakovleff, Maud; Prasetyo, Didot Budi; Peng, Borin; Choeung, Rithy; Duboz, Raphaël; Ong, Sivuth; Sorn, San; Dussart, Philippe; Tarantola, Arnaud; Buchy, Philippe; Chevalier, Véronique

    2016-12-01

    Despite the increased use of vaccination in several Asian countries, Japanese Encephalitis (JE) remains the most important cause of viral encephalitis in Asia in humans with an estimated 68,000 cases annually. Considered a rural disease occurring mainly in paddy-field dominated landscapes where pigs are amplifying hosts, JE may nevertheless circulate in a wider range of environment given the diversity of its potential hosts and vectors. The main objective of this study was to assess the intensity of JE transmission to pigs in a peri-urban environment in the outskirt of Phnom Penh, Cambodia. We estimated the force of JE infection in two cohorts of 15 sentinel pigs by fitting a generalised linear model on seroprevalence monitoring data observed during two four-month periods in 2014. Our results provide evidence for intensive circulation of JE virus in a periurban area near Phnom Penh, the capital and most populated city of Cambodia. Understanding JE virus transmission in different environments is important for planning JE virus control in the long term and is also an interesting model to study the complexity of vector-borne diseases. Collecting quantitative data such as the force of infection will help calibrate epidemiological model that can be used to better understand complex vector-borne disease epidemiological cycles.

  1. Intensive Circulation of Japanese Encephalitis Virus in Peri-urban Sentinel Pigs near Phnom Penh, Cambodia.

    Directory of Open Access Journals (Sweden)

    Julien Cappelle

    2016-12-01

    Full Text Available Despite the increased use of vaccination in several Asian countries, Japanese Encephalitis (JE remains the most important cause of viral encephalitis in Asia in humans with an estimated 68,000 cases annually. Considered a rural disease occurring mainly in paddy-field dominated landscapes where pigs are amplifying hosts, JE may nevertheless circulate in a wider range of environment given the diversity of its potential hosts and vectors. The main objective of this study was to assess the intensity of JE transmission to pigs in a peri-urban environment in the outskirt of Phnom Penh, Cambodia. We estimated the force of JE infection in two cohorts of 15 sentinel pigs by fitting a generalised linear model on seroprevalence monitoring data observed during two four-month periods in 2014. Our results provide evidence for intensive circulation of JE virus in a periurban area near Phnom Penh, the capital and most populated city of Cambodia. Understanding JE virus transmission in different environments is important for planning JE virus control in the long term and is also an interesting model to study the complexity of vector-borne diseases. Collecting quantitative data such as the force of infection will help calibrate epidemiological model that can be used to better understand complex vector-borne disease epidemiological cycles.

  2. Arsenic concentration in rice, fish, meat and vegetables in Cambodia: a preliminary risk assessment.

    Science.gov (United States)

    Wang, Hong-Sheng; Sthiannopkao, Suthipong; Chen, Zhuo-Jia; Man, Yu-Bon; Du, Jun; Xing, Guang-Hua; Kim, Kyoung-Woong; Mohamed Yasin, Mohamed Salleh; Hashim, Jamal Hisham; Wong, Ming-Hung

    2013-12-01

    To assess arsenic contaminations and its possible adverse health effects, food samples were collected from Kandal, Kratie and Kampong Cham in Cambodia. The highest and the lowest concentrations were observed in fish (mean 2,832 ng g(-1), ww) collected from Kandal province and cattle stomach (1.86 ± 1.10 ng g(-1), ww) collected from Kratie, respectively. The daily intake of arsenic via food consumption was 604, 9.70 and 136 μg day(-1) in Kandal, Kratie and Kampong Cham, respectively. The arsenic dietary intake in Kandal ranked No. 1 among all the 17 compared countries or regions. Fish consumption contributed the greatest proportion of total arsenic daily intake in Kandal (about 63.0 %) and Kampong Cham (about 69.8 %). It is revealed to be a much more important exposure pathway than drinking water for residents in Kampong Cham. The results of risk assessment suggested that the residents in Cambodia, particularly for people in Kandal province, suffer high public health risks due to consuming arsenic-contaminated food.

  3. Resistance and Contingent Contestations to Large-Scale Land Concessions in Southern Laos and Northeastern Cambodia

    Directory of Open Access Journals (Sweden)

    Ian G. Baird

    2017-02-01

    Full Text Available Over the last decade, there have been considerable concerns raised regarding the social and environmental impacts of large-scale land concessions for plantation development in various parts of the world, especially in the tropics, including in Laos and Cambodia. However, there is still much to learn about the various connections and interactions associated with reactions to what are often referred to as “land grabs”, and the ways they are associated or not associated with broader social movements and networks opposed to land grabbing. There is also the need to develop language for discussing these circumstances, something I aim to contribute to in this article. Here, I present four different cases of types of resistance, or what I refer to as contingent contestations, to land concessions in southern Laos and northeastern Cambodia (two from each country, focusing on the perspectives and associated strategies of smallholder farmers, but without ignoring broader issues. I consider the roles of locals in these contestations, through emphasizing the importance of histories, identities/ethnicities, politics, and geography in determining the types of responses to these land deals that emerge, and the strategies that are adopted for contesting these developments.

  4. Subsurface Imaging by UWB Radar: Application to Humanitarian Demining in Cambodia

    Science.gov (United States)

    Sato, Motoyuki

    Ground Penetrating Radar (GPR) has been widely used applications which include detection of subsurface facilities, concrete inspection and archaeology. Among these applications, humanitarian demining is still difficult task. Since 2002, we have developed a new hand-held land mine detection dual-sensor ALIS. ALIS is equipped with a metal detector and a GPR, and it has a sensor tracking system, which can record the GPR and Metal detector signal with its location. ALIS can process the data and is used for image re-construction by migration processing. ALIS is the only one mine detection system in the world which can visualize the GPR image by hand scanning. We found that the migration processing can reduce the clutter and gives us clear images of buried mines. After several tests of ALIS in mine affected courtiers, operation of ALIS in mine fields in Cambodia started in summer 2009. Two sets of ALIS have been operated in Cambodia and more than 77 antipersonnel mines have been detected and 137,000m2 farmland was cleaned.

  5. Diversity of Monogononta rotifer species among standing waterbodies in northern Cambodia

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    Ratha Sor

    2014-08-01

    Full Text Available The incidence and abundance of Monogononta rotifer species were recorded from lakes and reservoirs in the upper part of the Cambodian Mekong River basin in April and November 2010. One hundred and seven species are reported, 25 of which are new records to Cambodia and 8 taxa were unidentifiable to species level. Species richness at the regional and local scale was not significantly different between habitat types or between seasons, whether it was estimated using incidence or abundance data. Comparison of incidence data also revealed no significant difference from species richness of ponds concurrently sampled in the same region. There appeared to be a high level of diversity among sites that could not be attributed to nestedness or to the 5 environmental variables measured. Each habitat type and season offered substantially different rotifer communities, with the proportion of unshared species between sample sets ranging from 14-49%. Non-metric multidimensional scaling and PERMANOVA analyses also revealed clustering and significant differences among sample sets based on habitat type and season. Therefore, each habitat type and season contributed to the overall rotifer biodiversity. When the incidence data from this study are combined with those in previously reported studies, the overall species richness estimate for Cambodia is 403 species (95% CI = 386-432 and the number of species records has reached 306. 

  6. Reevaluating the Relationship between Education and Child Labour Using the Capabilities Approach: Policy and Implications for Inequality in Cambodia

    Science.gov (United States)

    Kluttz, Jenalee

    2015-01-01

    Cambodia has experienced rapid economic growth in the last two decades, improving living standards and diminishing poverty. Unfortunately, it has failed to do so evenly. Growth within the country has widened the gap between rich and poor and exacerbated the rural/urban divide. This inequality is mirrored in the school system. Inequality within the…

  7. Sero-epidemiological evaluation of changes in Plasmodium falciparum and Plasmodium vivax transmission patterns over the rainy season in Cambodia

    DEFF Research Database (Denmark)

    Cook, Jackie; Speybroeck, Nico; Sochanta, Tho

    2012-01-01

    In Cambodia, malaria transmission is low and most cases occur in forested areas. Sero-epidemiological techniques can be used to identify both areas of ongoing transmission and high-risk groups to be targeted by control interventions. This study utilizes repeated cross-sectional data to assess the...

  8. Dynamics of soil carbon, nitrogen and soil respiration in farmer’s field with conservation agriculture Siem Reap, Cambodia

    Science.gov (United States)

    The years of intensive tillage in many countries, including Cambodia, have caused significant decline in agriculture’s natural resources that could threaten the future of agricultural production and sustainability worldwide. Long-term tillage system and site-specific crop management can affect chang...

  9. Reevaluating the Relationship between Education and Child Labour Using the Capabilities Approach: Policy and Implications for Inequality in Cambodia

    Science.gov (United States)

    Kluttz, Jenalee

    2015-01-01

    Cambodia has experienced rapid economic growth in the last two decades, improving living standards and diminishing poverty. Unfortunately, it has failed to do so evenly. Growth within the country has widened the gap between rich and poor and exacerbated the rural/urban divide. This inequality is mirrored in the school system. Inequality within the…

  10. Navigating a river by its bends. A study on transnational social networks as resources for the transformation of Cambodia

    NARCIS (Netherlands)

    Wijers, G.D.M.

    2013-01-01

    This article explores in what ways first generation Cambodian French and Cambodian American returnees create and employ the social capital available in their transnational social networks upon their return to Cambodia. The triangular interdependence between the returnees, their overseas immigrant co

  11. The Killing Fields on TV: A Critical Analysis of Network Coverage of Cambodia under the Khmer Rouge.

    Science.gov (United States)

    Smith, Ted J., III; Grassmick, David E.

    In an effort to determine the nature of American network television news coverage of the Khmer Rouge rule in Cambodia, a study examined the television evening news from April 16, 1975, the date on which the Lon Nol government first offered to capitulate to the Khmer Rouge, through January 8, 1979, when news of the fall of Phnom Penh to the…

  12. Distortions and Dichotomies in Inclusive Education for Children with Disabilities in Cambodia in the Context of Globalisation and International Development

    Science.gov (United States)

    Kalyanpur, Maya

    2014-01-01

    This paper explores the consequences of transferring technical information on disability and inclusive education from the North to the South within the context of international development. Based on data from the author's experiences as a US-trained Indian international consultant in Cambodia, it analyses how problems with translation and…

  13. Affecting Reform: Explaining the Kingdom of Cambodia’s Contributions to United Nations Peacekeeping Operations in Comparative Context

    Science.gov (United States)

    2011-09-01

    Yudhoyono was a principal architect of the New Paradigm ( Paradigma Baru), the formal military doctrine that replaced [Dual Function] dwi-fungsa.”164 Under... Paradigma Baru, and in stark contrast to the RCAF in Cambodia, “the TNI has withdrawn, as an institution, from day-to-day political activities.”165

  14. Effectiveness of Bilingual Education in Cambodia: A Longitudinal Comparative Case Study of Ethnic Minority Children in Bilingual and Monolingual Schools

    Science.gov (United States)

    Lee, Scott; Watt, Ron; Frawley, Jack

    2015-01-01

    There is little research in the developing countries of South East Asia on the effectiveness of bilingual education programmes that use first language instruction for ethnic minority children. This study investigated the effectiveness of a bilingual education programme involving ethnic minority children in Cambodia by comparing their performance…

  15. Injections, Cocktails and Diviners: Therapeutic Flexibility in the Context of Malaria Elimination and Drug Resistance in Northeast Cambodia

    NARCIS (Netherlands)

    Gryseels, C.; Uk, S.; Erhart, A.; Gerrets, R.; Sluydts, V.; Durnez, L.; Muela Ribera, J.; Hausmann Muela, S.; Menard, D.; Heng, S.; Sochantha, T.; D'Alessandro, U.; Coosemans, M.; Peeters Grietens, K.

    2014-01-01

    Background: Adherence to effective malaria medication is extremely important in the context of Cambodia’s elimination targets and drug resistance containment. Although the public sector health facilities are accessible to the local ethnic minorities of Ratanakiri province (Northeast Cambodia), their

  16. Issues and Techniques in Translating Scientific Terms from English to Khmer for a University-Level Text in Cambodia

    Science.gov (United States)

    Quigley, Cassie; Oliviera, Alandeom W.; Curry, Alastair; Buck, Gayle

    2011-01-01

    Teachers and students spend much time interacting with written resources such as textbooks, tests, or worksheets during classroom instruction. What if no text is available, however, in the language of the learners? This case study describes the processes and techniques adopted by two university lecturers in Cambodia, as they translated an L1…

  17. Report of the Training Workshop on the Evaluation of Asian Educational Credentials (Vietnam, Laos, Cambodia, Thailand, Indonesia, Korea).

    Science.gov (United States)

    Dremuk, Richard, Ed.

    This report was planned to facilitate the task of college admissions officers of American educational institutions in the evaluation of foreign credentials. The educational systems of Cambodia, Laos, Vietnam, Indonesia, Korea, and Thailand are examined in depth and include discussions of each country's educational history and educational…

  18. Trauma and Poor Mental Health in Relation to Economic Status: The Case of Cambodia 35 Years Later.

    Directory of Open Access Journals (Sweden)

    Johan Jarl

    Full Text Available Cambodia is one of the poorest countries in south-east Asia and is still emerging from the events of the Khmer Rouge reign. It has been suggested that the atrocities experienced by the Cambodian population can explain why Cambodia continues to lag behind its neighbours in economic outcomes. The purpose of this study is to investigate whether there is an association between exposure to past trauma and/or current poor mental health and current economic status in Cambodia.A newly conducted survey performed in two regions (north-west and south-east Cambodia collected information on trauma exposure, psychiatric symptoms, self-rated health outcomes and socio-economic information for 3200 persons aged 18-60. Economic outcomes were measured as household debt and poverty status and whether the respondent was economically inactive. All models were analysed using logistic regression.No association was found between high exposure to conflict-related or civilian trauma and any economic outcomes save for a negative association between civilian trauma and poverty in the south-east. Current post-traumatic stress was related solely to poverty status. All other measures of current mental health status, however, were found to be strongly negatively associated with all measures of economic status. Thus, mental health interventions could potentially be utilised in poverty reduction strategies, but greater efficacy is likely to be achieved by targeting current mental health status rather than previous trauma exposure.

  19. Efficacy of dihydroartemisinin-piperaquine for treatment of uncomplicated Plasmodium falciparum and Plasmodium vivax in Cambodia, 2008 to 2010.

    Science.gov (United States)

    Leang, Rithea; Barrette, Amy; Bouth, Denis Mey; Menard, Didier; Abdur, Rashid; Duong, Socheat; Ringwald, Pascal

    2013-02-01

    We describe here the results of antimalarial therapeutic efficacy studies conducted in Cambodia from 2008 to 2010. A total of 15 studies in four sentinel sites were conducted using dihydroartemisinin-piperaquine (DP) for the treatment of Plasmodium falciparum infection and chloroquine (CQ) and DP for the treatment of P. vivax infection. All studies were performed according to the standard World Health Organization protocol for the assessment of antimalarial treatment efficacy. Among the studies of DP for the treatment of P. falciparum, an increase in treatment failure was observed in the western provinces. In 2010, the PCR-corrected treatment failure rates for DP on day 42 were 25% (95% confidence interval [CI] = 10 to 51%) in Pailin and 10.7% (95% CI = 4 to 23%) in Pursat, while the therapeutic efficacy of DP remained high (100%) in Ratanakiri and Preah Vihear provinces, located in northern and eastern Cambodia. For the studies of P. vivax, the day 28 uncorrected treatment failure rate among patients treated with CQ ranged from 4.4 to 17.4%; DP remained 100% effective in all sites. Further study is required to investigate suspected P. falciparum resistance to piperaquine in western Cambodia; the results of in vitro and molecular studies were not found to support the therapeutic efficacy findings. The emergence of artemisinin resistance in this region has likely put additional pressure on piperaquine. Although DP appears to be an appropriate new first-line treatment for P. vivax in Cambodia, alternative treatments are urgently needed for P. falciparum-infected patients in western Cambodia.

  20. Factors associated with Taiwan anesthesiologists' intention to leave anesthesia practice

    Directory of Open Access Journals (Sweden)

    Ju-O Wang

    2015-06-01

    Conclusion: Unfavorable working conditions were considered to lower the satisfaction of anesthesiologists in Taiwan. In particular, an inability to take care of the family and a low salary were major factors in deterring anesthesiologists in Taiwan from continuing in anesthesia.

  1. 27 October 2014 - H.E. Mr Ney Samol Ambassador Permanent Representative of the Kingdom of Cambodia to the United Nations Office and other international organizations in Geneva

    CERN Multimedia

    Brice, Maximilien

    2014-01-01

    His Excellency Mr Ney Samol Ambassador Permanent Representative of the Kingdom of Cambodia to the United Nations Office and other international organizations in Geneva signing the Guest Book with Deputy Head of International Relations E. Tsesmelis

  2. Physics teaching in the medical schools of Taiwan.

    Science.gov (United States)

    Hsu, Jiann-wien; Hsu, Roy

    2012-02-01

    We describe and analyze the statistics of general physics and laboratory courses in the medical schools of Taiwan. We explore the development of the general physics curriculum for medical students of Taiwan. Also, an approach to designing a general physics course in combination with its application to medical sciences is proposed. We hope this preliminary study can provide a useful reference for physics colleagues in the medical schools of Taiwan to revolutionize the dynamics of teaching physics to the medical students of Taiwan.

  3. Land, carbon and water footprints in Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yung-Jaan, E-mail: yungjaanlee@gmail.com

    2015-09-15

    The consumer responsibility approach uses footprints as indicators of the total direct and indirect effects of a product or consumption activity. This study used a time-series analysis of three environmental pressures to quantify the total environmental pressures caused by consumption in Taiwan: land footprint, carbon footprint, and water footprint. Land footprint is the pressure from appropriation of biologically productive land and water area. Carbon footprint is the pressure from greenhouse gas emissions. Water footprint is the pressure from freshwater consumption. Conventional carbon footprint is the total CO{sub 2} emitted by a certain activity or the CO{sub 2} accumulation during a product life cycle. This definition cannot be used to convert CO{sub 2} emissions into land units. This study responds to the needs of “CO{sub 2} land” in the footprint family by applying the carbon footprint concept used by GFN. The analytical results showed that consumption by the average Taiwan citizen in 2000 required appropriation of 5.39 gha (hectares of land with global-average biological productivity) and 3.63 gha in 2011 in terms of land footprint. The average Taiwan citizen had a carbon footprint of 3.95 gha in 2000 and 5.94 gha in 2011. These results indicate that separately analyzing the land and carbon footprints enables their trends to be compared and appropriate policies and strategies for different sectors to be proposed accordingly. The average Taiwan citizen had a blue water footprint of 801 m{sup 3} in 2000 and 784 m{sup 3} in 2011. By comparison, their respective global averages were 1.23 gha, 2.36 gha and 163 m{sup 3} blue water in 2011, respectively. Overall, Taiwan revealed higher environmental pressures compared to the rest of the world, demonstrating that Taiwan has become a high footprint state and has appropriated environmental resources from other countries. That is, through its imports of products with embodied pressures and its exports, Taiwan has

  4. Memory contested, locality transformed : representing Japanese colonial 'heritage' in Taiwan

    NARCIS (Netherlands)

    Chiang, Min-Chin

    2012-01-01

    In the search for a Taiwanese identity rooted in the land of Taiwan the Japanese colonial past plays an ambiguous role. The Japanese colonial sites became a constituent part of the new identity and cultural narrative of Taiwan in the 1990s and 2000s, when a memory boom was experienced in Taiwan repr

  5. Language Shift and Language Accommodation across Family Generations in Taiwan

    Science.gov (United States)

    Sandel, Todd L.; Chao, Wen-Yu; Liang, Chung-Hui

    2006-01-01

    This study explored language shift and accommodation among bilingual Mandarin and Tai-gi (also called Hokkien, Holo, Tai-gu, Taiwan Min, Taiwanese) families in Taiwan. From the 1940s until the 1980s the Chinese Nationalist Party (KMT) on Taiwan promoted Mandarin Chinese. Recent years have witnessed a shift in policy: since 2001 elementary schools…

  6. 77 FR 72884 - Steel Wire Garment Hangers From Taiwan

    Science.gov (United States)

    2012-12-06

    ... COMMISSION Steel Wire Garment Hangers From Taiwan Determination On the basis of the record \\1\\ developed in... the United States is materially injured by reason of imports of steel wire garment hangers from Taiwan... wire garment hangers from Taiwan were dumped within the meaning of 733(b) of the Act (19 U.S.C....

  7. What University Governance Can Taiwan Learn from the United States?

    Science.gov (United States)

    Lee, Lung-Sheng; Land, Ming H.

    2010-01-01

    Due to changes from centralization to marketization, Taiwan's university governance must increase its effectiveness. The purpose of this paper was to introduce trends in and issues of Taiwan's university governance, describe university governance in the United States, and draw implications that Taiwan's university governance needs to learn from…

  8. Determinants of Child Malnutrition and Infant and Young Child Feeding Approaches in Cambodia.

    Science.gov (United States)

    Reinbott, Anika; Jordan, Irmgard

    2016-01-01

    Women's diets often decrease with regard to amounts per meal and day as well as diversity if a household's access to food is limited. The result is a monotonous diet that, in particular, negatively affects women's nutritional status during pregnancy and lactation and, thus, the infant. The infant's diet is of utmost importance, as it needs to meet the nutrient requirements especially during the first 2 years of life, a critical window for the child's healthy development. In Cambodia, infant and young child feeding (IYCF) practices are poor. Preparation of a special complementary meal in addition to breast milk feeds for children aged 6-23 months is often not a common habit. Instead, children eat watery, plain rice porridges that do not meet the nutrient requirements at this young age. A lack of adequate caring practices such as responsive feeding exacerbates the risk of malnutrition. Caregivers are often unaware of the importance of nutrition during the first 2 years of life regarding its effects on children's growth. In 2012, a randomized controlled trial (RCT) was started in two provinces of northern Cambodia: Oddar Meanchey and Preah Vihear. To contribute to reducing child mortality by addressing malnutrition among children 6-23 months of age, the Food and Agriculture Organization of the United Nations (FAO) implemented a nutrition-sensitive agriculture project with nutrition-specific actions, i.e. a nutrition education intervention was embedded in a food security project. Wealth, a child's age, and maternal education were identified as determinants of a child's dietary diversity. The older the child and/or the wealthier the household, the more diverse the child's diet. Maternal education was positively associated with the child's dietary diversity. Household dietary diversity was significantly associated with child dietary diversity in a model including group, child's age, maternal education, and wealth as confounders. The RCT also showed that a 2- to 3-month

  9. Geostatistical modelling of soil-transmitted helminth infection in Cambodia: do socioeconomic factors improve predictions?

    Science.gov (United States)

    Karagiannis-Voules, Dimitrios-Alexios; Odermatt, Peter; Biedermann, Patricia; Khieu, Virak; Schär, Fabian; Muth, Sinuon; Utzinger, Jürg; Vounatsou, Penelope

    2015-01-01

    Soil-transmitted helminth infections are intimately connected with poverty. Yet, there is a paucity of using socioeconomic proxies in spatially explicit risk profiling. We compiled household-level socioeconomic data pertaining to sanitation, drinking-water, education and nutrition from readily available Demographic and Health Surveys, Multiple Indicator Cluster Surveys and World Health Surveys for Cambodia and aggregated the data at village level. We conducted a systematic review to identify parasitological surveys and made every effort possible to extract, georeference and upload the data in the open source Global Neglected Tropical Diseases database. Bayesian geostatistical models were employed to spatially align the village-aggregated socioeconomic predictors with the soil-transmitted helminth infection data. The risk of soil-transmitted helminth infection was predicted at a grid of 1×1km covering Cambodia. Additionally, two separate individual-level spatial analyses were carried out, for Takeo and Preah Vihear provinces, to assess and quantify the association between soil-transmitted helminth infection and socioeconomic indicators at an individual level. Overall, we obtained socioeconomic proxies from 1624 locations across the country. Surveys focussing on soil-transmitted helminth infections were extracted from 16 sources reporting data from 238 unique locations. We found that the risk of soil-transmitted helminth infection from 2000 onwards was considerably lower than in surveys conducted earlier. Population-adjusted prevalences for school-aged children from 2000 onwards were 28.7% for hookworm, 1.5% for Ascaris lumbricoides and 0.9% for Trichuris trichiura. Surprisingly, at the country-wide analyses, we did not find any significant association between soil-transmitted helminth infection and village-aggregated socioeconomic proxies. Based also on the individual-level analyses we conclude that socioeconomic proxies might not be good predictors at an

  10. Access to artemisinin combination therapy for malaria in remote areas of Cambodia

    Directory of Open Access Journals (Sweden)

    Socheat Doung

    2008-05-01

    Full Text Available Abstract Background Malaria-endemic countries are switching antimalarial drug policy to artemisinin combination therapies (ACTs and the global community are considering the setting up of a global subsidy mechanism in order to make them accessible and affordable. However, specific interventions may be needed to reach remote at-risk communities and to ensure that they are used appropriately. This analysis documents the coverage with ACTs versus artemisinin monotherapies, and the effectiveness of malaria outreach teams (MOTs and Village Malaria Workers (VMWs in increasing access to appropriate diagnosis and treatment with ACTs in Cambodia, the first country to switch national antimalarial drug policy to an ACT of artesunate and mefloquine (A+M in 2000. Methods A cross-sectional survey was carried out in three different types of intervention area: with VMWs, MOTs and no specific interventions. Individuals with a history of fever in the last three weeks were included in the study and completed a questionnaire on their treatment seeking and drug usage behaviour. Blood was taken for a rapid diagnostic test (RDT and data on the household socio-economic status were also obtained. Results In areas without specific interventions, only 17% (42/251 of respondents received a biological diagnosis, 8% (17/206 of respondents who received modern drug did so from a public health facility, and only 8% of them (17/210 received A+M. Worryingly, 78% (102/131 of all artemisinin use in these areas was as a monotherapy. However, both the VMW scheme and MOT scheme significantly increased the likelihood of being seen by a trained provider (Adjusted Odds Ratios (AOR of 148 and 4 respectively and of receiving A+M (AORs of 2.7 and 7.7 respectively. Conclusion The coverage rates of appropriate diagnosis and treatment of malaria were disappointingly low and the use of artemisinin monotherapy alarmingly high. This reflects the fragmented nature of Cambodia's health system in

  11. Dihydroartemisinin-piperaquine resistance in Plasmodium falciparum malaria in Cambodia: a multisite prospective cohort study.

    Science.gov (United States)

    Amaratunga, Chanaki; Lim, Pharath; Suon, Seila; Sreng, Sokunthea; Mao, Sivanna; Sopha, Chantha; Sam, Baramey; Dek, Dalin; Try, Vorleak; Amato, Roberto; Blessborn, Daniel; Song, Lijiang; Tullo, Gregory S; Fay, Michael P; Anderson, Jennifer M; Tarning, Joel; Fairhurst, Rick M

    2016-03-01

    Artemisinin resistance in Plasmodium falciparum threatens to reduce the efficacy of artemisinin combination therapies (ACTs), thus compromising global efforts to eliminate malaria. Recent treatment failures with dihydroartemisinin-piperaquine, the current first-line ACT in Cambodia, suggest that piperaquine resistance may be emerging in this country. We explored the relation between artemisinin resistance and dihydroartemisinin-piperaquine failures, and sought to confirm the presence of piperaquine-resistant P falciparum infections in Cambodia. In this prospective cohort study, we enrolled patients aged 2-65 years with uncomplicated P falciparum malaria in three Cambodian provinces: Pursat, Preah Vihear, and Ratanakiri. Participants were given standard 3-day courses of dihydroartemisinin-piperaquine. Peripheral blood parasite densities were measured until parasites cleared and then weekly to 63 days. The primary outcome was recrudescent P falciparum parasitaemia within 63 days. We measured piperaquine plasma concentrations at baseline, 7 days, and day of recrudescence. We assessed phenotypic and genotypic markers of drug resistance in parasite isolates. The study is registered with ClinicalTrials.gov, number NCT01736319. Between Sept 4, 2012, and Dec 31, 2013, we enrolled 241 participants. In Pursat, where artemisinin resistance is entrenched, 37 (46%) of 81 patients had parasite recrudescence. In Preah Vihear, where artemisinin resistance is emerging, ten (16%) of 63 patients had recrudescence and in Ratanakiri, where artemisinin resistance is rare, one (2%) of 60 patients did. Patients with recrudescent P falciparum infections were more likely to have detectable piperaquine plasma concentrations at baseline compared with non-recrudescent patients, but did not differ significantly in age, initial parasite density, or piperaquine plasma concentrations at 7 days. Recrudescent parasites had a higher prevalence of kelch13 mutations, higher piperaquine 50% inhibitory

  12. Pfmdr1 copy number and arteminisin derivatives combination therapy failure in falciparum malaria in Cambodia

    Directory of Open Access Journals (Sweden)

    Wongsrichanalai Chansuda

    2009-01-01

    Full Text Available Abstract Background The combination of artesunate and mefloquine was introduced as the national first-line treatment for Plasmodium falciparum malaria in Cambodia in 2000. However, recent clinical trials performed at the Thai-Cambodian border have pointed to the declining efficacy of both artesunate-mefloquine and artemether-lumefantrine. Since pfmdr1 modulates susceptibility to mefloquine and artemisinin derivatives, the aim of this study was to assess the link between pfmdr1 copy number, in vitro susceptibility to individual drugs and treatment failure to combination therapy. Methods Blood samples were collected from P. falciparum-infected patients enrolled in two in vivo efficacy studies in north-western Cambodia: 135 patients were treated with artemether-lumefantrine (AL group in Sampovloun in 2002 and 2003, and 140 patients with artesunate-mefloquine (AM group in Sampovloun and Veal Veng in 2003 and 2004. At enrollment, the in vitro IC50 was tested and the strains were genotyped for pfmdr1 copy number by real-time PCR. Results The pfmdr1 copy number was analysed for 115 isolates in the AM group, and for 109 isolates in the AL group. Parasites with increased pfmdr1 copy number had significantly reduced in vitro susceptibility to mefloquine, lumefantrine and artesunate. There was no association between pfmdr1 polymorphisms and in vitro susceptibilities. In the patients treated with AM, the mean pfmdr1copy number was lower in subjects with adequate clinical and parasitological response compared to those who experienced late treatment failure (n = 112, p p = 0.364. The presence of three or more copies of pfmdr1 were associated with recrudescence in artesunate-mefloquine treated patients (hazard ratio (HR = 7.80 [95%CI: 2.09–29.10], N = 115, p = 0.002 but not with recrudescence in artemether-lumefantrine treated patients (HR = 1.03 [95%CI: 0.24–4.44], N = 109, p = 0.969. Conclusion This study shows that pfmdr1 copy number is a molecular

  13. Factors associated with induced abortion among female entertainment workers: a cross-sectional study in Cambodia

    Science.gov (United States)

    Yi, Siyan; Tuot, Sovannary; Chhoun, Pheak; Pal, Khuondyla; Tith, Khimuy; Brody, Carinne

    2015-01-01

    Objective To explore risk factors associated with induced abortion among sexually active female entertainment workers (FEWs) in Cambodia. Design Cross-sectional study. Setting Phnom Penh and Siem Reap, Cambodia. Participants This study included 556 FEWs aged 18–47 years randomly selected from entertainment establishments in the two cities in 2014 using a two-stage cluster sampling method. Data were collected through face-to-face interviews using a structured questionnaire. Primary outcome measure History of induced abortion during the time working as a FEW. Results Of the total sample, 45.6% reported currently using a contraceptive method with condom (42.4%) being the most common method, followed by pills (25.6%). One-fourth (25%) of the respondents reported having been pregnant at least once, and 21.4% reported having at least one induced abortion during the time working as a FEW. After controlling for other covariates in a multivariate logistic regression model, FEWs with a history of induced abortion remained significantly more likely to be currently working in a karaoke bar (AOR=1.75, 95% CI 1.10 to 2.78), to have worked longer as a FEW (AOR=1.42, 95% CI 1.06 to 1.43), to have had a greater number of sexual partners in the past 12 months (AOR=1.86, 95% CI 1.02 to 1.54), to be currently using a contraceptive method (AOR=1.52, 95% CI 1.01 to 2.29), to be able to find condoms when they needed them (AOR=2.03, 95% CI 1.09 to 3.82), and to report inconsistent condom use with non-commercial partners in the past 3 months (AOR=1.62, 95% CI 1.06 to 3.44). Conclusions This study highlights the high rates of unwanted pregnancies that ended in induced abortions among FEWs in Cambodia. Access of FEWs to quality sexual and reproductive healthcare services is deemed a high priority. Integrated interventions to improve sexual and reproductive health among these vulnerable women should be tailored to reach the most-at-risk groups. PMID:26231754

  14. Dihydroartemisinin–piperaquine resistance in Plasmodium falciparum malaria in Cambodia: a multisite prospective cohort study

    Science.gov (United States)

    Amaratunga, Chanaki; Lim, Pharath; Suon, Seila; Sreng, Sokunthea; Mao, Sivanna; Sopha, Chantha; Sam, Baramey; Dek, Dalin; Try, Vorleak; Amato, Roberto; Blessborn, Daniel; Song, Lijiang; Tullo, Gregory S; Fay, Michael P; Anderson, Jennifer M; Tarning, Joel; Fairhurst, Rick M

    2016-01-01

    Background Artemisinin resistance in Plasmodium falciparum threatens to reduce the efficacy of artemisinin combination therapies (ACTs), thus compromising global efforts to eliminate malaria. Recent treatment failures with dihydroartemisinin-piperaquine, the current first-line ACT in Cambodia, suggest that piperaquine resistance may be emerging in this country. We explored the relation between artemisinin resistance and dihydroartemisinin–piperaquine failures, and sought to confirm the presence of piperaquine-resistant P falciparum infections in Cambodia. Methods In this prospective cohort study, we enrolled patients aged 2–65 years with uncomplicated P falciparum malaria in three Cambodian provinces: Pursat, Preah Vihear, and Ratanakiri. Participants were given standard 3-day courses of dihydroartemisinin–piperaquine. Peripheral blood parasite densities were measured until parasites cleared and then weekly to 63 days. The primary outcome was recrudescent P falciparum parasitaemia within 63 days. We measured piperaquine plasma concentrations at baseline, 7 days, and day of recrudescence. We assessed phenotypic and genotypic markers of drug resistance in parasite isolates. The study is registered with ClinicalTrials.gov, number NCT01736319. Findings Between Sept 4, 2012, and Dec 31, 2013, we enrolled 241 participants. In Pursat, where artemisinin resistance is entrenched, 37 (46%) of 81 patients had parasite recrudescence. In Preah Vihear, where artemisinin resistance is emerging, ten (16%) of 63 patients had recrudescence and in Ratanakiri, where artemisinin resistance is rare, one (2%) of 60 patients did. Patients with recrudescent P falciparum infections were more likely to have detectable piperaquine plasma concentrations at baseline compared with non-recrudescent patients, but did not differ significantly in age, initial parasite density, or piperaquine plasma concentrations at 7 days. Recrudescent parasites had a higher prevalence of kelch13 mutations

  15. Ex vivo piperaquine resistance developed rapidly in Plasmodium falciparum isolates in northern Cambodia compared to Thailand

    Directory of Open Access Journals (Sweden)

    Suwanna Chaorattanakawee

    2016-10-01

    Full Text Available Abstract Background The recent dramatic decline in dihydroartemisinin-piperaquine (DHA-PPQ efficacy in northwestern Cambodia has raised concerns about the rapid spread of piperaquine resistance just as DHA-PPQ is being introduced as first-line therapy in neighbouring countries. Methods Ex vivo parasite susceptibilities were tracked to determine the rate of progression of DHA, PPQ and mefloquine (MQ resistance from sentinel sites on the Thai–Cambodian and Thai–Myanmar borders from 2010 to 2015. Immediate ex vivo (IEV histidine-rich protein 2 (HRP-2 assays were used on fresh patient Plasmodium falciparum isolates to determine drug susceptibility profiles. Results IEV HRP-2 assays detected the precipitous emergence of PPQ resistance in Cambodia beginning in 2013 when 40 % of isolates had an IC90 greater than the upper limit of prior years, and this rate doubled to 80 % by 2015. In contrast, Thai–Myanmar isolates from 2013 to 14 remained PPQ-sensitive, while northeastern Thai isolates appeared to have an intermediate resistance profile. The opposite trend was observed for MQ where Cambodian isolates appeared to have a modest increase in overall sensitivity during the same period, with IC50 declining to median levels comparable to those found in Thailand. A significant association between increased PPQ IC50 and IC90 among Cambodian isolates with DHA-PPQ treatment failure was observed. Nearly all Cambodian and Thai isolates were deemed artemisinin resistant with a >1 % survival rate for DHA in the ring-stage assay (RSA, though there was no correlation among isolates to indicate cross-resistance between PPQ and artemisinins. Conclusions Clinical DHA-PPQ failures appear to be associated with declines in the long-acting partner drug PPQ, though sensitivity appears to remain largely intact for now in western Thailand. Rapid progression of PPQ resistance associated with DHA-PPQ treatment failures in northern Cambodia limits drugs of choice in

  16. Epidemiological and virological characteristics of influenza viruses circulating in Cambodia from 2009 to 2011.

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    Srey Viseth Horm

    Full Text Available BACKGROUND: The Cambodian National Influenza Center (NIC monitored and characterized circulating influenza strains from 2009 to 2011. METHODOLOGY/PRINCIPAL FINDINGS: Sentinel and study sites collected nasopharyngeal specimens for diagnostic detection, virus isolation, antigenic characterization, sequencing and antiviral susceptibility analysis from patients who fulfilled case definitions for influenza-like illness, acute lower respiratory infections and event-based surveillance. Each year in Cambodia, influenza viruses were detected mainly from June to November, during the rainy season. Antigenic analysis show that A/H1N1pdm09 isolates belonged to the A/California/7/2009-like group. Circulating A/H3N2 strains were A/Brisbane/10/2007-like in 2009 before drifting to A/Perth/16/2009-like in 2010 and 2011. The Cambodian influenza B isolates from 2009 to 2011 all belonged to the B/Victoria lineage represented by the vaccine strains B/Brisbane/60/2008 and B/Malaysia/2506/2004. Sequences of the M2 gene obtained from representative 2009-2011 A/H3N2 and A/H1N1pdm09 strains all contained the S31N mutation associated with adamantanes resistance except for one A/H1N1pdm09 strain isolated in 2011 that lacked this mutation. No reduction in the susceptibility to neuraminidase inhibitors was observed among the influenza viruses circulating from 2009 to 2011. Phylogenetic analysis revealed that A/H3N2 strains clustered each year to a distinct group while most A/H1N1pdm09 isolates belonged to the S203T clade. CONCLUSIONS/SIGNIFICANCE: In Cambodia, from 2009 to 2011, influenza activity occurred throughout the year with peak seasonality during the rainy season from June to November. Seasonal influenza epidemics were due to multiple genetically distinct viruses, even though all of the isolates were antigenically similar to the reference vaccine strains. The drug susceptibility profile of Cambodian influenza strains revealed that neuraminidase inhibitors would be the

  17. Factors associated with induced abortion among female entertainment workers: a cross-sectional study in Cambodia.

    Science.gov (United States)

    Yi, Siyan; Tuot, Sovannary; Chhoun, Pheak; Pal, Khuondyla; Tith, Khimuy; Brody, Carinne

    2015-07-31

    To explore risk factors associated with induced abortion among sexually active female entertainment workers (FEWs) in Cambodia. Cross-sectional study. Phnom Penh and Siem Reap, Cambodia. This study included 556 FEWs aged 18-47 years randomly selected from entertainment establishments in the two cities in 2014 using a two-stage cluster sampling method. Data were collected through face-to-face interviews using a structured questionnaire. History of induced abortion during the time working as a FEW. Of the total sample, 45.6% reported currently using a contraceptive method with condom (42.4%) being the most common method, followed by pills (25.6%). One-fourth (25%) of the respondents reported having been pregnant at least once, and 21.4% reported having at least one induced abortion during the time working as a FEW. After controlling for other covariates in a multivariate logistic regression model, FEWs with a history of induced abortion remained significantly more likely to be currently working in a karaoke bar (AOR=1.75, 95% CI 1.10 to 2.78), to have worked longer as a FEW (AOR=1.42, 95% CI 1.06 to 1.43), to have had a greater number of sexual partners in the past 12 months (AOR=1.86, 95% CI 1.02 to 1.54), to be currently using a contraceptive method (AOR=1.52, 95% CI 1.01 to 2.29), to be able to find condoms when they needed them (AOR=2.03, 95% CI 1.09 to 3.82), and to report inconsistent condom use with non-commercial partners in the past 3 months (AOR=1.62, 95% CI 1.06 to 3.44). This study highlights the high rates of unwanted pregnancies that ended in induced abortions among FEWs in Cambodia. Access of FEWs to quality sexual and reproductive healthcare services is deemed a high priority. Integrated interventions to improve sexual and reproductive health among these vulnerable women should be tailored to reach the most-at-risk groups. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

  18. GEOPHYSICS. Layered deformation in the Taiwan orogen.

    Science.gov (United States)

    Huang, T-Y; Gung, Y; Kuo, B-Y; Chiao, L-Y; Chen, Y-N

    2015-08-14

    The underthrusting of continental crust during mountain building is an issue of debate for orogens at convergent continental margins. We report three-dimensional seismic anisotropic tomography of Taiwan that shows a nearly 90° rotation of anisotropic fabrics across a 10- to 20-kilometer depth, consistent with the presence of two layers of deformation. The upper crust is dominated by collision-related compressional deformation, whereas the lower crust of Taiwan, mostly the crust of the subducted Eurasian plate, is dominated by convergence-parallel shear deformation. We interpret this lower crustal shearing as driven by the continuous sinking of the Eurasian mantle lithosphere when the surface of the subducted plate is coupled with the orogen. The two-layer deformation clearly defines the role of subduction in the formation of the Taiwan mountain belt.

  19. Dengue in Thailand and Cambodia: An Assessment of the Degree of Underrecognized Disease Burden Based on Reported Cases

    Science.gov (United States)

    Wichmann, Ole; Yoon, In-Kyu; Vong, Sirenda; Limkittikul, Kriengsak; Gibbons, Robert V.; Mammen, Mammen P.; Ly, Sowath; Buchy, Philippe; Sirivichayakul, Chukiat; Buathong, Rome; Huy, Rekol; Letson, G. William; Sabchareon, Arunee

    2011-01-01

    Background Disease incidence data are needed to guide decision-making for public health interventions. Although dengue is a reportable disease in Thailand and Cambodia, the degree that reported incidence underrecognizes true disease burden is unknown. We utilized dengue incidence calculated from laboratory-confirmed outpatient and inpatient cases in prospective cohort studies to estimate the magnitude of dengue underrecognition and to establish more accurate disease burden estimates for these countries. Methods and Findings Cohort studies were conducted among children aged dengue field site consortium over at least 2 dengue seasons. Age-group specific multiplication factors (MFs) were computed by comparing data from three cohort studies to national surveillance data in the same province and year. In Thailand, 14,627 person-years of prospective cohort data were obtained in two provinces and 14,493 person-years from one province in Cambodia. Average annual incidence of laboratory-confirmed dengue was 23/1,000 and 25/1,000 in Thailand, and 41/1,000 in Cambodia. Calculated MFs in these provinces varied by age-group and year (range 0.4–29). Average age-group specific MFs were then applied to country-level reporting data and indicated that in Thailand a median 229,886 (range 210,612–331,236) dengue cases occurred annually during 2003–2007 and a median 111,178 (range 80,452–357,135) cases occurred in Cambodia in children dengue cases was 8.7 and 2.6-fold in Thailand, and 9.1 and 1.4-fold in Cambodia, respectively. During the high-incidence year 2007, >95,000 children in Thailand and >58,000 children in Cambodia were estimated to be hospitalized due to dengue. Conclusion Calculating MFs by comparing prospective cohort study data to locally-reported national surveillance data is one approach to more accurately assess disease burden. These data indicate that although dengue is regularly reported in many countries, national surveillance data significantly

  20. Becoming and being academic women in Cambodia: Cultural and other understandings

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    TW Maxwell

    2015-12-01

    Full Text Available Cambodia’s higher education is under development. This is the first study of the role of women teaching in a university in Cambodia. There has been many studies of academic women in western countries and these guided the 16 interviews in Khmer that were carried out by young female researchers, translated by them and then analysed with the assistance of NVivo. Becoming an academic for many Cambodian women meant support from their parents and others close to them. Receipt of an international scholarship may have been critical. Perhaps the most important issue for these academic women was the need to balance demands on their time. Teaching hours could be negotiated, potentially at least, but only where the student numbers warranted it. An affirmative action approach appears to have developed at one of the two universities. Areas for future research are identified.

  1. The tyranny of taste: the case of organic rice in Cambodia.

    Science.gov (United States)

    Thavat, Maylee

    2011-01-01

    Fair-trade and organic products are often sold at price premiums justified by smaller production volumes that are associated with greater social and environmental responsibility. The consumption of these products confers on the consumer a greater sense of morality – and usually a claim to better taste. This paper tells the story of attempts to promote organic/fair-trade rice production by de facto organic Cambodian farmers for export to North American and European markets in order to assist poor farmers to trade their way out of poverty. It demonstrates that instead of promoting sustainable agriculture and fair trade between developed and developing markets, organic/fair-trade projects may impose First World consumer ideals and tastes that are out of step with the larger realities of agrarian transition in Cambodia and the wider region of developing Southeast Asia.

  2. Climate Change Risks – Methodological Framework and Case Study of Damages from Extreme Events in Cambodia

    DEFF Research Database (Denmark)

    Halsnæs, Kirsten; Kaspersen, Per Skougaard; Trærup, Sara Lærke Meltofte

    2016-01-01

    , affect damage estimates and thereby the economic recommendations for climate change adaptation decision making. The conclusion is that taken vulnerabilities and equity concerns into consideration in adaptation planning for Least Developed Countries really makes a strong case for allocating economic......Climate change imposes some special risks on Least Developed Countries, and the chapter presents a methodological framework, which can be used to assess the impacts of key assumptions related to damage costs, risks and equity implications on current and future generations. The methodological...... framework is applied to a case study of severe storms in Cambodia based on statistical information on past storm events including information about buildings damaged and victims. Despite there is limited data available on the probability of severe storm events under climate change as well on the actual...

  3. Effects of Rice Variety and Growth Location in Cambodia on Grain Composition and Starch Structure

    Institute of Scientific and Technical Information of China (English)

    Seila SAR; Morgan J.TIZZOTTI; Jovin HASJIM; Robert G.GILBERT

    2014-01-01

    The effects of variety and growth location on grain composition and starch structures were investigated using three rice (Oryza sativa L.) cultivars (Phka Romduol, Sen Pidao and IR66) with different amylose contents. All the three cultivars were planted in three different agro-climatic zones (Phnom Penh, Coastal and Plateau) of Cambodia. The protein content of polished grains increased when rice was planted at a location with higher average temperature, but their lipid content decreased. The amylose content and degree of branching were not greatly affected by the minor temperature differences among the growing locations. Starch fine structures characterized by the chain-length distribution were significantly different among the cultivars, but not significantly among different locations. The results suggested that protein and lipid biosyntheses were more sensitive to the environmental temperature than that of starch in rice grains.

  4. Characterizing HIV epidemiology in stable couples in Cambodia, the Dominican Republic, Haiti, and India.

    Science.gov (United States)

    Chemaitelly, H; Abu-Raddad, L J

    2016-01-01

    Using a set of statistical methods and HIV mathematical models applied on nationally representative Demographic and Health Survey data, we characterized HIV serodiscordancy patterns and HIV transmission dynamics in stable couples (SCs) in four countries: Cambodia, the Dominican Republic, Haiti, and India. The majority of SCs affected by HIV were serodiscordant, and about a third of HIV-infected persons had uninfected partners. Overall, nearly two-thirds of HIV infections occurred in individuals in SCs, but only about half of these infections were due to transmissions within serodiscordant couples. The majority of HIV incidence in the population occurred through extra-partner encounters in SCs. There is similarity in HIV epidemiology in SCs between these countries and countries in sub-Saharan Africa, despite the difference in scale of epidemics. It appears that HIV epidemiology in SCs may share similar patterns globally, possibly because it is a natural 'spillover' effect of HIV dynamics in high-risk populations.

  5. Boiling as Household Water Treatment in Cambodia: A Longitudinal Study of Boiling Practice and Microbiological Effectiveness

    Science.gov (United States)

    Brown, Joseph; Sobsey, Mark D.

    2012-01-01

    This paper focuses on the consistency of use and microbiological effectiveness of boiling as it is practiced in one study site in peri-urban Cambodia. We followed 60 randomly selected households in Kandal Province over 6 months to collect longitudinal data on water boiling practices and effectiveness in reducing Escherichia coli in household drinking water. Despite > 90% of households reporting that they used boiling as a means of drinking water treatment, an average of only 31% of households had boiled water on hand at follow-up visits, suggesting that actual use may be lower than self-reported use. We collected 369 matched untreated and boiled water samples. Mean reduction of E. coli was 98.5%; 162 samples (44%) of boiled samples were free of E. coli (boiled water in a covered container was associated with safer product water than storage in an uncovered container. PMID:22826487

  6. Endnote to "Mediating Chineseness in Cambodia" - Sojourns Across Sources: Unbraiding Sino-Cambodian Histories

    Directory of Open Access Journals (Sweden)

    Penny Edwards

    2012-09-01

    Full Text Available In her introduction to this special issue of Cross-Currents, Lorraine Paterson sets the scene for the featured articles and provides the context from which they emerged. This endnote essay works to a reverse formula, seeking if not to unweave then to unsettle the notion of bounded coherence and to spotlight instead the inchoate nature of any project to document the past. Rather than braiding together threads of our contributors' articles to signal the thematic coherence of this suite of papers on “mediating Chineseness,” I work instead from key themes presented in this collection to gesture towards loose ends and unstitched seams. Mirroring the genre of Willmott’s memoir essay, I invite reflection on these in-between spaces and the possibilities they represent for developing new approaches to the articulation, study, and mediation of “Chineseness” in Cambodia.

  7. Double inequity? The social dimensions of deforestation and forest protection in local communities in Northern Cambodia

    DEFF Research Database (Denmark)

    Pasgaard, Maya; Chea, Lily

    2013-01-01

    disproportionately affect the poorest households, which are more reliant on forest products due to less land and more insecure tenure. Meanwhile, the benefits from CF/REDD+ hardly reach these vulnerable households since their access to forest resources is constrained by physical barriers and a lack of resources...... or information. Their ability to enjoy benefits from forest protection is likewise limited by social exclusion facilitated by prevailing power structures. Instead, benefits are biased towards the better-off households who engage in forest protection activities and decision-making. In the context of weak...... governance, contested tenure arrangements, high agricultural dependency, and power discrepancies, this paper analyzes and critically discusses this ‘double inequity’ of deforestation and forest protection in Cambodia, and recommendations on how to ensure more equitable distribution of costs and benefits...

  8. [Marine envenomation by box-jellyfish in a tourist in Cambodia].

    Science.gov (United States)

    Bellaud, G; Epelboin, L; Henn, A; Perignon, A; Bricaire, F; Caumes, E

    2013-10-01

    We report a case of box-jellyfish related envenomation in a 40 year old tourist that occurred in Sihanoukville, Cambodia, in the Gulf of Thailand. Symptoms that appeared within a few minutes associated intense pain, hand edema and large edematous and erythematous flagellations in the stung skin areas. Antibiotics and corticosteroids were delivered. Inflammatory signs and skin lesions disappeared within 15 days followed by crusts then scars. Jellyfish at risk for humans are generally found in tropical seas and their geographic distribution seems to spread. As it is difficult to prevent this kind of accident, travelers should be aware of the first acts to perform, such as appropriate cleaning of the wound, the interest of vinegar usage, the administration of analgesics and corticosteroids in case of significant inflammatory signs.

  9. Russia-Taiwan Relations: History and Perspectives

    Directory of Open Access Journals (Sweden)

    Sergey Vradiy

    2017-04-01

    Full Text Available From the point of view of potential possibilities for the development of business, scientific and technical cooperation, Taiwan could be considered as a prospective partner for Russian businessmen in East Asia. It is defined by the island’s high degree of import dependence upon main categories of raw material resources and by its leading role in producing a number of articles in the manufacturing industry. The article will briefly review the contemporary history of Russia’s relations with Taiwan. It will also analyze the current status and presume the possibility for future prospects of bilateral economic and trade relations.

  10. [The Taiwan Nurses Association and professional diplomacy].

    Science.gov (United States)

    Lee, Sheuan

    2014-08-01

    The Taiwan Nurses Association (TWNA) is publishing a special centenary issue to commemorate the 100th anniversary of the association in 2014. For this issue, TWNA invited the author to write a review article that addresses the involvement of the TWNA in professional diplomacy and international exchange over the past century. The author reviews the history of both TWNA and the International Council of Nurses and introduces the contributions of the association in the field of professional diplomacy and the positive contributions of many Taiwan nursing leaders to global healthcare and society. The purpose of the paper is to convey the traditions and experiences of TWNA forward to the next generation.

  11. Taiwan: From China province to Japanese Colony

    Directory of Open Access Journals (Sweden)

    Marisela Conelly Ortiz

    2010-07-01

    Full Text Available This paper investigates the Japanese occupation of Taiwan from 1895 to 1945. It also explores the development of the Sino- Japanese War of 1894-1895 and the process of colonization. It explains the strengths and weaknesses of the Japanese military and civilian governments. It demonstrates that although the Japanese occupation brought economic welfare, it also brought discrimination towards Taiwanese people. The paper looks at the movement organized by Taiwanese intellectuals and students who wanted to gain political participation. Final remarks are given about the fifty years that Taiwan was occupied by the Japanese.

  12. Large-scale malaria survey in Cambodia: Novel insights on species distribution and risk factors

    Directory of Open Access Journals (Sweden)

    Doung Socheat

    2007-03-01

    Full Text Available Abstract Background In Cambodia, estimates of the malaria burden rely on a public health information system that does not record cases occurring among remote populations, neither malaria cases treated in the private sector nor asymptomatic carriers. A global estimate of the current malaria situation and associated risk factors is, therefore, still lacking. Methods A large cross-sectional survey was carried out in three areas of multidrug resistant malaria in Cambodia, enrolling 11,652 individuals. Fever and splenomegaly were recorded. Malaria prevalence, parasite densities and spatial distribution of infection were determined to identify parasitological profiles and the associated risk factors useful for improving malaria control programmes in the country. Results Malaria prevalence was 3.0%, 7.0% and 12.3% in Sampovloun, Koh Kong and Preah Vihear areas. Prevalences and Plasmodium species were heterogeneously distributed, with higher Plasmodium vivax rates in areas of low transmission. Malaria-attributable fevers accounted only for 10–33% of malaria cases, and 23–33% of parasite carriers were febrile. Multivariate multilevel regression analysis identified adults and males, mostly involved in forest activities, as high risk groups in Sampovloun, with additional risks for children in forest-fringe villages in the other areas along with an increased risk with distance from health facilities. Conclusion These observations point to a more complex malaria situation than suspected from official reports. A large asymptomatic reservoir was observed. The rates of P. vivax infections were higher than recorded in several areas. In remote areas, malaria prevalence was high. This indicates that additional health facilities should be implemented in areas at higher risk, such as remote rural and forested parts of the country, which are not adequately served by health services. Precise malaria risk mapping all over the country is needed to assess the

  13. Negotiation for safer sex among married women in Cambodia: the role of women's autonomy.

    Science.gov (United States)

    Ung, Mengieng; Boateng, Godfred O; Armah, Frederick A; Amoyaw, Jonathan A; Luginaah, Isaac; Kuuire, Vincent

    2014-01-01

    Negotiating safer sex among married women has been identified as an important determinant of vulnerability or resilience to new HIV infections. Using the Cambodia Demographic and Health Survey data of 2010, this paper examined negotiation for safer sex among 11,218 married women in the context of Cambodia's highly touted reduction in HIV/AIDS prevalence. The results from a complementary log-log regression model indicate that wealthier and highly educated married women were more likely to report that they can refuse sexual intercourse and ask their husbands to use a condom. Interestingly, while women who were fully involved in decision-making on their own health care were 19% more likely to refuse sex, they were 14% less likely to be able to ask their husbands to use a condom, compared with their counterparts who were not involved in this decision-making. Women who were partially involved in decision-making on family visits were 17% less likely to be able to ask their husbands to use a condom compared with those who were not involved. In this context, involvement in decision-making may have translated into trust and risk compensation. Those who believed in HIV transmission myths were less likely to negotiate safer sex relative to their counterparts who did not hold such myths to be true. Women's ability to negotiate for safer sex is, therefore, a function of their autonomy in terms of their full participation in decision-making in health care, household expenditure and mobility. Policy implications of the capacity of women to negotiate for safer sex are delineated.

  14. Reduced Emission from Deforestation and Degradation in the Southern Cardamom Ecosystem, Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Grogan, K.; Hansfort, S.L.; Van Beukering, P.J.H.; Van der Leeuw, K.

    2009-07-15

    The aim of this study is to estimate the potential for generating carbon credits from Reducing Emissions from Deforestation and Degradation (REDD) in a region known as the Southern Cardamoms Ecosystem, Southwest Cambodia. Through the last decade, the Southern Cardamom Ecosystem has seen increasing pressures on the forest resources. The Royal government of Cambodia struggled to control degrading forest activities in the area alone and therefore sought the assistance of the NGO Wildlife Alliance in 2002. The option to attain carbon credits from REDD now offers an opportunity to achieve various goals: (1) to conserve the forest, (2) reduce CO2 emissions, (3) support and develop local communities; and (4) generate revenues for the Cambodian government and the NGO Wildlife Alliance. The potential amount of carbon benefits that can be generated has been estimated through an analysis of what is technically possible given the conditions of the project area, such as carbon density and deforestation rate. This technical assessment was complimented by an analysis of the current institutional and social conditions/barriers that can affect the actual quantity of marketable carbon. It was found that the technical potential lies in the range between 0.4 and 1.3 million tCO2/yr. However, the actual emission reductions that can be captured by REDD is dependent on how much deforestation can be reduced, and how effectively the project deals with the issues of permanence and leakage. These three aspects are in turn dependent of several institutional and social-economic factors. While the project is currently in the early phase of development, emphasis must be put on generating benefits for the local people who in reality bear the cost of reducing deforestation. Local people are a vital component to the overall success of the REDD project. Encouraging their participation and cooperation in the project can ensure long-term permanent emission reductions.

  15. Tropical tree water use under seasonal waterlogging and drought in central Cambodia

    Science.gov (United States)

    Miyazawa, Yoshiyuki; Tateishi, Makiko; Komatsu, Hikaru; Ma, Vuthy; Kajisa, Tsuyoshi; Sokh, Heng; Mizoue, Nobuya; Kumagai, Tomo'omi

    2014-07-01

    In central Cambodia, rapid growing non-endemic species are planted for future timber production. However, less is understood about the impact of the introduction of non-endemic species on the transpiration characteristics of the forest, which has been composed of native species that adapted to the highly seasonal environments. Sap flux of two native and one non-endemic tree species in central Cambodia was measured to reveal its seasonal trends and variability in the Monsoon Asia region. Measurements were carried out in a 10- to 15-year-old forest in the dry and rainy seasons that were defined by differing rainfall patterns. The seasonal trend in depth to water table differed from that of rainfall; groundwater table depth reached zero late in the rainy season and increased gradually after the onset of the dry season. The ratio of sap flux to an equilibrium evaporation condition of the native species, Popel (Shorea roxburghii), showed a sharp decline at the end of the dry season, whereas that of a non-endemic species, eucalyptus (Eucalyptus camaldulensis), decreased in the mid rainy season while Tbeng (Dipterocarpus obtusifolius) did not show a clear trend. The ratio of sap flux to an equilibrium evaporation was negatively correlated with the depth to water table in Popel, but was positively correlated in eucalyptus, possibly because of the negative effects of flooding. In addition to the large seasonal variation, intra-species variation in sap flux was also large and was a major controlling factor for tree-level water uptake at this young forest site in both dry and rainy seasons. In conclusion, the transpiration characteristics of this forest were species-specific and were controlled more by the fluctuating depths to groundwater rather than the onset of the rainy/dry seasons defined by rainfall events.

  16. Cow-baited tents are highly effective in sampling diverse Anopheles malaria vectors in Cambodia.

    Science.gov (United States)

    St Laurent, Brandyce; Oy, Kolthida; Miller, Becky; Gasteiger, Elizabeth B; Lee, Eunjae; Sovannaroth, Siv; Gwadz, Robert W; Anderson, Jennifer M; Fairhurst, Rick M

    2016-08-30

    The accurate monitoring and evaluation of malaria vectors requires efficient sampling. The objective of this study was to compare methods for sampling outdoor-biting Anopheles mosquitoes in Cambodia. In the Cambodian provinces of Pursat, Preah Vihear, and Ratanakiri, six different mosquito trapping methods were evaluated: human landing collection (HLC), human-baited tent (HBT), cow-baited tent (CBT), CDC miniature light trap (LT), CDC miniature light trap baited with molasses and yeast (LT-M), and barrier fence (F) in a Latin square design during four or six consecutive nights at the height of the malaria transmission season. Using all traps, a total of 507, 1175, and 615 anophelines were collected in Pursat, Preah Vihear, and Ratanakiri, respectively. CBTs captured 10- to 20-fold more anophelines per night than the other five sampling methods. All 2297 Anopheles mosquitoes were morphologically identified and molecularly typed using standard morphological keys and sequencing the rDNA ITS2 region to distinguish cryptic species, respectively. Overall, an extremely diverse set of 27 known Anopheles species was sampled. CBTs captured the same molecular species that HLCs and the other four traps did, as well as additional species. Nine specimens representing five Anopheles species (Anopheles hyrcanus, Anopheles barbirostris sensu stricto, Anopheles barbirostris clade III, Anopheles nivipes, and Anopheles peditaeniatus) were infected with Plasmodium falciparum and were exclusively captured in CBTs. These data indicate that cow-baited tents are highly effective in sampling diverse Anopheles malaria vectors in Cambodia. This sampling method captured high numbers of anophelines with limited sampling effort and greatly reduced human exposure to mosquito bites compared to the gold-standard human landing collection.

  17. Large-scale malaria survey in Cambodia: novel insights on species distribution and risk factors.

    Science.gov (United States)

    Incardona, Sandra; Vong, Sirenda; Chiv, Lim; Lim, Pharath; Nhem, Sina; Sem, Rithy; Khim, Nimol; Doung, Socheat; Mercereau-Puijalon, Odile; Fandeur, Thierry

    2007-03-27

    In Cambodia, estimates of the malaria burden rely on a public health information system that does not record cases occurring among remote populations, neither malaria cases treated in the private sector nor asymptomatic carriers. A global estimate of the current malaria situation and associated risk factors is, therefore, still lacking. A large cross-sectional survey was carried out in three areas of multidrug resistant malaria in Cambodia, enrolling 11,652 individuals. Fever and splenomegaly were recorded. Malaria prevalence, parasite densities and spatial distribution of infection were determined to identify parasitological profiles and the associated risk factors useful for improving malaria control programmes in the country. Malaria prevalence was 3.0%, 7.0% and 12.3% in Sampovloun, Koh Kong and Preah Vihear areas. Prevalences and Plasmodium species were heterogeneously distributed, with higher Plasmodium vivax rates in areas of low transmission. Malaria-attributable fevers accounted only for 10-33% of malaria cases, and 23-33% of parasite carriers were febrile. Multivariate multilevel regression analysis identified adults and males, mostly involved in forest activities, as high risk groups in Sampovloun, with additional risks for children in forest-fringe villages in the other areas along with an increased risk with distance from health facilities. These observations point to a more complex malaria situation than suspected from official reports. A large asymptomatic reservoir was observed. The rates of P. vivax infections were higher than recorded in several areas. In remote areas, malaria prevalence was high. This indicates that additional health facilities should be implemented in areas at higher risk, such as remote rural and forested parts of the country, which are not adequately served by health services. Precise malaria risk mapping all over the country is needed to assess the extensive geographical heterogeneity of malaria endemicity and risk

  18. Survey of smallholder beef cattle production systems in different agro-ecological zones of Cambodia.

    Science.gov (United States)

    Samkol, Pok; Sath, Keo; Patel, Mikaela; Windsor, Peter Andrew; Holtenius, Kjell

    2015-10-01

    A survey was conducted to better understand the contribution of farm productivity to rural household income and identify differences in production systems, feeding practices and development constraints to smallholder beef cattle producers in the four agro-ecological zones (AEZs) of Cambodia. A semi-structured questionnaire was used to interview 360 households in the four AEZs: I, the Great Lake Floodplain; II, the Mekong Floodplain; III, the Coastal and IV, the Plateau/Mountainous. In addition, samples of common nutritional resources used for cattle feed were collected for nutrient composition analysis, plus cattle were scored for body condition. Rice farming and cattle production were the most common sources of income in all AEZs. The average cattle herd size was 3.7 (SD = 2.4), but the majority of households raised 1-3 animals. The most common cattle management system was grazing with supplementation, mainly with rice straw and 'cut-and-carry' natural grasses fed during the wet season in all AEZs. The body condition score of all cattle types was 3.2 (SD = 0.8), except for cows in lactation that were 1.8. Major constraints to cattle production in AEZs I, II and III were lack of quality feed resources, capital for cattle production and concerns on breed quality, whereas in AEZ IV, diseases were identified as the main constraint. This survey confirms the importance of cattle to smallholders in the four AEZs. Interventions including farmer education to improve husbandry skills, increase the utilisation of forages and crop residues and address disease issues are necessary to enhance cattle production and rural livelihoods in Cambodia.

  19. Nutritional and Micronutrient Status of Female Workers in a Garment Factory in Cambodia

    Directory of Open Access Journals (Sweden)

    Jan Makurat

    2016-11-01

    Full Text Available Background: Concerns about the nutritional status of Cambodian garment workers were raised years ago but data are still scarce. The objectives of this study are to examine the nutritional, hemoglobin and micronutrient status of female workers in a garment factory in Phnom Penh, Cambodia, and to assess if body mass index is associated with hemoglobin and/or micronutrient status. Methods: A cross-sectional survey was conducted among 223 female workers (nulliparous, non-pregnant at a garment factory in Phnom Penh. Anthropometric measurements were performed and blood samples were taken to obtain results on hemoglobin, iron, vitamin A, vitamin B12 and inflammation status (hemoglobinopathies not determined. Bivariate correlations were used to assess associations. Results: Overall, 31.4% of workers were underweight, 26.9% showed anemia, 22.1% showed iron deficiency, while 46.5% had marginal iron stores. No evidence of vitamin A or vitamin B12 deficiency was found. Body mass index was associated with serum ferritin (negative and serum retinol-binding protein (positive concentrations, but not strongly. A comparison between underweight and not underweight workers resulted in distinctions for iron deficiency and iron deficiency anemia, with a higher prevalence among not underweight. Conclusions: The prevalence of underweight, anemia and poor iron status was high. Young and nulliparous female garment workers in Cambodia might constitute a group with elevated risk for nutritional deficiencies. Strategies need to be developed for improving their nutritional, micronutrient and health status. The poor iron status seems to contribute to the overall prevalence of anemia. Low hemoglobin and iron deficiency affected both underweight and those not underweight. Despite the fact that body mass index was negatively associated with iron stores, true differences in iron status between underweight and not underweight participants cannot be confirmed.

  20. Nutritional and Micronutrient Status of Female Workers in a Garment Factory in Cambodia.

    Science.gov (United States)

    Makurat, Jan; Friedrich, Hanna; Kuong, Khov; Wieringa, Frank T; Chamnan, Chhoun; Krawinkel, Michael B

    2016-11-02

    Concerns about the nutritional status of Cambodian garment workers were raised years ago but data are still scarce. The objectives of this study are to examine the nutritional, hemoglobin and micronutrient status of female workers in a garment factory in Phnom Penh, Cambodia, and to assess if body mass index is associated with hemoglobin and/or micronutrient status. A cross-sectional survey was conducted among 223 female workers (nulliparous, non-pregnant) at a garment factory in Phnom Penh. Anthropometric measurements were performed and blood samples were taken to obtain results on hemoglobin, iron, vitamin A, vitamin B12 and inflammation status (hemoglobinopathies not determined). Bivariate correlations were used to assess associations. Overall, 31.4% of workers were underweight, 26.9% showed anemia, 22.1% showed iron deficiency, while 46.5% had marginal iron stores. No evidence of vitamin A or vitamin B12 deficiency was found. Body mass index was associated with serum ferritin (negative) and serum retinol-binding protein (positive) concentrations, but not strongly. A comparison between underweight and not underweight workers resulted in distinctions for iron deficiency and iron deficiency anemia, with a higher prevalence among not underweight. The prevalence of underweight, anemia and poor iron status was high. Young and nulliparous female garment workers in Cambodia might constitute a group with elevated risk for nutritional deficiencies. Strategies need to be developed for improving their nutritional, micronutrient and health status. The poor iron status seems to contribute to the overall prevalence of anemia. Low hemoglobin and iron deficiency affected both underweight and those not underweight. Despite the fact that body mass index was negatively associated with iron stores, true differences in iron status between underweight and not underweight participants cannot be confirmed.

  1. Moringa oleifera from Cambodia Ameliorates Oxidative Stress, Hyperglycemia, and Kidney Dysfunction in Type 2 Diabetic Mice.

    Science.gov (United States)

    Tang, Yujiao; Choi, Eun-Ju; Han, Weon Cheol; Oh, Mirae; Kim, Jin; Hwang, Ji-Young; Park, Pyo-Jam; Moon, Sang-Ho; Kim, Yon-Suk; Kim, Eun-Kyung

    2017-05-01

    Recent reports have shown the antidiabetic effect of Moringa oleifera from various parts of the world. However, M. oleifera from Cambodia has never determined. Therefore, the aim of this study was to assess the antidiabetic effect of M. oleifera extract from Cambodia. The leaf ethanolic extract contained flavonoids (31.90 mg/mL), polyphenols (53.03 mg/mL), lycopene (0.042 mg/mL), and ß-carotene (0.170 mg/mL), and possessed 2,2-diphenyl-1-picrylhydrazyl, hydrogen peroxide, and hydroxyl radical scavenging activities of 92.40, 99.25, and 83.57 TE/μM at 1 mg/mL, respectively. Db/db mice were orally administered the leaf extract (150 mg/kg/day) for 5 weeks. M. oleifera treatment significantly ameliorated the altered fasting plasma glucose (from 483 to 312 mg/dL), triglyceride (from 42.12 to 23.00 mg/dL), and low-density lipoprotein cholesterol (from 107.21 to 64.25 mg/dL) compared to control group, and increased the insulin levels from 946 ± 92 to 1678 ± 268 pg/mL. The histopathological damage and expression levels of tumor necrosis factor-alpha, interleukin (IL)-1β, IL-6, cyclooxygenase-2, and inducible nitric oxide synthase in renal tissue decreased. These results indicate the potential antidiabetic benefits of M. oleifera ethanolic leaf extract.

  2. Emergence of community-associated methicillin-resistant Staphylococcus aureus associated with pediatric infection in Cambodia.

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    Kheng Chheng

    Full Text Available BACKGROUND: The incidence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA infection is rising in the developed world but appears to be rare in developing countries. One explanation for this difference is that resource poor countries lack the diagnostic microbiology facilities necessary to detect the presence of CA-MRSA carriage and infection. METHODOLOGY AND PRINCIPAL FINDINGS: We developed diagnostic microbiology capabilities at the Angkor Hospital for Children, Siem Reap, western Cambodia in January 2006 and in the same month identified a child with severe community-acquired impetigo caused by CA-MRSA. A study was undertaken to identify and describe additional cases presenting between January 2006 and December 2007. Bacterial isolates underwent molecular characterization using multilocus sequence typing, staphylococcal cassette chromosome mec (SCCmec typing, and PCR for the presence of the genes encoding Panton-Valentine Leukocidin (PVL. Seventeen children were identified with CA-MRSA infection, of which 11 had skin and soft tissue infection and 6 had invasive disease. The majority of cases were unrelated in time or place. Molecular characterization identified two independent MRSA clones; fifteen isolates were sequence type (ST 834, SCCmec type IV, PVL gene-negative, and two isolates were ST 121, SCCmec type V, PVL gene-positive. CONCLUSIONS: This represents the first ever report of MRSA in Cambodia, spread of which would pose a significant threat to public health. The finding that cases were mostly unrelated in time or place suggests that these were sporadic infections in persons who were CA-MRSA carriers or contacts of carriers, rather than arising in the context of an outbreak.

  3. Tobacco use among adults in Cambodia: evidence for a tobacco epidemic among women.

    Science.gov (United States)

    Singh, Pramil N; Yel, Daravuth; Sin, Sovann; Khieng, Sothy; Lopez, Jaime; Job, Jayakaran; Ferry, Linda; Knutsen, Synnove

    2009-12-01

    To identify the demographic characteristics of current tobacco users in Cambodia, particularly women, and to explore the reasons for current tobacco use in demographic subgroups of the Cambodian population. We used a stratified three-stage cluster sample of 13,988 adults aged 18 years and older from all provinces in 2005-2006. Participants completed an interviewer-administered survey that contained items on all forms of tobacco use and on health and lifestyle variables. Multivariable regression analysis was performed to identify demographic predictors of tobacco use. Cigarette smoking occurred among 48.0% of men and 3.6% of women. We estimated that 560,482 women (95% confidence interval, CI: 504,783 to 616 180) currently chewed tobacco (typically as a component of betel quid) and that the prevalence more than doubles with each decade of adulthood up to the point that about half of all older women chew tobacco. Both men and women cited the influence of older relatives as their primary reason for starting to use tobacco. About one out of five rural women who used chewing tobacco started their habit for relief from morning sickness. The highest prevalence of chewing tobacco among women was seen among midwives (67.9%) and traditional healers (47.2%). High rates (66.8%) of cigarette and pipe tobacco use occurred among ethnic minorities who represent hill tribes found throughout south-east Asia. The tobacco epidemic in Cambodia extends far beyond cigarette smoking in men. Tobacco control that focuses only on cigarettes will not address the health burden from smokeless tobacco use in women that may be an integral part of cultural, familial, and traditional medicine practices.

  4. Betel quid use in relation to infectious disease outcomes in Cambodia.

    Science.gov (United States)

    Singh, Pramil N; Natto, Zuhair; Yel, Daravuth; Job, Jayakaran; Knutsen, Synnove

    2012-04-01

    The habitual chewing of betel quid (areca nut, betel leaf, tobacco) is estimated to occur among 600 million persons in Asia and the Asia-Pacific Region. Emerging data from rural Asia indicate that the betel quid is part of traditional medicine practices that promote its use for a wide range of ailments, including infectious disease. In the present study, we examined the association between betel quid, traditional medicine, and infectious disease outcomes. For the purpose of a nationwide, interviewer-administered, cross-sectional survey of tobacco use (including betel quid), we conducted a stratified three-stage cluster sampling of 13 988 adults aged 18 years and older from all provinces of Cambodia. We found an association between the intensity of betel quid use and HIV/AIDS (odds ratio (OR) 2.06, 95% CI 1.09-3.89), dengue fever (OR 2.40, 95% CI 1.55-2.72), tuberculosis (OR 1.50, 95% CI 0.96-2.36), and typhoid (OR 1.48, 95% CI 0.95-2.30). These associations were even stronger in women - the primary users of betel quid in Cambodia. Multivariable analyses that controlled for age, gender, income, education, urban versus rural dwelling, receiving care from traditional medicine practitioners, and cigarette smoking did not alter the betel quid-infectious disease association. Our findings raise the possibility of a role of betel quid use in the transmission of infectious disease through pathways such as immunosuppression, oral route of entry for a pathogen (i.e., through injury to the oral mucosa), and contamination (i.e., fecal-oral) of the betel quid ingredients. Copyright © 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  5. Geochemistry of aquifer sediments and arsenic-rich groundwaters from Kandal Province, Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Rowland, Helen A.L.; Gault, Andrew G.; Lythgoe, Paul [School of Earth, Atmospheric and Environmental Sciences and Williamson Research Centre for Molecular Environmental Science, University of Manchester, Manchester M13 9PL (United Kingdom); Polya, David A. [School of Earth, Atmospheric and Environmental Sciences and Williamson Research Centre for Molecular Environmental Science, University of Manchester, Manchester M13 9PL (United Kingdom)], E-mail: david.polya@manchester.ac.uk

    2008-11-15

    Elevated As is well known to be present in aquifers utilised for drinking water and irrigation in West Bengal and Bangladesh. This problem has also more recently been discovered in other parts of Asia, including Vietnam, Cambodia, Inner Mongolia and the Middle Ganges Plain. Analysis of groundwaters in Kandal Province of Cambodia found waters with comparable geochemistry to the As-rich groundwaters of the West Bengali Delta. Similarities included high but heterogeneous As distributions, predominantly in the form As(III), high Fe, moderate to high HCO{sub 3}{sup -}, circumneutral pH, low SO{sub 4}{sup 2-} and geochemical components indicative of reducing conditions. Good positive correlations between As, Fe, HCO{sub 3}{sup -} and NH{sub 4}{sup +}, and dissolved organic C is consistent with As release predominantly via microbially mediated reductive dissolution of As bearing Fe(III) oxides. Further evidence for such a process is found from correlations between As, Fe and organic matter from analysis of aquifer sediments, by the presence of goethite in the finer fractions and from the association of As with amorphous, poorly crystalline and well crystallised hydrous Fe oxides. The presence of several high As, but low Fe, wells implies that microbes could have a more direct role in mediating As release via the direct utilisation of Fe(III) or As(V) as electron acceptors. The presence of elevated As in waters with short aquifer residence times (as indicated by their geochemical signature) highlights the possible vulnerability of these aquifers to the influx of surface derived waters, providing an additional source of labile organic C that could exacerbate As release by stimulating microbial activity.

  6. Women's nutrient intakes and food-related knowledge in rural Kandal province, Cambodia.

    Science.gov (United States)

    Wallace, Lauren J; Summerlee, Alastair J S; Dewey, Cate E; Hak, Chantharith; Hall, Ann; Charles, Christopher V

    2014-01-01

    In Cambodia, both anaemia and vitamin A deficiency are serious health problems. Despite this, few comprehensive nutritional surveys have been completed to date. This study evaluates the adequacy of iron and vitamin A intakes, as well as women's nutritional knowledge in rural Kandal province. Twenty-four hour recalls, pile sort activities, socioeconomic surveys, focus groups, and market surveys were carried out with 67 women from 5 villages in rural Kandal Province. Ninety seven percent of women did not meet their daily-recommended intake of iron, while 70% did not meet their daily-recommended intake of vitamin A. Although many women consume vitamin A-rich and iron rich-foods daily, they do not consume large enough quantities of these foods. Results suggest that both the cost of foods as well as the extent of health knowledge is linked to nutritional practice. Most animal-source iron and vitamin A-rich foods are considered expensive; however, small fish, and several plant-source vitamin A-rich foods are inexpensive and easy to access. Despite health education, food restrictions lead some healthy foods to be considered to be harmful to women. Ultimately, this study demonstrates the importance of developing comprehensive nutritional interventions in Cambodia. Health programming must provide women with not only suggestions to include low-cost nutrient-rich foods, but also advise them about the quantities that are likely to have an impact on nutritional status. Programs should take a community-based, inter-sectoral approach that simultaneously combines culturally informed health education with initiatives that combat poverty and increase access to nutrient rich foods.

  7. Optimising strategies for Plasmodium falciparum malaria elimination in Cambodia: primaquine, mass drug administration and artemisinin resistance.

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    Richard J Maude

    Full Text Available BACKGROUND: Malaria elimination requires a variety of approaches individually optimized for different transmission settings. A recent field study in an area of low seasonal transmission in South West Cambodia demonstrated dramatic reductions in malaria parasite prevalence following both mass drug administration (MDA and high treatment coverage of symptomatic patients with artemisinin-piperaquine plus primaquine. This study employed multiple combined strategies and it was unclear what contribution each made to the reductions in malaria. METHOD AND FINDINGS: A mathematical model fitted to the trial results was used to assess the effects of the various components of these interventions, design optimal elimination strategies, and explore their interactions with artemisinin resistance, which has recently been discovered in Western Cambodia. The modelling indicated that most of the initial reduction of P. falciparum malaria resulted from MDA with artemisinin-piperaquine. The subsequent continued decline and near elimination resulted mainly from high coverage with artemisinin-piperaquine treatment. Both these strategies were more effective with the addition of primaquine. MDA with artemisinin combination therapy (ACT increased the proportion of artemisinin resistant infections, although much less than treatment of symptomatic cases with ACT, and this increase was slowed by adding primaquine. Artemisinin resistance reduced the effectiveness of interventions using ACT when the prevalence of resistance was very high. The main results were robust to assumptions about primaquine action, and immunity. CONCLUSIONS: The key messages of these modelling results for policy makers were: high coverage with ACT treatment can produce a long-term reduction in malaria whereas the impact of MDA is generally only short-term; primaquine enhances the effect of ACT in eliminating malaria and reduces the increase in proportion of artemisinin resistant infections; parasite

  8. Intestinal parasite infections in symptomatic children attending hospital in Siem Reap, Cambodia.

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    Catrin E Moore

    Full Text Available Infections with helminths and other intestinal parasites are an important but neglected problem in children in developing countries. Accurate surveys of intestinal parasites in children inform empirical treatment regimens and can assess the impact of school based drug treatment programmes. There is limited information on this topic in Cambodia.In a prospective study of intestinal parasites in symptomatic children attending Angkor Hospital for Children, Siem Reap, Cambodia, April-June 2012, samples were examined by microscopy of a direct and concentrated fecal sample. Two culture methods for hookworm and Strongyloides stercoralis were employed when sufficient sample was received. Demographic, clinical and epidemiological data were collected.We studied 970 samples from 865 children. The median (inter-quartile range age of the children was 5.4 (1.9-9.2 years, 54% were male. The proportion of children with abdominal pain was 66.8%, diarrhea 34.9%, anemia 12.7% and malnutrition 7.4%. 458 parasitic infections were detected in 340 (39.3% children. The most common parasites using all methods of detection were hookworm (14.3%, Strongyloides stercoralis (11.6% and Giardia lamblia (11.2%. Giardia lamblia was most common in children aged 1-5 years, hookworm and Strongyloides stercoralis were more common with increasing age. Hookworm, Strongloides stercoralis and Giardia lamblia were more common in children living outside of Siem Reap town. In a multivariate logistic regression increasing age was associated with all three infections, defecating in the forest for hookworm infection, the presence of cattle for S. stercoralis and not using soap for handwashing for G. lamblia.This study confirms the importance of intestinal parasitic infections in symptomatic Cambodian children and the need for adequate facilities for laboratory diagnosis together with education to improve personal hygiene and sanitation.

  9. Melioidosis in lower provincial Cambodia: A case series from a prospective study of sepsis in Takeo Province.

    Science.gov (United States)

    Schully, Kevin L; Berjohn, Catherine M; Prouty, Angela M; Fitkariwala, Amitha; Som, Tin; Sieng, Darith; Gregory, Michael J; Vaughn, Andrew; Kheng, Sim; Te, Vantha; Duplessis, Christopher A; Lawler, James V; Clark, Danielle V

    2017-09-13

    Melioidosis is a severe infectious disease caused by the gram-negative soil bacterium Burkholderia pseudomallei. Melioidosis is well known to be a major cause of morbidity and mortality in Southeast Asia, particularly in Thailand. However, melioidosis remains underreported in surrounding areas such as Cambodia. We report a case series of melioidosis in seven patients from Takeo Province, Cambodia. The patients, aged 24-65 years, were enrolled from May 2014 to May 2015 during a one year prospective study of sepsis at Takeo Provincial Hospital. They presented with fever, rigors, dyspnea, fatigue, diaphoresis, productive cough, and skin abscesses. Six of the seven patients were also hyponatremic. B. pseudomallei was cultured from the blood of six patients and the sputum of one patient. In this manuscript, we provide a detailed description of the clinical presentation, case management and laboratory confirmation of B. pseudomallei, as well as discuss the difficulties of identifying and treating melioidosis in low resource settings.

  10. Gestalt Group Dreamwork Demonstrations in Taiwan

    Science.gov (United States)

    Coven, Arnold B.

    2004-01-01

    The application of Gestalt dreamwork was explored with counselor education students and professors at two Taiwan universities. The literature indicates Asians are reluctant to disclose personal matters or to display emotions. Contrary to expectations, the Taiwanese participants readily enacted roles, were personally open, and expressed intense…

  11. Chinese Parenting Reconsideration: Parenting Practices in Taiwan.

    Science.gov (United States)

    Chen, Fu-mei; Luster, Tom

    This study examined authoritative and authoritarian parenting and specific parenting practices among Chinese mothers with preschoolers. The final sample consisted of 463 mothers with their 3 to 7 year-olds from 11 preschools, in Taiwan. Mothers completed a Chinese translation of the Parenting Behavior Questionnaire that assessed their parenting…

  12. Factors Related to Parenting Practices in Taiwan.

    Science.gov (United States)

    Chen, Fu-Mei; Luster Tom

    2002-01-01

    This study examined factors related to authoritarian and authoritative parenting practices among 463 Chinese mothers with preschoolers in Taiwan. Questionnaire findings suggested that maternal depression, child temperament, and degree of parenting daily hassles might have cross-culturally universal influence on parenting practices. Chinese…

  13. Ethos Derived from Karaoke Performance in Taiwan.

    Science.gov (United States)

    Ma, Ringo

    Karaoke (singing along to music videos) has swept Taiwan with such force that many people go to singing schools to improve their singing. Three cases in this paper demonstrate how the ethos, or credibility, of the singer is a combination of initial and derived ethos. Who the singer is tends to determine how much attention he or she receives…

  14. Great Expectations: Teaching and Learning in Taiwan

    Science.gov (United States)

    Miller, Kevin J.

    2005-01-01

    The author recounts his experience as a Fulbright Scholar in the Department of Special Education at National Changhua University of Education (NCUE) in Changhua, Taiwan, during the fall of 2003. Several aspects of his experience are highlighted, including teaching foreign college students, learning Mandarin, conducting workshops, and consulting…

  15. Internet Addiction among High Schoolers in Taiwan.

    Science.gov (United States)

    Lin, Sunny S. J.; Tsai, Chin-Chung

    The purpose of this study was to develop a reliable and valid measurement for the identification of Internet addictive high school students. There were 615 subjects selected by a stratified sampling from the population of Taiwanese 10th to 12th graders. The final version of the Internet Addiction Scale for Taiwan High Schoolers (IAST) contained 20…

  16. Self-Efficacy, Taiwan Elementary Teachers Perspective

    Science.gov (United States)

    Jack, Brady M.; Liu, Chia-Ju; Chiu, Hoan-Lin

    2005-01-01

    This paper presents the results of a case study involving Taiwanese elementary teachers who teach science at the elementary grade school level. It advocates the position that a teacher's personal science efficacy belief influences his or her science teaching outcome expectations. It promotes the position that the success Taiwan has experienced in…

  17. Taiwan's underwater cultural heritage documentation management

    Science.gov (United States)

    Tung, Y.-Y.

    2015-09-01

    Taiwan is an important trading and maritime channels for many countries since ancient time. Numerous relics lie underwater due to weather, wars, and other factors. In the year of 2006, Bureau of Cultural Heritage (BOCH) entrusted the Underwater Archaeological Team of Academia Sinica to execute the underwater archaeological investigation projects. Currently, we verified 78 underwater targets, with 78 site of those had been recognized as shipwrecks sites. Up to date, there is a collection of 638 underwater objects from different underwater archaeological sites. Those artefacts are distributed to different institutions and museums. As very diverse management methods/systems are applied for every individual institution, underwater cultural heritage data such as survey, excavation report, research, etc. are poorly organized and disseminated for use. For better communication regarding to Taiwan's underwater cultural heritage in every level, a universal format of documentation should be established. By comparing the existing checklist used in Taiwan with guidelines that are followed in other countries, a more intact and appropriate underwater cultural heritage condition documentation system can be established and adapted in Taiwan.

  18. The Language Planning Situation in Taiwan.

    Science.gov (United States)

    Tsar, Feng-fu

    1999-01-01

    Presents a detailed study of the language planning situation in Taiwan. After a general account of the socio-historical context in which the planning activities have taken place, a brief review of what happened in terms of language planning in Mainland China under the Nationalist government between 1911 and 1945 is presented. (Author/VWL)

  19. Sustainability of Higher Education Institutions in Taiwan

    Science.gov (United States)

    Su, H. Jenny; Chang, Tzu-chau

    2010-01-01

    Purpose: The purpose of this paper is to provide the rationale and context for recent national policy and funded initiatives to support sustainability developments within higher education in Taiwan, including practical and educational aspects. Concrete examples and specific outcomes are reviewed, to produce a profile across the higher education…

  20. Gestalt Group Dreamwork Demonstrations in Taiwan

    Science.gov (United States)

    Coven, Arnold B.

    2004-01-01

    The application of Gestalt dreamwork was explored with counselor education students and professors at two Taiwan universities. The literature indicates Asians are reluctant to disclose personal matters or to display emotions. Contrary to expectations, the Taiwanese participants readily enacted roles, were personally open, and expressed intense…

  1. The expansion of textile and clothing firms of China to Asian Least Developed Countries: The Case of Cambodia

    OpenAIRE

    Wang, Jinmin; Wu, Jiebing; Yao, Xianguo

    2008-01-01

    Since the 1990s, the rapid expansion of China’s textiles and clothing enterprises to Cambodia has been closely linked to the phenomenon of industrial clustering of textiles and clothing firms at the Yangtze River Delta, Pearl River Delta and Bohai Rim. The report adopts the case study approach to examine the pattern and features of overseas foreign direct investment (OFDI) of textile and clothing firms in Zhejiang province and Jiangsu province of the Yangtze River Delta to the least developed...

  2. Community tenure rights and REDD+: a review of the Oddar Meanchey Community Forestry REDD+ Project in Cambodia

    OpenAIRE

    Donal Yeang

    2012-01-01

    "Tenure rights over land, forest, and carbon have become a contentious issue within REDD+ implementation across the tropics because local communities could be excluded from REDD+ benefits if land tenure or use and access rights are not clear. This study aims to understand and assess tenure arrangements under the first REDD+ demonstration project in Cambodia, the Oddar Meanchey Community Forestry REDD+ Project. In particular, the study explores the following questions: (1) How are tenure right...

  3. Point‐of‐sale promotion of breastmilk substitutes and commercially produced complementary foods in Cambodia, Nepal, Senegal and Tanzania

    Science.gov (United States)

    Pereira, Catherine; Sweet, Lara; Khin, Mengkheang; Ndiaye Coly, Aminata; Sy Gueye, Ndeye Yaga; Adhikary, Indu; Dhungel, Shrid; Makafu, Cecilia; Zehner, Elizabeth; Huffman, Sandra L.

    2016-01-01

    Abstract In order to assess the prevalence of point‐of‐sale promotions of infant and young child feeding products in Phnom Penh, Cambodia; Kathmandu Valley, Nepal; Dakar Department, Senegal; and Dar es Salaam, Tanzania, approximately 30 retail stores per site, 121 in total, were visited. Promotional activity for breastmilk substitutes (BMS) and commercially produced complementary foods in each site were recorded. Point‐of‐sale promotion of BMS occurred in approximately one‐third of sampled stores in Phnom Penh and Dakar Department but in 3.2% and 6.7% of stores in Kathmandu Valley and Dar es Salaam, respectively. Promotion of commercially produced complementary foods was highly prevalent in Dakar Department with half of stores having at least one promotion, while promotions for these products occurred in 10% or less of stores in the other three sites. While promotion of BMS in stores is legal in Senegal, it is prohibited in Cambodia without prior permission of the Ministry of Health/Ministry of Information and prohibited in both Nepal and Tanzania. Strengthening legislation in Senegal and enforcing regulations in Cambodia could help to prevent such promotion that can negatively affect breastfeeding practices. Key messages Even in countries such as Cambodia, Nepal and Tanzania where point‐of‐sale promotion is restricted, promotions of BMS were observed (in nearly one‐third of stores in Phnom Penh and less than 10% in Dar es Salaam and Kathmandu).Limited promotion of commercially produced complementary foods was evident (less than 10% of stores had a promotion for such foods), except in Dakar Department, where promotions were found in half of stores.Efforts are needed to strengthen monitoring, regulation and enforcement of restrictions on the promotion of BMS.Manufacturers and distributors should take responsibility for compliance with national regulations and global policies pertaining to the promotion of breastmilk substitutes. PMID:27061961

  4. Carbon-based Payments for Tropical Forest Conservation – A Case Study for Evergreen Forest in Cambodia

    OpenAIRE

    Sasaki, Nophea

    2010-01-01

    As negotiations to include reduced emissions from deforestation and degradation (REDD) in the post-Kyoto agreements are underway, study on carbon payments for the REDD projects become urgently important. Having experienced rapid degradation and deforestation, Cambodia’s highly stocked evergreen forest is the first priority forest to be conserved if carbon payments are available. Using inventory data and timber royalties in Cambodia, we analyze the costs for and revenues from timber harvesting...

  5. Median Urinary Iodine Concentrations Are Indicative of Adequate Iodine Status among Women of Reproductive Age in Prey Veng, Cambodia.

    Science.gov (United States)

    Karakochuk, Crystal D; Michaux, Kristina D; Chai, Tze L; Chan, Benny B; Whitfield, Kyly C; Barr, Susan I; McLean, Judy; Talukder, Aminuzzaman; Hou, Kroeun; Ly, Sokhoing; Green, Tim J

    2016-03-03

    Iodine deficiency disorders are estimated to affect over 1.9 million people worldwide. Iodine deficiency is especially serious for women during pregnancy and lactation because of the negative consequences for both mother and infant. The aim of this cross-sectional study was to determine the median urinary iodine concentration (UIC) as a population-level indicator of iodine status among rural women farmers of reproductive age (18-45 years) in the province of Prey Veng, Cambodia. A total of 450 women provided a spot morning urine sample in 2012. Of those women, 93% (n = 420) were non-pregnant and 7% (n = 30) were pregnant at the time of collection. UIC was quantified using the Sandell-Kolthoff reaction with modifications. The median UIC of non-pregnant (139 μg/L) and pregnant women (157 μg/L) were indicative of adequate iodine status using the WHO/UNICEF/ICCIDD epidemiological criteria for both groups (median UIC between 100-199 and 150-249 μg/L, respectively). We conclude that non-pregnant and pregnant women in rural Prey Veng, Cambodia had adequate iodine status based on single spot morning urine samples collected in 2012. More research is warranted to investigate iodine status among larger and more representative populations of women in Cambodia, especially in light of recent policy changes to the national program for universal salt iodization.

  6. Median Urinary Iodine Concentrations Are Indicative of Adequate Iodine Status among Women of Reproductive Age in Prey Veng, Cambodia

    Directory of Open Access Journals (Sweden)

    Crystal D. Karakochuk

    2016-03-01

    Full Text Available Iodine deficiency disorders are estimated to affect over 1.9 million people worldwide. Iodine deficiency is especially serious for women during pregnancy and lactation because of the negative consequences for both mother and infant. The aim of this cross-sectional study was to determine the median urinary iodine concentration (UIC as a population-level indicator of iodine status among rural women farmers of reproductive age (18–45 years in the province of Prey Veng, Cambodia. A total of 450 women provided a spot morning urine sample in 2012. Of those women, 93% (n = 420 were non-pregnant and 7% (n = 30 were pregnant at the time of collection. UIC was quantified using the Sandell-Kolthoff reaction with modifications. The median UIC of non-pregnant (139 μg/L and pregnant women (157 μg/L were indicative of adequate iodine status using the WHO/UNICEF/ICCIDD epidemiological criteria for both groups (median UIC between 100–199 and 150–249 μg/L, respectively. We conclude that non-pregnant and pregnant women in rural Prey Veng, Cambodia had adequate iodine status based on single spot morning urine samples collected in 2012. More research is warranted to investigate iodine status among larger and more representative populations of women in Cambodia, especially in light of recent policy changes to the national program for universal salt iodization.

  7. Le conflit thaïlando-cambodgien : L’affaire du temple Preah Vihear (The Taiwan-Cambodia Conflict: The Temple Preah Vihear Affair

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    Pavin Chachavalpongpun

    2011-01-01

    Full Text Available Comme le dit un adage thaïlandais, « on choisit ses amis, on ne choisit pas ses voisins ». Les relations entre Bangkok et Phnom Penh en sont une parfaite illustration. Le 22 avril 2011, de nouveaux affrontements entre les deux pays ont eu lieu. Le conflit a déjà fait plusieurs dizaines de morts et plusieurs centaines de blessés civils et militaires. Les affrontements armés ne semblent pas près de cesser et sont considérés comme les plus graves dans la région depuis l’instauration de l’Association des nations de l'Asie du Sud-Est (ASEAN en 1967. L’organisation asiatique, dont sont membres la Thaïlande et le Cambodge, s’est déclarée inquiète. La situation, très critique, pourrait avoir de terribles conséquences sur la sécurité de la région.

  8. Mercury Contamination of Skin-whitening Creams in Phnom Penh, Cambodia

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    Thomas Murphy

    2015-01-01

    Conclusion. Some producers of skin-whitening creams in Thailand, China and Taiwan appear to be aware of the risks of mercury contamination and have modified their products. However, other producers of skin-whitening creams continue to use mercury. XRF analysis allows for rapid screening of mercury in cosmetics and should be used to gather additional information on mercury content in cosmetics in support of public health efforts to stem the import, export and sales of skin creams containing mercury.

  9. Numerical Simulation of Barotropic Tides around Taiwan

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    Chih-Kai Hu

    2010-01-01

    Full Text Available A 1/12°, 2-D barotropic tide model was used to examine the characteristics of barotropic tides and to improve the accuracy of predicting tidal sea levels and currents in the seas around Taiwan. The form ratio suggests that tides are predominantly semidiurnal in the northern reaches of the Taiwan Strait and mixed of diurnal and semidiurnal elsewhere around Taiwan. When the dominant M2 wave enters the Strait from the north, its amplitude is magnified to ~2 m in the middle, and then decreases rapidly toward the south end of the Strait. The predominance of diurnal tides along the southwest to the south coast of Taiwan is attributed to the quasi-resonance of diurnal waves in the South China Sea. The tidal range is small and tidal currents are weak off the east coast of Taiwan. Barotropic tidal energy is mostly dissipated on the shallow banks of the southwestern Strait. Results summarized from sensitivity tests on the bottom drag coefficient (CD and horizontal eddy viscosity (AM indicate that CD = 0.0015 - 0.00175 and AM = 150 m2 s-1 lead to the best model-data fit when compared to the observed tidal sea levels at ten reference tide-gauge stations around Taiwan. The averaged root-mean-squared (RMS differences of the simulated tidal sea level for the six principal constituents of O1, P1, K1, N2, M2, and S2 are significantly reduced to 1.3, 0.7, 2.0, 1.6, 5.1, and 3.1 cm, respectively, compared to that calculated from a 0.5° resolution global tide harmonic constant database, NAO.99b (Matsumoto et al. 2000. The averaged RMS differences of barotropic tidal currents (U, V for O1, K1, M2, and S2 are (0.92, 1.64, (1.17, 0.61, (3.88, 2.37, and (1.52, 1.20 cm s-1. A database of tidal sea levels and current harmonic constants, TWTIDE08, for Q1, O1, P1, K1, J1, OO1, 2N2, μ2, N2, ν2, M2, L2, T2, S2, and K2 is established with this study.

  10. Estimation of methane and nitrous oxide emissions from rice field with rice straw management in Cambodia.

    Science.gov (United States)

    Vibol, S; Towprayoon, S

    2010-02-01

    To estimate the greenhouse gas emissions from paddy fields of Cambodia, the methodology of the Intergovernmental Panel on Climate Change (IPCC) guidelines, IPCC coefficients, and emission factors from the experiment in Thailand and another country were used. Total area under rice cultivation during the years 2005-2006 was 2,048,360 ha in the first crop season and 298,529 ha in the second crop season. The emission of methane from stubble incorporation with manure plus fertilizer application areas in the first crop season was estimated to be 192,783.74 ton higher than stubble with manure, stubble with fertilizer, and stubble without fertilizer areas. The fields with stubble burning emitted the highest emission of methane (75,771.29 ton) followed by stubble burning with manure (22,251.08 ton), stubble burning with fertilizer (13,213.27 ton), and stubble burning with fertilizer application areas (3,222.22 ton). The total emission of methane from rice field in Cambodia for the years 2005-2006 was approximately 342,649.26 ton (342.65 Gg) in the first crop season and 36,838.88 ton (36.84 Gg) in the second crop season. During the first crop season in the years 2005-2006, Battambang province emitted the highest amount of CH(4) (38,764.48 ton) and, in the second crop season during the years 2005-2006, the highest emission (8,262.34 ton) was found in Takeo province (8,262.34 ton). Nitrous oxide emission was between 2.70 and 1,047.92 ton in the first crop season and it ranged from 0 to 244.90 ton in the second crop season. Total nitrous oxide emission from paddy rice field was estimated to be 9,026.28 ton in the first crop season and 1,091.93 ton in the second crop season. Larger area under cultivation is responsible for higher emission of methane and nitrous oxide. Total emission of nitrous oxide by using IPCC default emission coefficient was approximately 2,328.85 ton. The total global warming potential of Cambodian paddy rice soil is 11,723,217.03 ton (11,723 Gg

  11. Selling sex in unsafe spaces: sex work risk environments in Phnom Penh, Cambodia

    Directory of Open Access Journals (Sweden)

    Maher Lisa

    2011-11-01

    Full Text Available Abstract Background The risk environment framework provides a valuable but under-utilised heuristic for understanding environmental vulnerability to HIV and other sexually transmitted infections among female sex workers. Brothels have been shown to be safer than street-based sex work, with higher rates of consistent condom use and lower HIV prevalence. While entertainment venues are also assumed to be safer than street-based sex work, few studies have examined environmental influences on vulnerability to HIV in this context. Methods As part of the Young Women's Health Study, a prospective observational study of young women (15-29 years engaged in sex work in Phnom Penh, we conducted in-depth interviews (n = 33 to explore vulnerability to HIV/STI and related harms. Interviews were conducted in Khmer by trained interviewers, transcribed and translated into English and analysed for thematic content. Results The intensification of anti-prostitution and anti-trafficking efforts in Cambodia has increased the number of women working in entertainment venues and on the street. Our results confirm that street-based sex work places women at risk of HIV/STI infection and identify significant environmental risks related to entertainment-based sex work, including limited access to condoms and alcohol-related intoxication. Our data also indicate that exposure to violence and interactions with the police are mediated by the settings in which sex is sold. In particular, transacting sex in environments such as guest houses where there is little or no oversight in the form of peer or managerial support or protection, may increase vulnerability to HIV/STI. Conclusions Entertainment venues may also provide a high risk environment for sex work. Our results indicate that strategies designed to address HIV prevention among brothel-based FSWs in Cambodia have not translated well to street and entertainment-based sex work venues in which increasing numbers of women are

  12. Mobile phone use among female entertainment workers in Cambodia: an observation study

    Science.gov (United States)

    Tatomir, Brent; Sovannary, Tuot; Pal, Khuondyla; Mengsrun, Song; Dionosio, Jennifer; Luong, Minh-Anh; Yi, Siyan

    2017-01-01

    Background Text or voice messages containing health behavior change content may be an inexpensive, discreet, sustainable and scalable way to reach populations at high risk for HIV. In Cambodia, one of the important high-risk populations is female entertainment workers (FEWs). This ethnographic study aims to explore typical phone use, examining patterns and behaviors that may influence the design of future mHealth interventions. Methods The study consisted of one 8-hour non-participant observation session for 15 randomly sampled FEWs. Observations focused on capturing normal daily use of mobile devices. Observation checklists were populated by observers during the observations and a post-observation survey was conducted. Findings were discussed with Cambodian HIV outreach workers and HIV research fellows and their interpretations are summarized below. Results In this ethnographic study, all 15 participants made calls, checked the time and received research-related texts. More than half (n=8) of the participants engaged in texting to a non-research recipient. About half (n=7) went on Facebook (FB) and some (n=5) listened to music and looked at their FB newsfeed. Fewer played a mobile game, posted a photo to FB, went on YouTube, used FB chat/messenger, watched a video on FB, played a game on FB, used FB call/voice chat, looked at their phone’s background or used the LINE app. Fewer still shared their phones, left them unattended, added airtime or changed their SIM cards. When participants received a research text message, most did not share the text message with anyone, did not ask for help deciphering the message and did not receive help composing a response. Notable themes from observer notes, HIV outreach workers and researchers include reasons why phone calls were the most frequent mode of communication, examples of how cell phone company text messages are used as a form of behavior change, literacy as a persistent barrier for some FEWs, and FEWs’ high

  13. Indiscriminate Fisheries: Understanding the Foodweb of the Great Tonle Sap Lake, Cambodia

    Science.gov (United States)

    Hannah, L.; Kaufman, L.

    2014-12-01

    Indiscriminate fisheries target multiple species with multiple gear types. In contrast to well-studied, industrialized single-species, single-gear fisheries, little theory and little but growing literature on practice exists for indiscriminate fisheries. Indiscriminate fisheries are disproportionately important in low-income countries, providing most of the animal protein intake in countries such as Cambodia and Bangladesh. Indiscriminate fisheries may be either freshwater or marine, but here we focus on what may be the largest freshwater indiscriminate fishery in the world. Cambodia's freshwater fishery stands out because it provides the majority of animal protein to over 3 million people living in poverty. The fishery of the Tonle Sap lake is one of the largest, if not the largest contributor to this freshwater fish take, and is perhaps the largest freshwater fishery in the world. In contrast to its importance, very little is known about the foodweb ecology of this system, or how community management which now governs the entire fishery, interacts with biological and physical factors such as climate change.The foodweb of the Tonle Sap has changed dramatically due to high fishing pressure. A system that once harbored giant catfish, barbs and stingrays is now dominated by fish under 20cm in length. The simplification of the system may not have reduced its productivity. Theory of indiscriminate fisheries suggests that r-selected species may be favored and that biomass available for harvest may be maximized, while being more sensitive to environmental fluctuations such as climate change due to food web simplification. The r-selection and size predictions of theory have been confirmed by observations of the Tonle Sap. Early model results suggest sensitivity to environmental stochasticity. The interaction of these ecological changes with social systems will be tested in the Tonle Sap. Fisheries management across the lake has been transferred to community management

  14. THE ANALYSIS OF ORGANIC RICE CONTRACT FARMING IN CAMBODIA: A LESSON LEARNED FOR INDONESIA

    Directory of Open Access Journals (Sweden)

    Betti Rosita Sari

    2015-12-01

    Full Text Available  This study examines organic rice contract farming inCambodiaand its impact on farmers’ livelihood. The study’s objective is to gain a better insight of the terms and conditions of rice contract farming scheme inCambodia, and determine under what conditions contract farming could bring improvements to farmers’ livelihoods. This study contributes new research findings on contract farming practices and farmers’ livelihood due to organic-rice contract farming with a case study in Kampong Speu province,Cambodia.Rice contract farming is not widespread inCambodiaat present, but is expected to expand significantly in the near future. Contract farming can increase investment into agricultural and infrastructure in rural areas. Contract farming can also enable farmers to access credit, inputs, technical advice and information about market condition and pricing trends. Yet, the disadvantages of contract farming include loss of farmer bargaining power and a potential reduction in profit margins, increased emphasis on improving production quality, land consolidation in favor of participating contract farmers, and less secure livelihoods.In this study, the contract farming arrangements of Angkor Kasekam Rongroeung (AKR Company is studied. A survey of 16 contract farmers and 20 non-contract farmers in Kampong Speu province has been undertaken to examine the AKR contract farming scheme arrangements and to identify farmer’s motivations to participate in contract farming and its impact on farmers’ livelihood.AKR rice contract farming improves farmers’ livelihood because they get a higher income and rice yields. Higher price, good rice seed, and access to market are the main reasons for farmers to participate in AKR contract farming. However, strict requirements, heavy penalties, poor extension services, and lack of information about the contract terms and conditions reduce farmers’ long-term participation in contract farming. In addition

  15. Neurobehavioral effects of arsenic exposure among secondary school children in the Kandal Province, Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Vibol, Sao [United Nations University – International Institute for Global Health, Kuala Lumpur (Malaysia); Faculty of Agricultural Technology and Management, Royal University of Agriculture, Phnom Penh (Cambodia); Hashim, Jamal Hisham, E-mail: jamalhas@hotmail.com [United Nations University – International Institute for Global Health, Kuala Lumpur (Malaysia); Department of Community Health, National University of Malaysia, Kuala Lumpur (Malaysia); Sarmani, Sukiman [Faculty of Science and Technology, National University of Malaysia, Bangi (Malaysia)

    2015-02-15

    The research was carried out at 3 study sites with varying groundwater arsenic (As) levels in the Kandal Province of Cambodia. Kampong Kong Commune was chosen as a highly contaminated site (300–500 μg/L), Svay Romiet Commune was chosen as a moderately contaminated site (50–300 μg/L) and Anlong Romiet Commune was chosen as a control site. Neurobehavioral tests on the 3 exposure groups were conducted using a modified WHO neurobehavioral core test battery. Seven neurobehavioral tests including digit symbol, digit span, Santa Ana manual dexterity, Benton visual retention, pursuit aiming, trail making and simple reaction time were applied. Children's hair samples were also collected to investigate the influence of hair As levels on the neurobehavioral test scores. The results from the inductively coupled plasma-mass spectrometry (ICP-MS) analyses of hair samples showed that hair As levels at the 3 study sites were significantly different (p<0.001), whereby hair samples from the highly contaminated site (n=157) had a median hair As level of 0.93 μg/g, while the moderately contaminated site (n=151) had a median hair As level of 0.22 μg/g, and the control site (n=214) had a median hair As level of 0.08 μg/g. There were significant differences among the 3 study sites for all the neurobehavioral tests scores, except for digit span (backward) test. Multiple linear regression clearly shows a positive significant influence of hair As levels on all the neurobehavioral test scores, except for digit span (backward) test, after controlling for hair lead (Pb), manganese (Mn) and cadmium (Cd). Children with high hair As levels experienced 1.57–4.67 times greater risk of having lower neurobehavioral test scores compared to those with low hair As levels, after adjusting for hair Pb, Mn and Cd levels and BMI status. In conclusion, arsenic-exposed school children from the Kandal Province of Cambodia with a median hair As level of 0.93 µg/g among those from the highly

  16. Selling sex in unsafe spaces: sex work risk environments in Phnom Penh, Cambodia.

    Science.gov (United States)

    Maher, Lisa; Mooney-Somers, Julie; Phlong, Pisith; Couture, Marie-Claude; Stein, Ellen; Evans, Jennifer; Cockroft, Melissa; Sansothy, Neth; Nemoto, Tooro; Page, Kimberly

    2011-11-20

    The risk environment framework provides a valuable but under-utilised heuristic for understanding environmental vulnerability to HIV and other sexually transmitted infections among female sex workers. Brothels have been shown to be safer than street-based sex work, with higher rates of consistent condom use and lower HIV prevalence. While entertainment venues are also assumed to be safer than street-based sex work, few studies have examined environmental influences on vulnerability to HIV in this context. As part of the Young Women's Health Study, a prospective observational study of young women (15-29 years) engaged in sex work in Phnom Penh, we conducted in-depth interviews (n = 33) to explore vulnerability to HIV/STI and related harms. Interviews were conducted in Khmer by trained interviewers, transcribed and translated into English and analysed for thematic content. The intensification of anti-prostitution and anti-trafficking efforts in Cambodia has increased the number of women working in entertainment venues and on the street. Our results confirm that street-based sex work places women at risk of HIV/STI infection and identify significant environmental risks related to entertainment-based sex work, including limited access to condoms and alcohol-related intoxication. Our data also indicate that exposure to violence and interactions with the police are mediated by the settings in which sex is sold. In particular, transacting sex in environments such as guest houses where there is little or no oversight in the form of peer or managerial support or protection, may increase vulnerability to HIV/STI. Entertainment venues may also provide a high risk environment for sex work. Our results indicate that strategies designed to address HIV prevention among brothel-based FSWs in Cambodia have not translated well to street and entertainment-based sex work venues in which increasing numbers of women are working. There is an urgent need for targeted interventions

  17. Monitoring of radon in water of Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Yu-Ming; Chen, Chin-Chiang (Taiwan Radiation Monitoring Station, Atomic Energy Council of Executive Yuan, Kaohsiung Hsien (Republic of China))

    1983-03-01

    The toluene extraction-liquid scintillation counting method was used to measure the radon concentration in water samples of Taiwan, R.O.C. The experimental results showed that the counting efficiency for both ..cap alpha.. and ..beta.. emitted from radon and its daughters could reach 100%. The separation of activity of /sup 222/Rn from /sup 220/Rn was performed according to Bunny method. Thirty sampling stations including water samples from wells and hot springs throughout Taiwan were analyzed. The measured data show that /sup 220/Rn has much higher concentration than /sup 222/Rn. The concentration for the former is in the order of 10/sup -7/ Ci/l while that for the later is about 10/sup -10/ Ci/l.

  18. Proximate determinants of fertility in Taiwan area.

    Science.gov (United States)

    Lo, S R; Chen, C H

    1987-06-01

    To establish base line data and to evaluate the impacts of induced abortion on fertility in Taiwan before and after legalization, and induced abortion prevalence survey was conducted. 12,516 samples of married women age 15-49 were covered to represent all of Taiwan. Bongaarts' model of proximate determinants of fertility is applied to the survey data to analyze the relationships among total fertility rate, total fecundity, and the indices of the proximate determinants on nonmarriage, contraception, induced abortion, and lacatation. The index of contraception appears to have the greatest (47%) effect on the recent decline of total fertility rate (TFR). Contraception also has the greatest effect on fertility decline among different urbanization areas: 45% for large cities; 46% for urbantownships; and 50% for rural areas. The effects of the proportion of married on the fertility of the 3 areas are 45%, 40%, and 40%, respectively. For induced abortion, the effect is 13% in urban townships and 11% in large cities.

  19. Modeling lunar calendar effects in taiwan

    OpenAIRE

    Jin-Lung Lin; Tian- Syh Liu

    2003-01-01

    The three most important Chinese holidays, Chinese New Year, the Dragon- boat Festival, and Mid-Autumn Holiday have dates determined by a lunar calendar and move between two solar months. Consumption, production, and other economic behavior in countries with large Chinese population including Taiwan are strongly affected by these holidays. For example, production accelerates before lunar new year, almost completely stops during the holidays and gradually rises to an average level after the ho...

  20. The Sale of FX Aircraft to Taiwan,

    Science.gov (United States)

    1982-02-01

    September 3, 1981. Sterba , James P., "Peking Says Force Might Be Used to Reunite Taiwan and Mainland," New York Times, July 4, 1981. Szulc, Tad...will decide it can commit the forces necessary to launch an invasion of 13 Edwin K. Snyder, A. James Gregor, and Maria Hsia Chang, The...Jane’s All the World’s Aircraft 1980-1981, Jane’s Publishing Co., Ltd., 1980. Snyder, Edwin K., A. James Gregor, and Maria Hsia Chang

  1. Echovirus 18 meningitis in southern Taiwan.

    Science.gov (United States)

    Wang, Shih-Min; Ho, Tzong-Shiann; Shen, Ching-Fen; Wang, Jen-Ren; Liu, Ching-Chuan

    2011-03-01

    Eighty cases of echovirus 18 infection among young children during an outbreak in 2006 in Taiwan were enrolled. Twenty percent of the patients had a comorbid condition. Twenty-five cases (31%) were complicated by aseptic meningitis. The most frequent diagnoses in children without meningitis were pharyngitis/tonsillitis (35%) and vesicular viral exanthem (33%). The case-fatality rate among the children with meningitis was 4%. Echovirus 18 was isolated from the cerebrospinal fluid of 68% of the children.

  2. Liberalist Variation in Taiwan: Four Democratization Orientations

    OpenAIRE

    Hung-jen Wang

    2012-01-01

    "In this paper the author analyzes how Taiwanese liberalist scholars have discursively and operationally shaped the meanings of Taiwanese democratization via a mix of liberal values and nationalist concerns. He will argue that a valid understanding of democratization in Taiwan has never emerged in a way that adequately responds to a liberalist perspective of the country's ongoing political development. Instead, such an understanding has been subjectively influenced by liberal intellectuals wr...

  3. Transformation of Taiwan’s Reserve Force

    Science.gov (United States)

    2017-01-01

    This report also includes an appendix with a brief comparative analysis of reserve force transformation in other countries (Finland, Singapore, Japan ...retention.18 Barring developments that offer Taiwan a substantive role in the emerging Asian security architecture and that make available, with...forces of other countries, we briefly reviewed the reserve forces of Finland, Singapore, Japan , and Georgia. We find that Finland and Singapore

  4. Bartonella spp. infections in rodents of Cambodia, Lao PDR, and Thailand: identifying risky habitats.

    Science.gov (United States)

    Jiyipong, Tawisa; Morand, Serge; Jittapalapong, Sathaporn; Rolain, Jean-Marc

    2015-01-01

    This study investigated the type of environmental habitat that may explain the infection of 1176 individuals from 17 rodent species by Bartonella species in seven sites in Cambodia, Lao PDR, and Thailand. No effects of host sex and host maturity on the level of individual infection by all Bartonella spp., but significant effects of locality, season, and host species were observed. The patterns differed when investigating the three more prevalent Bartonella species. For B. rattimassiliensis, season and habitat appeared to be significant factors explaining host infection, with higher levels of infection in wet season and lower levels of infection in rain-fed field, dry field, and human settlement habitats compared to forest habitat. The infection by B. queenslandensis was found to vary, although not significantly, with season and locality, and Bartonella n. sp. (a species mostly associated with Mus spp.) was found to be more prevalent in the wet season and dry field habitat compared to forest habitat. We discuss these results in relation to rodent habitat specificity.

  5. SLIPTA e-Tool improves laboratory audit process in Vietnam and Cambodia

    Directory of Open Access Journals (Sweden)

    Thuong T. Nguyen

    2014-09-01

    Full Text Available Background: The Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA checklist is used worldwide to drive quality improvement in laboratories in developing countries and to assess the effectiveness of interventions such as the Strengthening Laboratory Management Toward Accreditation (SLMTA programme. However, the paperbased format of the checklist makes administration cumbersome and limits timely analysis and communication of results.Development of e-Tool: In early 2012, the SLMTA team in Vietnam developed an electronic SLIPTA checklist tool. The e-Tool was pilot tested in Vietnam in mid-2012 and revised. It was used during SLMTA implementation in Vietnam and Cambodia in 2012 and 2013 and further revised based on auditors’ feedback about usability.Outcomes: The SLIPTA e-Tool enabled rapid turn-around of audit results, reduced workload and language barriers and facilitated analysis of national results. Benefits of the e-Tool will be magnified with in-country scale-up of laboratory quality improvement efforts and potential expansion to other countries.

  6. Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia.

    Science.gov (United States)

    Bazzano, Alessandra N; Taub, Leah; Oberhelman, Richard A; Var, Chivorn

    2016-12-21

    Global coverage and scale up of interventions to reduce newborn mortality remains low, though progress has been achieved in improving newborn survival in many low-income settings. An important factor in the success of newborn health interventions, and moving to scale, is appropriate design of community-based programs and strategies for local implementation. We report the results of formative research undertaken to inform the design of a newborn health intervention in Cambodia. Information was gathered on newborn care practices over a period of three months using multiple qualitative methods of data collection in the primary health facility and home setting. Analysis of the data indicated important gaps, both at home and facility level, between recommended newborn care practices and those typical in the study area. The results of this formative research have informed strategies for behavior change and improving referral of sick infants in the subsequent implementation study. Collection and dissemination of data on newborn care practices from settings such as these can contribute to efforts to advance survival, growth and development of newborns for intervention research, and for future newborn health programming.

  7. Rehabilitating health services in Cambodia: the challenge of coordination in chronic political emergencies.

    Science.gov (United States)

    Lanjouw, S; Macrae, J; Zwi, A B

    1999-09-01

    The end of the Cold War brought with it opportunities to resolve a number of conflicts around the world, including those in Angola, Cambodia, El Salvador and Mozambique. International political efforts to negotiate peace in these countries were accompanied by significant aid programmes ostensibly designed to redress the worst effects of conflict and to contribute to the consolidation of peace. Such periods of political transition, and associated aid inflows, constitute an opportunity to improve health services in countries whose health indicators have been among the worst in the world and where access to basic health services is significantly diminished by war. This paper analyzes the particular constraints to effective coordination of health sector aid in situations of 'post'-conflict transition. These include: the uncertain legitimacy and competence of state structures; donor choice of implementing channels; and actions by national and international political actors which served to undermine coordination mechanisms in order to further their respective agendas. These obstacles hindered efforts by health professionals to establish an effective coordination regime, for example, through NGO mapping and the establishment of aid coordinating committees at national and provincial levels. These technical measures were unable to address the basic constitutional question of who had the authority to determine the distribution of scarce resources during a period of transition in political authority. The peculiar difficulties of establishing effective coordination mechanisms are important to address if the long-term effectiveness of rehabilitation aid is to be enhanced.

  8. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 until Today

    Directory of Open Access Journals (Sweden)

    Valérie Greffeuille

    2016-05-01

    Full Text Available The study assessed the trends of nutritional status of children under age five in Cambodia over four DHS surveys from 2000 to 2014 and the contribution of socioeconomic and demographic factors to its changes. Undernutrition was a public health problem in all surveys. Despite consistent improvement over the years, stunting still affected 32.5% of children in 2014. Wasting prevalence did not improve since 2005 and affected 9.6% of children under five in 2014. Low wealth and mother education; and rural residence contributed to undernutrition. In 2014; wealth status was the main socioeconomic factor associated with undernutrition and the nutritional status of children was strongly related to that of their mothers. Anemia prevalence was high and after a decrease between 2000 and 2005 remained at 45%. The prevalence of overweight was less than 10% and did not change over the years despite an increasing trend in the richest households of urban areas. Persistent inequalities in child undernutrition call for action, giving priority to the most vulnerable households to ensure availability and access to nutrient-rich foods for women and children through nutrition-sensitive and nutrition-specific programs. The recent increase of overweight in the richest populations must also be considered in Cambodian health policies.

  9. Sustained use of a household-scale water filtration device in rural Cambodia.

    Science.gov (United States)

    Brown, Joe; Proum, S; Sobsey, M D

    2009-09-01

    The effectiveness of point-of-use water treatment may be limited by declining use over time, particularly when water treatment is introduced via targeted intervention programmes. In order to evaluate the long-term uptake and use of locally produced ceramic water filters in rural Cambodia, we visited households that had received filters as part of NGO-subsidized distribution programmes over a 4 year period from 2002 to 2006. Of the more than 2,000 filters distributed, we visited 506 randomly selected households in 13 villages spanning three provinces to assess filter time in use and to collect data on factors potentially correlated with long-term use. Results indicate that filter use declined at the rate of approximately 2% per month after implementation, largely owing to breakages, and that, controlling for time since implementation, continued filter use over time was most closely positively associated with: related water, sanitation and hygiene practices in the home; cash investment in the technology by the household; and use of surface water as a primary drinking water source.

  10. Collaborating for resilience: conflict, collective action, and transformation on Cambodia's Tonle Sap Lake

    Directory of Open Access Journals (Sweden)

    Blake D. Ratner

    2014-09-01

    Full Text Available We report on outcomes and lessons learned from a 15-month initiative in Cambodia's Tonle Sap Lake. Employing the appreciation-influence-control (AIC model of participatory stakeholder engagement, the initiative built shared understanding of the sources of vulnerability in fisheries livelihoods and catalyzed collective action to support resilience in this valuable and productive social-ecological system. Outcomes include the transfer of a large, commercial fishing concession to community access, and resolution of a boundary dispute involving community fishery organizations in neighboring provinces. Motivated by these successes, the main national grassroots network representing fishing communities also modified its internal governance and strategy of engagement to emphasize constructive links with government and the formal NGO sector. The AIC approach, we argue, provides an effective route to enable collective action in ways that strengthen dialogue and collaboration across scales, fostering the conditions for local-level transformations that can contribute to improvement in governance. We conclude with a discussion of the broader implications for resilience practice.

  11. Poverty, economic growth, deprivation, and water: the cases of Cambodia and Vietnam.

    Science.gov (United States)

    Varis, Olli

    2008-05-01

    Poverty reduction decorates all development agendas, but the complexity of the poverty issue is too often hidden behind simplistic indicators and development goals. Here, a closer look is taken at the concepts of "deprivation" and "vulnerability" as outcomes of poverty. Deprivation leads typically to social exclusion and marginalization; such groups are particularly weak in getting themselves out of poverty by "self-help," and economic growth does not trickle down to these people. When looking at the connections between poverty reduction and economic growth, special emphasis should be put on the differences between modern and more traditional sectors: development of the modern sector should not marginalize and exclude those dependent on more traditional livelihoods. Two case studies--The Tonle Sap area, Cambodia, and the Mekong Delta, Vietnam--reveal that investment in education, empowerment of small-scale entrepreneurship and other means of microeconomic environment, along with good governance, infrastructure, and income distribution can ensure that economic growth includes the poorer echelons of society.

  12. Condom negotiation and use among female sex workers in Phnom Penh, Cambodia.

    Science.gov (United States)

    Bui, Thanh Cong; Markham, Christine M; Tran, Ly T H; Beasley, R Palmer; Ross, Michael W

    2013-02-01

    We examined condom-use negotiation strategies and condom use among 81 female sex workers (FSWs) in Phnom Penh, Cambodia. Percentages of FSWs who did not negotiate condom use or could not describe a negotiation strategy with native clients, foreign clients, and non-paying partners were 15.0, 29.0 and 67.6 %, respectively. The most common negotiation strategy used was "provision of risk information" for native clients (43.8 %) and non-paying partners (26.5 %), and "direct request" for foreign clients (39.5 %). About half could not describe more than one negotiation strategy. Consistent condom use was high with native clients (98.8 %), yet comparatively lower with foreign clients (86.9 %) and non-paying partners (26.5 %). FSWs who did not negotiate or did not know how to negotiate condom use were less likely to report condom use with non-paying regular partners. Future interventions should enhance condom negotiation strategies between FSWs and all partner types.

  13. Strongyloides stercoralis infection and re-infection in a cohort of children in Cambodia.

    Science.gov (United States)

    Khieu, Virak; Hattendorf, Jan; Schär, Fabian; Marti, Hanspeter; Char, Meng Chuor; Muth, Sinuon; Odermatt, Peter

    2014-10-01

    Information on Strongyloides stercoralis re-infection after ivermectin treatment is scarce in S. stercoralis endemic countries. In semi-rural Cambodia, we determined S. stercoralis infection and re-infection rates among schoolchildren, two years after ivermectin treatment (2×100 μg/kg PO, 24 h apart). The study was conducted among 484 children from four primary schools in semi-rural villages in Kandal province from 2009 to 2011, using Koga agar plate culture and the Baermann method on two stool samples per child. Complete data were available for 302 participants. We observed infections in 24.2% and 22.5% of the children at baseline and at follow-up, respectively. At baseline, 73 children were treated for S. stercoralis infection. At follow-up, one-third of those treated for S. stercoralis infection had been reinfected, while 19.6% of the 229 healthy children (at baseline) had been newly infected with S. stercoralis. Possession of shoes and defecation in toilet were negatively associated with S. stercoralis infection at follow-up. Infection and re-infection rates of S. stercoralis among schoolchildren are considerably high. However, 68.5% of infected children remained free of infection for at least two years. A large-scale cohort study is required to understand age-specific infection and re-infection dynamics in endemic countries.

  14. Lessons from Preah Vihear: Thailand, Cambodia, and the Nature of Low-Intensity Border Conflicts

    Directory of Open Access Journals (Sweden)

    Martin Wagener

    2011-01-01

    Full Text Available In 1962, the International Court of Justice ruled that the Preah Vihear temple lies within Cambodian territory. The status of the 4.6 km² of land surrounding the temple, however, remained unclear. When UNESCO declared the Preah Vihear temple a Cambodian World Heritage Site in July 2008, the situation was exacerbated. Several firefights between October 2008 and April/May 2011 claimed at least 34 lives. The border dispute became a rollercoaster ride along the way: Talks between Thailand and Cambodia were regularly interrupted by exchanges of fire, only to be resumed a little later. This prevented a resolution of the conflict. The essay explores how Thailand’s and Cambodia’s conflict behaviour can be explained from a first-image perspective. In doing so, uncovering the motives of both countries’ prime ministers is crucial to understanding Bangkok’s and Phnom Penh’s actions in the border area. The paper argues that in low-intensity border conflicts, motivations are different from those underlying heads of government’s behaviour in high-intensity border conflicts. While this complicates an agreement on the Preah Vihear question, it also means that escalation to a manifest border war is very unlikely.

  15. Using social network analysis to evaluate health-related adaptation decision-making in Cambodia.

    Science.gov (United States)

    Bowen, Kathryn J; Alexander, Damon; Miller, Fiona; Dany, Va

    2014-01-30

    Climate change adaptation in the health sector requires decisions across sectors, levels of government, and organisations. The networks that link these different institutions, and the relationships among people within these networks, are therefore critical influences on the nature of adaptive responses to climate change in the health sector. This study uses social network research to identify key organisational players engaged in developing health-related adaptation activities in Cambodia. It finds that strong partnerships are reported as developing across sectors and different types of organisations in relation to the health risks from climate change. Government ministries are influential organisations, whereas donors, development banks and non-government organisations do not appear to be as influential in the development of adaptation policy in the health sector. Finally, the study highlights the importance of informal partnerships (or 'shadow networks') in the context of climate change adaptation policy and activities. The health governance 'map' in relation to health and climate change adaptation that is developed in this paper is a novel way of identifying organisations that are perceived as key agents in the decision-making process, and it holds substantial benefits for both understanding and intervening in a broad range of climate change-related policy problems where collaboration is paramount for successful outcomes.

  16. Municipal solid waste management in Phnom Penh, capital city of Cambodia.

    Science.gov (United States)

    Seng, Bunrith; Kaneko, Hidehiro; Hirayama, Kimiaki; Katayama-Hirayama, Keiko

    2011-05-01

    This paper presents an overview of municipal solid waste management (MSWM) for both technical and regulatory arrangements in the municipality of Phnom Penh (MPP), Cambodia. Problems with the current MSWM are identified, and challenges and recommendations for future improvement are also given in this paper. MPP is a small city with a total area of approximately 374 km(2) and an urban population of about 1.3 million in 2008. For the last 14 years, average annual municipal solid waste (MSW) generated in MPP has increased rapidly from 0.136 million tons in 1995 to 0.361 million tons in 2008. The gross generation rate of MSW per capita was 0.74 kg day(-1). However, the per capita household waste generation was 0.487 kg day(- 1). At 63.3%, food waste is the predominant portion of generated waste, followed by plastics (15.5%), grass and wood (6.8%), and paper and cardboard (6.4%). The remaining waste, including metals, glass, rubber/leather, textiles, and ceramic/ stone, accounted for less than 3%. Waste recycling through informal sectors is very active; recycled waste accounted for about 9.3% of all waste generated in 2003. Currently, the overall technical arrangement, including storage and discharge, collection and transport, and disposal, is still in poor condition, which leads to environmental and health risks. These problems should be solved by improving legislation, environmental education, solid waste management facilities, and management of the waste scavengers.

  17. Microbiological effectiveness of locally produced ceramic filters for drinking water treatment in Cambodia.

    Science.gov (United States)

    Brown, Joe; Sobsey, Mark D

    2010-03-01

    Low-cost options for the treatment of drinking water at the household level are being explored by the Cambodian government and non-governmental organizations (NGOs) working in Cambodia, where many lack access to improved drinking water sources and diarrhoeal diseases are the most prevalent cause of death in children under 5 years of age. The ceramic water purifier (CWP), a locally produced, low-cost ceramic filter, is now being implemented by several NGOs, and an estimated 100,000+households in the country now use them for drinking water treatment. Two candidate filters were tested for the reduction of bacterial and viral surrogates for waterborne pathogens using representative Cambodian drinking water sources (rainwater and surface water) spiked with Escherichia coli and bacteriophage MS2. Results indicate that filters were capable of reducing key microbes in the laboratory with mean reductions of E. coli of approximately 99% and mean reduction of bacteriophages of 90-99% over >600 litres throughput. Increased effectiveness was not observed in filters with an AgNO3 amendment. At under US$10 per filter, locally produced ceramic filters may be a promising option for drinking water treatment and safe storage at the household level.

  18. Ritual works and practices: a case study from a Muslim community in Cambodia

    Directory of Open Access Journals (Sweden)

    Ing-Britt Trankell

    2003-01-01

    Full Text Available The function of the ritual is to assert a transcendental power over everyday experience and rituals therefore tend to be formalized, repetitive and conservative events. The purpose of this paper is to show the importance for ritual studies of ritualised strategies for the negotiation of power and influence. Here, research on a spirit possession cult among the Muslim Cham in Cambodia will serve as an empirical basis for a discussion of the open-ended and unbounded features of ritual in contemporary society, since the performances of this cult may be seen both as a kind of "state ritual" and as exorcism. Through the cult, the Cham tend to take refuge in their memories of the distant past rather than in their more immediate memories of terror and political violence, during the civil war and the Khmer Rouge regime. Rephrased as songs of the spirits, the present and the past intermingle in narrating the difficulties, the conflicts and the struggle in the world of the spirits who live next to, and mingle in, the world of ordinary human beings.

  19. The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia

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    Joanna White

    2013-01-01

    Full Text Available A qualitative assessment was made of service provider and user perceptions of the quality of integrated reproductive health services established through a pilot intervention in Cambodia. The intervention aimed to promote pregnant women's HIV testing and general utilization of reproductive health facilities as well as improve the follow-up of HIV-positive women and exposed infants through strengthened referral and operational linkages amongst health facilities/services and community-based support interventions for PLHIV. The study was conducted in one operational district where the intervention was piloted and for comparative purposes in a district where integrated services had yet to be implemented. Service providers in the pilot district reported improved collaboration and coordination of services, more effective referral, and the positive impact of improved proximity of HIV testing through integrated local level facilities. Community-based support teams for PLHIV embraced their expanded role, were valued by families receiving their assistance, and were understood to have had an important role in referral, PMTCT follow-up and countering PLHIV stigmatization; findings which underscore the potential role of community support in integrated service provision. Challenges identified included stigmatization of PLHIV by health staff at district hospital level and a lack of confidence amongst non-specialized health staff when managing deliveries by HIV-positive women, partly due to fear of HIV transmission.

  20. Land Reforms and the Tragedy of the Anticommons—A Case Study from Cambodia

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    Dirk Loehr

    2012-04-01

    Full Text Available Most of the land reforms of recent decades have followed an approach of “formalization and capitalization” of individual land titles (de Soto 2000. However, within the privatization agenda, benefits of unimproved land (such as land rents and value capture are reaped privately by well-organized actors, whereas the costs of valorization (e.g., infrastructure or opportunity costs of land use changes are shifted onto poorly organized groups. Consequences of capitalization and formalization include rent seeking and land grabbing. In developing countries, formal law often transpires to work in favor of the winners of the titling process and is opposed by the customary rights of the losers. This causes a lack of general acknowledgement of formalized law (which is made responsible for deprivation of livelihoods of vulnerable groups and often leads to a clash of formal and customary norms. Countries may fall into a state of de facto anarchy and “de facto open access”. Encroachment and destruction of natural resources may spread. A reframing of development policy is necessary in order to fight these aberrations. Examples and evidence are provided from Cambodia, which has many features in common with other countries in Asia and Sub-Saharan Africa in this respect.

  1. Biodiversity Monitoring at the Tonle Sap Lake of Cambodia: A Comparative Assessment of Local Methods

    Science.gov (United States)

    Seak, Sophat; Schmidt-Vogt, Dietrich; Thapa, Gopal B.

    2012-10-01

    This paper assesses local biodiversity monitoring methods practiced in the Tonle Sap Lake of Cambodia. For the assessment we used the following criteria: methodological rigor, perceived cost, ease of use (user friendliness), compatibility with existing activities, and effectiveness of intervention. Constraints and opportunities for execution of the methods were also considered. Information was collected by use of: (1) key informant interview, (2) focus group discussion, and (3) researcher's observation. The monitoring methods for fish, birds, reptiles, mammals and vegetation practiced in the research area have their unique characteristics of generating data on biodiversity and biological resources. Most of the methods, however, serve the purpose of monitoring biological resources rather than biodiversity. There is potential that the information gained through local monitoring methods can provide input for long-term management and strategic planning. In order to realize this potential, the local monitoring methods should be better integrated with each other, adjusted to existing norms and regulations, and institutionalized within community-based organization structures.

  2. Pygidiopsis cambodiensis n. sp. (Digenea: Heterophyidae) from experimental hamsters infected with metacercariae in mullets from Cambodia.

    Science.gov (United States)

    Sohn, Woon-Mok; Kim, Deok-Gyu; Jung, Bong-Kwang; Cho, Jaeeun; Chai, Jong-Yil

    2016-01-01

    Pygidiopsis cambodiensis n. sp. is described based on adult flukes recovered from Syrian golden hamsters experimentally infected with metacercariae from mullets (Liza macrolepis) purchased at a local fish market in Phnom Penh, Cambodia. The specimens were examined by light and scanning electron microscopy. Among the 13 species so far assigned to Pygidiopsis, the new species belongs to the summa-type (including Pygidiopsis pelecani, Pygidiopsis phalacrocoracis, Pygidiopsis piclaumoreli, Pygidiopsis plana, and Pygidiopsis summa) which lack circumoral spines and have vitelline follicles extending posteriorly from the level of the ovary some distance into the post-testicular space and the uterus not exceeding the acetabulum anteriorly. The new species differs from the other five species of the summa-type particularly in the morphology of the ventrogenital complex, including the genital sac, gonotyl, and gonotyl spines (= rodlets). The genital sac is well developed, sucker-like, slightly larger than the ventral sucker, muscular, and equipped with two gonotyls on the ventral side of the sac. Gonotyls are protruding pad-like, and the number of rodlets on the left gonotyl is four to five and that on the right gonotyl is 10-11 in two rows. This is the fifth Pygidiopsis species reported in Asia, following P. summa (Japan, Korea, and Vietnam), P. phalacrocorasis (Japan), P. pelecani (China), and Pygidiopsis marivillai (Philippines).

  3. The Epidemiology of Pediatric Bone and Joint Infections in Cambodia, 2007–11

    Science.gov (United States)

    Pocock, Joanna; Moore, Catrin E.; Soeng, Sona; Hor, PutChhat; Sar, Poda; Limmathurotsakul, Direk; Day, Nicholas; Kumar, Varun; Khan, Sophy; Sar, Vuthy; Parry, Christopher M.

    2013-01-01

    There are limited data on osteoarticular infections from resource-limited settings in Asia. A retrospective study of patients presenting to the Angkor Hospital for Children, Cambodia, January 2007–July 2011, identified 81 cases (28% monoarticular septic arthritis, 51% single-limb osteomyelitis and 15% multisite infections). The incidence was 13.8/100 000 hospital attendances. The median age was 7.3 years, with a male/female ratio of 1.9:1; 35% presented within 5 days of symptom onset (median 7 days). Staphylococcus aureus was cultured in 29 (36%) cases (52% of culture-positive cases); one isolate was methicillin-resistant (MRSA). Median duration of antimicrobial treatment was 29 days (interquartile range 21–43); rates of surgical intervention were 96%, and 46% of children had sequelae, with one fatality. In this setting osteoarticular infections are relatively common with high rates of surgical intervention and sequelae. Staphylococcus aureus is the commonest culturable cause, but methicillin-resistant S. aureus is not a major problem, unlike in other Asian centers. PMID:22977206

  4. Luminescence dating of anthropogenically reset canal sediments from Angkor Borei, Mekong Delta, Cambodia

    Science.gov (United States)

    Sanderson, D. C. W.; Bishop, P.; Stark, M. T.; Spencer, J. Q.

    2003-05-01

    This paper presents a case study in the analysis of anthropogenically reset sedimentary materials, through work undertaken to identify and date sediments in an ancient canal in the Mekong Delta, Cambodia. The emergence of rice cultivating communities, utilising canals for both hydraulic management and transport, represents an important stage in the social evolution of southeast Asia. The emergence of complex polities in the region, which may have depended on both international trade and intensified agriculture, led ultimately to the formation of the famous Khmer empires which dominated the region on several occasions through the 1st and 2nd millennia AD. French colonial scholars identified possibly ancient canals in the region that may have played roles in trade, agriculture, or both. This series of ancient canal features near Angkor Borei has been the subject of recent investigations in a collaboration between the Universities of Glasgow and Hawaii. Luminescence profiling measurements were used to identify the canal bed, by exploiting the contrast between a regional substrate of some 50 ka depositional age and more recent archaeological sediments. In this manner it has been possible to identify the sedimentary substrate, undisturbed canal sediments, and redeposited material. Ages have been estimated for substrate and canal infill sediments. The work represents the first convincing demonstration of luminescence dating of one of these important regional features, and indeed the first confirmation of the presumed antiquity of the canal system around Angkor Borei.

  5. A Comparative Study of Dihydroartemisinin Compounds in Treatment of Uncomplicated Falciparum Malaria in Kampong of Cambodia

    Institute of Scientific and Technical Information of China (English)

    SONG Jian-ping(宋建平); Duong Socheat; Suou Seila

    2003-01-01

    Objective: To compare the safety and efficacy of two compounds of dihydroartemisinin (DHA) Artekin and Artekin (T) in the treatment of uncomplicated falciparum malaria. Methods: The regimen of 8-tablet for 2 days of Artekin and Artekin (T) were applied to 100 patients with uncomplicated falciparum malaria, who were randomly divided into two groups. Each group contained 50 cases. The cure rate, the mean parasites clearance time, the mean fever clearance and side-effects were observed to assess the safety and efficacy of the compounds used. Results: The mean parasites clearance time was 31.7±9.0 hours in the Artekin group and 32.8±8.8 hours in Artekin (T) group respectively;the mean fever clearance time was 12.7±7.2 hours in Artekin group and 16.5±7.9 hours in Artekin (T) group; there were no recrudescence case in both groups within the 28 days of follow-up,the cure rates in Artekin group and Artekin (T) groups were 100%. It indicated that the tolerability of both compounds were very good, the side-effects such as nausea, abdominal pain were mild and self-limited. Conclusion: The study preliminarily indicated that the DHA and PQ compounds were of high efficacy, rapid acting and low toxicity. Artekin is very promising as a cheap, simple, effective treatment for multi-resistance malaria in Cambodia.

  6. Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

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    Alessandra N. Bazzano

    2016-12-01

    Full Text Available Global coverage and scale up of interventions to reduce newborn mortality remains low, though progress has been achieved in improving newborn survival in many low-income settings. An important factor in the success of newborn health interventions, and moving to scale, is appropriate design of community-based programs and strategies for local implementation. We report the results of formative research undertaken to inform the design of a newborn health intervention in Cambodia. Information was gathered on newborn care practices over a period of three months using multiple qualitative methods of data collection in the primary health facility and home setting. Analysis of the data indicated important gaps, both at home and facility level, between recommended newborn care practices and those typical in the study area. The results of this formative research have informed strategies for behavior change and improving referral of sick infants in the subsequent implementation study. Collection and dissemination of data on newborn care practices from settings such as these can contribute to efforts to advance survival, growth and development of newborns for intervention research, and for future newborn health programming.

  7. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 until Today.

    Science.gov (United States)

    Greffeuille, Valérie; Sophonneary, Prak; Laillou, Arnaud; Gauthier, Ludovic; Hong, Rathmony; Hong, Rathavuth; Poirot, Etienne; Dijkhuizen, Marjoleine; Wieringa, Frank; Berger, Jacques

    2016-05-16

    The study assessed the trends of nutritional status of children under age five in Cambodia over four DHS surveys from 2000 to 2014 and the contribution of socioeconomic and demographic factors to its changes. Undernutrition was a public health problem in all surveys. Despite consistent improvement over the years, stunting still affected 32.5% of children in 2014. Wasting prevalence did not improve since 2005 and affected 9.6% of children under five in 2014. Low wealth and mother education; and rural residence contributed to undernutrition. In 2014; wealth status was the main socioeconomic factor associated with undernutrition and the nutritional status of children was strongly related to that of their mothers. Anemia prevalence was high and after a decrease between 2000 and 2005 remained at 45%. The prevalence of overweight was less than 10% and did not change over the years despite an increasing trend in the richest households of urban areas. Persistent inequalities in child undernutrition call for action, giving priority to the most vulnerable households to ensure availability and access to nutrient-rich foods for women and children through nutrition-sensitive and nutrition-specific programs. The recent increase of overweight in the richest populations must also be considered in Cambodian health policies.

  8. Reaching out and reaching up - developing a low cost drug treatment system in Cambodia

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    Klein Axel

    2012-03-01

    Full Text Available Abstract Cambodia, confronted by the spread of drug misuse among young people, requested support from international agencies to develop a drug treatment programme in 2000. The initial plan developed by the United Nations Office on Drugs and Crime was to set up a number of conventional drug treatment centres in urban areas. During the planning phase, however, the project was redesigned as a community based outreach programme. Ten Community Counselling Teams have been formed and trained in pilot areas, and within the first year of operation 462 drug and alcohol users contacted. Comprising former drug users, family members affected by drug use and health care staff, they have drug scene credibility, local knowledge and connectivity, and a rudimentary level of medical competence. Crucially, they enjoy the support of village elders, who are involved in the planning and reporting stages. While the Community Counselling Teams with their basic training in addiction counselling are in no position as yet to either provide or refer clients to treatment, they can provide brief interventions, organise self help groups, and most importantly provide an alternative to law enforcement. By taking a development centred approach, with emphasis on community, empowerment and inclusion, it provides a constructive and inclusive alternative to medical approaches and the compulsory drug treatment centres. The paper is based on an evaluation involving interviews with a range of stakeholders and a review of project documents.

  9. Distribution of Otters in the Tropeang Roung, Koh Kong Province, Cambodia

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    Tevy Chrin

    2010-06-01

    Full Text Available Two species of otters are found along Tropeang Roung River, the smooth-coated otter (Lutrogale perspecillata and the hairy-nosed otter (Lutra sumatrana. The distribution of these species was studied along a stretch of the Tropeang Roung River in Koh Kong province, Cambodia, between May and June 2009. Their main habitat appears to be both small and big estuary surrounded by Melaleuca, Mangrove and evergreen forest with shoreline vegetation followed by sand (24%, clay (13%, rocky (10% and bank with vegetation (53%, where is rich of food sources, particularly fish. The sprainting sites were found more under open sky then canopy cover, and situated their spraint in average of 4.33 m from water edge and 2.73 m of water depth. Diet compositions in spraint consisted of fish 64%, frog 5%, crab 2%, shrimp 1% and unidentified debris 28%. The study revealed that the distribution of otters along the river has diminished. Hunting for skin to trade, traditional medicine, meat and habitat disturbance such as sand mining and fishing activities might be putting pressure on the population. Conservation measures such as monitoring of the otter population and interviewing locals should be done regularly and restrictions on sand mining, oil spills from shipping and snaring should be imposed along Tropeang Roung River.

  10. Using Social Network Analysis to Evaluate Health-Related Adaptation Decision-Making in Cambodia

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    Kathryn J. Bowen

    2014-01-01

    Full Text Available Climate change adaptation in the health sector requires decisions across sectors, levels of government, and organisations. The networks that link these different institutions, and the relationships among people within these networks, are therefore critical influences on the nature of adaptive responses to climate change in the health sector. This study uses social network research to identify key organisational players engaged in developing health-related adaptation activities in Cambodia. It finds that strong partnerships are reported as developing across sectors and different types of organisations in relation to the health risks from climate change. Government ministries are influential organisations, whereas donors, development banks and non-government organisations do not appear to be as influential in the development of adaptation policy in the health sector. Finally, the study highlights the importance of informal partnerships (or ‘shadow networks’ in the context of climate change adaptation policy and activities. The health governance ‘map’ in relation to health and climate change adaptation that is developed in this paper is a novel way of identifying organisations that are perceived as key agents in the decision-making process, and it holds substantial benefits for both understanding and intervening in a broad range of climate change-related policy problems where collaboration is paramount for successful outcomes.

  11. Abortion politics in Cambodia social history, local forms and transnational issues.

    Science.gov (United States)

    Hancart Petitet, Pascale

    2017-07-21

    Cambodia's current abortion rate and ratio could be among the highest in Southeast Asia. In 1997, the Cambodian parliament passed the first law regulating abortions. This law was adopted to contribute to reduce the high maternal mortality ratio, as a significant number of maternal deaths were believed to be related to complications of unsafe abortion. A decade later, the Ministry of Health had not yet established medical protocols for safe abortion access and women often continued to induce their own terminations or seek unsafe services. However, in 2009, the Cambodian authorities approved the importation and distribution of one manufactured abortion pill. In addition, manual vacuum abortions and medical abortion training programmes were implemented at the referral hospital level. How has this situation come about? What do we know about the local agencies of the transnational reproductive health policies related to safe abortion access in this country? This paper aims to analyse how history and intersections between global interventions, state policies, local moralities and individual strategies shape abortion policies, practices and technologies. Finally, our findings raise some issues for public health programming.

  12. Care providers’ needs and perspectives on suffering and care in Bosnia and Herzegovina and Cambodia

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    Laura McDonald

    2012-11-01

    Full Text Available This exploratory study aimed to obtain insight into field-level care providers’ views on suffering and healing as well as existing obstacles and needs related to providing care to their clients. This research provides a “snapshot” for a better understanding of existing care systems in two post-conflict settings. By identifying existing approaches to care and the needs of the care provider community, this research might be useful in guiding psychosocial assistance programming in post-conflict settings. Utilizing a semi-structured questionnaire, 45 care providers were interviewed, including local health care practitioners, traditional/spiritual healers, and humanitarian relief workers, in Bosnia and Herzegovina and Cambodia. This study found that the majority of care providers in both settings perceived poverty and violence as significant causes and consequences of human suffering and, at the same time, felt ill-equipped in addressing these issues and related problems. Other issues that hindered these healers in providing care included: limited government/institutional support; lack of training; materialresources and funding. Study findings point to a new framework fordeveloping effective interventions and the need for further emphasison supporting care providers in their work, and most specifically, inidentifying and responding to poverty and violence.

  13. Care providers' needs and perspectives on suffering and care in Bosnia and Herzegovina and Cambodia.

    Science.gov (United States)

    McDonald, Laura; Mollica, Richard F; Douglas Kelley, Susan; Tor, Svang; Halilovic, Majda

    2012-01-01

    This exploratory study aimed to obtain insight into field-level care providers' views on suffering and healing as well as existing obstacles and needs related to providing care to their clients. This research provides a "snapshot" for a better understanding of existing care systems in two post-conflict settings. By identifying existing approaches to care and the needs of the care provider community, this research might be useful in guiding psychosocial assistance programming in post-conflict settings. Utilizing a semi-structured questionnaire, 45 care providers were interviewed, including local health care practitioners, traditional/ spiritual healers, and humanitarian relief workers, in Bosnia and Herzegovina and Cambodia. This study found that the majority of care providers in both settings perceived poverty and violence as significant causes and consequences of human suffering and, at the same time, felt ill-equipped in addressing these issues and related problems. Other issues that hindered these healers in providing care included: limited government/institutional support; lack of training; material resources and funding. Study findings point to a new framework for developing effective interventions and the need for further emphasis on supporting care providers in their work, and most specifically, in identifying and responding to poverty and violence.

  14. OBS development and data analysis in Taiwan

    Science.gov (United States)

    Lin, C.; Wang, C.; Chen, P.; Chang, H.; Jang, J.; Kuo, B.

    2012-12-01

    Since 1991 there have been various types of ocean bottom seismometers (OBS) deployed in the waters around Taiwan with different scientific goals. A few years of experiences taught us that many aspects of the instruments can be improved without too much effort. These include extension of deployment time, extension of the recording bandwidth of a short period OBS, and more flexibly to accommodate scientific demands without instrumental overhaul. Scientists will not burden themselves by these tasks, and sending back the instrument to original manufactory for modifications is usually impractical budget-wise, in timeline, and for mission goals. It is thus necessary to develop a sustainable OBS program in Taiwan. Academia Sinica has been collaborating with Taiwan Ocean Research Institute (TORI) and National Sun Yat-sen University (NSYSU) to build a new short-period OBS which has passed a series of tests and have been deployed in the Okinawa trough, Bashi channel, east Korea offshore and on service in Huatung basin. This paper describes the design goal of this OBS, component specification, and reports the preliminary analyses of data and the future directions of instrument development. Keywords: Ocean bottom seismometer, OBS

  15. Transformation of Taiwan's Upper Secondary Education System

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    Hueih-Lirng Laih

    1998-09-01

    Full Text Available This paper explores the policy issues circling around the structural "transition" in upper secondary education implicit in the twenty-year increase in secondary and third-level school enrollment rates in Taiwan. This expansion has taken place within a secondary school system which is rigidly divided into both general, i.e., academic, and vocational tracks and into public and private sectors: the majority of students are enrolled in the private vocational sector which is only loosely articulated with the university sector. These features of the school system are analysed against the background of social and economic developments in Taiwan as well as public opinion. The analysis suggests that the present structures of school must be "reformed" in ways that will result in a more unified secondary system with both greater public funding and better articulation of all school types with the third level. The policy options that circle around the possibility of such reforms in the areas of curriculum, examination structures and second level-third level articulation are discussed and a policy framework for the reform of the Taiwan secondary education sector is outlined.

  16. Research and development of Cordyceps in Taiwan

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    Ching-Peng Chiu

    2016-12-01

    Full Text Available Cordyceps is treasured entomopathogenic fungi that have been used as antitumor, immunomodulating, antioxidant, and pro-sexual agent. Cordyceps, also called DongChongXiaCao in Chinese, Yartsa Gunbu (Tibetan, means winter worm-summer grass. Natural Cordyceps sinensis with parasitic hosts is difficult to be collected and the recent findings on its potential pharmacological functions, resulted in skyrocketing prices. Therefore, finding a mass-production method or an alternative for C. sinensis products is a top-priority task. In this review, we describe current status of Cordyceps research and its recent developments in Taiwan. The content and pharmacological activities of four major industrial species of Cordyceps (C. sinensis, Cordyceps militaris, Cordyceps cicadae and Cordyceps sobolifera used in Taiwan, were reviewed. Moreover, we highlighted the effect of using different methods of fermentation and production on the morphology and chemical content of Cordyceps sp. Finally, we summarized the bottle-necks and challenges facing Cordyceps research as well as we proposed future road map for Cordyceps industry in Taiwan.

  17. The MicrOBS study around Taiwan

    Science.gov (United States)

    Liang, C.; Lee, C.

    2007-12-01

    Since 2005, we have managed 16 MicrOBS, designed by the French IFREMER, to study the earthquake and crustal structute around Taiwan. The instrument itself is very light (20 kgs) and easy to operate. This OBS has a measuring period up to 2 weeks in the seafloor. We have conducted the works, aiming to get a better understanding of the ¡§marine¡¨ earthquakes, from the in situ small event to the big earthquake. For example, a study of the seismic gaps in the offshore region becomes workable as compare with the time when we only have the land seismological instruments. We have also used this instrument to obtain a detail study of the gas hydrate and free gas zone. Whenever a large seismic source is available, we then conduct the local and regional crustal studies, such as in the Philippine Sea and South China Sea. In the last 3 years, we have directed 285 deployments of MicrOBS around Taiwan. More than 80 per cent of the natural earthquakes in Taiwan (in an average of about 15,000 events of Mm greater than 2 events per year) were occurred in offshore area. Big earthquakes (i.e. Mm greater than 6) are more often happen in the offshore area than that in the onshore region. Therefore, the tools (MicrOBS and OBS) to measure these ¡§marine¡¨ earthquakes become essential to understand the character and origin of crustal dynamics, particularly in the seismogenic zone.

  18. Historical overview of Taenia asiatica in Taiwan.

    Science.gov (United States)

    Ooi, Hong Kean; Ho, Chau-Mei; Chung, Wen-Cheng

    2013-02-01

    An overview of the epidemiological, biological, and clinical studies of Taenia and taeniasis in Taiwan for the past century is presented. The phenomenal observations that led to the discovery of Taenia asiatica as a new species, which differ from Taenia solium and Taenia saginata, are described. Parasitological surveys of the aborigines in Taiwan revealed a high prevalence of taeniasis, which might be due to the culture of eating raw liver of hunted wild boars. Chemotherapeutic deworming trials involving many patients with taeniasis were discussed. Praziquantel was found to be very effective, but sometimes complete worms could not be recovered from the feces after treatment, probably due to the dissolution of the proglottids. Atabrine, despite some side effects, can still be used, in properly controlled dosages, as the drug of choice for human T. asiatica infection if we need to recover the expelled worms for morphological examinations. Research results on the infection of T. asiatica eggs from Taiwan aborigines in experimental animals were also noted. Since the pig serve as the natural intermediate host of T. asiatica and the predilection site is the liver, a differential comparison of other parasitic pathogens that might cause apparently similar lesions is also presented.

  19. Taiwan Perspective: Developing Smart Living Technology

    Directory of Open Access Journals (Sweden)

    Chih-Kung Lee

    2011-09-01

    Full Text Available The pursuit of Smart Living Technology is a recent trend in which technology is applied to daily life to increase efficiency, affordability and sustainability. The principle behind Smart Living Technology is that technology should be used to advance the needs of human beings and to increase the quality of life by the power of human creativity while at the same time sustaining the environment for future generations. As such, intelligent networks should be adopted to provide humans with full information to control an individual’s personal environment. Wireless technology can play a key role in enabling smart energy monitoring by allowing consumers to make more informed choices and to connect products and devices to a coordinated management system. The development of Smart Living Technology is based on the concept of user driven innovations. Various Living Labs have been established around the world as development centers for extension of this Smart Living Technology. In this paper, the background and current developments of Smart Living Technology are reviewed, followed by real examples taking place in Taiwan. Finally, the focus and future plan for Taiwan are discussed including a strategy for further development of Smart Living Technology in Taiwan.

  20. Liberalist Variation in Taiwan: Four Democratization Orientations

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    Hung-jen Wang

    2012-01-01

    Full Text Available In this paper I analyse how Taiwanese liberalist scholars have discursively and operationally shaped the meanings of Taiwanese democratization via a mix of liberal values and nationalist concerns. I will argue that a valid understanding of democratization in Taiwan has never emerged in a way that adequately responds to a liberalist perspective of the country’s ongoing political development. Instead, such an understanding has been subjectively influenced by liberal intellectuals writing on the subject. In other words, current discourses in Taiwan represent efforts on the part of scholars to manage connections between liberalist values and nationalist concerns rather than shared views regarding facts emerging from Taiwanese democratization. In this paper I discuss four types of liberalist orientations to Taiwanese democratization – universal, moderate, pragmatic and nationalist – in the contexts of national-identity constraints, a balance between liberal values and national identity, and flexibility regarding liberalist and nationalist concerns. I conclude that democratization research in Taiwan reflects an aspect of knowledge production formulated by the relationship between the researcher and the subject under study.

  1. Predictors of Burnout Among Nurses in Taiwan.

    Science.gov (United States)

    Lee, Huan-Fang; Yen, Miaofen; Fetzer, Susan; Chien, Tsair Wei

    2015-08-01

    Nurse burnout is a crucial issue for health care professionals and impacts nurse turnover and nursing shortages. Individual and situational factors are related to nurse burnout with predictors of burnout differing among cultures and health care systems. The predictors of nurse burnout in Asia, particularly Taiwan, are unknown. The purpose of this study was to investigate the predictors of burnout among a national sample of nurses in Taiwan. A secondary data analysis of a nationwide database investigated the predictors of burnout among 1,846 nurses in Taiwan. Hierarchical regression analysis determined the relationship between predictors and burnout. Predictors of Taiwanese nurse burnout were age, physical/psychological symptoms, job satisfaction, work engagement, and work environment. The most significant predictors were physical/psychological symptoms and work engagement. The variables explained 35, 39, and 18 % of the emotional exhaustion, personal accomplishment, and depersonalization variance for 54 % of the total variance of burnout. Individual characteristics and nurse self-awareness, especially work, engagement can impact Taiwanese nurses' burnout. Nurse burnout predictors provide administrators with information to develop strategies including education programs and support services to reduce nurse burnout.

  2. Education of biomedical engineering in Taiwan.

    Science.gov (United States)

    Lin, Kang-Ping; Kao, Tsair; Wang, Jia-Jung; Chen, Mei-Jung; Su, Fong-Chin

    2014-01-01

    Biomedical Engineers (BME) play an important role in medical and healthcare society. Well educational programs are important to support the healthcare systems including hospitals, long term care organizations, manufacture industries of medical devices/instrumentations/systems, and sales/services companies of medical devices/instrumentations/system. In past 30 more years, biomedical engineering society has accumulated thousands people hold a biomedical engineering degree, and work as a biomedical engineer in Taiwan. Most of BME students can be trained in biomedical engineering departments with at least one of specialties in bioelectronics, bio-information, biomaterials or biomechanics. Students are required to have internship trainings in related institutions out of campus for 320 hours before graduating. Almost all the biomedical engineering departments are certified by IEET (Institute of Engineering Education Taiwan), and met the IEET requirement in which required mathematics and fundamental engineering courses. For BMEs after graduation, Taiwanese Society of Biomedical Engineering (TSBME) provides many continue-learning programs and certificates for all members who expect to hold the certification as a professional credit in his working place. In current status, many engineering departments in university are continuously asked to provide joint programs with BME department to train much better quality students. BME is one of growing fields in Taiwan.

  3. Respondent-driven sampling on the Thailand-Cambodia border. II. Knowledge, perception, practice and treatment-seeking behaviour of migrants in malaria endemic zones

    Directory of Open Access Journals (Sweden)

    Kaewkungwal Jaranit

    2011-05-01

    Full Text Available Abstract Background Population movements along the Thailand-Cambodia border, particularly among highly mobile and hard-to-access migrant groups from Cambodia and Myanmar, are assumed to play a key role in the spread of artemisinin resistance. Data on treatment-seeking behaviours, knowledge and perceptions about malaria, and use of preventive measures is lacking as characteristics of this population prevent them from being represented in routine surveillance and the lack of a sampling frame makes reliable surveys challenging. Methods A survey of migrant populations from Cambodia and Myanmar was implemented in five selected rural locations in Thailand along the Thai-Cambodian border using respondent driven sampling (RDS to determine demographic characteristics of the population, migratory patterns, knowledge about malaria, and health-care -seeking behaviours. Results The majority of migrants from Myanmar are long-term residents (98% with no plans to move back to Myanmar, understand spoken Thai (77% and can therefore benefit from health messages in Thai, have Thai health insurance (99% and accessed public health services in Thailand (63% for their last illness. In comparison, the majority of Cambodian migrants are short-term (72%. Of the short-term Cambodian migrants, 92% work in agriculture, 18% speak Thai, 3.4% have Thai health insurance, and the majority returned to Cambodia for treatment (45%, self-treated (11%, or did not seek treatment for their last illness (27%. Conclusion Most highly mobile migrants along the Thai-Cambodia border are not accessing health messages or health treatment in Thailand, increasing their risk of malaria and facilitating the spread of potentially resistant Plasmodium falciparum as they return to Cambodia to seek treatment. Reaching out to highly mobile migrants with health messaging they can understand and malaria diagnosis and treatment services they can access is imperative in the effort to contain the spread of

  4. Cost of dengue and other febrile illnesses to households in rural Cambodia: a prospective community-based case-control study

    OpenAIRE

    Margolis Harold S; Duong Socheat; Ngan Chantha; Beatty Mark; Wichmann Ole; Huy Rekol; Vong Sirenda

    2009-01-01

    Abstract Background The average annual reported dengue incidence in Cambodia is 3.3/1,000 among children < 15 years of age (2002–2007). To estimate the economic burden of dengue, accurate cost-of-illness data are essential. We conducted a prospective, community-based, matched case-control study to assess the cost and impact of an episode of dengue fever and other febrile illness on households in rural Cambodia. Methods In 2006, active fever surveillance was conducted among a cohort of 6,694 c...

  5. Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes.

    Science.gov (United States)

    Bigdeli, Maryam; Jacobs, Bart; Men, Chean Rithy; Nilsen, Kristine; Van Damme, Wim; Dujardin, Bruno

    2016-01-01

    Non-communicable diseases (NCD) pose challenges to Cambodia's health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance) together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics) targeted at NCD patients. This study examines performance of these various schemes in relation to NCD. Cross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms. Two third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59%) were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%). Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML. The benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship.

  6. Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes.

    Directory of Open Access Journals (Sweden)

    Maryam Bigdeli

    Full Text Available Non-communicable diseases (NCD pose challenges to Cambodia's health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics targeted at NCD patients. This study examines performance of these various schemes in relation to NCD.Cross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms.Two third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59% were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%. Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML.The benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship.

  7. Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia.

    Science.gov (United States)

    Smith, Chris; Ngo, Thoai D; Gold, Judy; Edwards, Phil; Vannak, Uk; Sokhey, Ly; Machiyama, Kazuyo; Slaymaker, Emma; Warnock, Ruby; McCarthy, Ona; Free, Caroline

    2015-12-01

    To assess the effect of a mobile phone-based intervention (mHealth) on post-abortion contraception use by women in Cambodia. The Mobile Technology for Improved Family Planning (MOTIF) study involved women who sought safe abortion services at four Marie Stopes International clinics in Cambodia. We randomly allocated 249 women to a mobile phone-based intervention, which comprised six automated, interactive voice messages with counsellor phone support, as required, whereas 251 women were allocated to a control group receiving standard care. The primary outcome was the self-reported use of an effective contraceptive method, 4 and 12 months after an abortion. Data on effective contraceptive use were available for 431 (86%) participants at 4 months and 328 (66%) at 12 months. Significantly more women in the intervention than the control group reported effective contraception use at 4 months (64% versus 46%, respectively; relative risk, RR: 1.39; 95% confidence interval, CI: 1.17-1.66) but not at 12 months (50% versus 43%, respectively; RR: 1.16; 95% CI: 0.92-1.47). However, significantly more women in the intervention group reported using a long-acting contraceptive method at both follow-up times. There was no significant difference between the groups in repeat pregnancies or abortions at 4 or 12 months. Adding a mobile phone-based intervention to abortion care services in Cambodia had a short-term effect on the overall use of any effective contraception, while the use of long-acting contraceptive methods lasted throughout the study period.

  8. Access to mental health and psychosocial services in Cambodia by survivors of trafficking and exploitation: a qualitative study.

    Science.gov (United States)

    Aberdein, Charlotte; Zimmerman, Cathy

    2015-01-01

    Emerging evidence indicates the extreme forms of violence and acute and longer-term mental health consequences associated with trafficking and exploitation. However, there has been little research on post-trafficking mental health and psychosocial support services for survivors. This study explored the availability and accessibility of mental health and psychosocial support services in Cambodia for women, men and children trafficked and exploited for sex or labour purposes. Semi-structured interviews were conducted with a purposively selected sample of representatives from seven service organizations providing mental health and psychosocial support services for people who have been trafficked. This qualitative method was selected to gain insights into the service approaches and challenges faced by the small number of post-trafficking service providers in Cambodia. A conceptual framework outlining access dimensions associated with service provision guided the structure of the study. Findings indicate that among the available post-trafficking services, there are few trained mental health specialists, an over-representation of shelter services in urban versus rural areas and limited services for males, people with disabilities, individuals exploited for labour (versus sexual exploitation) and those with more serious mental illnesses. Providers believe that discrimination and stigma related to both mental health and human trafficking hinder trafficked people's willingness to access services, but suggest that awareness-raising may reduce these prejudices. Care in this sector is precarious due to over-reliance on financial support by donors versus government. Recent increases in newly qualified professionals and providers suggest potential improvements in the quality and availability of psychological support for trafficking survivors. Psychological support for the growing number of identified trafficking survivors in Cambodia will depend on improved geographical

  9. Drug-resistant tuberculosis in HIV-infected patients in a national referral hospital, Phnom Penh, Cambodia

    Directory of Open Access Journals (Sweden)

    Genevieve Walls

    2015-01-01

    Full Text Available Background and objective: There are no recent data on the prevalence of drug-resistant tuberculosis (DR TB in Cambodia. We aim to describe TB drug resistance amongst adults with pulmonary and extra-pulmonary TB and human immunodeficiency virus (HIV co-infection in a national referral hospital in Phnom Penh, Cambodia. Design: Between 22 November 2007 and 30 November 2009, clinical specimens from HIV-infected patients suspected of having TB underwent routine microscopy, Mycobacterium tuberculosis culture, and drug susceptibility testing. Laboratory and clinical data were collected for patients with positive M. tuberculosis cultures. Results: M. tuberculosis was cultured from 236 HIV-infected patients. Resistance to any first-line TB drug occurred in 34.7% of patients; 8.1% had multidrug resistant tuberculosis (MDR TB. The proportion of MDR TB amongst new patients and previously treated patients was 3.7 and 28.9%, respectively (p<0.001. The diagnosis of MDR TB was made after death in 15.8% of patients; in total 26.3% of patients with MDR TB died. The diagnosis of TB was established by culture of extra-pulmonary specimens in 23.6% of cases. Conclusions: There is significant resistance to first-line TB drugs amongst new and previously treated TB–HIV co-infected patients in Phnom Penh. These data suggest that the prevalence of DR TB in Cambodia may be higher than previously recognised, particularly amongst HIV-infected patients. Additional prevalence studies are needed. This study also illustrates the feasibility and utility of analysis of non-respiratory specimens in the diagnosis of TB, even in low-resource settings, and suggests that extra-pulmonary specimens should be included in TB diagnostic algorithms.

  10. The Cambodia Research Consortium: expediting research for malaria elimination with the emergency response to artemisinin resistance framework.

    Science.gov (United States)

    Canavati, Sara E; Lawford, Harriet L S; Fatunmbi, Bayo S; Lek, Dysoley; Leang, Rithea; Top Samphor, Narann; Dondorp, Arjen M; Huy, Rekol; Kazadi, Walter M

    2016-01-04

    This commentary offers insight into how to best address barriers that may hinder the translation of malaria research findings into policy. It also proposes viable methods of implementing these policies in Cambodia. Currently, a wide range of malaria research is being conducted by in-country stakeholders, including Cambodia's National Programme for Parasitology, Entomology and Malaria Control's (CNM), non-governmental organizations, and academic institutions. Coordinating research amongst these partners, as well as within the Ministry of Health, is a challenge. Results are rarely disseminated widely and seldom inform programme and policy decisions. CNM and its research partners have severely limited access to each other's databases. This lack of accessibility, timeliness, engagement and cooperation between CNM and its partners greatly impacts overall research efficiency in this field, and is stifling innovation both within and beyond CNM. Cambodia has set a goal to eradicate all forms of malaria by 2030. As countries approach the elimination phase, there is a greater need for sharing research-generated evidence amongst partners, in order to ensure that appropriate and impactful activities are conducted. The Cambodian Research Consortium was established to serve as a framework for partners, stakeholders and researchers to share research projects, information and results, and to promote the goals of CNM. The sharing of malaria research results will help to inform prevention, control and elimination activities in the country. It will also determine and address the country's operational research needs, and could potentially become a framework model to be used in other countries aiming to transition from malaria control to elimination.

  11. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia)

    Science.gov (United States)

    Caneva, G.; Bartoli, F.; Savo, V.; Futagami, Y.; Strona, G.

    2016-09-01

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective.

  12. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia).

    Science.gov (United States)

    Caneva, G; Bartoli, F; Savo, V; Futagami, Y; Strona, G

    2016-09-06

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective.

  13. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia)

    Science.gov (United States)

    Caneva, G.; Bartoli, F.; Savo, V.; Futagami, Y.; Strona, G.

    2016-01-01

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective. PMID:27597658

  14. Utilizing three years of epidemiological data from medical missions in Cambodia to shape the mobile medical clinic formulary

    Directory of Open Access Journals (Sweden)

    Jeany Kim Jun

    2017-01-01

    Full Text Available Objective: The purpose of this project was to gather epidemiological data on common diseases and medications dispensed during medical mission trips to Cambodia to shape the mobile medical clinic formulary. Methods: Data for patients seen during week-long mobile medical clinics was collected in Cambodia during Septembers 2012 to 2014. Each patient’s gender, age, weight, blood pressure, glucose, pertinent laboratory values, diagnoses, and medications dispensed were collected. Blood pressure and glucose levels were measured in patients 18 years and above. Data collected onto paper intake forms were transferred onto spreadsheets without patient identifying information and analyzed for aggregate means, common diseases, and most dispensed medications. This project received institutional review board approval. Results: A total of 1,015 patients were seen over three years. Women made up 61.4%, and the mean age was 41.8 years. The most common diagnosis was gastrointestinal disorders (22.9% that included gastroesophageal reflux disease and intestinal parasites. Next, 20.1% of patients had hypertension (BP>140/90, 18.0% had presbyopia, 15.4% had back and joint pain, followed by 8.8% with headache, including migraines. Approximately 8.4% of patients had hyperglycemia (RPG >140 mg/dl. The top five medications dispensed were acetaminophen, omeprazole, multivitamin, ibuprofen, and metformin. For hypertension, amlodipine and lisinopril were dispensed. Conclusion: Cambodia lacks systematic public health collection of epidemiological data for prevalence of diseases. Hence, investigators collected and analyzed information from week-long mobile medical clinics over three years. Proton-pump inhibitors and H. pylori lab tests were recommended for gastrointestinal disorders. Acetaminophen and ibuprofen were recommended for pain. Angiotensin-converting-enzyme inhibitors and dihydropyridine calcium channel blockers were recommended over diuretics since patients were

  15. Taiwan Teacher Preparation Program Evaluation: Some Critical Perspectives

    Science.gov (United States)

    Liu, Tze-Chang

    2015-01-01

    This paper focuses on the influences and changes of recent Taiwan teacher preparation program evaluation (TTPPE) as one of the national evaluation projects conducted by the Higher Education Evaluation and Accreditation Council of Taiwan. The main concerns are what kind of ideology is transformed through the policy by means of evaluation, and what…

  16. Kindergarten Teachers' Experience with Reporting Child Abuse in Taiwan

    Science.gov (United States)

    Feng, Jui-Ying; Huang, Tzu-Yi; Wang, Chi-Jen

    2010-01-01

    Objective: The objectives were to examine factors associated with reporting child abuse among kindergarten teachers in Taiwan based on the Theory of Planned Behavior (TPB). Method: A stratified quota sampling technique was used to randomly select kindergarten teachers in Taiwan. The Child Abuse Intention Report Scale, which includes demographics,…

  17. Research on English Teaching and Learning: Taiwan (2004-2009)

    Science.gov (United States)

    Chen, Suchiao; Tsai, Yachin

    2012-01-01

    This article analyzes research in second/foreign language teaching and learning conducted in Taiwan over the period 2004-2009. Representative articles published in local refereed journals and conference proceedings--not readily accessible outside Taiwan--are reviewed to reflect current trends in English teaching and learning. The main themes…

  18. GIS Adoption among Senior High School Geography Teachers in Taiwan

    Science.gov (United States)

    Lay, Jinn-Guey; Chen, Yu-Wen; Chi, Yu-Lin

    2013-01-01

    This article explores the adoption of geographic information system (GIS) knowledge and skills through in-service training for high school geography teachers in Taiwan. Through statistical analysis of primary data collected from a census of Taiwan's high school geography teachers, it explores what motivates these teachers to undertake GIS…

  19. Kindergarten Teachers' Experience with Reporting Child Abuse in Taiwan

    Science.gov (United States)

    Feng, Jui-Ying; Huang, Tzu-Yi; Wang, Chi-Jen

    2010-01-01

    Objective: The objectives were to examine factors associated with reporting child abuse among kindergarten teachers in Taiwan based on the Theory of Planned Behavior (TPB). Method: A stratified quota sampling technique was used to randomly select kindergarten teachers in Taiwan. The Child Abuse Intention Report Scale, which includes demographics,…

  20. GIS Adoption among Senior High School Geography Teachers in Taiwan

    Science.gov (United States)

    Lay, Jinn-Guey; Chen, Yu-Wen; Chi, Yu-Lin

    2013-01-01

    This article explores the adoption of geographic information system (GIS) knowledge and skills through in-service training for high school geography teachers in Taiwan. Through statistical analysis of primary data collected from a census of Taiwan's high school geography teachers, it explores what motivates these teachers to undertake GIS…

  1. Counseling Psychology Licensure in Taiwan: Development, Challenges, and Opportunities

    Science.gov (United States)

    Wang, Li-fei; Kwan, Kwong-Liem K.; Huang, Su-Fei

    2011-01-01

    The development and consequences of licensure for counseling psychologists in Taiwan are presented to promote cross-cultural awareness surrounding issues in the counseling psychology profession. The national licensure statute for counseling psychologists in Taiwan was established by the Taiwanese Legislature in 2001. While the licensing system…

  2. Intercultural Training for US Business Expatriates in Taiwan

    Science.gov (United States)

    Chien, Tien-Chen; McLean, Gary N.

    2011-01-01

    Purpose: This study aims to explore the intercultural training needs for US business expatriates on assignment in Taiwan. The study assesses Taiwan culture-specific training needs of US expatriates from the perspectives of both US expatriates and their Taiwanese colleagues and compares the perceived importance of these intercultural training needs…

  3. Negotiating for Change: Women's Movements and Education Reform in Taiwan

    Science.gov (United States)

    Lee, Shu-Ching

    2011-01-01

    The dramatic changes during the past 20 years in Taiwan offer a good example of how gender policy in education is facilitated by a combination of interrelated economic, political and social forces. Taiwan's policy on gender education emerged from the interaction of state, education, academic and non-academic feminist positions in reforms. This…

  4. Higher Education Research Community in Taiwan: An Emerging Field

    Science.gov (United States)

    Chan, Sheng-Ju; Chan, Ying

    2015-01-01

    This paper aims to explore the evolution and characteristics of the higher education research community in Taiwan. In echoing the development of the East Asian region, Taiwan has made substantial progress during the past two decades. The massification of higher education itself has played a major role in promoting the academic differentiation or…

  5. The Buddha and the Computer: Career Guidance in Taiwan.

    Science.gov (United States)

    Katz, Martin R.

    Career decision making in Taiwan was examined in the context of a society undergoing dynamic change as modern entrepreneurial values are accommodated in a cherished traditional culture. Especially during the past 20 years, the economy of Taiwan has changed from agriculture to technology. At the same time, the educational needs of students have…

  6. Occupational hand dermatitis among cement workers in Taiwan

    Directory of Open Access Journals (Sweden)

    Bour-Jr Wang

    2011-12-01

    Conclusion: We conclude that occupational cement hand dermatitis among cement workers is an important and severe issue in Taiwan, and the most common allergens among cement workers are potassium dichromate, thiuram mix, fragrance mix and cobalt chloride. The high positive rate of chromium hypersensitivity among cement workers reflects the urgency to regulate the addition of ferrous sulfate to cement in Taiwan.

  7. Teaching Benchmark Strategy for Fifth-Graders in Taiwan

    Science.gov (United States)

    Yang, Der-Ching; Lai, M. L.

    2013-01-01

    The key purpose of this study was how we taught the use of benchmark strategy when comparing fraction for fifth-graders in Taiwan. 26 fifth graders from a public elementary in south Taiwan were selected to join this study. Results of this case study showed that students had a much progress on the use of benchmark strategy when comparing fraction…

  8. Perinatal Consumption of Thiamine-Fortified Fish Sauce in Rural Cambodia: A Randomized Clinical Trial.

    Science.gov (United States)

    Whitfield, Kyly C; Karakochuk, Crystal D; Kroeun, Hou; Hampel, Daniela; Sokhoing, Ly; Chan, Benny B; Borath, Mam; Sophonneary, Prak; McLean, Judy; Talukder, Aminuzzaman; Lynd, Larry D; Li-Chan, Eunice C Y; Kitts, David D; Allen, Lindsay H; Green, Timothy J

    2016-10-03

    Infantile beriberi, a potentially fatal disease caused by thiamine deficiency, remains a public health concern in Cambodia and regions where thiamine-poor white rice is a staple food. Low maternal thiamine intake reduces breast milk thiamine concentrations, placing breastfed infants at risk of beriberi. To determine if consumption of thiamine-fortified fish sauce yields higher erythrocyte thiamine diphosphate concentrations (eTDP) among lactating women and newborn infants and higher breast milk thiamine concentrations compared with a control sauce. In this double-blind randomized clinical trial, 90 pregnant women were recruited in the Prey Veng province, Cambodia. The study took place between October 2014 and April 2015. Women were randomized to 1 of 3 groups (n = 30) for ad libitum fish sauce consumption for 6 months: control (no thiamine), low-concentration (2 g/L), or high-concentration (8 g/L) fish sauce. Maternal eTDP was assessed at baseline (October 2014) and endline (April 2015). Secondary outcomes, breast milk thiamine concentration and infant eTDP, were measured at endline. Women's mean (SD) age and gestational stage were 26 (5) years and 23 (7) weeks, respectively. April 2015 eTDP was measured among 28 women (93%), 29 women (97%), and 23 women (77%) in the control, low-concentration, and high-concentration groups, respectively. In modified intent-to-treat analysis, mean baseline-adjusted endline eTDP was higher among women in the low-concentration (282nM; 95% CI, 235nM to 310nM) and high-concentration (254nM; 95% CI, 225nM to 284nM) groups compared with the control group (193nM; 95% CI, 164nM to 222M; P < .05); low-concentration and high-concentration groups did not differ (P = .19). Breast milk total thiamine concentrations were 14.4 μg/dL for the control group (95% CI, 12.3 μg/dL to 16.5 μg/dL) (to convert to nanomoles per liter, multiply by 29.6); 20.7 μg/dL for the low-concentration group (95% CI, 18.6 μg/dL to 22.7 μg/dL ); and 17

  9. A Comparative Study of Dihydroartemisinin Compounds in Treatment of Uncomplicated Falciparum Malaria in Kampong of Cambodia

    Institute of Scientific and Technical Information of China (English)

    SONGJian-ping; DuongSocheattffu

    2003-01-01

    Objective:To compare the safety and efficacy of two compounds of dihydroartemisinin (DHA)-Artekin and Artekin(T)in the treatement of uncomplicated falciparum malaria.Methods:The regiment of 8-tablet for 2 days of Artekin and Artekin(T) were applied to 100 patients with uncompli-cated falciparum malaria,who were radomly divided into two groups.Each group contained 50 cases.The cure rate ,the mean parasites clearance time,the mean fever clearance and side-effects were observed to assess the safety and efficacy of the compunds used.Results:The mean parasites clearance time was 31.7±9.0 hours in the Artekin group and 32.8±8.8 hours in Artekin(T) group respectively; the mean fever clearance time was 12.7±7.2 hours in Artekin group and 16.5±7.9 hours in Artekin(T) group; there were no recrudescence case in both groups within the 28 days of follow-up ,the cure rates in Artekin group and Artekin(T)groups were 100%.It indicated that the tolerability of both compunds were very good,the side-effects such as nausea,abdominal pain were mild and self-limited.Conclusion:The study preliminarily indicated that the DHA and PQ compounds were of high efficacy,rapid acting and low toxici-ty.Artekin is very promising as a cheap,simple,effective treatment for multi-resistance malaria in Cam-bodia.

  10. Improving the Effectiveness of the Bio-slurry Extension Component of National Biodigester Program in Cambodia

    Energy Technology Data Exchange (ETDEWEB)

    Islam, M. F.

    2009-10-15

    This report deals with the escalating challenge Cambodia faces in its agricultural sector for providing sufficient feeding to an increasing population, while also having improper soil management. Based on field visits, interviews, regular meetings, training workshops, and joint analysis it was revealed that farmers used both organic (bio-slurry) and inorganic fertilisers but were unaware of the balance needed and required doses of fertiliser. Further, it appeared that farmers have limited access to improve crop management practices, specifically to fertiliser management. In a response to the problem, the current weaknesses, and further scope of improvement of present organisational setup of slurry extension component of NBP and subsidy system have been analysed in depth. Extensive recommendations are offered on an organisational setup level (e.g. strengthen the linkage between Provincial Biogas Program Office-PBPO and Cambodian Centre for Study and Development in Agriculture-CEDAC by involving CEDAC in the planning process), subsidy (e.g. provide subsidy to attract farmers for construction of standard compost hut, boundaries and shade), planning (e.g. bottom up planning approach is suggested where a seasonal planning meeting should be organized at province by the project director involving CEDAC provincial coordinator), development of training materials (e.g. a national consultant should be hired for developing a training manual on bio-slurry systems), training (e.g. strengthen user training by increasing its number, frequency, topics), farmers participatory action research (e.g. the participatory approach should be replaced by a demonstration one), monitoring and reporting (e.g. monitoring system should be established as desk and field monitoring)

  11. Using microfinance to facilitate household investment in sanitation in rural Cambodia.

    Science.gov (United States)

    Geissler, Kimberley H; Goldberg, Jeffrey; Leatherman, Sheila

    2016-11-01

    Improved sanitation access is extremely low in rural Cambodia. Non-governmental organizations have helped build local supply side latrine markets to promote household latrine purchase and use, but households cite inability to pay as a key barrier to purchase. To examine the extent to which microfinance can be used to facilitate household investment in sanitation, we applied a two-pronged assessment: (1) to address the gap between interest in and use of microfinance, we conducted a pilot study to assess microfinance demand and feasibility of integration with a sanitation marketing program and (2) using a household survey (n = 935) at latrine sales events in two rural provinces, we assessed attitudes about microfinance and financing for sanitation. We found substantial stated intent to use a microfinance institution (MFI) loan to purchase a latrine (27%). Five percent of current owners used an MFI loan for latrine purchase. Credit officers attended 159 events, with 4761 individuals attending. Actual loan applications were low, with 4% of sales events attendees applying for a loan immediately following the event (mean = 1.7 loans per event). Ongoing coordination was challenging, requiring management commitment from the sanitation marketing program and commitment to social responsibility from the MFI. Given the importance of improving sanitation coverage and concomitant health impacts, linking functional sanitation markets to already operational finance markets has the potential to give individuals and households more financial flexibility. Further product research and better integration of private vendors and financing modalities are necessary to create a scalable microfinance option for sanitation markets. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. Patterns of ecosystem metabolism in the Tonle Sap Lake, Cambodia with links to capture fisheries.

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    Holtgrieve, Gordon W; Arias, Mauricio E; Irvine, Kim N; Lamberts, Dirk; Ward, Eric J; Kummu, Matti; Koponen, Jorma; Sarkkula, Juha; Richey, Jeffrey E

    2013-01-01

    The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km(2) to over 12,500 km(2) driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP) and ecosystem respiration (ER) for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m(-3) d(-1) with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45) and positive correlation with turbidity (r = 0.65). ER averaged 24.9±20.0 g O2 m(-3) d(-1) but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPPproductivity model and predicted aquatic net primary production (aNPP) of 2.0±0.2 g C m(-2) d(-1) (2.4±0.2 million tonnes C y(-1)). Considering a range of plausible values for the total fisheries catch, we estimate that fisheries harvest is an equivalent of 7-69% of total aNPP, which is substantially larger than global average for marine and freshwater systems. This is likely due to relatively efficient carbon transfer through the food web and support of fish production from terrestrial NPP. These analyses are an important first-step in quantifying the resource pathways that support this important ecosystem.

  13. Influenza A Virus in Backyard Pigs and Poultry in Rural Cambodia.

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    Osbjer, K; Berg, M; Sokerya, S; Chheng, K; San, S; Davun, H; Magnusson, U; Olsen, B; Zohari, S

    2017-10-01

    Surveillance of influenza virus in humans and livestock is critical, given the worldwide public health threats and livestock production losses. Livestock farming involving close proximity between humans, pigs and poultry is often practised by smallholders in low-income countries and is considered an important driver of influenza virus evolution. This study determined the prevalence and genetic characteristics of influenza A virus (IAV) in backyard pigs and poultry in Cambodia. A total of 751 animals were tested by matrix gene-based rRT-PCR, and influenza virus was detected in 1.5% of sampled pigs, 1.4% of chickens and 1.0% of ducks, but not in pigeons. Full-length genome sequencing confirmed triple reassortant H3N2 in all IAV-positive pigs and various low pathogenic avian influenza subtypes in poultry. Phylogenetic analysis of the swine influenza viruses revealed that these had haemagglutinin and neuraminidase genes originating from human H3N2 viruses previously isolated in South-East Asia. Phylogenetic analysis also revealed that several of the avian influenza subtypes detected were closely related to internal viral genes from highly pathogenic H5N1 and H9N2 formerly sequenced in the region. High sequence homology was likewise found with influenza A viruses circulating in pigs, poultry and wild birds in China and Vietnam, suggesting transboundary introduction and cocirculation of the various influenza subtypes. In conclusion, highly pathogenic subtypes of influenza virus seem rare in backyard poultry, but virus reassortment, involving potentially zoonotic and pandemic subtypes, appears to occur frequently in smallholder pigs and poultry. Increased targeted surveillance and monitoring of influenza circulation on smallholdings would further improve understanding of the transmission dynamics and evolution of influenza viruses in humans, pigs and poultry in the Mekong subregion and could contribute to limit the influenza burden. © 2016 Blackwell Verlag GmbH.

  14. Estimated Nutritive Value of Low-Price Model Lunch Sets Provided to Garment Workers in Cambodia

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    Jan Makurat

    2017-07-01

    Full Text Available Background: The establishment of staff canteens is expected to improve the nutritional situation of Cambodian garment workers. The objective of this study is to assess the nutritive value of low-price model lunch sets provided at a garment factory in Phnom Penh, Cambodia. Methods: Exemplary lunch sets were served to female workers through a temporary canteen at a garment factory in Phnom Penh. Dish samples were collected repeatedly to examine mean serving sizes of individual ingredients. Food composition tables and NutriSurvey software were used to assess mean amounts and contributions to recommended dietary allowances (RDAs or adequate intake of energy, macronutrients, dietary fiber, vitamin C (VitC, iron, vitamin A (VitA, folate and vitamin B12 (VitB12. Results: On average, lunch sets provided roughly one third of RDA or adequate intake of energy, carbohydrates, fat and dietary fiber. Contribution to RDA of protein was high (46% RDA. The sets contained a high mean share of VitC (159% RDA, VitA (66% RDA, and folate (44% RDA, but were low in VitB12 (29% RDA and iron (20% RDA. Conclusions: Overall, lunches satisfied recommendations of caloric content and macronutrient composition. Sets on average contained a beneficial amount of VitC, VitA and folate. Adjustments are needed for a higher iron content. Alternative iron-rich foods are expected to be better suited, compared to increasing portions of costly meat/fish components. Lunch provision at Cambodian garment factories holds the potential to improve food security of workers, approximately at costs of <1 USD/person/day at large scale. Data on quantitative total dietary intake as well as physical activity among workers are needed to further optimize the concept of staff canteens.

  15. First Direct Dating for the Construction and Modification of the Baphuon Temple Mountain in Angkor, Cambodia.

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    Leroy, Stéphanie; Hendrickson, Mitch; Delqué-Kolic, Emmanuelle; Vega, Enrique; Dillmann, Philippe

    2015-01-01

    Architecture represents key evidence of dynastic practice and change in the archaeological world. Chronologies for many important buildings and sequences, including the iconic temples of medieval Angkor in Cambodia, are based solely on indirect associations from inscriptions and architectural styles. The Baphuon temple, one of the last major buildings in Angkor without textual or scientifically-derived chronological evidence, is crucial both for the context and date of its construction and the period when its western façade was modified into a unique, gigantic Reclining Buddha. Its construction was part of a major dynastic change and florescence of the Hindu-Mahayana Buddhist state and the modification is the key evidence of Theravada Buddhist power after Angkor's decline in the 15th century. Using a newly-developed approach based on AMS radiocarbon dating to directly date four iron crampons integrated into the structure we present the first direct evidence for the history of the Baphuon. Comprehensive study of ferrous elements shows that both construction and modification were critically earlier than expected. The Baphuon can now be considered as the major temple associated with the imperial reformations and territorial consolidation of Suryavarman I (1010-1050 AD) for whom no previous building to legitimize his reign could be identified. The Theravada Buddhist modification is a hundred years prior to the conventional 16th century estimation and is not associated with renewed use of Angkor. Instead it relates to the enigmatic Ayutthayan occupation of Angkor in the 1430s and 40s during a major period of climatic instability. Accurately dating iron with relatively low carbon content is a decisive step to test long-standing assumptions about architectural histories and political processes for states that incorporated iron into buildings (e.g., Ancient Greece, medieval India). Furthermore, this new approach has the potential to revise chronologies related to iron

  16. Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam.

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    Peltzer, Karl; Pengpid, Supa

    2016-12-01

    The aim of this study was to explore the prevalence and relationship of anticipated chronic illness stigma among patients diagnosed with a variety of chronic diseases in three Southeast Asian countries (Cambodia, Myanmar and Vietnam). A cross-sectional survey was conducted in 4,803 adult chronic disease patients (mean age 49.3 years; SD=16.5) recruited systematically from health facilities. Overall, the results indicate that 20.7% of patients reported that for any of the 12 stigma items, they anticipated they were likely or very likely to experience chronic disease stigma. A multivariate analysis of sociodemographics revealed the following were associated with anticipated chronic disease stigma: older versus younger age, OR (odds ratio) = 0.71; 95% Confidence Interval (CI) [0.58, 0.87]; higher versus lower education, OR = 2.23; 95% CI [1.81, 2.75]; origin from Myanmar or Vietnam, being single, divorced or widowed, rural residence, and health status (having three or more chronic conditions versus having one chronic condition), OR = 1.93; 95% CI [1.58, 2.35]; lower versus higher quality of life, OR = 0.73; 95% CI [0.63, 0.85]); health risk behavior (physical inactivity, poor diet, current smoking, and problem drinking) and low versus medium or high medication adherence (OR = 0.69; 95% CI [0.55,0.86]). This study demonstrated the possible consequences of anticipated stigma on the health and behavior of people living with chronic diseases, and several factors for chronic disease stigma were identified that can help guide interventions to reduce chronic illness stigma in this population.

  17. Predicting factors for the experience of HIV testing among women who have given birth in Cambodia.

    Science.gov (United States)

    Kakimoto, Kazuhiro; Sasaki, Yuri; Kuroiwa, Chushi; Vong, Sathiarany; Kanal, Koum

    2007-10-01

    HIV testing and counselling is an entry point for the prevention of mother-to-child transmission of HIV (PMTCT) services, and it is important to determine predictors for HIV testing to improve the acceptance of HIV testing. The aim of this study was to assess predictive determinants for HIV testing asking mothers who had already given birth. Mothers who came to a childhood immunization in Phnom Penh, Cambodia with a child (children) aged 6-24 months were randomly selected in January and February 2006. A cross-sectional survey with a semi-structured questionnaire including a question about the experience of HIV testing was conducted to the mothers at the clinic by trained interviewers. Of the 315 respondents, 193 mothers (61.3%) had ever been tested for HIV and 265 mothers (84.1%) showed the necessary of permission by partners before HIV testing. In a multivariate logistic regression analysis, basic knowledge about HIV transmission [adjusted odd's ratio (aOR): 2.875, 95% CI: 1.668-4.956] as the best predictor, the number of children (aOR: 2.186, 95% CI: 1.241-3.852) and partner's education level (aOR: 1.950, 95% CI: 1.044-3.641) remained statistically significant, however the necessity of permission by partners did not (aOR: 1.691, 95% CI: = 0.859-3.328). Since some mothers ever tested might have obtained the permission with the perception of their partners before tested, it should be still highlighted that involvement of partners is an important strategy. Education on HIV transmission to young women and men through communication and health education strategies involving partners seems to lead PMTCT services to be more acceptable.

  18. Assessment of Flood Disaster Impacts in Cambodia: Implications for Rapid Disaster Response

    Science.gov (United States)

    Ahamed, Aakash; Bolten, John; Doyle, Colin

    2016-04-01

    Disaster monitoring systems can provide near real time estimates of population and infrastructure affected by sudden onset natural hazards. This information is useful to decision makers allocating lifesaving resources following disaster events. Floods are the world's most common and devastating disasters (UN, 2004; Doocy et al., 2013), and are particularly frequent and severe in the developing countries of Southeast Asia (Long and Trong, 2001; Jonkman, 2005; Kahn, 2005; Stromberg, 2007; Kirsch et al., 2012). Climate change, a strong regional monsoon, and widespread hydropower construction contribute to a complex and unpredictable regional hydrodynamic regime. As such, there is a critical need for novel techniques to assess flood impacts to population and infrastructure with haste during and following flood events in order to enable governments and agencies to optimize response efforts following disasters. Here, we build on methods to determine regional flood extent in near real time and develop systems that automatically quantify the socioeconomic impacts of flooding in Cambodia. Software developed on cloud based, distributed processing Geographic Information Systems (GIS) is used to demonstrate spatial and numerical estimates of population, households, roadways, schools, hospitals, airports, agriculture and fish catch affected by severe monsoon flooding occurring in the Cambodian portion of Lower Mekong River Basin in 2011. Results show modest agreement with government and agency estimates. Maps and statistics generated from the system are intended to complement on the ground efforts and bridge information gaps to decision makers. The system is open source, flexible, and can be applied to other disasters (e.g. earthquakes, droughts, landslides) in various geographic regions.

  19. Reconstruction of the past flow channels in the early Holocene at Lake Tonle Sap, Cambodia

    Science.gov (United States)

    Haraguchi, T.; Yonenobu, H.; Tokunaga, T.; Shimoda, I.

    2013-05-01

    Lake Tonle Sap is located at the central part of Cambodia, South-East Asia. In rainy season, the water body swells with the water depth accordingly increasing from 1 up to 10 meters due to a pulsive intrusion from the Mekong River. The lake is therefore a vital reservoir that protects the region from flooding. It is paleolimnologically important to better understand how the lake has gained the function controlling water balance of this region. We undertook an extensive echo-sounding exploration at the lake in order to clarify the subsurface structure of Lake Tonle Sap. The survey was conducted in rainy seasons from 2009 to 2012. Sediment cores were collected at three sites at the middle part of the lake. Echo sounding was undertaken over the whole part of the lake using a single-channel sub-bottom profiling system (Stratabox, SyQwest Inc.). A prominent sound frequency of 10 KHz was selected in order to observe structure of reflectance planes up to the 40-m depth. In consequence, we discovered deposited valleys forming a complex network of past flow channels. The subsurface structure of the lake bed was mostly complacent showing a strongly reflecting plane observed at the depth of 1-2 meters; the sediments mainly consisted of mud. A number of valley-shaped reflecting planes were observed at the depth of 10-14 meters. Radiocarbon dates of carbonaceous materials collected at the vally bottom were around 10 ka calBP. A 3-D reconstruction presented a complex network of deposited flow channels.

  20. The Establishment of the National Language in Twentieth-Century Cambodia: Debates on Orthography and Coinage

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    Sasagawa Hideo

    2015-04-01

    Full Text Available This paper explores the process in which an ethnic Khmer language became the national one in Cambodia, through a discussion of activities and debates concerned with orthography and coinage of the modern vocabulary. The committee for editing a Khmer dictionary established in 1915 consisted of both members who insisted on an etymological style of orthography and those who favored a phonemic style. A Buddhist monk Chuon Nath took the initiative from 1926 on and published the first Khmer-language dictionary in 1938. After the perfection of orthography based on an etymological style in the dictionary, the “Cultural Committee” began to create new vocabularies in 1947. Here again Chuon Nath assumed leadership with his best friend Huot Tat. The Cultural Committee rejected Sanskrit-originated words created in Siam and preferred the Pali language as elements of the modern vocabulary. Keng Vannsak objected strongly to these activities and claimed that the Khmer language had to exclude as many Sanskrit/Pali-originated words as possible in order to expand primary education. In 1967 the National Assembly recognized Khmer as the teaching language in schools, and a new educational magazine Khemarayeanakam [Khmerization] was launched. In the process of editing this magazine, the followers of Keng Vannsak presented another way of coinage that they alleged was much easier, and advocated a new orthography. Even after the civil war, their new orthography continued to be used in education and media. In 2009, however, orthography recurred to the dictionary. Through a study of the vicissitudes of language policies, we can understand the formation and development of Cambodian cultural nationalism. By the early 1960s, Buddhist monks were attempting to differentiate Cambodian modern vocabulary from Thai. Thereafter advocates of Khmerization, who no longer learned the Thai language, aimed at the “purification” and “simplification” of the Khmer language.

  1. Crisis Team Management in a Scarce Resource Setting: Angkor Hospital for Children in Siem Reap, Cambodia.

    Science.gov (United States)

    Henker, Richard Alynn; Henker, Hiroko; Eng, Hor; O'Donnell, John; Jirativanont, Tachawan

    2017-01-01

    A crisis team management (CTM) simulation course was developed by volunteers from Health Volunteers Overseas for physicians and nurses at Angkor Hospital for Children (AHC) in Siem Reap, Cambodia. The framework for the course was adapted from crisis resource management (1, 2), crisis team training (3), and TeamSTEPPs© models (4). The CTM course focused on teaching physicians and nurses on the development of team performance knowledge, skills, and attitudes. Challenges to providing this course at AHC included availability of simulation equipment, cultural differences in learning, and language barriers. The purpose of this project was to evaluate the impact of a CTM simulation course at AHC on attitudes and perceptions of participants on concepts related to team performance. Each of the CTM courses consisted of three lectures, including team performance concepts, communication, and debriefing followed by rotation through four simulation scenarios. The evaluation instrument used to evaluate the AHC CTM course was developed for Cambodian staff at AHC based on TeamSTEPPs© instruments evaluating attitude and perceptions of team performance (5). CTM team performance concepts included in lectures, debriefing sessions, and the evaluation instrument were: team structure, leadership, situation monitoring, mutual support, and communication. The Wilcoxon signed-rank test was used to analyze pre- and post-test paired data from participants in the course. Of the 54 participants completing the three CTM courses at AHC, 27 were nurses, 6 were anesthetists, and 21 were physicians. Attitude and perception scores were found to significantly improve (p team structure, leadership, situation monitoring, and communication. Team performance areas that improved the most were: discussion of team performance, communication, and exchange of information. Teaching of non-technical skills can be effective in a setting with scarce resources in a Southeastern Asian country.

  2. Improving smallholder cattle reproductive efficiency in Cambodia to address expanding regional beef demand.

    Science.gov (United States)

    Olmo, L; Ashley, K; Young, J R; Suon, S; Thomson, P C; Windsor, P A; Bush, R D

    2017-01-01

    This study aimed to identify factors associated with cattle reproductive output in rural smallholder farms in Cambodia in order to determine the main causes of reproductive failure and design efficient interventions for improvement. The majority of the nation's beef is produced on smallholder farms where productivity is constrained by poor animal reproductivity reflected in the recent livestock population decline of approximately 13 % from 2009 to 2013. Farmers (n = 240) from 16 villages from five provinces were surveyed in mid-2015 to determine their baseline knowledge, attitude and practices (KAP) associated with cattle reproduction. In addition, 16 case studies from three of these provinces were conducted to provide a more detailed assessment of current cattle reproductive husbandry practices. In order to assess the reproductive impact of previously implemented interventions, an endpoint KAP survey and longitudinal health and husbandry study from three Cambodian provinces conducted between 2008 and 2013 were also analysed. Three multivariable prediction models (two KAP and one longitudinal) identified the following significant factors associated with the reproductive outcomes 'number of calves born' or probability that cows 'gave birth': target feeding (P = 0.074), growing vegetables (P = 0.005), attitudes towards cattle vaccination (P = 0.010), improving bull selection (P = 0.032), local breed use (P = 0.005), number of joining attempts (P reproductive efficiency, combat the declining cattle population and improve smallholder capacity to supply to expanding regional meat demand in South-East Asia and China.

  3. Entrenched geographical and socioeconomic disparities in child mortality: trends in absolute and relative inequalities in Cambodia.

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    Eliana Jimenez-Soto

    Full Text Available BACKGROUND: Cambodia has made considerable improvements in mortality rates for children under the age of five and neonates. These improvements may, however, mask considerable disparities between subnational populations. In this paper, we examine the extent of the country's child mortality inequalities. METHODS: Mortality rates for children under-five and neonates were directly estimated using the 2000, 2005 and 2010 waves of the Cambodian Demographic Health Survey. Disparities were measured on both absolute and relative scales using rate differences and ratios, and where applicable, slope and relative indices of inequality by levels of rural/urban location, regions and household wealth. FINDINGS: Since 2000, considerable reductions in under-five and to a lesser extent in neonatal mortality rates have been observed. This mortality decline has, however, been accompanied by an increase in relative inequality in both rates of child mortality for geography-related stratifying markers. For absolute inequality amongst regions, most trends are increasing, particularly for neonatal mortality, but are not statistically significant. The only exception to this general pattern is the statistically significant positive trend in absolute inequality for under-five mortality in the Coastal region. For wealth, some evidence for increases in both relative and absolute inequality for neonates is observed. CONCLUSION: Despite considerable gains in reducing under-five and neonatal mortality at a national level, entrenched and increased geographical and wealth-based inequality in mortality, at least on a relative scale, remain. As expected, national progress seems to be associated with the period of political and macroeconomic stability that started in the early 2000s. However, issues of quality of care and potential non-inclusive economic growth might explain remaining disparities, particularly across wealth and geography markers. A focus on further addressing key

  4. Serological markers to measure recent changes in malaria at population level in Cambodia.

    Science.gov (United States)

    Kerkhof, Karen; Sluydts, Vincent; Willen, Laura; Kim, Saorin; Canier, Lydie; Heng, Somony; Tsuboi, Takafumi; Sochantha, Tho; Sovannaroth, Siv; Ménard, Didier; Coosemans, Marc; Durnez, Lies

    2016-11-04

    Serological markers for exposure to different Plasmodium species have recently been used in multiplex immunoassays based on the Luminex technology. However, interpretation of the assay results requires consideration of the half-life of specific antibodies against these markers. Therefore, the aim of the present study was to document the half-life of malaria specific serological makers, as well as assessing the sensitivity of these markers to pick up recent changes in malaria exposure. A recently developed multiplex immunoassay was used to measure the intensity of antibody (Ab) responses against 19 different Plasmodium specific antigens, covering different human malaria parasites and two vector saliva antigens. Therefore, 8439 blood samples from five cross-sectional surveys in Ratanakiri, Cambodia, were analysed. These involve a random selection from two selected surveys, and an additional set of blood samples of individuals that were randomly re-sampled three, four or five times. A generalized estimating equation model and linear regression models were fitted on log transformed antibody intensity data. Results showed that most (17/21) Ab-responses are higher in PCR positive than PCR negative individuals. Furthermore, these antibody-responses follow the same upward trend within each age group. Estimation of the half-lives showed differences between serological markers that reflect short- (seasonal) and long-term (year round) transmission trends. Ab levels declined significantly together with a decrease of PCR prevalence in a group of malaria endemic villages. For Plasmodium falciparum, antibodies against LSA3.RE, GLURP and Pf.GLURP.R2 are most likely to be a reflexion of recent (range from 6 to 8 months) exposure in the Mekong Subregion. PvEBP is the only Plasmodium vivax Ag responding reasonably well, in spite of an estimated Ab half-life of more than 1 year. The use of Ab intensity data rather dichotomizing the continuous Ab-titre data (positive vs negative

  5. Nesting phenology and clutch characteristics of captive Siamese crocodiles (Crocodylus siamensis) in Cambodia.

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    Platt, Steven G; Monyrath, Vuthy; Sovannara, Heng; Kheng, Long; Rainwater, Thomas R

    2012-01-01

    The Siamese crocodile (Crocodylus siamensis) is considered one of the least studied and most critically endangered crocodilians in the world. Although few wild populations remain, more than 700,000 C. siamensis are held on commercial crocodile farms in Southeast Asia. Despite conservation concerns, many aspects of C. siamensis life history remain poorly known, particularly with regards to its reproductive biology. We studied nesting phenology, clutch characteristics, and other aspects of C. siamensis reproductive biology on crocodile farms in Cambodia during 2000 and 2001. Oviposition among captive crocodiles began in February and continued into early June. The mean (±1 SD) oviposition date based on pooled data from 2000 and 2001 was 5 April ± 24 days. Mean oviposition date differed significantly between 2000 and 2001, possibly as a result of annual variability among nesting cues. The mean incubation period was 72 ± 3 days and eggs hatched from 5 May to 18 August. Mean clutch size (25.0 ± 8.8 eggs; n = 183) differed significantly between years, possibly resulting from the >2.5-fold increase in sample size during 2001. There was no correlation between clutch size and oviposition date during either 2000 or 2001. A single female produced two clutches during 2001, complimenting previous reports of double-clutching among C. siamensis. The mean length and width of 515 eggs were 78.2 ± 4.9 and 48.1 ± 2.5 mm, respectively; mean egg mass was 90.8 ± 16.5 g (n = 471). One unpipped egg contained a set of twins.

  6. Scenario analysis of the benefit of municipal organic-waste composting over landfill, Cambodia.

    Science.gov (United States)

    Seng, Bunrith; Hirayama, Kimiaki; Katayama-Hirayama, Keiko; Ochiai, Satoru; Kaneko, Hidehiro

    2013-01-15

    This paper presents insight into the benefits of organic waste recycling through composting over landfill, in terms of landfill life extension, compost product, and mitigation of greenhouse gases (GHGs). Future waste generation from 2003 to 2020 was forecast, and five scenarios of organic waste recycling in the municipality of Phnom Penh (MPP), Cambodia, were carried out. Organic waste-specifically food and garden waste-was used for composting, and the remaining waste was landfilled. The recycling scenarios were set based on organic waste generated from difference sources: households, restaurants, shops, markets, schools, hotels, offices, and street sweeping. Through the five scenarios, the minimum volume reductions of waste disposal were about 56, 123, and 219 m(3) d(-1) in 2003, 2012, and 2020, respectively, whereas the maximum volume reductions in these years were about 325, 643, and 1025 m(3) d(-1). These volume reductions reflect a landfill life extension of a minimum of half a year and a maximum of about four years. Compost product could be produced at a minimum of 14, 30, and 54 tons d(-1) in 2003, 2012, and 2020, respectively, and at a maximum in those years of about 80, 158, and 252 tons d(-1). At the same time benefit is gained in compost product, GHG emissions could be reduced by a minimum of 12.8% and a maximum of 65.0% from 2003 to 2020. This means about 3.23 (minimum) and 5.79 million tons CO(2)eq (maximum) contributed to GHG mitigation. In this regard, it is strongly recommended that MPP should try to initiate an organic-waste recycling strategy in a best fit scenario.

  7. A community-based education trial to improve backyard poultry biosecurity in rural Cambodia.

    Science.gov (United States)

    Conan, Anne; Ponsich, Aurélia; Luce Goutard, Flavie; Khiev, Ratana; Tarantola, Arnaud; Sorn, San; Vong, Sirenda

    2013-03-01

    The emergence and spread of Highly Pathogenic Avian Influenza H5N1 has caused substantial poultry-related economic losses and public health concerns in relation to a potential pandemic. While biosecurity measures for commercial poultry industry are of the highest standards, these measures are difficult to implement and often unaffordable for backyard poultry farming, particularly in tropical and low-income settings. We designed a feasible biosecurity intervention to improve flock hygiene in Cambodia, - based on community hygiene, cleaning of poultry flock areas and human and poultry movement control. We conducted a cluster randomized and controlled intervention trial in 18 villages in Takeo province to evaluate improvements in biosecurity-related knowledge and practices. The intervention relied on community involvement and community education using special information dissemination tools. We trained village teams (VT) to assist villagers in implementing the intervention using a cascade training approach, in which a few individuals were trained, who in turn trained a larger group of people. During the 14 month follow up, we conducted observational and interview-based surveys (baseline vs. final surveys, VT supervision visits, monitoring surveys) to assess VTs' motivation, intervention messages dissemination and the implementation of recommended measures. Most of villagers (95%, confidence interval: 87.8-100.0%) in intervention villages received general information about how to raise poultry. Farmers in intervention villages reported to have made more changes (≥1 biosecurity related practice during the study period) compared with that of control villages (70.0% (260/372) vs. 22.6% (85/377), p valuebiosecurity-related practices in intervention villages, overall scores increased significantly (pbiosecurity practices in the community. However, further follow-ups are needed to assess whether practices-related changes persist over a longer period of time.

  8. Water-supply options in arsenic-affected regions in Cambodia: targeting the bottom income quintiles.

    Science.gov (United States)

    Chamberlain, Jim F; Sabatini, David A

    2014-08-01

    In arsenic-affected regions of Cambodia, rural water committees and planners can choose to promote various arsenic-avoidance and/or arsenic-removal water supply systems. Each of these has different costs of providing water, subsequently born by the consumer in order to be sustainable. On a volumetric basis ($/m3-yr) and of the arsenic-avoidance options considered, small-scale public water supply - e.g., treated water provided to a central tap stand - is the most expensive option on a life-cycle cost basis. Rainwater harvesting, protected hand dug wells, and vendor-supplied water are the cheapest with a normalized present worth value, ranging from $2 to $10 per cubic meter per year of water delivered. Subsidization of capital costs is needed to make even these options affordable to the lowest (Q5) quintile. The range of arsenic-removal systems considered here, using adsorptive media, is competitive with large-scale public water supply and deep tube well systems. Both community level and household-scale systems are in a range that is affordable to the Q4 quintile, though more research and field trials are needed. At a target cost of $5.00/m3, arsenic removal systems will compete with the OpEx costs for most of the arsenic-safe water systems that are currently available. The life-cycle cost approach is a valuable method for comparing alternatives and for assessing current water supply practices as these relate to equity and the ability to pay.

  9. MLVA polymorphism of Salmonella enterica subspecies isolated from humans, animals, and food in Cambodia

    Directory of Open Access Journals (Sweden)

    Sarthou Jean

    2011-08-01

    Full Text Available Abstract Background Salmonella (S. enterica is the main cause of salmonellosis in humans and animals. The epidemiology of this infection involves large geographical distances, and strains related to an episode of salmonellosis therefore need to be reliably discriminated. Due to the limitations of serotyping, molecular genotyping methods have been developed, including multiple loci variable number of tandem repeats (VNTR analysis (MLVA. In our study, 11 variable number tandem-repeats markers were selected from the S. enterica Typhimurium LT2 genome to evaluate the genetic diversity of 206 S. enterica strains collected in Cambodia between 2001 and 2007. Findings Thirty one serovars were identified from three sources: humans, animals and food. The markers were able to discriminate all strains from 2 to 17 alleles. Using the genotype phylogeny repartition, MLVA distinguished 107 genotypes clustered into two main groups: S. enterica Typhi and other serovars. Four serovars (Derby, Schwarzengrund, Stanley, and Weltevreden were dispersed in 2 to 5 phylogenic branches. Allelic variations within S. enterica serovars was represented using the minimum spanning tree. For several genotypes, we identified clonal complexes within the serovars. This finding supports the notion of endemo-epidemic diffusion within animals, food, or humans. Furthermore, a clonal transmission from one source to another was reported. Four markers (STTR3, STTR5, STTR8, and Sal20 presented a high diversity index (DI > 0.80. Conclusions In summary, MLVA can be used in the typing and genetic profiling of a large diversity of S. enterica serovars, as well as determining the epidemiological relationships of the strains with the geography of the area.

  10. Vegetation and vascular flora of the Mekong River, Kratie and Steung Treng Provinces, Cambodia

    Directory of Open Access Journals (Sweden)

    James F. Maxwell

    2009-04-01

    Full Text Available A preliminary and detailed botanical survey of the islands in the Mekong River between Kratie and Steung Treng was done. This area includes the most biologically intact and threatened riparian and terrestrial ecosystems along the river in Cambodia. The vegetation includes six riverine zones and four terrestrial facies. Riverine habitats are mostly intact while the terrestrial vegetation ranges from destroyed to degraded. Effective conservation measures are required to stop further habitat destruction and loss of biodiversity. One new species, 23 records for the Cambodian flora, and a total of 690 species were collected. Detailed descriptions of all habitats, a database, and photographs are included. Increased exploitative human settlement in the area has caused drastic environmental changes with extensive deforestation and hunting. The forests are grazed, burned, logged, and often cleared for agricultural use without effective control. Sustainable management and scientifically acceptable development must be implemented before the area is totally ruined. Properly conceived reforestation is urgently required as well as a conservation education project aimed directly at the people living in the area. Unless effective restraints are implemented the area will become biologically destitute and will not be able to provide the natural resources that people require--in short, the area will become uninhabitable. Restoration of degraded or destroyed places will be impossible or far more difficult than conservation and intelligent management of presently endangered places. The potential for profitable eco-tourism should also be considered since tourists will certainly want to visit natural ecosystems on some of the islands. Only if local people are directly involved in eco-tourism and understand the necessity of conservation can this activity be successful. It is strongly recommended that continued botanical research be conducted in the area in order to

  11. Quaternary Morphodynamics for two large rivers: the Fly River, PNG, and the Mekong River, Cambodia.

    Science.gov (United States)

    Aalto, R. E.; Lauer, J. W.; Darby, S. E.; Goni, M. A.; Dietrich, W. E.

    2014-12-01

    During glacial marine transgressions, sediment & carbon are deposited due to the infilling of lowland fluvial systems, material that is then largely removed during ensuing regressions. Measuring & modelling these processes would help quantify the amount, timing, & preservation of these materials, providing insight into the morphodynamics of lowland fluvial systems in response to sea level change. We investigated the infilling dynamics of the Fly and Strickland Rivers, Papua New Guinea. Field data include: 14C dated deep cores recording base level evolution over the Holocene, sonar imaging of floodbasin stratigraphy, and the observations of blocked valley lakes and weathered erosional remnants from LGM conditions. Similar research was conducted on the Mekong River, Cambodia, where we have imaged basin fill stratigraphy and recorded the extent of blocked valley lakes. Such field data provide tantalizing empirical glimpses into the landscapes & flux buffering exhibited by large tropical rivers during glacial-interglacial transitions. We upscale our observations by modelling river system evolution, employing a GpU Lowland Landscape Evolution Model (GULLEM) to predict the evolution of the entire basin. A novel & powerful (>10 Tflops on an inexpensive computer) simulator, GULLEM models morphodynamics and estimates the accommodation space subsequently infilled during marine transgressions by representing a range of geomorphic processes, including: river & tributary incision, non-linear diffusion, sea level and isostatic change, hydraulic geometry, tectonic deformation, sediment production, transport & deposition, & tracking of the resulting stratigraphy. GULLEM's vectorized approach allows for massively parallel operation on GPUs (Graphics Processing Unit), making it practical to model coupled fluvial-landscape evolution for complex lowland river systems over large temporal and spatial scales. Our combined approach affords estimates for the timing and budgets of sediment

  12. Prediction of contamination potential of groundwater arsenic in Cambodia, Laos, and Thailand using artificial neural network.

    Science.gov (United States)

    Cho, Kyung Hwa; Sthiannopkao, Suthipong; Pachepsky, Yakov A; Kim, Kyoung-Woong; Kim, Joon Ha

    2011-11-01

    The arsenic (As) contamination of groundwater has increasingly been recognized as a major global issue of concern. As groundwater resources are one of most important freshwater sources for water supplies in Southeast Asian countries, it is important to investigate the spatial distribution of As contamination and evaluate the health risk of As for these countries. The detection of As contamination in groundwater resources, however, can create a substantial labor and cost burden for Southeast Asian countries. Therefore, modeling approaches for As concentration using conventional on-site measurement data can be an alternative to quantify the As contamination. The objective of this study is to evaluate the predictive performance of four different models; specifically, multiple linear regression (MLR), principal component regression (PCR), artificial neural network (ANN), and the combination of principal components and an artificial neural network (PC-ANN) in the prediction of As concentration, and to provide assessment tools for Southeast Asian countries including Cambodia, Laos, and Thailand. The modeling results show that the prediction accuracy of PC-ANN (Nash-Sutcliffe model efficiency coefficients: 0.98 (traning step) and 0.71 (validation step)) is superior among the four different models. This finding can be explained by the fact that the PC-ANN not only solves the problem of collinearity of input variables, but also reflects the presence of high variability in observed As concentrations. We expect that the model developed in this work can be used to predict As concentrations using conventional water quality data obtained from on-site measurements, and can further provide reliable and predictive information for public health management policies. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. First Direct Dating for the Construction and Modification of the Baphuon Temple Mountain in Angkor, Cambodia.

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    Stéphanie Leroy

    Full Text Available Architecture represents key evidence of dynastic practice and change in the archaeological world. Chronologies for many important buildings and sequences, including the iconic temples of medieval Angkor in Cambodia, are based solely on indirect associations from inscriptions and architectural styles. The Baphuon temple, one of the last major buildings in Angkor without textual or scientifically-derived chronological evidence, is crucial both for the context and date of its construction and the period when its western façade was modified into a unique, gigantic Reclining Buddha. Its construction was part of a major dynastic change and florescence of the Hindu-Mahayana Buddhist state and the modification is the key evidence of Theravada Buddhist power after Angkor's decline in the 15th century. Using a newly-developed approach based on AMS radiocarbon dating to directly date four iron crampons integrated into the structure we present the first direct evidence for the history of the Baphuon. Comprehensive study of ferrous elements shows that both construction and modification were critically earlier than expected. The Baphuon can now be considered as the major temple associated with the imperial reformations and territorial consolidation of Suryavarman I (1010-1050 AD for whom no previous building to legitimize his reign could be identified. The Theravada Buddhist modification is a hundred years prior to the conventional 16th century estimation and is not associated with renewed use of Angkor. Instead it relates to the enigmatic Ayutthayan occupation of Angkor in the 1430s and 40s during a major period of climatic instability. Accurately dating iron with relatively low carbon content is a decisive step to test long-standing assumptions about architectural histories and political processes for states that incorporated iron into buildings (e.g., Ancient Greece, medieval India. Furthermore, this new approach has the potential to revise chronologies

  14. An Efficient Acoustic Density Estimation Method with Human Detectors Applied to Gibbons in Cambodia.

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    Darren Kidney

    Full Text Available Some animal species are hard to see but easy to hear. Standard visual methods for estimating population density for such species are often ineffective or inefficient, but methods based on passive acoustics show more promise. We develop spatially explicit capture-recapture (SECR methods for territorial vocalising species, in which humans act as an acoustic detector array. We use SECR and estimated bearing data from a single-occasion acoustic survey of a gibbon population in northeastern Cambodia to estimate the density of calling groups. The properties of the estimator are assessed using a simulation study, in which a variety of survey designs are also investigated. We then present a new form of the SECR likelihood for multi-occasion data which accounts for the stochastic availability of animals. In the context of gibbon surveys this allows model-based estimation of the proportion of groups that produce territorial vocalisations on a given day, thereby enabling the density of groups, instead of the density of calling groups, to be estimated. We illustrate the performance of this new estimator by simulation. We show that it is possible to estimate density reliably from human acoustic detections of visually cryptic species using SECR methods. For gibbon surveys we also show that incorporating observers' estimates of bearings to detected groups substantially improves estimator performance. Using the new form of the SECR likelihood we demonstrate that estimates of availability, in addition to population density and detection function parameters, can be obtained from multi-occasion data, and that the detection function parameters are not confounded with the availability parameter. This acoustic SECR method provides a means of obtaining reliable density estimates for territorial vocalising species. It is also efficient in terms of data requirements since since it only requires routine survey data. We anticipate that the low-tech field requirements will

  15. COPD in Taiwan: a National Epidemiology Survey

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    Cheng SL

    2015-11-01

    Full Text Available Shih-Lung Cheng,1,2 Ming-Cheng Chan,3 Chin-Chou Wang,4 Ching-Hsiung Lin,5 Hao-Chien Wang,6 Jeng-Yuan Hsu,3 Liang-Wen Hang,7,8 Chee-Jen Chang,9 Diahn-Warng Perng,10,* Chong-Jen Yu6,* On behalf of the Taiwan COPD Consortium 1Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, 2Department of Chemical Engineering and Materials Science, Yuan Ze University, Chung-Li City, Taoyuan County, 3Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, 4Division of Pulmonary and Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, 5Division of Chest Medicine, Changhua Christian Hospital, Changhua City, Changhua County, 6Department of Internal Medicine, National Taiwan University Hospital, Taipei, 7Department of Pulmonary and Critical Care Medicine, Sleep Medicine Center, China Medical University Hospital, 8Department of Respiratory Therapy, College of Health Care, China Medical University, Taichung, 9Biostatistical Center for Clinical Research, Chang Gung Memorial Hospital, Linkou Branch, Guishan Township, Taoyuan County, 10Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China *These authors contributed equally to this work Objectives: To determine the prevalence of COPD in Taiwan and to document the disease characteristics and associated risk factors.Methods: We conducted a random cross-sectional national survey of adults older than 40 years in Taiwan. Respiratory health screening questions identified subjects with diagnosed COPD or whose reported symptoms also fulfilled an epidemiological case definition; these were eligible to complete the survey, which also included indices of symptom severity and disability and questions on comorbidities, medical treatments, smoking habits, and occupations potentially harmful to respiratory health. Subjects with diagnosed COPD were subdivided by smoking status. Subjects who fulfilled the case definition

  16. 76 FR 57955 - Certain Polyester Staple Fiber From Taiwan: Final Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2011-09-19

    ... International Trade Administration Certain Polyester Staple Fiber From Taiwan: Final Results of Antidumping Duty... administrative review of the antidumping duty order on certain polyester staple fiber from Taiwan. The period of... certain polyester staple fiber from Taiwan. See Certain Polyester Staple Fiber From Taiwan:...

  17. Governance and Economic Transformation in Taiwan

    DEFF Research Database (Denmark)

    Lauridsen, Laurids Sandager

    2014-01-01

    This article analyses the strengths and weaknesses of the developmental-state approach as compared with a broader and more flexible developmental-governance approach – in relation to economic transformation in a single case country, Taiwan. It argues that both approaches have strong and weak points......, and comes down in favour of the view that it is only through a ‘thick’ study of political forces, processes and circumstances that the reasoning behind developmental policies and institutions can be understood and the processes of economic transformation explained....

  18. [Nursing discourse on domestic violence in Taiwan].

    Science.gov (United States)

    Chen, Yu-Hsiu; Huang, Joh-Jong

    2009-06-01

    The purpose of this article was to perform a critical appraisal of nursing discourses on domestic violence published in journals between 1999 and 2007 in Taiwan. All searched materials were retrieved from official websites using key words "domestic violence" or "marital violence". Ten related articles were obtained in all. The most significant finding was related to autonomic nursing intervention, which can effectively meet the needs of abused women. Such an approach differs from traditional order-based nursing activities in the patriarchal practicum of medical teams and offers a promising way to reform medical team hierarchies.

  19. Causalities of the Taiwan stock market

    Science.gov (United States)

    Ting, Julian Juhi-Lian

    2003-06-01

    Volatility, fitting with first-order Landau expansion, stationarity, and causality of the Taiwan stock market (TAIEX) are investigated based on daily records. Instead of consensuses that consider stock market index change as a random time series we propose the market change as a dual time series consists of the index and the corresponding volume. Therefore, causalities between these two time series are investigated. Our results suggest the volume time series is of second-order importance than the index time series. The index time series receives slightly stronger influence from the previous 67th trading day, while the volume time series is slightly stronger influenced by the previous 62nd trading day.

  20. [An outline medical history of Taiwan (I): the period of folklore medicine and witch doctor].

    Science.gov (United States)

    Li, C

    1997-01-01

    The paper makes a correlated analysis on the origin of health folklore between Chinese in mainland and Taiwan island. After quoting literatures written by authors living in the Qing dynasty in Taiwan, this paper analyses health condition among aboriginals of Taiwan during the witchcraft age. Along with the increasing immigration from China mainland to Taiwan island, health of folklore and gods from China mainland were introduced into Taiwan, hence the period of witch doctor in Taiwan, featuring the correlation of both. Though modern medicine in Taiwan is so advanced, yet there are still witch doctors elsewhere.

  1. The Geothermal Potential, Current and Opportunity in Taiwan

    Science.gov (United States)

    Song, Sheng-Rong

    2016-04-01

    Located in the west Pacific Rim of Fire, Taiwan possesses rich geothermal resources due to volcanic activities and rapid uplifting of plate collision. Based on available data prior to 1980, Taiwan may have about 1 GWe of potential shallow geothermal energy, which is less than 3% of the national gross power generation. A 3-Mw pilot power plant, therefore, was constructed in 1981 and terminated in 1993 in the Chingshui geothermal field of Ilan, northeastern Taiwan. Recently, one of the National Science & Technology Program (NSTP) projects has been conducting research and reevaluating the island-wide deep geothermal energy. Four hot potential sites have been recognized. They are: (1) Tatun Volcano Group of northern Taiwan; (2) I-Lan Plain of NE Taiwan; (3) Lu-Shan area of Central Taiwan; and (4) Hua-Tung area of eastern Taiwan. We found that the geothermal resource in Taiwan may be as high as 160 GWe, with 33.6 GWe of exploitable geothermal energy. There are no any commercial geothermal power plants until now in Taiwan, although the potential is great. However, geothermal energy has been listed as one of major tasks of National Energy Program, Phase II (NEP-II) in Taiwan. We will conduct more detailed geothermal energy surveys on some proposed hot sites and to construct an EGS pilot geothermal plant with 1 MWe capability in a few years. Currently, there are three nuclear power plants, named No. 1, 2 & 3, in operations, which produce 16.5% gross generation of electricity and one (No. 4) is under construction, but is stopped and sealed now in Taiwan. Furthermore, the life-span of 40-year operation for those three power plants will be close-at hand and retire in 2018-2019, 2021-2023 and 2024-2025, respectively. Therefore, to find alternative energy sources, especially on the clean, renewable and sustainable ones for generating electricity are emergent and important for Taiwan's government in next few years. Among various energy sources, geothermal energy can be as base

  2. Mapping potential freshwater services, and their representation within Protected Areas (PAs, under conditions of sparse data. Pilot implementation for Cambodia

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    Leonardo Sáenz

    2016-07-01

    Full Text Available Freshwater is arguably one of Earth’s most threatened natural resources, on which more than 7 billion people depend. Pressures on freshwater resources from infrastructure, resource development, agricultural pollution and deforestation are mounting, particularly in developing countries. To date, conservation responses such as Protected Areas (PAs have not typically targeted freshwater ecosystems and their services, and thus little is known about the effectiveness of these efforts in protecting them. This paper proposes and pilots an innovative freshwater services metrics framework to quantify the representation of potential freshwater services in PAs under conditions of scarce data, with a pilot application for Cambodia. Our results indicate that conservation actions have more effectively represented potential freshwater regulation services than potential freshwater provisioning services, with major rivers remaining generally unprotected. Results from the framework are then used to propose a series of context and region specific management options to improve the conservation of freshwater services in Cambodia. There is an acute need for such management options, as the country’s food security depends largely on important freshwater ecosystems such as the Tonle Sap Lake and the deep water pools systems of the Mekong River. The framework proposed can be applied in other countries or large river basins to explore the degree of representation of freshwater services within PAs systems, under conditions of sparse data.

  3. Effects of logging and recruitment on community phylogenetic structure in 32 permanent forest plots of Kampong Thom, Cambodia.

    Science.gov (United States)

    Toyama, Hironori; Kajisa, Tsuyoshi; Tagane, Shuichiro; Mase, Keiko; Chhang, Phourin; Samreth, Vanna; Ma, Vuthy; Sokh, Heng; Ichihashi, Ryuji; Onoda, Yusuke; Mizoue, Nobuya; Yahara, Tetsukazu

    2015-02-19

    Ecological communities including tropical rainforest are rapidly changing under various disturbances caused by increasing human activities. Recently in Cambodia, illegal logging and clear-felling for agriculture have been increasing. Here, we study the effects of logging, mortality and recruitment of plot trees on phylogenetic community structure in 32 plots in Kampong Thom, Cambodia. Each plot was 0.25 ha; 28 plots were established in primary evergreen forests and four were established in secondary dry deciduous forests. Measurements were made in 1998, 2000, 2004 and 2010, and logging, recruitment and mortality of each tree were recorded. We estimated phylogeny using rbcL and matK gene sequences and quantified phylogenetic α and β diversity. Within communities, logging decreased phylogenetic diversity, and increased overall phylogenetic clustering and terminal phylogenetic evenness. Between communities, logging increased phylogenetic similarity between evergreen and deciduous plots. On the other hand, recruitment had opposite effects both within and between communities. The observed patterns can be explained by environmental homogenization under logging. Logging is biased to particular species and larger diameter at breast height, and forest patrol has been effective in decreasing logging.

  4. Testimony ceremonies in Asia: integrating spirituality in testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines.

    Science.gov (United States)

    Agger, Inger; Igreja, Victor; Kiehle, Rachel; Polatin, Peter

    2012-07-01

    This study explores the therapeutic implications of including culturally adapted spiritual ceremonies in the process of testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines. Data were collected through an action research process with Asian mental health and human rights organizations, during which the testimonial method was reconceptualized and modified to include four sessions. In the first two sessions, community workers assist survivors in the writing of their testimony, which is their narrative about the human rights violations they have suffered. In the third session, survivors participate in an honour ceremony in which they are presented with their testimony documents. In the fourth session, the community workers meet with the survivors for a reevaluation of their well-being. The honour ceremonies developed during the action research process came to employ different kinds of symbolic language at each site: human rights (India), religious/Catholic (Sri Lanka), religious/Buddhist (Cambodia), and religious/Moslem (Philippines). They all used embodied spirituality in various forms, incorporating singing, dancing, and religious purification rituals in a collective gathering. We suggest that these types of ceremonies may facilitate an individual's capacity to contain and integrate traumatic memories, promote restorative self-awareness, and engage community support. Additional research is needed to determine the method's applicability in other sociopolitical contexts governed by more Western-oriented medical traditions.

  5. Studies on the Development of Microfinance in Cambodia%柬埔寨小额信贷发展探究

    Institute of Scientific and Technical Information of China (English)

    祝淼

    2011-01-01

    柬埔寨小额信贷起步于上世纪90年代,历经20年,已经实现了产业的可持续发展。经济学人信息部(EIU)发布《小额信贷业务综合商业环境报告》对54个发展中国家展开调查,柬埔寨小额信贷业务商业环境排名第16位,在东南亚地区位居次席。%Since the appearance in 20th century 90's, microfinance has achieved sustainable development in Cambodia within the past two decades. Global Microscope on the Microfinance Business Environment, published by Economist Intelligence Unit, evaluates microfinance of 54 developing countries around the world. This report depicts that in the year 2010 Cambodia was ranked 16th overall, and took the second position in Southeast Asia.

  6. Results from nationwide hepatitis B serosurvey in Cambodia using simple and rapid laboratory test: implications for National Immunization Program.

    Science.gov (United States)

    Soeung, Sann Chan; Rani, Manju; Huong, Vu; Sarath, Savay; Kimly, Chea; Kohei, Toda

    2009-08-01

    Chronic liver infection and cancer in the western Pacific region is disproportionate to the population globally. This study provides the first nationwide estimates of hepatitis B surface antigen (HBsAg) seroprevalence in Cambodia among children five year of age. Using a simple and rapid test for HBsAg and multi-stage stratified cluster sampling design, we estimated HBsAg seroprevalence to be 3.5% (95% confidence interval = 2.4-4.8%) among five-year old children. Triangulating the results with other studies, we demonstrate the importance of interrupting perinatal transmission and one-time catch-up vaccination of older children born before nationwide introduction of vaccination for effective hepatitis B control in Cambodia and for reaching the disease control goal of less than 2% chronic infection rates among children > or = 5 years of age. The results demonstrate the feasibility of conducting nationwide serosurveys using simple and rapid tests to evaluate the impact of hepatitis B vaccination programs in lieu of standard enzyme-linked immunosorbent assays.

  7. eLearning in Higher Education Makes Its Debut in Cambodia: Implications of the Provincial Business Education Project

    Directory of Open Access Journals (Sweden)

    Buenafe R. Abdon

    2007-03-01

    Full Text Available Developing countries face a number of challenges in their efforts to compete successfully in the new global economy. Perhaps the most critical resource needed to achieve these goals is trained human capital. While many developing countries are trying to address this need through traditional means, this may not be the most effective or efficient response. e-Learning has been suggested as an alternative approach that can overcome many of the challenges involved in reaching underserved students. But most educational institutions in developing countries are unfamiliar with e-Learning, have low levels of computer availability, access, familiarity and Internet penetration which leads to skepticism about the feasibility of this approach. In an effort to assess the potential of e-Learning in meeting the needs for developing human capital in Cambodia, this paper reports on the experience and achievements of the Provincial Business Education through the Community Information Centers (CICs project. Key findings are that e-Learning was able to successfully deliver tertiary educational opportunities to underserved provincial students, Cambodian students were able to overcome serious challenges and that female Cambodian students demonstrated superior performance in online classes. These results suggest that e-Learning is an effective alternative for delivering tertiary education in Cambodia.

  8. The Economic Burden of Malnutrition in Pregnant Women and Children under 5 Years of Age in Cambodia.

    Science.gov (United States)

    Moench-Pfanner, Regina; Silo, Sok; Laillou, Arnaud; Wieringa, Frank; Hong, Rathamony; Hong, Rathavuth; Poirot, Etienne; Bagriansky, Jack

    2016-05-14

    Malnutrition is locked in a vicious cycle of increased mortality, poor health, impaired cognitive development, slow physical growth, reduced learning capacity, inferior performance, and ultimately lower adult work performance and productivity. The consensus of global scientific evidence indicates that lowering the rates of malnutrition will be an indispensable component of any successful program to raise the quality of human capital and resources. This study used a "consequence model" to apply the coefficient risk-deficit on economic losses, established in the global scientific literature, to Cambodian health, demographic, and economic data to develop a national estimate of the value of economic losses due to malnutrition. The impact of the indicators of malnutrition analyzed represent a burden to the national economy of Cambodia estimated at 266 million USD annually (1.7% of GDP). Stunting is reducing the Cambodian economic output by more than 120 million USD, and iodine deficiency disorders alone by 57 million USD. This economic burden is too high in view of Cambodia's efforts to drive economic development. The government should rapidly expand a range of low-cost effective nutrition interventions to break the current cycle of increased mortality, poor health and ultimately lower work performance, productivity, and earnings.

  9. Injections, cocktails and diviners: therapeutic flexibility in the context of malaria elimination and drug resistance in Northeast Cambodia.

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    Charlotte Gryseels

    Full Text Available BACKGROUND: Adherence to effective malaria medication is extremely important in the context of Cambodia's elimination targets and drug resistance containment. Although the public sector health facilities are accessible to the local ethnic minorities of Ratanakiri province (Northeast Cambodia, their illness itineraries often lead them to private pharmacies selling "cocktails" and artemether injections, or to local diviners prescribing animal sacrifices to appease the spirits. METHODS: The research design consisted of a mixed methods study, combining qualitative (in-depth interviews and participant observation and quantitative methods (household and cross-sectional survey. RESULTS: Three broad options for malaria treatment were identified: i the public sector; ii the private sector; iii traditional treatment based on divination and ceremonial sacrifice. Treatment choice was influenced by the availability of treatment and provider, perceived side effects and efficacy of treatments, perceived etiology of symptoms, and patient-health provider encounters. Moreover, treatment paths proved to be highly flexible, changing mostly in relation to the perceived efficacy of a chosen treatment. CONCLUSIONS: Despite good availability of anti-malarial treatment in the public health sector, attendance remained low due to both structural and human behavioral factors. The common use and under-dosage of anti-malaria monotherapy in the private sector (single-dose injections, single-day drug cocktails represents a threat not only for individual case management, but also for the regional plan of drug resistance containment and malaria elimination.

  10. For the verification of National Biodigester Programme Cambodia. Monitoring period I (24/5/2009 - 31/08/2010)

    Energy Technology Data Exchange (ETDEWEB)

    Buysman, E.

    2011-11-15

    The National Biodigester Programme (NBP) Cambodia has executed a monitoring survey for her Voluntary Gold Standard (VGS) project. The VGS project is located in South-East Cambodia and covers 8 provinces. The monitoring activities are executed according to the monitoring plan in the PDD and the Gold Standard Passport, both document are approved by the DOE. The monitoring period I runs from 24-5-2009 to 31-08-2010. The survey population is 8571 biodigesters built as of 31-08-2010. The survey strategy is a stratified sampling approach, where first 12 districts were randomly selected and 120 households were randomly selected of the survey population in these 12 districts. The survey sample of 120 households is based on a confidence interval of 95% and a sampling error of 10%. The survey sample is twice as high as dictated by the used methodology in the PDD. The main findings of the monitoring survey are: (1) The project has an annual per household project emission of 0.512 tCO2 from physical leakage, incomplete combustion and wood fuel for thermal energy; (2) All the biodigester surveyed were in operation, a figure of 99% is adopted to be on the safe side; (3) The annual per household emission reductions are 4.18 tCO2; (4) The total emission reduction for the monitoring period I are 34,112 tCO2.

  11. Evaluation of real-time PCR for Strongyloides stercoralis and hookworm as diagnostic tool in asymptomatic schoolchildren in Cambodia.

    Science.gov (United States)

    Schär, Fabian; Odermatt, Peter; Khieu, Virak; Panning, Marcus; Duong, Socheat; Muth, Sinuon; Marti, Hanspeter; Kramme, Stefanie

    2013-05-01

    Diagnosis of soil-transmitted helminths such as Strongyloides stercoralis and hookworms (Ancylostoma duodenale and Necator americanus) is challenging due to irregular larval and egg output in infected individuals and insensitive conventional diagnostic procedures. Sensitive novel real-time PCR assays have been developed. Our study aimed to evaluate the real-time PCR assays as a diagnostic tool for detection of Strongyloides spp. and hookworms in a random stool sample of 218 asymptomatic schoolchildren in Cambodia. Overall prevalence of 17.4% (38/218) and 34.9% (76/218) were determined by real-time PCR for S. stercoralis and hookworms, respectively. Sensitivity and specificity of S. stercoralis specific real-time PCR as compared to the combination of Baermann/Koga Agar as gold standard were 88.9% and 92.7%, respectively. For hookworm specific real-time PCR a sensitivity of 78.9% and specificity of 78.9% were calculated. Co-infections were detectable by PCR in 12.8% (28/218) of individuals. S. stercoralis real-time PCR applied in asymptomatic cases showed a lower sensitivity compared to studies undertaken with symptomatic patients with the same molecular tool, yet it proved to be a valid supplement in the diagnosis of STH infection in Cambodia.

  12. Issues in access to safe drinking water and basic hygiene for persons with physical disabilities in rural Cambodia.

    Science.gov (United States)

    MacLeod, Marin; Pann, Mala; Cantwell, Ray; Moore, Spencer

    2014-12-01

    An estimated 1.6 million people die from diarrheal diseases each year due to lack of access to safe water and sanitation, and persons with physical disabilities face additional barriers. In Cambodia, approximately 5% of the population is disabled, presenting substantial obstacles in accessing these basic services. The purpose of this study was twofold: first, to identify the challenges facing persons with physical disabilities in accessing safe household water and basic hygiene in rural Cambodia; and, second, to use these results to generate policy and practice recommendations for the water and sanitation hygiene sector implementing water treatment system interventions in rural settings. Fifteen field interviews were conducted with persons with physical disabilities. Thematic analysis was used to identify six main themes. The results indicated that environmental barriers to access were greater in the workplace than household settings and those persons with disabilities had greater awareness about safe drinking water compared to basic hygiene. Additionally, lack of physical strength, distance to water, and lack of financial means were noted as common access barriers. The findings support ongoing research and offer insight into the particular challenges facing persons with physical disabilities in rural areas in accessing safe drinking water and basic hygiene.

  13. Molecular epidemiology of Blastocystis in pigs and their in-contact humans in Southeast Queensland, Australia, and Cambodia.

    Science.gov (United States)

    Wang, Wenqi; Owen, Helen; Traub, Rebecca J; Cuttell, Leigh; Inpankaew, Tawin; Bielefeldt-Ohmann, Helle

    2014-07-14

    Blastocystis, an intestinal protist commonly found in humans and animals worldwide, has been implicated by some as a causative agent in irritable bowel syndrome in humans. In pigs, infection with Blastocystis is commonly reported, with most pigs shown to harbour subtypes (ST) 1 or 5, suggesting that these animals are potentially natural hosts for Blastocystis. Although ST5 is considered rare in humans, it has been reported to be a potential zoonosis from pigs in rural China. To test these hypotheses, we conducted molecular analysis of faecal samples from pigs and in-contact humans from commercial intensive piggeries in Southeast Queensland (SEQ), Australia, and a village in rural Cambodia. The prevalence of Blastocystis in SEQ and Cambodian pigs was 76.7% and 45.2%, respectively, with all positive pigs harbouring ST5. It appears likely that pigs are natural hosts of Blastocystis with a high prevalence of ST5 that is presumably the pig-adapted ST in these regions. Amongst the SEQ piggery staff, 83.3% were Blastocystis carriers in contrast to only 55.2% of Cambodian villagers. The predominant STs found in humans were STs 1, 2 (Cambodia only) and 3. Interestingly, ST5 which is usually rare in humans was present in the SEQ piggery staff but not in the Cambodian villagers. We conclude that in intensive piggeries, close contact between pigs and their handlers may increase the risks of zoonotic transmission of Blastocystis. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. How Land Concessions Affect Places Elsewhere: Telecoupling, Political Ecology, and Large-Scale Plantations in Southern Laos and Northeastern Cambodia

    Directory of Open Access Journals (Sweden)

    Ian G. Baird

    2015-05-01

    Full Text Available Over the last decade considerable research has been conducted on the development and the impacts of large-scale economic land concessions for plantations in Laos and Cambodia. These studies have variously illustrated that concessions frequently result in serious negative impacts on local people and the environment, often leading to dramatic transformations of landscapes and livelihoods. As important as this research has been, these studies have largely focused on the immediate impacts of the “enclosure” process associated with gaining access to land by investors. In this study we take a different approach, investigating the implications of large-scale land concessions in southern Laos and northeastern Cambodia with regard to places outside of actual concession areas, both within the countries where the concessions are located and beyond. These links have been referred to as “teleconnections” or “telecoupling”, and adopting a “telecoupling” approach allows us to focus on particular relations between land-use change in one location and land-use change elsewhere, either nearby or distant, as the result of large-scale plantation development, both during the early plantation development period, and later when plantations are productive. It also provides opportunities to engage with Land Change Science (LCS through Political Ecology (PE.

  15. The relevance of a coproductive capacity framework to climate change adaptation: investigating the health and water sectors in Cambodia

    Directory of Open Access Journals (Sweden)

    Kathryn J. Bowen

    2015-03-01

    Full Text Available Multiple active partnerships in the health and water sectors in Cambodia exist to address climate change adaptation, operating beyond typical sectoral and organizational divides. Decisions around national adaptation policy are made predominantly by the relevant lead ministry, contrasting with where funding originates from (i.e., major donors, multilaterals, United Nation agencies. Adaptation policy is thus the result of a process of coproduction by state and nonstate actors. The research we present sought to understand the relationships that exist between knowledge- and decision-makers with respect to climate change adaptation in the health and water sectors in Cambodia, and the factors that enabled or constrained these relationships. Forty-four interviews were conducted with representatives of 32 organizations. We found that coproductive relationships were most effective when there were clearly defined roles and responsibilities, coordination of technical and financial resources, and trust. The two key factors of coproductive capacity that enabled and supported these partnerships were scientific resources and governance capability. Ultimately, the roles and responsibilities given to various actors requires commensurate funding and greater consideration of existing relationships and power dynamics. The reliance on international scientific expertise also needs to be challenged so that local research capabilities can be developed and locally relevant, problem-specific information can be provided. The ongoing funding, codevelopment, and sharing of such knowledge would significantly enhance trust and cooperation.

  16. Breastfeeding Trends in Cambodia, and the Increased Use of Breast-Milk Substitute—Why Is It a Danger?

    Directory of Open Access Journals (Sweden)

    Sophonneary Prak

    2014-07-01

    Full Text Available A cross-sectional analysis of the Cambodia Demographic Health Surveys from 2000, 2005 and 2010 was conducted to observe the national trends in infant and young child feeding practices. The results showed that rates of exclusive breastfeeding among infants aged 0–5.9 months have increased substantially since 2000, concurrent with an increase in the rates of early initiation of breastfeeding and a reduction in the giving of pre-lacteal feeds. However, the proportion of infants being fed with breast-milk substitutes (BMS during 0–5.9 months doubled in 5 years (3.4% to 7.0% from 2000 to 2005, but then did not increase from 2005, likely due to extensive public health campaigns on exclusive breastfeeding. BMS use increased among children aged 6–23.9 months from 2000 to 2010 (4.8% to 9.3%. 26.1% of women delivering in a private clinic provided their child with breast-milk substitute at 0–5.9 months, which is five times more than women delivering in the public sector (5.1%, and the greatest increase in bottle use happened among the urban poor (5.8% to 21.7%. These findings are discussed with reference to the increased supply and marketing of BMS that is occurring in Cambodia.

  17. Electromagnetic soil properties variability in a minefield trial site in Cambodia and its effect on the detection of mine-like targets with a dual-sensor system

    NARCIS (Netherlands)

    Ranada Shaw, A.; Gorriti, A.; Schoolderman, A.J.; Rhebergen, J.B.

    2006-01-01

    In this paper results are presented of a study on the performance of a dual-sensor landmine detector and its dependency on soil moisture. The detector was used on a trial site in the K5 mine belt in Cambodia. Soil samples were taken from the trial lane, as well as GPR measurements. The data obtained

  18. Roads and Floods: Best Practice Guidelines for the Integrated Planning and Design of Economically Sound and Environmentally Friendly Roads in the Mekong Floodplains of Cambodia and Viet Nam

    NARCIS (Netherlands)

    Douven, W.J.A.M.; Goichot, M.; Verheij, H.J.

    2009-01-01

    This document presents a set of Best Practice Guidelines for road development and rehabilitation in the Mekong floodplains of Cambodia and Viet Nam. The guidelines are developed under the ‘Roads and Floods’ project1. The guidelines are based on the review of local practice, international experience,

  19. Whose Education Policies in Aid-Receiving Countries? A Critical Discourse Analysis of Quality and Normative Transfer through Cambodia and Laos

    Science.gov (United States)

    McCormick, Alexandra

    2012-01-01

    Critical discourse analysis of policy contexts and documents has been employed in this research to analyze the role of language in promoting normative positions affecting the quality of education in Cambodia and Laos. The article examines the ways institutional normative influences at multiple levels within the Education for All (EFA) program have…

  20. Electromagnetic soil properties variability in a minefield trial site in Cambodia and its effect on the detection of mine-like targets with a dual-sensor system

    NARCIS (Netherlands)

    Ranada Shaw, A.; Gorriti, A.; Schoolderman, A.J.; Rhebergen, J.B.

    2006-01-01

    In this paper results are presented of a study on the performance of a dual-sensor landmine detector and its dependency on soil moisture. The detector was used on a trial site in the K5 mine belt in Cambodia. Soil samples were taken from the trial lane, as well as GPR measurements. The data obtained

  1. Colonization of Asian freshwaters by the Mytilidae (Bivalvia): a comparison of Sinomytilus harmandi from the Tonle-Sap River, Phnom Penh, Cambodia, with Limnoperna fortunei

    DEFF Research Database (Denmark)

    Morton, Brian; Dinesen, Grete E.

    2010-01-01

    Sinomytilus harmandi occurs in the lakes and rivers of Indochina, notably in Cambodia, Laos, Thailand and Vietnam and, again notably, the Mekong River and its myriad tributaries. Hitherto, this species and its four junior synonyms have been examined only superficially. Because of an interior shel...

  2. Colonization of Asian freshwaters by the Mytilidae (Bivalvia): a comparison of Sinomytilus harmandi from the Tonle-Sap River, Phnom Penh, Cambodia, with Limnoperna fortunei

    DEFF Research Database (Denmark)

    Morton, Brian; Dinesen, Grete E.

    2010-01-01

    Sinomytilus harmandi occurs in the lakes and rivers of Indochina, notably in Cambodia, Laos, Thailand and Vietnam and, again notably, the Mekong River and its myriad tributaries. Hitherto, this species and its four junior synonyms have been examined only superficially. Because of an interior shell...

  3. Private sector opportunities and threats to achieving malaria elimination in the Greater Mekong Subregion: results from malaria outlet surveys in Cambodia, the Lao PDR, Myanmar, and Thailand.

    Science.gov (United States)

    Phok, Sochea; Phanalasy, Saysana; Thein, Si Thu; Likhitsup, Asawin

    2017-05-02

    The aim of this paper is to review multi-country evidence of private sector adherence to national regulations, guidelines, and quality-assurance standards for malaria case management and to document current coverage of private sector engagement and support through ACTwatch outlet surveys implemented in 2015 and 2016. Over 76,168 outlets were screened, and approximately 6500 interviews were conducted (Cambodia, N = 1303; the Lao People's Democratic Republic (PDR), N = 724; Myanmar, N = 4395; and Thailand, N = 74). There was diversity in the types of private sector outlets providing malaria treatment across countries, and the extent to which they were authorized to test and treat for malaria differed. Among outlets stocking at least one anti-malarial, public sector availability of the first-line treatment for uncomplicated Plasmodium falciparum or Plasmodium vivax malaria was >75%. In the anti-malarial stocking private sector, first-line treatment availability was variable (Cambodia, 70.9%; the Lao PDR, 40.8%; Myanmar P. falciparum = 42.7%, P. vivax = 19.6%; Thailand P. falciparum = 19.6%, P. vivax = 73.3%), as was availability of second-line treatment (the Lao PDR, 74.9%; Thailand, 39.1%; Myanmar, 19.8%; and Cambodia, 0.7%). Treatment not in the National Treatment Guidelines (NTGs) was most common in Myanmar (35.8%) and Cambodia (34.0%), and was typically stocked by the informal sector. The majority of anti-malarials distributed in Cambodia and Myanmar were first-line P. falciparum or P. vivax treatments (90.3% and 77.1%, respectively), however, 8.8% of the market share in Cambodia was treatment not in the NTGs (namely chloroquine) and 17.6% in Myanmar (namely oral artemisinin monotherapy). In the Lao PDR, approximately 9 in 10 anti-malarials distributed in the private sector were second-line treatments-typically locally manufactured chloroquine. In Cambodia, 90% of anti-malarials were distributed through outlets that had confirmatory testing

  4. Fetal exposure to environmental neurotoxins in Taiwan.

    Directory of Open Access Journals (Sweden)

    Chuen-Bin Jiang

    Full Text Available Mercury (Hg, lead (Pb, cadmium (Cd, and arsenic (As are recognized neurotoxins in children that particularly affect neurodevelopment and intellectual performance. Based on the hypothesis that the fetal basis of adult disease is fetal toxic exposure that results in adverse outcomes in adulthood, we explored the concentrations of key neurotoxins (i.e., Hg, Pb, Cd, and As in meconium to identify the risk factors associated with these concentrations. From January 2007 to December 2009, 545 mother-infant pairs were recruited. The geometric mean concentrations of Pb and As in the meconium of babies of foreign-born mothers (22.9 and 38.1 µg/kg dry weight, respectively were significantly greater than those of babies of Taiwan-born mothers (17.5 and 33.0 µg/kg dry weight, respectively. Maternal age (≥30 y, maternal education, use of traditional Chinese herbs during pregnancy, and fish cutlet consumption (≥3 meals/wk were risk factors associated with concentrations of key prenatal neurotoxins. The Taiwan government should focus more attention on providing intervention programs for immigrant mothers to help protect the health of unborn babies. Further investigation on how multiple neurotoxins influence prenatal neurodevelopment is warranted.

  5. Household extension and reproductive behaviour in Taiwan.

    Science.gov (United States)

    Stokes, C S; LeClere, F B; Hsieh, Y S

    1987-07-01

    The inflence of household type on reproductive behavior is examined for a national probability sample of Taiwanese women. Data were derived from a 1980 national household survey of the labor force in Taiwan, focusing on 10,624 couples. Reproductive variables include measures of current and prospective fertility as well as cumulative fertility. In spite of remarkable social and economic development over the past 3 decades, extended families are still widely found in Taiwan. Women in extended households have only slightly higher fertility preferences and current fertility than women in nuclear families once marital duration is controlled. Although women in extended households marry earlier and receive more family help with child care than women in nuclear families, such factors are no longer considered sufficient to produce major differentials in reproductive behavior. Residence and husband's class of work are the strongest correlates of whether a household is currently extended or nuclear. In general, the husband's characteristics are more strongly related to family type than the wife's. Findings suggest that preferences for smaller families and low fertility need not await a transformation to a nuclear family structue.

  6. Epidemiology of pediatric burn in southern Taiwan.

    Science.gov (United States)

    Lin, Tsai-Ming; Wang, Kai-Hung; Lai, Cheng-Sheng; Lin, Sin-Daw

    2005-03-01

    A 5-year retrospective review of 157 pediatric patients admitted to burn center of Kaohsiung Medical University Hospital (Kaohsiung, Taiwan) was undertaken to identify the incidence, mechanism, and agents of pediatric burn. The highest incidence of pediatric burn was in children aged 1-6 years (57.3%), followed by age group 6-14 years (31.8%). Scald burn (75.2%) made up the major cause of this injury and was dominant in each age group compared to non-scald burn. The kitchen/dining area (57.3%) and living room (29.9%) accounted for the most frequent places where pediatric burns occurred. Among the agents of scald burn, hot drink (49.2%) and soup (32.2%) were the two leading causes. There were more pediatric burns reported in colder seasons (38.2% and 33.1% in winter and fall respectively) and during dining time (19.7% in 11 a.m.-1 p.m. and 35.0% in 5 p.m.-8 p.m.). The results of this report may be closely related to special culinary habits (use of chafing-dish and making hot tea) in the south of Taiwan.

  7. Groundwater Molybdenum from Emerging Industries in Taiwan.

    Science.gov (United States)

    Tsai, Kuo-Sheng; Chang, Yu-Min; Kao, Jimmy C M; Lin, Kae-Long

    2016-01-01

    This study determined the influence of emerging industries development on molybdenum (Mo) groundwater contamination. A total of 537 groundwater samples were collected for Mo determination, including 295 samples from potentially contaminated areas of 3 industrial parks in Taiwan and 242 samples from non-potentially contaminated areas during 2008-2014. Most of the high Mo samples are located downstream from a thin film transistor-liquid crystal display (TFT-LCD) panel factory. Mean groundwater Mo concentrations from potentially contaminated areas (0.0058 mg/L) were significantly higher (p groundwater and surface water contamination. Nine samples of groundwater exceed the World Health Organization's suggested drinking water guideline of 0.07 mg/L. A non-carcinogenic risk assessment for Mo in adults and children using the Mo concentration of 0.07 mg/L yielded risks of 0.546 and 0.215, respectively. These results indicate the importance of the development of a national drinking water quality standard for Mo in Taiwan to ensure safe groundwater for use. According to the human health risk calculation, the groundwater Mo standard is suggested as 0.07 mg/L. Reduction the discharge of Mo-contaminated wastewater from factories in the industrial parks is also the important task in the future.

  8. Dermatoses in cement workers in southern Taiwan.

    Science.gov (United States)

    Guo, Y L; Wang, B J; Yeh, K C; Wang, J C; Kao, H H; Wang, M T; Shih, H C; Chen, C J

    1999-01-01

    Construction workers are known to have occupational dermatoses. The prevalence of such dermatoses was unknown in Taiwanese construction workers. The objective of this study was to determine the work exposure, prevalence of skin manifestations, and sensitivity to common contact allergens in cement workers of southern Taiwan. A total of 1147 current regular cement workers were telephone-interviewed about skin problems during the past 12 months, work exposure, and personal protection. Among those interviewed, 166 were examined and patch tested with common contact allergens. A high % of cement workers reported skin problems in the past 12 months. More men (13.9%) reported skin problems possibly related to work than women (5.4%). Prevalence was associated with lower use of gloves, duration of work as cement worker, and more time in jobs involving direct manual handling of cement, especially tiling. A high % of dermatitis was noted in the 166 workers examined, which correlated with reported skin problems. On patch testing, construction workers had a high frequency of sensitivity to chromate. Sensitivity to chromate or cobalt was associated with reported skin problems, or dorsal hand dermatitis on examination. These workers' dermatitis was under-diagnosed and inadequately managed. It is concluded that cement workers in southern Taiwan had a high prevalence of skin problems related to cement use. Protective measures, work practice, and physician education should be improved to prevent or manage such problems.

  9. The Taiwan Extragalactic Astronomical Data Center

    CERN Document Server

    Foucaud, Sébastien; Tsai, Meng-Feng; Kamennoff, Nicolas

    2012-01-01

    Founded in 2010, the Taiwan Extragalactic Astronomical Data Center (TWEA-DC) has for goal to propose access to large amount of data for the Taiwanese and International community, focusing its efforts on Extragalactic science. In continuation with individual efforts in Taiwan over the past few years, this is the first steppingstone towards the building of a National Virtual Observatory. Taking advantage of our own fast indexing algorithm (BLINK), based on a octahedral meshing of the sky coupled with a very fast kd-tree and a clever parallelization amongst available resources, TWEA-DC will propose from spring 2013 a service of "on-the-fly" matching facility, between on-site and user-based catalogs. We will also offer access to public and private raw and reducible data available to the Taiwanese community. Finally, we are developing high-end on-line analysis tools, such as an automated photometric redshifts and SED fitting code (APz), and an automated groups and clusters finder (APFoF).

  10. "Foreign brides" meet ethnic politics in Taiwan.

    Science.gov (United States)

    Tsai, Ming-Chang

    2011-01-01

    A great number of women from China, Vietnam, and Indonesia recently arrived in Taiwan to marry men of lower social strata. Such an unusual pattern of migration has stimulated debates about the status and the citizenship of the new arrivals. This study analyzes Taiwanese responses toward these marriage migrants by using a national survey conducted in 2004. Three aspects of restrictive attitudes were tapped concerning these newcomers: (1) rights to work; (2) access to public health insurance; and (3) full citizenship. Immigrants from China were most opposed, compared to women with other origins (Southeast Asia, Japan, Europe, and the US). The seemingly unrelated regression estimation regression results do not support the split labor market hypotheses, as marriage migrants do not appear to be economic threats toward members of the lower classes. In contrast, ethnic nationalism plays a key role in determining the natives’ restrictive attitudes. The case of Taiwan represents a special genre, where ethnic politics selectively arouses the social rejection of women immigrants of certain origins.

  11. Readjustments in U.S. Cross-Taiwan Strait Policy

    Institute of Scientific and Technical Information of China (English)

    Sun Shengliang; Ma Zongshi

    2008-01-01

    Washington had all along followed an ambiguity policy over its possible military intervention in a Taiwan contingency. However, recent years have witnessed readjustments towards "double clarity" of a possible military response in case of a Chinese-initiated use of force and potential inaction in the event of a conflict derived from Taiwanese provocations to change the status quo by seeking de jure independence. In other words, it spells a policy shift toward "dual deterrence," namely to deter the Chinese mainland from using force in seeking national reunification and to deter Taiwan from moving toward de jure independence. To prevent such eventuality, Washington made direct appeal to the Taiwan public to make clear its opposition to Taiwan independence.The reasons behind the readjustments are not far to seek. They reflect shifts in U.S. strategic focus, changes in its China policy, political developments on both sides of the Taiwan Strait and President Bush's personal disgust with former Taiwan leader Chen Shuibian's cunning tricks.However, resumption of Cross-Strait dialogue in the wake of the return to power of the Kuomintang (National Party) through the ballot in March may bring about new worries and possible further readjustments in U.S. cross-strait policy after the November presidential elections. Though uncertainties remain, in the pipeline may be an endeavor to prevent excessive cross-strait warmth and a possible tilt of Taiwan to the Chinese Mainland.

  12. Ex vivo susceptibility of Plasmodium falciparum to antimalarial drugs in western, northern, and eastern Cambodia, 2011-2012: association with molecular markers.

    Science.gov (United States)

    Lim, Pharath; Dek, Dalin; Try, Vorleak; Eastman, Richard T; Chy, Sophy; Sreng, Sokunthea; Suon, Seila; Mao, Sivanna; Sopha, Chantha; Sam, Baramey; Ashley, Elizabeth A; Miotto, Olivo; Dondorp, Arjen M; White, Nicholas J; Su, Xin-zhuan; Char, Meng Chuor; Anderson, Jennifer M; Amaratunga, Chanaki; Menard, Didier; Fairhurst, Rick M

    2013-11-01

    In 2008, dihydroartemisinin (DHA)-piperaquine (PPQ) became the first-line treatment for uncomplicated Plasmodium falciparum malaria in western Cambodia. Recent reports of increased treatment failure rates after DHA-PPQ therapy in this region suggest that parasite resistance to DHA, PPQ, or both is now adversely affecting treatment. While artemisinin (ART) resistance is established in western Cambodia, there is no evidence of PPQ resistance. To monitor for resistance to PPQ and other antimalarials, we measured drug susceptibilities for parasites collected in 2011 and 2012 from Pursat, Preah Vihear, and Ratanakiri, in western, northern, and eastern Cambodia, respectively. Using a SYBR green I fluorescence assay, we calculated the ex vivo 50% inhibitory concentrations (IC50s) of 310 parasites to six antimalarials: chloroquine (CQ), mefloquine (MQ), quinine (QN), PPQ, artesunate (ATS), and DHA. Geometric mean IC50s (GMIC50s) for all drugs (except PPQ) were significantly higher in Pursat and Preah Vihear than in Ratanakiri (P ≤ 0.001). An increased copy number of P. falciparum mdr1 (pfmdr1), an MQ resistance marker, was more prevalent in Pursat and Preah Vihear than in Ratanakiri and was associated with higher GMIC50s for MQ, QN, ATS, and DHA. An increased copy number of a chromosome 5 region (X5r), a candidate PPQ resistance marker, was detected in Pursat but was not associated with reduced susceptibility to PPQ. The ex vivo IC50 and pfmdr1 copy number are important tools in the surveillance of multidrug-resistant (MDR) parasites in Cambodia. While MDR P. falciparum is prevalent in western and northern Cambodia, there is no evidence for PPQ resistance, suggesting that DHA-PPQ treatment failures result mainly from ART resistance.

  13. Impacts of Two-Type ENSO on Rainfall over Taiwan

    OpenAIRE

    Chen-Chih Lin; Yi-Jiun Liou; Shih-Jen Huang

    2015-01-01

    Impacts of two-type ENSO (El Niño/Southern Oscillation), canonical ENSO and ENSO Modoki, on rainfall over Taiwan are investigated by the monthly mean rainfall data accessed from Taiwan Central Weather Bureau. The periods of the two-type ENSO are distinguished by Niño 3.4 index and ENSO Modoki index (EMI). The rainfall data in variously geographical regions are analyzed with the values of Niño 3.4 and EMI by correlation method. Results show that the seasonal rainfalls over Taiwan are different...

  14. New Opportunities and Challenges for Taiwan’s Security

    Science.gov (United States)

    2011-01-01

    and KMT leaders and hoped that the meeting would be held in Taiwan, according to Hsiang Kang Shang Pao (Hong Kong), October 23, 2009. - 20...Zhongguo Pinglun Tongxun She (China Review News Agency), August 12, 2009b. 6 Lin Chuan , “Both Sides of the Taiwan Strait Wish to Establish a ‘Mechanism of...Winter 2008, pp. 1–27. Lin Chuan , “Both Sides of the Taiwan Strait Wish to Establish a ‘Mechanism of Mutual Trust in Military and Security Affairs

  15. Cool Season Paleotemperatures at Tree Line in Taiwan

    Science.gov (United States)

    Wright, W. E.; Chan, M.

    2011-12-01

    Taiwan has over 200 mountains whose peaks exceed 3,000 meters in elevation. Despite straddling the Tropic of Cancer, the higher peaks have snow and freezing temperatures every winter. Trees growing above 3,500 meters show clear temperature variation, even producing frost rings. Yet unlike temperate tree-line species, with their warm season temperature signal, trees growing at Taiwan's tree line show sensitivity to cool season temperatures. Juniperus squamata growing above 3,500 meters in central Taiwan have ring width time series that commonly exceed 600 years. Presented are the first dendroclimatological analyses from Taiwanese Juniperus squamata.

  16. Impacts of Two-Type ENSO on Rainfall over Taiwan

    OpenAIRE

    Chen-Chih Lin; Yi-Jiun Liou; Shih-Jen Huang

    2015-01-01

    Impacts of two-type ENSO (El Niño/Southern Oscillation), canonical ENSO and ENSO Modoki, on rainfall over Taiwan are investigated by the monthly mean rainfall data accessed from Taiwan Central Weather Bureau. The periods of the two-type ENSO are distinguished by Niño 3.4 index and ENSO Modoki index (EMI). The rainfall data in variously geographical regions are analyzed with the values of Niño 3.4 and EMI by correlation method. Results show that the seasonal rainfalls over Taiwan are different...

  17. Updated Distribution Records for Anopheles vagus (Diptera: Culicidae) in the Republic of Philippines, and Considerations Regarding Its Secondary Vector Roles in Southeast Asia

    Science.gov (United States)

    2011-01-01

    5 cm ht, 13 cm diam; Bioquip, Rancho Dominguez, CA). Collected larvae were placed in plastic Whirl-Pak® bags (118 ml, 8 x 18 cm) (BioQuip, Rancho...Bangladesh, Cambodia (Kampuchea), China (including Hong Kong), India, Indonesia, Laos, Malaysia , Mariana Islands, Myanmar (Burma), Nepal, Philippines, Sri...Ramalingam (1974) elevated subspecies An. vagus limosus to species status when he collected both subspecies at the same locality in Sabah, Malaysia . In

  18. Patterns of ecosystem metabolism in the Tonle Sap Lake, Cambodia with links to capture fisheries.

    Directory of Open Access Journals (Sweden)

    Gordon W Holtgrieve

    Full Text Available The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km(2 to over 12,500 km(2 driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP and ecosystem respiration (ER for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m(-3 d(-1 with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45 and positive correlation with turbidity (r = 0.65. ER averaged 24.9±20.0 g O2 m(-3 d(-1 but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPP

  19. Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men in Cambodia.

    Directory of Open Access Journals (Sweden)

    Siyan Yi

    Full Text Available Compared to the general population, men who have sex with men (MSM are at greater risk for HIV and less understood due to their more hidden and stigmatized nature. Moreover, the discrepancy in findings in the literature merits further investigations in MSM populations from different cultures and settings. We therefore conducted this study to explore factors associated with inconsistent condom use among high-risk MSM in Cambodia.This cross-sectional study was conducted in 2014 among 367 MSM randomly selected from Battembang and Siem Reap using a two-stage cluster sampling method. A structured questionnaire was used for face-to-face interviews to collect information on characteristics of respondents, HIV testing history, self-perception of HIV risk, substance use, sexual behaviors, mental disorders, and HIV knowledge. Multivariable logistic regression analysis was performed to identify factors independently associated with inconsistent condom use.On average, 62.3% of respondents reported that they always used condoms over the past three months. The rates varied with types of sexual partners; the proportion of respondents who reported always using condoms was 55.1%, 64.2%, 75.9%, 73.0%, 78.1%, and 70.3%, for sexual partners who were girlfriends, boyfriends, female sex workers, male sex workers, female clients, or male clients, respectively. After adjustment, inconsistent condom use was significantly associated with age of ≥25 (AOR = 1.77, 95% CI = 1.09-2.86, self-rated quality of life as good or very good (AOR = 4.37, 95% CI = 1.79-5.67, self-perception of higher HIV risk compared to the general population (AOR = 2.37, 95% CI = 1.35-4.17, illicit drug use in the past three months (AOR = 5.76, 95% CI = 1.65-10.09, and reported consistent lubricant use when selling anal sex to men in the past three months (AOR = 2.85, 95% CI = 1.07-8.12.We found risky sexual behaviors to be considerably high among MSM in this study, especially among those who used

  20. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia.

    Science.gov (United States)

    Yi, Siyan; Poudel, Krishna C; Yasuoka, Junko; Palmer, Paula H; Yi, Songky; Jimba, Masamine

    2010-08-12

    In many developing countries, adolescents have become increasingly prone to engage in habitual risky sexual behavior such as early sexual initiation and unprotected sex. The objective of this study was to identify the operation of risk and protective factors in individual, family, peer, school, and community domains in predicting risky sexual behavior among male and female adolescents in Cambodia. From October 2007 to January 2008, we collected data from 1,049 students aged 14 to 20 years. Risky sexual behavior was measured using a scale consisting of four items: sexual intercourse during the past three months, number of sex partners during the past three months, age at first experience of sexual intercourse, and use of condom in last sexual intercourse. The risk factors examined included substance use, depression, peer delinquency, family violence, and community violence. Studied protective factors included family support function, frequency of family dinner, and school attachment. Of the 1,049 students surveyed, 12.7% reported sexual intercourse during the past three months. Out of those sexually active students, 34.6% reported having two or more sex partners over the same period, and 52.6% did not use a condom during their last sexual intercourse. After controlling for other covariates, a higher likelihood of risky sexual behavior remained significantly associated among male participants with higher levels of substance use, higher levels of peer delinquency, and higher family income. In contrast, risky sexual behavior did not retain its associations with any of the measured protective factors among male participants. Among female participants, a higher likelihood of risky sexual behavior remained significantly associated with higher levels of substance use, higher levels of community-violence witnessing, and lower levels of family support. The findings suggest the importance of considering gender-related differences in the effects of risk and protective factors

  1. Epilepsy in Cambodia-treatment aspects and policy implications: a population-based representative survey.

    Directory of Open Access Journals (Sweden)

    Devender Bhalla

    Full Text Available INTRODUCTION: We tested two treatment strategies to determine: treatment (a prognosis (seizure frequency, mortality, suicide, and complications, (b safety and adherence of treatment, (c self-reported satisfaction with treatment and self-reported productivity, and policy aspects (a number of required tablets for universal treatment (NRT, (b cost of management, (c manpower-gap and requirements for scaling-up of epilepsy care. METHODS: We performed a random-cluster survey (N = 16510 and identified 96 cases (≥1 year of age in 24 villages. They were screened by using a validated instrument and diagnosed by the neurologists. International guidelines were used for defining and classifying epilepsy. All were given phenobarbital or valproate (cost-free in two manners patient's door-steps (March 2009-March 2010, primary-treatment-period, PTP and treatment through health-centers (March 2010-June 2011, treatment-continuation-period, TCP. The emphasis was to start on a minimum dosage and regime, without any polytherapy, according to the age of the recipients. No titration was done. Seizure-frequency was monthly and self-reported. RESULTS: The number of seizures reduced from 12.6 (pre-treatment to 1.2 (end of PTP, following which there was an increase to 3.4 (end of TCP. Between start of PTP and end of TCP, >60.0% became and remained seizure-free. During TCP, ∼26.0% went to health centers to collect their treatment. Complications reduced from 12.5% to 4.2% between start and end of PTP and increased to 17.2% between start and end of TCP. Adverse events reduced from 46.8% to 16.6% between start and end of PTP. Nearly 33 million phenobarbital 100 mg tablets are needed in Cambodia. CONCLUSIONS: Epilepsy responded sufficiently well to the conventional treatment, even when taken at a minimal dosage and a simple daily regimen, without any polytherapy. This is yet another confirmation that it is possible to substantially reduce direct burden of epilepsy

  2. Little Evidence of Subclinical Avian Influenza Virus Infections among Rural Villagers in Cambodia

    Science.gov (United States)

    Gray, Gregory C.; Krueger, Whitney S.; Chum, Channimol; Putnam, Shannon D.; Wierzba, Thomas F.; Heil, Gary L.; Anderson, Benjamin D.; Yasuda, Chadwick Y.; Williams, Maya; Kasper, Matthew R.; Saphonn, Vonthanak; Blair, Patrick J.

    2014-01-01

    In 2008, 800 adults living within rural Kampong Cham Province, Cambodia were enrolled in a prospective cohort study of zoonotic influenza transmission. After enrollment, participants were contacted weekly for 24 months to identify acute influenza-like illnesses (ILI). Follow-up sera were collected at 12 and 24 months. A transmission substudy was also conducted among the family contacts of cohort members reporting ILI who were influenza A positive. Samples were assessed using serological or molecular techniques looking for evidence of infection with human and avian influenza viruses. Over 24 months, 438 ILI investigations among 284 cohort members were conducted. One cohort member was hospitalized with a H5N1 highly pathogenic avian influenza (HPAI) virus infection and withdrew from the study. Ninety-seven ILI cases (22.1%) were identified as influenza A virus infections by real-time RT-PCR; none yielded evidence for AIV. During the 2 years of follow-up, 21 participants (3.0%) had detectable antibody titers (≥1∶10) against the studied AIVs: 1 against an avian-like A/Migratory duck/Hong Kong/MPS180/2003(H4N6), 3 against an avian-like A/Teal/Hong Kong/w312/97(H6N1), 9 (3 of which had detectible antibody titers at both 12- and 24-month follow-up) against an avian-like A/Hong Kong/1073/1999(H9N2), 6 (1 detected at both 12- and 24-month follow-up) against an avian-like A/Duck/Memphis/546/74(H11N9), and 2 against an avian-like A/Duck/Alberta/60/76(H12N5). With the exception of the one hospitalized cohort member with H5N1 infection, no other symptomatic avian influenza infections were detected among the cohort. Serological evidence for subclinical infections was sparse with only one subject showing a 4-fold rise in microneutralization titer over time against AvH12N5. In summary, despite conducting this closely monitored cohort study in a region enzootic for H5N1 HPAI, we were unable to detect subclinical avian influenza infections, suggesting either that these

  3. Assessment of disease and infection of lymphatic filariasis in Northeastern Cambodia.

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    Leang, Rithea; Socheat, Duong; Bin, Boravong; Bunkea, Tol; Odermatt, Peter

    2004-10-01

    We assessed the filariasis disease burden in four northeastern provinces of Cambodia by using and validating a key-informant questionnaire, consisting of four questions, with pictures of patients with leg elephantiasis and hydrocoele. The questionnaire was distributed and collected through the school, health and administrative systems. Validation surveys included clinical examination, a card test for W. bancrofti (ICT Filariasis card test, AMRAD) and night blood finger prick examination of patients reported with clinical elephantiasis. Only 48.0% of questionnaires were returned. A total of 220 patients were reported, mostly from Stung Treng (36.8%) and Rattanakiri provinces (35.0%). Key-informants reported patients with lymphatic filariasis with a sensitivity of 85.7% for leg and 97.0% for scrotum morbidity, and with a specificity of 95.6%. However, substantial over-reporting resulted in very low positive predictive values for elephantiasis of 19.4% for legs and of 23.7% for the scrotum. As 97.4% of patients with clinical lymphatic filariasis were older than 40 years, the diagnostic performance of the questionnaire would be improved by restricting its use to that age group. About 0.7% of 3490 W. bancrofti card tests were positive; the prevalence was 1.94% (12/618) in Rattanakiri, 0.38% (4/1055) in Stung Treng and 0.22% (2/919) in Preah Vihear. W. bancrofti microfilaria were identified in blood from two patients in Rattanakiri (0.32%) and from one patient in Stung Treng (0.09%). Brugia malayi microfilaria were identified in blood from five patients in Rattanakiri (0.81%) only. No patients with microfilariaemia were identified in Preah Vehear. In Mondulkiri province all investigations (card test, night blood examination, clinical examination) for lymphatic filariasis were negative. Our findings confirm the usefulness of key-informant questionnaire for the identification of filariasis patients provided that high adherence can be achieved. Lymphatic filariasis

  4. Hydrogeologic reconnaissance of the Mekong Delta in South Vietnam and Cambodia

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    Anderson, Henry R.

    1978-01-01

    The present report describes the results of a hydrogeologic reconnaissance in the Mekong Delta region by the writer, a hydrogeologist of the U.S. Geological Survey, while on assignment as an adviser to the Vietnamese Directorate of Water Supply from October 1968 to April 1970 under the auspices of the U.s. Agency for International Development. The delta of the Mekong River, comprising an area of about 70,000 square kilometres in South Vietnam and Cambodia, is an almost featureless plain rising gradually from sea level to about 5 metres above sea level at its apex 300 kilometres inland. Most of the shallow ground water in the Holocene Alluvium of the delta in Vietnam is brackish or saline down to depths of 50 to 100 metres. Moreover, in the Dong Thap Mu?oi (Plain of Reeds) the shallow ground water is alum-bearing. Locally, however, perched bodies of fresh ground water occur in ancient beach and dune ridges and are tapped by shallow dug wells or pits for village and domestic water supply. The Old Alluvium beneath the lower delta contains freshwater in some areas, notably in the Ca Mau Peninsula and adjacent areas, in the viciniy of Bau Xau near Saigon, and in the Tinh Long An area. Elsewhere in the lower delta both the Holocene and Old Alluvium may contain brackish or saline water from the land surface to depths of as much as 568 metres, as for example in Tinh Vinh Binh. Ground water in the outcrop area of Old Alluvium northwest of Saigon is generally fresh and potable, but high iron and low pH are locally troublesome. Although considerable exploratory drilling for ground water down to depths of as much as 568 metres has already been completed, large areas of the delta remain yet to be explored before full development of the ground-water potential can be realized. With careful development and controlled management to avoid saltwater contamination, however, it is estimated that freshwater aquifers could provide approximately 80 percent of existing needs for village

  5. How Do Rubber (Hevea brasiliensis) Plantations Cope with Seasonal Drought in Northern Thailand and Central Cambodia?

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    Kumagai, T.; Giambelluca, T. W.

    2014-12-01

    Rubber (Hevea brasiliensis Müll. Arg.) plantaitons are rapidly expanding throughout mainland Southeast Asia, potentially changing the partitioning of water, energy, and carbon at multiple scales, compared with the traditional land covers they are replacing. We have conducted eddy flux measurements in two rubber plantation sites: Som Sanuk (SS), located northern Thailand; and Cambodian Rubber Research Institute (CRRI), central Cambodia. We used combination of actual evapotranspiration (ET) flux measurements and an inversed version of a simple 2-layer ET model for estimating the mean canopy stomatal conductances (gs), which is among the most effective measures for describing the exchange characteristics. It is demonstrated how each studied rubber plantation copes with each strong seasonal drought via tree water use strategies. Potential tree water use deficit (precipitation (P) - potential evaporation (ET_POT)) for each season (i.e., December-February: DJF, March-May: MAM, June-August: JJA, and September-November: SON) revealed in which season and how the water use should be controlled. We found that in the season when actual tree water use deficit (P - ET) was negative (DJF and MAM), the deficit was compensated with soil water from the previous season at a depth of 0-2 m at the Thailand site, and from a depth of 0-3 m at CRRI. Two ecophysiological parameters, the reference value of gs (gsref) and the sensitivity of gs to atmospheric demand (m), as well as their proportionality (m/gsref), were derived from the logarithmic response curve of gs to vapor pressure deficit (D) for each season and each site. In both sites, gsref and m appeared to be less in DJF and MAM than each in the other three month periods (seasons). On average in a whole year, m/gsref was less than 0.6 at SS and almost 0.6 at the CRRI site, suggesting that there was less sufficient stomatal regulation at SS, where there might be little risk of water stress-induced hydraulic failure because of much

  6. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia

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    Yi Siyan

    2010-08-01

    Full Text Available Abstract Background In many developing countries, adolescents have become increasingly prone to engage in habitual risky sexual behavior such as early sexual initiation and unprotected sex. The objective of this study was to identify the operation of risk and protective factors in individual, family, peer, school, and community domains in predicting risky sexual behavior among male and female adolescents in Cambodia. Methods From October 2007 to January 2008, we collected data from 1,049 students aged 14 to 20 years. Risky sexual behavior was measured using a scale consisting of four items: sexual intercourse during the past three months, number of sex partners during the past three months, age at first experience of sexual intercourse, and use of condom in last sexual intercourse. The risk factors examined included substance use, depression, peer delinquency, family violence, and community violence. Studied protective factors included family support function, frequency of family dinner, and school attachment. Results Of the 1,049 students surveyed, 12.7% reported sexual intercourse during the past three months. Out of those sexually active students, 34.6% reported having two or more sex partners over the same period, and 52.6% did not use a condom during their last sexual intercourse. After controlling for other covariates, a higher likelihood of risky sexual behavior remained significantly associated among male participants with higher levels of substance use, higher levels of peer delinquency, and higher family income. In contrast, risky sexual behavior did not retain its associations with any of the measured protective factors among male participants. Among female participants, a higher likelihood of risky sexual behavior remained significantly associated with higher levels of substance use, higher levels of community-violence witnessing, and lower levels of family support. Conclusions The findings suggest the importance of considering

  7. Seasonal Influences on Ground-Surface Water Interactions in an Arsenic-Affected Aquifer in Cambodia

    Science.gov (United States)

    Richards, L. A.; Magnone, D.; Van Dongen, B.; Bryant, C.; Boyce, A.; Ballentine, C. J.; Polya, D. A.

    2015-12-01

    Millions of people in South and Southeast Asia consume drinking water daily which contains dangerous levels of arsenic exceeding health-based recommendations [1]. A key control on arsenic mobilization in aquifers in these areas has been controversially identified as the interaction of 'labile' organic matter contained in surface waters with groundwaters and sediments at depth [2-4], which may trigger the release of arsenic from the solid- to aqueous-phase via reductive dissolution of iron-(hyr)oxide minerals [5]. In a field site in Kandal Province, Cambodia, which is an arsenic-affected area typical to others in the region, there are strong seasonal patterns in groundwater flow direction, which are closely related to monsoonal rains [6] and may contribute to arsenic release in this aquifer. The aim of this study is to explore the implications of the high susceptibility of this aquifer system to seasonal changes on potential ground-surface water interactions. The main objectives are to (i) identify key zones where there are likely ground-surface water interactions, (ii) assess the seasonal impact of such interactions and (iii) quantify the influence of interactions using geochemical parameters (such as As, Fe, NO3, NH4, 14C, 3T/3He, δ18O, δ2H). Identifying the zones, magnitude and seasonal influence of ground-surface water interactions elucidates new information regarding potential locations/pathways of arsenic mobilization and/or transport in affected aquifers and may be important for water management strategies in affected areas. This research is supported by NERC (NE/J023833/1) to DP, BvD and CJB and a NERC PhD studentship (NE/L501591/1) to DM. References: [1] World Health Organization, 2008. [2] Charlet & Polya (2006), Elements, 2, 91-96. [3] Harvey et al. (2002), Science, 298, 1602-1606. [4] Lawson et al. (2013), Env. Sci. Technol. 47, 7085 - 7094. [5] Islam et al. (2004), Nature, 430, 68-71. [6] Benner et al. (2008) Appl. Geochem. 23(11), 3072 - 3087.

  8. Little evidence of subclinical avian influenza virus infections among rural villagers in Cambodia.

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    Gregory C Gray

    Full Text Available In 2008, 800 adults living within rural Kampong Cham Province, Cambodia were enrolled in a prospective cohort study of zoonotic influenza transmission. After enrollment, participants were contacted weekly for 24 months to identify acute influenza-like illnesses (ILI. Follow-up sera were collected at 12 and 24 months. A transmission substudy was also conducted among the family contacts of cohort members reporting ILI who were influenza A positive. Samples were assessed using serological or molecular techniques looking for evidence of infection with human and avian influenza viruses. Over 24 months, 438 ILI investigations among 284 cohort members were conducted. One cohort member was hospitalized with a H5N1 highly pathogenic avian influenza (HPAI virus infection and withdrew from the study. Ninety-seven ILI cases (22.1% were identified as influenza A virus infections by real-time RT-PCR; none yielded evidence for AIV. During the 2 years of follow-up, 21 participants (3.0% had detectable antibody titers (≥ 1:10 against the studied AIVs: 1 against an avian-like A/Migratory duck/Hong Kong/MPS180/2003(H4N6, 3 against an avian-like A/Teal/Hong Kong/w312/97(H6N1, 9 (3 of which had detectible antibody titers at both 12- and 24-month follow-up against an avian-like A/Hong Kong/1073/1999(H9N2, 6 (1 detected at both 12- and 24-month follow-up against an avian-like A/Duck/Memphis/546/74(H11N9, and 2 against an avian-like A/Duck/Alberta/60/76(H12N5. With the exception of the one hospitalized cohort member with H5N1 infection, no other symptomatic avian influenza infections were detected among the cohort. Serological evidence for subclinical infections was sparse with only one subject showing a 4-fold rise in microneutralization titer over time against AvH12N5. In summary, despite conducting this closely monitored cohort study in a region enzootic for H5N1 HPAI, we were unable to detect subclinical avian influenza infections, suggesting either that these

  9. Diagnosis, treatment and risk factors of Strongyloides stercoralis in schoolchildren in Cambodia.

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    Virak Khieu

    Full Text Available BACKGROUND: Worldwide, an estimated 30 to 100 million people are infected with Strongyloides stercoralis, a soil-transmitted helminth. Information on the parasite is scarce in most settings. In semi-rural Cambodia, we determined infection rates and risk factors; compared two diagnostic methods (Koga agar plate [KAP] culture and Baermann technique for detecting S. stercoralis infections, using a multiple stool examination approach; and assessed efficacy of ivermectin treatment. METHODS/PRINCIPAL FINDINGS: We performed a cross-sectional study in 458 children from four primary schools in semi-rural villages in Kandal province, using three diagnostic procedures (Kato-Katz, KAP culture and Baermann technique on three stool samples. Infected children were treated with ivermectin (100 µg/kg/day for two days and re-examined three weeks after treatment. Hookworm, S. stercoralis, Trichuris trichiura, and small trematode eggs were most prevalent, with 24.4% of children being infected with S. stercoralis. The sensitivity of KAP culture and Baermann technique was 88.4% and 75.0%, respectively and their negative predictive values were 96.4% and 92.5%, respectively. The cumulative prevalence of S. stercoralis increased from 18.6% to 24.4%, after analyzing three stool samples, which was close to the modeled 'true' prevalence of 24.8%. Children who reported defecating in latrines were significantly less infected with S. stercoralis than those who did not use latrines (p<0.001. Itchy skin and diarrhea were significantly associated with S. stercoralis infection. The cure rate of ivermectin was 98.3%. CONCLUSIONS/SIGNIFICANCE: S. stercoralis infection is highly prevalent among semi-rural Cambodian schoolchildren. The sensitivity of KAP culture is higher than that of the Baermann technique. In the absence of a "gold standard", analysis of multiple stool samples by different diagnostic methods is required to achieve a satisfactory level of sensitivity. Almost three

  10. From waste minimization to ISO 14000: Taiwan`s experience and prospects

    Energy Technology Data Exchange (ETDEWEB)

    Wen-Huei Chen; Wain-Sun Hou [China Technical Consultants, Inc., Taipei (Taiwan, Province of China)

    1996-12-31

    Taiwan has completed a very successful five-year industrial waste minimization (IWM) demonstration and promotion project sponsored by the government. From 1990 to 1995, the project successfully disseminated the IWM concept of pollution prevention (P2) to industries. It effectively reduced industrial waste while significantly benefitting the economy by assisting industries in implementing in-plant IWM programs. In July 1995, the second stage of the five-year IWM and ISO 14000 promotion project was initiated for further promoting the IWM, P2, and cleaner production and, in particular, coping with the upcoming international environmental management standards (ISO 14000). To assist industries in establishing an environmental management system (EMS) and accumulating related experience, an EMS pilot demonstration project of five model industries and an ISO 14001 EMS demonstration and promotion project for 22 factories in 13 industries were initiated in October 1995 and August 1996, respectively. These projects can assist Taiwan`s industries in changing the constitution of their enterprises, enhancing competition in the international market, and helping our nation achieve the forerunner`s profits in sustainable development. 9 refs., 3 figs.

  11. Sero-epidemiological evaluation of changes in Plasmodium falciparum and Plasmodium vivax transmission patterns over the rainy season in Cambodia

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    Cook Jackie

    2012-03-01

    Full Text Available Abstract Background In Cambodia, malaria transmission is low and most cases occur in forested areas. Sero-epidemiological techniques can be used to identify both areas of ongoing transmission and high-risk groups to be targeted by control interventions. This study utilizes repeated cross-sectional data to assess the risk of being malaria sero-positive at two consecutive time points during the rainy season and investigates who is most likely to sero-convert over the transmission season. Methods In 2005, two cross-sectional surveys, one in the middle and the other at the end of the malaria transmission season, were carried out in two ecologically distinct regions in Cambodia. Parasitological and serological data were collected in four districts. Antibodies to Plasmodium falciparum Glutamate Rich Protein (GLURP and Plasmodium vivax Merozoite Surface Protein-119 (MSP-119 were detected using Enzyme Linked Immunosorbent Assay (ELISA. The force of infection was estimated using a simple catalytic model fitted using maximum likelihood methods. Risks for sero-converting during the rainy season were analysed using the Classification and Regression Tree (CART method. Results A total of 804 individuals participating in both surveys were analysed. The overall parasite prevalence was low (4.6% and 2.0% for P. falciparum and 7.9% and 6.0% for P. vivax in August and November respectively. P. falciparum force of infection was higher in the eastern region and increased between August and November, whilst P. vivax force of infection was higher in the western region and remained similar in both surveys. In the western region, malaria transmission changed very little across the season (for both species. CART analysis for P. falciparum in the east highlighted age, ethnicity, village of residence and forest work as important predictors for malaria exposure during the rainy season. Adults were more likely to increase their antibody responses to P. falciparum during the

  12. Case management of malaria fever in Cambodia: results from national anti-malarial outlet and household surveys

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    Littrell Megan

    2011-10-01

    Full Text Available Abstract Background Continued progress towards global reduction in morbidity and mortality due to malaria requires scale-up of effective case management with artemisinin-combination therapy (ACT. The first case of artemisinin resistance in Plasmodium falciparum was documented in western Cambodia. Spread of artemisinin resistance would threaten recent gains in global malaria control. As such, the anti-malarial market and malaria case management practices in Cambodia have global significance. Methods Nationally-representative household and outlet surveys were conducted in 2009 among areas in Cambodia with malaria risk. An anti-malarial audit was conducted among all public and private outlets with the potential to sell anti-malarials. Indicators on availability, price and relative volumes sold/distributed were calculated across types of anti-malarials and outlets. The household survey collected information about management of recent "malaria fevers." Case management in the public versus private sector, and anti-malarial treatment based on malaria diagnostic testing were examined. Results Most public outlets (85% and nearly half of private pharmacies, clinics and drug stores stock ACT. Oral artemisinin monotherapy was found in pharmacies/clinics (9%, drug stores (14%, mobile providers (4% and grocery stores (2%. Among total anti-malarial volumes sold/distributed nationally, 6% are artemisinin monotherapies and 72% are ACT. Only 45% of people with recent "malaria fever" reportedly receive a diagnostic test, and the most common treatment acquired is a drug cocktail containing no identifiable anti-malarial. A self-reported positive diagnostic test, particularly when received in the public sector, improves likelihood of receiving anti-malarial treatment. Nonetheless, anti-malarial treatment of reportedly positive cases is low among people who seek treatment exclusively in the public (61% and private (42% sectors. Conclusions While data on the anti

  13. Gender differences in suicidal expressions and their determinants among young people in Cambodia, a post-conflict country*

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    Kullgren Gunnar

    2011-03-01

    Full Text Available Abstract Background Suicide among young people is a global public health problem, but adequate information on determinants of suicidal expression is lacking in middle and low income countries. Young people in transitional economies are vulnerable to psychosocial stressors and suicidal expressions. This study explores the suicidal expressions and their determinants among high school students in Cambodia, with specific focus on gender differences. Methods A sample of 320 young people, consisting of 153 boys and 167 girls between 15-18 years of age, was randomly selected from two high schools in Cambodia. Their self-reported suicidal expressions, mental health problems, life-skills dimensions, and exposure to suicidal behavior in others were measured using the Youth Self-Report (YSR, Life-Skills Development Scale (LSDS-Adolescent Form, and Attitude Towards Suicide (ATTS questionnaires. Results Suicidal plans were reported more often by teenage boys than teenage girls (M = 17.3%, F = 5.6%, p = 0.001, whereas girls reported more attempts (M = 0.6%, F = 7.8%, p = 0.012. Young men scored significantly higher on rule-breaking behavior than young women (p = 0.001, whereas young women scored higher on anxious/depression (p = 0.000, withdrawn/depression (p = 0.002, somatic complaints (p = 0.034, social problems (p = 0.006, and internalizing syndrome (p = 0.000. Young men exposed to suicide had significantly higher scores for internalizing syndrome compared to those unexposed (p = 0.001, while young women exposed to suicide scored significantly higher on both internalizing (p = 0.001 and externalizing syndromes (p = 0.012. Any type of exposure to suicidal expressions increased the risk for own suicidal expressions in both genders (OR = 2.04, 95% CI = 1.06-3.91; among young women, however, those exposed to suicide among friends and partners were at greater risk for the serious suicidal expressions (OR = 2.79, 95% CI = 1.00-7.74. Life skills dimension scores

  14. Dengue incidence in urban and rural Cambodia: results from population-based active fever surveillance, 2006-2008.

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    Sirenda Vong

    Full Text Available BACKGROUND: Dengue vaccines are now in late-stage development, and evaluation and robust estimates of dengue disease burden are needed to facilitate further development and introduction. In Cambodia, the national dengue case-definition only allows reporting of children less than 16 years of age, and little is known about dengue burden in rural areas and among older persons. To estimate the true burden of dengue in the largest province of Cambodia, Kampong Cham, we conducted community-based active dengue fever surveillance among the 0-to-19-year age group in rural villages and urban areas during 2006-2008. METHODS AND FINDINGS: Active surveillance for febrile illness was conducted in 32 villages and 10 urban areas by mothers trained to use digital thermometers combined with weekly home visits to identify persons with fever. An investigation team visited families with febrile persons to obtain informed consent for participation in the follow-up study, which included collection of personal data and blood specimens. Dengue-related febrile illness was defined using molecular and serological testing of paired acute and convalescent blood samples. Over the three years of surveillance, 6,121 fever episodes were identified with 736 laboratory-confirmed dengue virus (DENV infections for incidences of 13.4-57.8/1,000 person-seasons. Average incidence was highest among children less than 7 years of age (41.1/1,000 person-seasons and lowest among the 16-to-19-year age group (11.3/1,000 person-seasons. The distribution of dengue was highly focal, with incidence rates in villages and urban areas ranging from 1.5-211.5/1,000 person-seasons (median 36.5. During a DENV-3 outbreak in 2007, rural areas were affected more than urban areas (incidence 71 vs. 17/1,000 person-seasons, p<0.001. CONCLUSION: The large-scale active surveillance study for dengue fever in Cambodia found a higher disease incidence than reported to the national surveillance system, particularly

  15. Geographical patterns of malaria transmission based on serological markers for falciparum and vivax malaria in Ratanakiri, Cambodia

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    Karen Kerkhof

    2016-10-01

    Full Text Available Abstract Background Malaria transmission is highly heterogeneous, especially in low endemic countries, such as Cambodia. This results in geographical clusters of residual transmission in the dry, low transmission season, which can fuel the transmission to wider areas or populations during the wet season. A better understanding of spatial clustering of malaria can lead to a more efficient, targeted strategy to reduce malaria transmission. This study aims to evaluate the potential of the use of serological markers to define spatial patterns in malaria exposure. Methods Blood samples collected in a community-based randomized trial performed in 98 high endemic communities in Ratanakiri province, north-eastern Cambodia, were screened with a multiplex serological assay for five serological markers (three Plasmodium falciparum and two Plasmodium vivax. The antibody half-lives range from approximately six months until more than two years. Geographical heterogeneity in malaria transmission was examined using a spatial scan statistic on serology, PCR prevalence and malaria incidence rate data. Furthermore, to identify behavioural patterns or intrinsic factors associated with malaria exposure (antibody levels, risk factor analyses were performed by using multivariable random effect logistic regression models. The serological outcomes were then compared to PCR prevalence and malaria incidence data. Results A total of 6502 samples from two surveys were screened in an area where the average parasite prevalence estimated by PCR among the selected villages is 3.4 %. High-risk malaria pockets were observed adjacent to the ‘Tonle San River’ and neighbouring Vietnam for all three sets of data (serology, PCR prevalence and malaria incidence rates. The main risk factors for all P. falciparum antigens and P. vivax MSP1.19 are age, ethnicity and staying overnight at the plot hut. Conclusion It is possible to identify similar malaria pockets of higher malaria

  16. Factors associated with sex work among at-risk female youth in Cambodia: a cross-sectional study.

    Science.gov (United States)

    Brody, Carinne; Tuot, Sovannary; Chhea, Chhorvann; Saphonn, Vonthanak; Yi, Siyan

    2016-01-01

    In Cambodia, despite great achievements in reducing the prevalence of HIV in the general population, reducing new HIV infections among young at-risk women remains a challenge. This study was designed to examine the prevalence of risky behaviors of sexually active female youth in Cambodia and to explore risk factors associated with engagement in transactional sex. We surveyed sexually active female youth aged 10-24 enrolled at risk "hotspots" in eight provinces in Cambodia. We collected data on demographic factors, sexual behavior, and factors hypothesized to be associated with transactional sex. Multivariable logistic regression was used to identify associations between demographic and sexual behavior and transactional sex. Of the 280 respondents, the mean age was 21.2, and 48.1% had been paid for sex in the past year. After adjustment, at-risk females who were never have been married (adjusted odds ratio (AOR) 3.40, 95% confidence interval (CI) = 1.65-6.97), have completed less than 6 years of school (AOR 3.26, 95% CI = 1.60-6.66), have 1 or more parents who had died (AOR 4.34, 95% CI = 2.00-9.38), be a heavy alcohol drinker (AOR 3.58, 95% CI = 1.78-7.18), have used a condom with their boyfriend during last sexual encounter (AOR 3.50, 95% CI = 1.68-7.32), and have ever had an HIV test (AOR 3.51, 95% CI = 1.68-7.32) were more likely to engage in sex work. Our findings suggest that prevention strategies for female youth at risk of engagement in sex work should include upstream structural interventions that aim to encourage girls' education and empowerment. In addition, tailored sex education and behavior change messaging about the risks of heavy drinking, condom use with romantic partners, and the importance of frequent HIV testing for at-risk youth and sex workers should be designed and delivered to youth currently engaging in sex work.

  17. Dengue Incidence in Urban and Rural Cambodia: Results from Population-Based Active Fever Surveillance, 2006–2008

    Science.gov (United States)

    Vong, Sirenda; Khieu, Virak; Glass, Olivier; Ly, Sowath; Duong, Veasna; Huy, Rekol; Ngan, Chantha; Wichmann, Ole; Letson, G. William; Margolis, Harold S.; Buchy, Philippe

    2010-01-01

    Background Dengue vaccines are now in late-stage development, and evaluation and robust estimates of dengue disease burden are needed to facilitate further development and introduction. In Cambodia, the national dengue case-definition only allows reporting of children less than 16 years of age, and little is known about dengue burden in rural areas and among older persons. To estimate the true burden of dengue in the largest province of Cambodia, Kampong Cham, we conducted community-based active dengue fever surveillance among the 0-to-19–year age group in rural villages and urban areas during 2006–2008. Methods and Findings Active surveillance for febrile illness was conducted in 32 villages and 10 urban areas by mothers trained to use digital thermometers combined with weekly home visits to identify persons with fever. An investigation team visited families with febrile persons to obtain informed consent for participation in the follow-up study, which included collection of personal data and blood specimens. Dengue-related febrile illness was defined using molecular and serological testing of paired acute and convalescent blood samples. Over the three years of surveillance, 6,121 fever episodes were identified with 736 laboratory-confirmed dengue virus (DENV) infections for incidences of 13.4–57.8/1,000 person-seasons. Average incidence was highest among children less than 7 years of age (41.1/1,000 person-seasons) and lowest among the 16-to-19–year age group (11.3/1,000 person-seasons). The distribution of dengue was highly focal, with incidence rates in villages and urban areas ranging from 1.5–211.5/1,000 person-seasons (median 36.5). During a DENV-3 outbreak in 2007, rural areas were affected more than urban areas (incidence 71 vs. 17/1,000 person-seasons, pdengue fever in Cambodia found a higher disease incidence than reported to the national surveillance system, particularly in preschool children and that disease incidence was high in both rural

  18. Dengue incidence in urban and rural Cambodia: results from population-based active fever surveillance, 2006-2008.

    Science.gov (United States)

    Vong, Sirenda; Khieu, Virak; Glass, Olivier; Ly, Sowath; Duong, Veasna; Huy, Rekol; Ngan, Chantha; Wichmann, Ole; Letson, G William; Margolis, Harold S; Buchy, Philippe

    2010-11-30

    Dengue vaccines are now in late-stage development, and evaluation and robust estimates of dengue disease burden are needed to facilitate further development and introduction. In Cambodia, the national dengue case-definition only allows reporting of children less than 16 years of age, and little is known about dengue burden in rural areas and among older persons. To estimate the true burden of dengue in the largest province of Cambodia, Kampong Cham, we conducted community-based active dengue fever surveillance among the 0-to-19-year age group in rural villages and urban areas during 2006-2008. Active surveillance for febrile illness was conducted in 32 villages and 10 urban areas by mothers trained to use digital thermometers combined with weekly home visits to identify persons with fever. An investigation team visited families with febrile persons to obtain informed consent for participation in the follow-up study, which included collection of personal data and blood specimens. Dengue-related febrile illness was defined using molecular and serological testing of paired acute and convalescent blood samples. Over the three years of surveillance, 6,121 fever episodes were identified with 736 laboratory-confirmed dengue virus (DENV) infections for incidences of 13.4-57.8/1,000 person-seasons. Average incidence was highest among children less than 7 years of age (41.1/1,000 person-seasons) and lowest among the 16-to-19-year age group (11.3/1,000 person-seasons). The distribution of dengue was highly focal, with incidence rates in villages and urban areas ranging from 1.5-211.5/1,000 person-seasons (median 36.5). During a DENV-3 outbreak in 2007, rural areas were affected more than urban areas (incidence 71 vs. 17/1,000 person-seasons, pdengue fever in Cambodia found a higher disease incidence than reported to the national surveillance system, particularly in preschool children and that disease incidence was high in both rural and urban areas. It also confirmed the

  19. Geographical patterns of malaria transmission based on serological markers for falciparum and vivax malaria in Ratanakiri, Cambodia.

    Science.gov (United States)

    Kerkhof, Karen; Sluydts, Vincent; Heng, Somony; Kim, Saorin; Pareyn, Myrthe; Willen, Laura; Canier, Lydie; Sovannaroth, Siv; Ménard, Didier; Sochantha, Tho; Coosemans, Marc; Durnez, Lies

    2016-10-19

    Malaria transmission is highly heterogeneous, especially in low endemic countries, such as Cambodia. This results in geographical clusters of residual transmission in the dry, low transmission season, which can fuel the transmission to wider areas or populations during the wet season. A better understanding of spatial clustering of malaria can lead to a more efficient, targeted strategy to reduce malaria transmission. This study aims to evaluate the potential of the use of serological markers to define spatial patterns in malaria exposure. Blood samples collected in a community-based randomized trial performed in 98 high endemic communities in Ratanakiri province, north-eastern Cambodia, were screened with a multiplex serological assay for five serological markers (three Plasmodium falciparum and two Plasmodium vivax). The antibody half-lives range from approximately six months until more than two years. Geographical heterogeneity in malaria transmission was examined using a spatial scan statistic on serology, PCR prevalence and malaria incidence rate data. Furthermore, to identify behavioural patterns or intrinsic factors associated with malaria exposure (antibody levels), risk factor analyses were performed by using multivariable random effect logistic regression models. The serological outcomes were then compared to PCR prevalence and malaria incidence data. A total of 6502 samples from two surveys were screened in an area where the average parasite prevalence estimated by PCR among the selected villages is 3.4 %. High-risk malaria pockets were observed adjacent to the 'Tonle San River' and neighbouring Vietnam for all three sets of data (serology, PCR prevalence and malaria incidence rates). The main risk factors for all P. falciparum antigens and P. vivax MSP1.19 are age, ethnicity and staying overnight at the plot hut. It is possible to identify similar malaria pockets of higher malaria transmission together with the potential risk factors by using serology

  20. Experience and Strategy of Biodiversity Data Integration in Taiwan

    Directory of Open Access Journals (Sweden)

    K T Shao

    2013-02-01

    Full Text Available The integration of Taiwan's biodiversity databases started in 2001, the same year that Taiwan joined GBIF as an associate participant. Taiwan, hence, embarked on a decade of integrating biodiversity data. Under the support of NSC and COA, the database and websites of TaiBIF, TaiBNET (TaiCOL, TaiBOL, and TaiEOL have been established separately and collaborate with the GBIF, COL, BOL, and EOL respectively. A cross-agency committee was thus established in Academia Sinica in 2008 to formulate policies on data collection and integration as well as the mechanism to make data available to the public. Any commissioned project will hereafter be asked to include these policy requirements in its contract. So far, TaiBIF has gained recognition in Taiwan and abroad for its efforts over the past several years. It can provide its experience and insights for others to reference or replicate.

  1. Taiwan's cooperative space activities at present and in future

    Science.gov (United States)

    Ip, Wing-Huen

    2004-01-01

    Taiwan is developing a long-term space program which is entering its next 15 years of planning cycle. Since its establishment in 1992, the National Space Program Office has played a key role in introducing satellite technology and space experiments into Taiwan. In parallel, basic research in space science and remote-sensing observations are being promoted in different institutions. A combination of these efforts has earned Taiwan a compact but effective space program capable of mounting satellite missions and advanced study in various disciplines of space science. The satellite data receiving and data processing facilities are particularly valuable in addressing issues related to environmental protection, natural hazards and economic planning. At the present time, Taiwan's international cooperative space activities are still very limited in scope but there is a wide ranging of possibilities which could be pursued together with other developing nations in space research under the auspice of COSPAR.

  2. Typhoid Fever in Southern Taiwan: A Medical Center Experience

    Directory of Open Access Journals (Sweden)

    Hong-Ren Yu

    2008-08-01

    Conclusion: Pediatric patients with typhoid fever in southern Taiwan had less history of travel and developed fewer chills than adult patients. Careful examination and familiarity with the clinical manifestations are important factors in the early diagnosis of typhoid fever.

  3. China-Taiwan Relations: Relations Better than Expected

    National Research Council Canada - National Science Library

    David G Brown; Kevin Scott

    2016-01-01

    .... Many issues will continue to complicate the management of relations. However, Tsai remains committed to maintaining stable relations and Xi Jinping, preoccupied with other challenges, prefers to avoid a confrontation with Taiwan...

  4. Establishing and evaluating FRAX® probability thresholds in Taiwan

    Directory of Open Access Journals (Sweden)

    Ding-Cheng Chan

    2017-03-01

    Conclusion: Three FRAX®-based models of alendronate use were established in Taiwan to help optimize treatment strategies. The government is encouraged to incorporate FRAX®-based approaches into the reimbursement policy for antiosteoporosis medicines.

  5. Sustainable Development for Solar Heating Systems in Taiwan

    National Research Council Canada - National Science Library

    Keh-Chin Chang; Wei-Min Lin; Kung-Ming Chung

    2015-01-01

      In response to the impact of the United Nations Framework Convention on Climate Change, developing and using renewable energy sources and technologies have become vital for managing energy supply and demand in Taiwan...

  6. Emergency department response to SARS, Taiwan.

    Science.gov (United States)

    Chen, Wei-Kung; Wu, Hong-Dar Isaac; Lin, Cheng-Chieh; Cheng, Yi-Chang

    2005-07-01

    How emergency departments of different levels and types cope with a large-scale contagious infectious disease is unclear. We retrospectively analyzed the response of 100 emergency departments regarding use of personal protective equipment (PPE) and implementation of infection control measures (ICMs) during the severe acute respiratory syndrome outbreak in Taiwan. Emergency department workers in large hospitals were more severely affected by the epidemic. Large hospitals or public hospitals were more likely to use respirators. Small hospitals implemented more restrictive ICMs. Most emergency departments provided PPE (80%) and implemented ICMs (66%) at late stages of the outbreak. Instructions to use PPE or ICMs more frequently originated by emergency department administrators. The difficulty of implementing ICMs was significantly negatively correlated with their effectiveness. Because ability to prepare for and respond to emerging infectious diseases varies among hospitals, grouping infectious patients in a centralized location in an early stage of infection may reduce the extent of epidemics.

  7. Magnetic ocean wave effects in Taiwan

    Science.gov (United States)

    Chen, C. R.; Chen, C. H.; Yen, H. Y.; Lin, J. Y.

    2016-12-01

    12 magnetic stations routinely monitor changes in the geomagnetic total intensity field are utilized in this study to examine magnetic ocean wave effects in Taiwan. The time-varied magnetic data are transferred into the frequency domain via the Fourier transform to investigate the frequency characteristics associated with ocean waves. Significant enhancements can be found from spectrums in the frequency band of about 0.05-0.3 Hz at stations located very close to the seashore. Frequency characteristics of magnetic data were compared with them of water-level heights monitored derived from nearby meteorological observation buoys operated by Weather Central Bureau. The agreement in the frequency characteristics suggests that the magnetic field is affected by ocean waves directly hitting the seashore in open oceans. In contrast, ocean waves with the double-frequency recorded by the marine metrological buoys reveal the locally dominate wave-wave interaction around bays.

  8. The Geophysical Database Management System in Taiwan

    Directory of Open Access Journals (Sweden)

    Tzay-Chyn Shin

    2013-01-01

    Full Text Available The Geophysical Database Management System (GDMS is an integrated and web-based open data service which has been developed by the Central Weather Bureau (CWB, Taiwan, ROC since 2005. This service went online on August 1, 2008. The GDMS provides six types of geophysical data acquired from the Short-period Seismographic System, Broadband Seismographic System, Free-field Strong-motion Station, Strong-motion Building Array, Global Positioning System, and Groundwater Observation System. When utilizing the GDMS website, users can download seismic event data and continuous geophysical data. At present, many researchers have accessed this public platform to obtain geophysical data. Clearly, the establishment of GDMS is a significant improvement in data sorting for interested researchers.

  9. Consumer choice of pork chops in Taiwan.

    Science.gov (United States)

    Chen, M T; Guo, H L; Tseng, T F; Roan, S W; Ngapo, T M

    2010-07-01

    Digital photographs of pork chops varying systematically in appearance were presented to 716 Taiwanese consumers in a study that aimed to identify the most important characteristics of fresh pork which determine consumer choice in Taiwan. Relationships between consumer segmentation in choice and socio-demographic and cultural differences were also investigated. Colour and fat cover were the most frequently chosen of the four characteristics studied. Dark red colour was preferred by 64% of consumers and lean fat cover by 44%. Marbling and drip were less important in the decision making process being used by less than a half of consumers. The four preference-based clusters of consumers showed no correlation with socio-demographic-based consumer clusters, but did show significant links with possession of a refrigerator, age at which schooling was completed, liking pork for its price and gender of consumer.

  10. Studies on Aftershocks in Taiwan: A Review

    Directory of Open Access Journals (Sweden)

    Jeen-Hwa Wang

    2016-01-01

    Full Text Available We reviewed studies on aftershocks in Taiwan for the following topics: the spatial-temporal distributions and focal-plane solutions of aftershocks fromof thirty larger earthquakes with magnitudes > 5; the correlations between the mainshock and the largest aftershock based on dependence of the differences in magnitudes (ΔM, occurrence times (ΔT, epicenters (ΔH, and focal depths (ΔD upon the mainshock magnitude, Mm; magnitude-dependence of p-value of Omori’s law of aftershocks; the correlation between the b-value of the Gutenberg-Richter’s frequency-magnitude law and the p-value; application of the epidemic-type aftershock sequences (ETAS model to describe the aftershock sequence; the mechanisms of triggering aftershocks; and dynamic modeling of aftershocks. The main results are: (1 The spatial distribution of aftershocks for some earthquakes is consistent with the recognized fault; (2 Unlike Båth’s law, ΔM slightly increases with Mm; (3 ΔT does not correlate with Mm; (4 ΔD does not correlate with Mm; (5 ΔT somewhat increases with ΔD; (6 The p-value slightly increases with Mm; (7 There is a negative correlation between the b- and p-values. (8 There was seismic quiescence over a broader region of Taiwan before the 1999 Chi-Chi earthquake; (9 Both the static and dynamic stress changes trigger aftershocks; and (10 Dynamic modeling shows that a decrease in elastic modulus is a significant factor in triggering aftershocks.

  11. Epidemiology of hospitalized burns patients in Taiwan.

    Science.gov (United States)

    Chien, Wu-Chien; Pai, Lu; Lin, Chao-Cheng; Chen, Heng-Chang

    2003-09-01

    Previous studies based on either single hospital data or sampling of specific groups of hospitalized burns victims in Taiwan have provided only minimal epidemiological information. The study is designed to provide additional data on the epidemiology of hospitalized burns patients in Taiwan. Data were obtained from the Burn Injury Information System (BIIS), which brings together information supplied by 34 contracted hospitals. The study time course spanned a 2-year period from July 1997 to June 1999. Patient characteristics (age, sex, education level, etc.), causes and severity of injuries, and medical care measures were explored. A total of 4741 patients were registered with BIIS over the study period. The majority of hospitalized patients (67%) were male. The age distribution of burns patients showed peaks occurring at the age groups of 0-5 and 35-44 years. Over the time course of a day, burn injuries occurred more frequently from 10:00 to 12:00 h and 16:00 to 18:00 h. Injuries suspected as the result of suicide, homicide or child abuse accounted for 4.8% of hospitalized cases. More than 48% of the burns occurred in the home. The leading type of burn injury was scalding, followed by naked flame, explosion, electrical burns, and chemical burns due to caustic or corrosive substances. The mean percent total body surface area (%TBSA) for adults was 19%, and for young children was 12%. The average length of hospital stay was 18 days. In conclusion, children under 5 years and adults between 35 and 44 years of age are two high-risk groups for burn injuries. Corresponding to meal preparation time, hot substances such as boiling water, hot soup, etc. are the most common agents responsible for scalds. Prevention programs for reducing the risk of burn injuries during cooking and eating are required, especially for parents with young children.

  12. Microbiological Quality of Seafood Marketed in Taiwan.

    Science.gov (United States)

    Wong, Hin-Chung; Jiang, Huai-Yu; Lin, Hsu-Yang; Wang, Yu-Ting

    2015-11-01

    Seafood is often associated with foodborne illnesses, and Vibrio parahaemolyticus is the most common pathogen implicated in outbreaks in Taiwan. In this study, the microbiological quality of 300 raw or mixed ready-to-eat (RTE) and other cooking-needed seafood samples was examined. The total aerobic and coliform counts of the RTE samples were significantly higher than those of other cooking-needed samples. On average, 55.8 and 29.7% of the RTE samples failed to meet the local microbiological standards for total aerobic (5 log CFU/g) and coliform (3 log most probable number [MPN] per g), counts respectively; the corresponding percentages for the RTE samples from Taipei City were 9.1 and 18.2%, respectively. The total aerobic and coliform counts in the RTE samples from supermarkets and chain restaurants were significantly lower than those from traditional restaurants. The Vibrio species were more frequently identified in the cooking-needed samples than in RTE samples. Low incidences of V. parahaemolyticus (1.4%), V. vulnificus (1.9%), and V. cholerae (0%) were detected in most RTE samples. High densities of V. parahaemolyticus and V. vulnificus (1,200 MPN/g) were detected in a few RTE samples, only one of which contained toxigenic (tdh(+)) V. parahaemolyticus. The results of this investigation reveal that better hygiene of seafood providers such as chain restaurants, supermarkets, and traditional restaurants in Taipei City would effectively improve the microbiological quality of the seafood. The results will facilitate the establishment of measures for controlling the risks associated with seafood in Taiwan.

  13. Workplace bullying among Nurses in South Taiwan.

    Science.gov (United States)

    Fang, Li; Huang, Su-Hui; Fang, Shu-Hui

    2016-09-01

    This study was to investigate bullying among hospital nurses and its correlates. Chinese people were unlikely to express their opinions or pursue individual rights. Workplace bullying took place more easily among the educated people within Chinese culture. However, studies related to workplace bullying among hospital nurses in Taiwan were still limited. A cross-sectional design. Two hundred and eighty-five nurses who worked in the regional teaching hospital in south Taiwan were recruited. The significant predictors of workplace bullying were identified by using linear regression analysis. The mean of overall bullying was 1·47, showing that the frequency of the nurses having experienced workplace bullying was between 'never' and 'now and then'. The most frequent bullying item was 'being yelled at or being the target of anger', followed by 'being the objects of untruthful criticism' and 'having views ignored'. Hospital nurses working in the Emergency room would gain 10·888 points more in the overall bullying scale compared with those who worked in operation rooms or haemodialysis rooms. They were more likely to be bullied. Hospital nurses with one year increase in nursing experience were 0·207 points less likely to be bullied. Reducing workplace bullying among hospital nurses was an essential method to provide quality assurance to health care. Nurse managers should build up zero tolerance policy to decrease nurses' exposure to workplace bullying. Training programmes related to bullying prevention are suggested to avoid workplace bullying. The contents of the educational training programmes or workshops should incorporate the characteristics and consequences of the workplace bullying, and the strategies to deal with bullying. © 2016 John Wiley & Sons Ltd.

  14. Information disparities of Taiwan's health Web sites by spatial variation.

    Science.gov (United States)

    Hsiao, Fang-Ying; Chang, Polun; Hsu, Chiehwen Ed

    2008-11-06

    This project study based upon 40 of Taiwan's health Web sites that belonged to teaching hospitals or medical centers. We divided these Web sites into north, center, south and east of Taiwan by their location. The five major research criteria were "Web site information credibility," "organization management," tailored content," "easy surfing" and "online interaction". Based on the study, we found that in general, Web sites that locate on the north had higher ratings than others Web sites.

  15. Avian hepatitis E virus in chickens, Taiwan, 2013.

    Science.gov (United States)

    Hsu, Ingrid W-Y; Tsai, Hsiang-Jung

    2014-01-01

    A previously unidentified strain of avian hepatitis E virus (aHEV) is now endemic among chickens in Taiwan. Analysis showed that the virus is 81.5%-86.5% similar to other aHEVs. In Taiwan, aHEV infection has been reported in chickens without aHEV exposure, suggesting transmission from asymptomatic cases or repeated introduction through an unknown common source(s).

  16. Disciplinary Interflow of Library and Information Science in Taiwan

    OpenAIRE

    Chiung-fang Liang; Kuang-hua Chen

    2004-01-01

    This study investigates the indexed papers dated from 1996 to 2002, included in the Taiwan Humanities Citation Index (THCI). The goal is to explore disciplinary interflow of Library & Information Science (LIS) studies in Taiwan. The results show that the researchers of LIS mostly cooperate with researchers and scholars in the fields of social science and engineering & technology. In addition, LIS researchers focusing on “Library & Information Technology” and “Reader Services” frequently coope...

  17. Disciplinary Interflow of Library and Information Science in Taiwan

    OpenAIRE

    2004-01-01

    This study investigates the indexed papers dated from 1996 to 2002, included in the Taiwan Humanities Citation Index (THCI). The goal is to explore disciplinary interflow of Library & Information Science (LIS) studies in Taiwan. The results show that the researchers of LIS mostly cooperate with researchers and scholars in the fields of social science and engineering & technology. In addition, LIS researchers focusing on “Library & Information Technology” and “Reader Services” frequently coope...

  18. Application of INCSEA principles to the Taiwan Strait.

    Energy Technology Data Exchange (ETDEWEB)

    Wen-Chung, Chai (Taiwan Navy, Taiwan)

    2003-06-01

    The waters surrounding Taiwan are important international waterways. In addition to merchant ships of every nation, the warships of the United States, Japan, Russia, and China may appear in these waters. No hostility is expected between Taiwan and the United States, Japan, or Russia; however, Taiwan and China have a tense relationship, and both sides face a potential for naval incidents. As Taiwan and China expand their naval capability, the International Maritime Organization Convention for the lnternational Regulations for Preventing Collisions at Sea may not be sufficient to prevent naval incidents, any of which might develop into conflict or war. Therefore, China and Taiwan need to develop maritime confidence building measures (CBMs) that could reduce the chance of naval incidents and strengthen mutual trust and confidence. Among the variety of maritime CBM concepts for military purposes, the most successful and effective measure has been the 1972 U.S.-Soviet Union Agreement on the Prevention of Incidents On and Over the High Seas (INCSEA). The success of the agreement demonstrates that CBMs represent a workable alternative to traditional arms controls. The purpose of this paper is to suggest a concrete approach to the constraint of naval activities between China and Taiwan to reduce accidents and misunderstandings. This paper outlines the categories and characteristics of incidents at sea. Next, the author identifies the successful factors of the U.S.-Soviet INCSEA and applies the INCSEA concept to the Taiwan Strait. Finally, the author develops a framework of options and a step-by-step approach for establishing an INCSEA between Taiwan and China.

  19. Combating antimicrobial resistance: antimicrobial stewardship program in Taiwan.

    Science.gov (United States)

    Tseng, Shu-Hui; Lee, Chun-Ming; Lin, Tzou-Yien; Chang, Shan-Chwen; Chuang, Yin-Ching; Yen, Muh-Yong; Hwang, Kao-Pin; Leu, Hsieh-Shong; Yen, Che-Chieh; Chang, Feng-Yee

    2012-04-01

    Multi-drug-resistant organisms are increasingly recognized as a global public health issue. Healthcare-associated infection and antimicrobial resistance are also current challenges to the treatment of infectious diseases in Taiwan. Government health policies and the health care systems play a crucial role in determining the efficacy of interventions to contain antimicrobial resistance. National commitment to understand and address the problem is prerequisite. We analyzed and reviewed the antibiotic resistance related policies in Taiwan, USA, WHO and draft antimicrobial stewardship program to control effectively antibiotic resistance and spreading in Taiwan. Antimicrobial stewardship program in Taiwan includes establishment of national inter-sectoral antimicrobial stewardship task force, implementing antimicrobial-resistance management strategies, surveillance of HAI and antimicrobial resistance, conducting hospital infection control, enforcement of appropriate regulations and audit of antimicrobial use through hospital accreditation, inspection and national health insurance payment system. No action today, no cure tomorrow. Taiwan CDC would take a multifaceted, evidence-based approach and make every effort to combat antimicrobial resistance with stakeholders to limit the spread of multi-drug resistant strains and to reduce the generation of antibiotic resistant bacteria in Taiwan.

  20. [Glocalization: the outlook for Taiwan evidence based health care].

    Science.gov (United States)

    Chen, Chiehfeng

    2014-12-01

    Public attention to evidence-based health care (EBHC) has increased significantly in recent years. Key problems related to applying EBHC in current healthcare practice include the timely update of up-to-date knowledge and skills and the methodology used to implement EBHC in clinical settings. EBHC has been introduced to the Taiwan healthcare system for the past two decades. The annual EBM (Evidence based medicine) National Competition is a unique and important EBHC activity in Taiwan. EBHC has been promoted widely in medicine, nursing, pharmacy, public health and other professions, and EBHC-related organizations such as the Taiwan Evidence Based Medicine Association (TEBMA), and Taiwan Evidence Based Nursing Association (TEBNA), have increased in number and grown in membership. In addition to domestic developments, Taiwan is also actively involved in global organizations, such as the Cochrane Collaboration, East Asian Cochrane Alliance (EACA), and the International Society for Evidence Based Health Care (ISEHC). In Taiwan, most medical professionals work cooperatively to promote EBHC, which facilitates the gradual improvement of healthcare quality.

  1. The Influence of English Communication Ability on Income in Tourist Industry Frontline Employees of Siem Reap, Cambodia

    Directory of Open Access Journals (Sweden)

    Jeffrey Stewart Morrow

    2017-06-01

    Full Text Available Siem Reap, Cambodia’s tourism growth has been remarkable. Since most tourists are native English speakers, tourist industry (TI employees need high levels of English communication ability (ECA to handle tasks effectively, but data in Cambodia has been difficult to find. To fill this gap, the author wanted to collect employees’ general and English education information during interviews in six TI related businesses, to assess their ECA, and to statistically examine interactions of English variables with income. The author created an English assessment test loosely based on the Common European Framework of Reference for Languages (CEFR. Statistical analysis found direct positive influence from English ability on income. Findings also showed that employees who have advanced levels of English ability earn USD200 per month, double the salary of garment workers. This type of research can be used profitably over the Internet in many research situations.

  2. Faecal and protozoan parasite contamination of water spinach (Ipomoea aquatica) cultivated in urban wastewater in Phnom Penh, Cambodia

    DEFF Research Database (Denmark)

    Anh, Vuong Tuan; Tram, Nguyen Thuy; Klank, Lise Tønner

    2007-01-01

    Objective To identify the level of contamination with thermotolerant coliforms (ThC), intestinal helminth eggs and protozoan parasites in water spinach (Ipomoea aquatica) cultivated in a wastewater-fed lake in Phnom Penh, Cambodia. Methods The investigation was carried out from July 2004 to May...... into a stream. Water spinach samples were harvested at each of the three locations with and without wastewater contact according to the normal practices of farmers, and analysed for ThC, protozoan parasites (Giardia, Cryptosporidium and Cyclospora), and helminth eggs (Ascaris lumbricoides, Trichuris trichura...... and hookworm) using standard methods. Wastewater samples were also collected at each of the three locations and analysed for ThC and helminth eggs. Results High concentrations of ThC (approximately 10(5)-10(7)/g) were found in water spinach samples. ThC mean counts did not differ significantly, neither between...

  3. How do young people in Cambodia perceive the impact of societal attitudes, media and religion on suicidal behaviour?

    Science.gov (United States)

    Jegannathan, Bhoomikumar; Kullgren, Gunnar; Dahlblom, Kjerstin

    2016-03-01

    Young people in low and middle income countries (LMICs) in societal transitions with rapidly changing norms face an increased risk of suicide. This study explores how young people in Cambodia understand the impact on suicidal behaviour from societal attitudes, media and religion. Focus group discussions were held with school students from a suburban area. Thematic analysis was used to interpret the data. Participants perceived the prevailing suicide-stigmatizing societal attitudes, the double-edged media and suicide-ambiguity in Buddhist religion as challenging. Globalization was recognized as contradicting with traditional Cambodian norms and values. Suicide prevention programmes should take into consideration the complex picture of suicide that young people are exposed to. © The Author(s) 2015.

  4. The prevalence and psychological costs of household violence by family members against women with disabilities in Cambodia.

    Science.gov (United States)

    Astbury, Jill; Walji, Fareen

    2014-11-01

    Women with disabilities (WWDs) are at triple jeopardy due to the combined risks associated with gender, disability, and violence. Not only are WWDs marginalized socially but the violence against them in their own homes is largely neglected in domestic violence research. Evidence from developing countries is particularly sparse. A cross-sectional survey conducted in Cambodia found rates of violence by household members besides intimate partners were significantly higher among WWDs than non-disabled women. This violence engendered increased levels of psychological distress and higher rates of physical injury but low rates of disclosure to health workers and other formal sources of potential support. Community-based strategies are recommended to radically change social and cultural attitudes, beliefs, and responses to WWDs who are victims of household violence to reduce negative social reactions toward them and to make it safer for them to disclose and receive psychosocial, legal, and other necessary support for this underreported type of violence.

  5. From subjects to relations: Bioethics and the articulation of postcolonial politics in the Cambodia Pre-Exposure Prophylaxis trial.

    Science.gov (United States)

    Grant, Jenna M

    2016-04-01

    Controversies about global clinical trials, particularly HIV trials, tend to be framed in terms of ethics. In this article, I explore debates about ethics in the Cambodia Pre-Exposure Prophylaxis trial, which was designed to test the safety and efficacy of tenofovir as a prevention for HIV infection. Bringing together studies of public participation in science with studies of bioethics, I show how activists around the Cambodian Pre-Exposure Prophylaxis trial circulated and provoked debates about standards of research ethics, as opposed to research methodology. This postcolonial bioethics was configured through the circulation of and debate about ethics guidelines, and historically and culturally specific relations of vulnerability and responsibility between foreigners and Cambodians and between Cambodian leaders and Cambodian subjects. I argue that this shift in the object of ethical concern, from the experimental human subject to the relation between subjects and researchers, illustrates how a postcolonial field of articulation reformulates classical bioethics.

  6. Genetic diversity of human rhinoviruses in Cambodia during a three-year period reveals novel genetic types.

    Science.gov (United States)

    Naughtin, Monica; Sareth, Rith; Sentilhes, Anne-Charlotte; Vong, Sirenda; Joffret, Marie-Line; Cornillot, Emmanuel; Deubel, Vincent; Delpeyroux, Francis; Frutos, Roger; Buchy, Philippe

    2015-10-01

    Acute respiratory viral infections are a major cause of morbidity during early childhood in developing countries. Human rhinoviruses are the most frequent cause of upper respiratory tract infections in humans, which can range in severity from asymptomatic to clinically severe disease. In this study we collected 4170 nasopharyngeal swabs from patients hospitalised with influenza-like illness in two Cambodian provincial hospitals between 2007 and 2010. Samples were screened for 18 respiratory viruses using 5 multiplex PCRs. A total of 11.2% of samples tested positive for human rhinoviruses (HRV). VP4/2 and VP1 regions were amplified and sequenced to study the distribution of rhinoviruses genotypes and species in Cambodia during this three-year period. Five novel genotypes, 2 species A, 2 species B and 1 species C were identified based on VP1 sequences. Co-infections with other viruses were demonstrated. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Tetanus Immunity among Women Aged 15 to 39 Years in Cambodia: a National Population-Based Serosurvey, 2012

    Science.gov (United States)

    Mao, Bunsoth; Buth, Sokhal; Wannemuehler, Kathleen A.; Sørensen, Charlotte; Kannarath, Chheng; Jenks, M. Harley; Moss, Delynn M.; Priest, Jeffrey W.; Soeung, Sann Chan; Deming, Michael S.; Lammie, Patrick J.; Gregory, Christopher J.

    2016-01-01

    To monitor progress toward maternal and neonatal tetanus elimination (MNTE) in Cambodia, we conducted a nationwide serosurvey of tetanus immunity in 2012. Multistage cluster sampling was used to select 2,154 women aged 15 to 39 years. Tetanus toxoid antibodies in serum samples were measured by gold-standard double-antigen enzyme-linked immunosorbent assay (DAE) and a novel multiplex bead assay (MBA). Antibody concentrations of ≥0.01 IU/ml by DAE or the equivalent for MBA were considered seroprotective. Estimated tetanus seroprotection was 88% (95% confidence interval [CI], 86 to 89%); 64% (95% CI, 61 to 67%) of women had antibody levels of ≥1.0 IU/ml. Seroprotection was significantly lower (P Tetanus immunity gaps should be addressed through strengthened routine immunization and targeted vaccination campaigns. Incorporating tetanus testing in national serosurveys using MBAs, which can measure immunity to multiple pathogens simultaneously, may be beneficial for monitoring MNTE. PMID:27053629

  8. Migrant beer promoters' experiences accessing reproductive health care in Cambodia, Laos, Thailand, and Vietnam: lessons for planners and providers.

    Science.gov (United States)

    Webber, Gail C; Spitzer, Denise L; Somrongthong, Ratana; Dat, Truong Cong; Kounnavongsa, Somphone

    2015-03-01

    Migrant beer promoters in Cambodia, Laos, Thailand, and Vietnam were surveyed to determine their experiences in accessing reproductive health care services in the cities of Phnom Penh, Vientiane, Bangkok, and Hanoi. A total of 7 health care institutions were chosen as popular with migrant beer promoters. Staff at these institutions provided information on the institution, and 390 beer promoters were surveyed about their experiences while accessing services. There were discrepancies between findings from the staff interviews and the experiences of the beer promoters. In general, the migrant women were satisfied with the cost, location, friendliness of the health care providers, and knowledge and skills of the providers. They were less positive about confidentiality and waiting times, though many still agreed that these were not an issue. Health care planners and providers should take note of the issues affecting access to reproductive health care services for migrant women when they design and implement services.

  9. GEOMORPHOLOGICAL FEATURES AND SUBSURFACE GEOLOGY OF THE LOWER MEKONG PLAIN AROUND PHNOM PENH CITY, CAMBODIA (SOUTHEAST ASIA

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    Sumiko Kubo

    2008-06-01

    Full Text Available The geomorphological features of the Lower Mekong Plain and their relationships with floods, as well asthe subsurface geology and the major depositional processes in the area, are discussed. From theinterpretation of aerial photos and field reconnaissance, the Lower Mekong Plain in Cambodia ischaracterized as a floodplain with natural levees and back marshes. These geomorphological featuresinfluence the extent of the extensive inundation that occurs during every rainy (wet season. An extremeflood in 2000 confirmed the close relationship between micro-landforms and the flooding. A preliminarystudy of bore-hole logs in the area of Phnom Penh was also carried out. Base rocks are shallower in thewestern part, whereas thick (>130 m Quaternary deposits occur in the eastern part, suggesting the presenceof a structural basin.

  10. Migrant Beer Promoters’ Experiences Accessing Reproductive Health Care in Cambodia, Laos, Thailand, and Vietnam: Lessons for Planners and Providers

    Science.gov (United States)

    Webber, Gail C.; Spitzer, Denise L.; Somrongthong, Ratana; Dat, Truong Cong; Kounnavongsa, Somphone

    2014-01-01

    Migrant beer promoters in Cambodia, Laos, Thailand, and Vietnam were surveyed to determine their experiences in accessing reproductive health care services in the cities of Phnom Penh, Vientiane, Bangkok, and Hanoi. A total of 7 health care institutions were chosen as popular with migrant beer promoters. Staff at these institutions provided information on the institution, and 390 beer promoters were surveyed about their experiences while accessing services. There were discrepancies between findings from the staff interviews and the experiences of the beer promoters. In general, the migrant women were satisfied with the cost, location, friendliness of the health care providers, and knowledge and skills of the providers. They were less positive about confidentiality and waiting times, though many still agreed that these were not an issue. Health care planners and providers should take note of the issues affecting access to reproductive health care services for migrant women when they design and implement services. PMID:22743859

  11. Pervasive promotion of breastmilk substitutes in Phnom Penh, Cambodia, and high usage by mothers for infant and young child feeding

    Science.gov (United States)

    Huffman, Sandra L.; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-01-01

    Abstract In 2005, Cambodia passed the Sub‐Decree on Marketing of Products for Infant and Young Child Feeding (no. 133) to regulate promotion of commercial infant and young child food products, including breastmilk substitutes. Helen Keller International assessed mothers' exposure to commercial promotions for breastmilk substitutes and use of these products through a cross‐sectional survey among 294 mothers of children less than 24 months of age. Eighty‐six per cent of mothers reported observing commercial promotions for breastmilk substitutes, 19.0% reported observing infant and young child food product brands/logos on health facility equipment and 18.4% reported receiving a recommendation from a health professional to use a breastmilk substitute. Consumption of breastmilk substitutes was high, occurring among 43.1% of children 0–5 months and 29.3% of children 6–23 months of age. Findings also indicated a need to improve breastfeeding practices among Phnom Penh mothers. Only 36.1% of infants 0–5 months of age were exclusively breastfed, and 12.5% of children 20–23 months of age were still breastfed. Children that received a breastmilk substitute as a prelacteal feed were 3.9 times more likely to be currently consuming a breastmilk substitute than those who did not. Despite restriction of commercial promotions for breastmilk substitutes without government approval, occurrence of promotions is high and use is common among Phnom Penh mothers. In a country with high rates of child malnutrition and pervasive promotions in spite of restrictive national law, full implementation of Cambodia's Sub‐Decree 133 is necessary, as are policies and interventions to support exclusive and continued breastfeeding. Key messages Despite prohibition without specific approval by the national government, companies are pervasively promoting breast‐milk substitutes in Phnom Penh, particularly on television and at points of sale.Strengthened implementation and enforcement

  12. Border Malaria Associated with Multidrug Resistance on Thailand-Myanmar and Thailand-Cambodia Borders: Transmission Dynamic, Vulnerability, and Surveillance

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    Adisak Bhumiratana

    2013-01-01

    Full Text Available This systematic review elaborates the concepts and impacts of border malaria, particularly on the emergence and spread of Plasmodium falciparum and Plasmodium vivax multidrug resistance (MDR malaria on Thailand-Myanmar and Thailand-Cambodia borders. Border malaria encompasses any complex epidemiological settings of forest-related and forest fringe-related malaria, both regularly occurring in certain transmission areas and manifesting a trend of increased incidence in transmission prone areas along these borders, as the result of interconnections of human settlements and movement activities, cross-border population migrations, ecological changes, vector population dynamics, and multidrug resistance. For regional and global perspectives, this review analyzes and synthesizes the rationales pertaining to transmission dynamics and the vulnerabilities of border malaria that constrain surveillance and control of the world’s most MDR falciparum and vivax malaria on these chaotic borders.

  13. Mapping and characterizing selected canopy tree species at the Angkor World Heritage site in Cambodia using aerial data.

    Science.gov (United States)

    Singh, Minerva; Evans, Damian; Tan, Boun Suy; Nin, Chan Samean

    2015-01-01

    At present, there is very limited information on the ecology, distribution, and structure of Cambodia's tree species to warrant suitable conservation measures. The aim of this study was to assess various methods of analysis of aerial imagery for characterization of the forest mensuration variables (i.e., tree height and crown width) of selected tree species found in the forested region around the temples of Angkor Thom, Cambodia. Object-based image analysis (OBIA) was used (using multiresolution segmentation) to delineate individual tree crowns from very-high-resolution (VHR) aerial imagery and light detection and ranging (LiDAR) data. Crown width and tree height values that were extracted using multiresolution segmentation showed a high level of congruence with field-measured values of the trees (Spearman's rho 0.782 and 0.589, respectively). Individual tree crowns that were delineated from aerial imagery using multiresolution segmentation had a high level of segmentation accuracy (69.22%), whereas tree crowns delineated using watershed segmentation underestimated the field-measured tree crown widths. Both spectral angle mapper (SAM) and maximum likelihood (ML) classifications were applied to the aerial imagery for mapping of selected tree species. The latter was found to be more suitable for tree species classification. Individual tree species were identified with high accuracy. Inclusion of textural information further improved species identification, albeit marginally. Our findings suggest that VHR aerial imagery, in conjunction with OBIA-based segmentation methods (such as multiresolution segmentation) and supervised classification techniques are useful for tree species mapping and for studies of the forest mensuration variables.

  14. Mapping and characterizing selected canopy tree species at the Angkor World Heritage site in Cambodia using aerial data.

    Directory of Open Access Journals (Sweden)

    Minerva Singh

    Full Text Available At present, there is very limited information on the ecology, distribution, and structure of Cambodia's tree species to warrant suitable conservation measures. The aim of this study was to assess various methods of analysis of aerial imagery for characterization of the forest mensuration variables (i.e., tree height and crown width of selected tree species found in the forested region around the temples of Angkor Thom, Cambodia. Object-based image analysis (OBIA was used (using multiresolution segmentation to delineate individual tree crowns from very-high-resolution (VHR aerial imagery and light detection and ranging (LiDAR data. Crown width and tree height values that were extracted using multiresolution segmentation showed a high level of congruence with field-measured values of the trees (Spearman's rho 0.782 and 0.589, respectively. Individual tree crowns that were delineated from aerial imagery using multiresolution segmentation had a high level of segmentation accuracy (69.22%, whereas tree crowns delineated using watershed segmentation underestimated the field-measured tree crown widths. Both spectral angle mapper (SAM and maximum likelihood (ML classifications were applied to the aerial imagery for mapping of selected tree species. The latter was found to be more suitable for tree species classification. Individual tree species were identified with high accuracy. Inclusion of textural information further improved species identification, albeit marginally. Our findings suggest that VHR aerial imagery, in conjunction with OBIA-based segmentation methods (such as multiresolution segmentation and supervised classification techniques are useful for tree species mapping and for studies of the forest mensuration variables.

  15. Artificial deepening of seasonal waterholes in eastern Cambodia: impact on water retention and use by large ungulates and waterbirds

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    Thomas N.E. Gray

    2015-05-01

    Full Text Available Natural seasonal waterholes (trapeang in Khmer are an important feature of the deciduous dipterocarp forests of eastern Cambodia and are utilised by a number of globally threatened species of large ungulates and waterbirds. However at the end of the dry-season (April only a small proportion of waterholes retain water. In 2011, we artificially deepened six waterholes in the core area of Mondulkiri Protected Forest, eastern Cambodia, removing 3m3 to 24m3 of earth (mean 16.5m3 from each.  Surveys prior to deepening demonstrated that only one of these waterholes, and 10% of all waterholes surveyed in the study area (n=50, held water at the end of the dry-season.  Following modification five of the six deepened waterholes (83% held water at the end of the subsequent dry-season. From four camera traps over 448 trap-nights, 23 species including two globally threatened large ungulates, Banteng Bos javanicus and Eld’s Deer Rucervus eldii, and two Critically Endangered Ibises (Giant Thaumatibis gigantea and White-shouldered Ibis Pseudibis davisoni, were photographed foraging and drinking at the deepened waterholes between March and June 2012.  Our results suggest that artificial deepening of natural waterholes does not cause damage, and makes these waterholes suitable for use throughout the dry-season.  In the face of changing climate it is suggested that management plans should have a programme for the survey and determination of the status of waterholes every year and improve the use of water resources by artificial deepening. 

  16. Molecular detection of fluoroquinolone-resistance in multi-drug resistant tuberculosis in Cambodia suggests low association with XDR phenotypes

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    Murray Alan

    2011-09-01

    Full Text Available Abstract Background Drug susceptibility testing (DST remains an important concern for implementing treatment of MDR tuberculosis patients. Implementation of molecular tests for drug resistance identification would facilitate DST particularly in developing countries where culturing is difficult to perform. We have characterized multidrug resistant strains in Cambodia using MDTDRsl tests, drug target sequencing and phenotypic tests. Methods A total of 65 non-MDR and 101 MDR TB isolates collected between May 2007 and June 2009 were tested for resistance to fluoroquinolones and aminoglycosides/cyclic peptides using the GenoType® MTBDRsl assay and gene sequencing. Rifampicin resistance (RMP-R was tested using gene sequencing and genotyping was assessed by spoligotyping. Results A total of 95 of the 101 MDR strains were confirmed to be RMP-R by rpoB gene sequencing. Fourteen of the 101 MDR isolates (14% carried a gyrA mutation associated with fluoroquinolone-resistance (FQ-R (detected by the MTBDRsl assay and sequencing compared with only 1 (1.5% of the 65 non-MDR strains. Only 1 (1% of the MDR isolates was found to be XDR TB. The MDR group contained a higher proportion of Beijing or Beijing like strains (58% than the non MDR group (28%. This percentage is higher in MDR FQ-R strains (71%. Conclusions The new GenoType® MTBDRsl assay combined with molecular tests to detect RMP-R and isoniazid resistance (INH-R represents a valuable tool for the detection of XDR TB. In Cambodia there is a low rate of XDR amongst MDR TB including MDR FQ-R TB. This suggests a low association between FQ-R and XDR TB. Strain spoligotyping confirms Beijing strains to be more prone to accumulate antibiotic resistance.

  17. Where You Live Matters: Localising Environmental Impacts on Health, Nutrition and Poverty in Cambodia Using Small Area Estimation Techniques

    Science.gov (United States)

    Nilsen, K.; van Soesbergen, A.; Matthews, Z.

    2016-12-01

    Socioeconomic development depends on local environments. However, the scientific evidence quantifying the impact of environmental factors on health, nutrition and poverty at subnational levels is limited. This is because socioeconomic indicators are derived from sample surveys representative only at aggregate levels compared to environmental variables mostly available in high-resolution grids. Cambodia was selected because of its commitment to development in the context of a rapidly deteriorating environment. Having made considerable progress since 2005, access to health services is limited, a quarter of the population is still poor and 40% rural children are malnourished. Cambodia is also facing considerable environmental challenges including high deforestation rates, land degradation and natural hazards. Addressing existing gaps in the knowledge of environmental impacts on health and livelihoods, this study applies small area estimation (SAE) to quantify health, nutritional and poverty outcomes in the context of local environments. SAE produces reliable subnational estimates of socioeconomic outcomes available only from sample surveys by combining them with information from auxiliary sources (census). A model is used to explain common trades across areas and a random effect structure is applied to explain the observed extra heterogeneity. SAE models predicting health, nutrition and poverty outcomes excluding and including contextual environmental variables on natural hazards vulnerability, forest cover, climate, and agricultural production are compared. Results are mapped at regional and district levels to spatially assess the impacts of environmental variation on the outcomes. Inter and intra-regional inequalities are also estimated to examine the efficacy of health/socioeconomic policy targeting based on geographic location. Preliminary results suggest that localised environmental factors have considerable impacts on the indicators estimated and should

  18. Beliefs and practices during pregnancy, post-partum and in the first days of an infant's life in rural Cambodia.

    Science.gov (United States)

    Turner, Claudia; Pol, Sreymom; Suon, Kamsan; Neou, Leakhena; Day, Nicholas P J; Parker, Michael; Kingori, Patricia

    2017-04-12

    The aim of this study was to record the beliefs, practices during pregnancy, post-partum and in the first few days of an infant's life, held by a cross section of the community in rural Cambodia to determine beneficial community interventions to improve early neonatal health. Qualitative study design with data generated from semi structured interviews (SSI) and focus group discussions (FGD). Data were analysed by thematic content analysis, with an a priori coding structure developed using available relevant literature. Further reading of the transcripts permitted additional coding to be performed in vivo. This study was conducted in two locations, firstly the Angkor Hospital for Children and secondarily in five villages in Sotnikum, Siem Reap Province, Cambodia. A total of 20 participants underwent a SSIs (15 in hospital and five in the community) and six (three in hospital and three in the community; a total of 58 participants) FGDs were conducted. Harmful practices that occurred in the past (for example: discarding colostrum and putting mud on the umbilical stump) were not described as being practiced. Village elders did not enforce traditional views. Parents could describe signs of illness and felt responsible to seek care for their child even if other family members disagreed, however participants were unaware of the signs or danger of neonatal jaundice. Cost of transportation was the major barrier to healthcare that was identified. In the population examined, traditional practices in late pregnancy and the post-partum period were no longer commonly performed. However, jaundice, a potentially serious neonatal condition, was not recognised. Community neonatal interventions should be tailored to the populations existing practice and knowledge.

  19. Prevalence and correlates of perceived teeth health status and oral health behavior among school-going adolescents in Cambodia

    Science.gov (United States)

    Peltzer, Karl; Tepirou, Chher; Pengpid, Supa

    2016-01-01

    ABSTRACT The purpose of the study was to investigate perceived teeth health status and oral health behavior, as well as their correlates, among adolescents in Cambodia. The analysis included 3806 Cambodian school children (mean age 15.7 years, SD=1.8 years) who took part in the “Global School-based Student Health Survey” (GSHS) in 2013. Overall, 7.8% of the students reported poor perceived teeth status, 18.0% had missed school in the past year because of a toothache, 26.7% engaged in combined oral health behavior (brushing teeth twice daily or more often = 79.8%, using fluoride toothpaste = 59.9%, and drinking soft drinks less than once a day = 53.6%), and 59.9% had never visited a dentist for a routine examination or other dental work. In the multivariate logistic regression analysis, older age, being female, missing school because of a toothache, having a toothache in the past 12 months, poor oral health behavior and sedentary leisure time were associated with poor perceived teeth status. Older age, good perceived teeth status, having had a dental check-up, washing hands before eating and after toilet use, and not eating fast food were associated with a positive oral health behavior (brushing teeth twice daily or more often, using fluoride toothpaste, and drinking soft drinks less than once a day). Significant proportions of poor perceived teeth status and poor oral health behavior were found among school children in Cambodia. Various risk factors (sociodemographic, dental variables, general health risk behaviors) for perceived poor teeth status, oral health behavior and never having had a dental check-up were identified, which can be utilized for intervention programs. PMID:28008205

  20. Molecular demonstration of Trypanosoma evansi and Trypanosoma lewisi DNA in wild rodents from Cambodia, Lao PDR and Thailand.

    Science.gov (United States)

    Milocco, C; Kamyingkird, K; Desquesnes, M; Jittapalapong, S; Herbreteau, V; Chaval, Y; Douangboupha, B; Morand, S

    2013-02-01

    In this study, we investigated the molecular evidence of Trypanosoma evansi in wild rodents from Cambodia, Lao PDR and Thailand. Between November 2007 and June 2009, 1664 rodents were trapped at eight sites representative of various ecological habitats. Of those animals, 94 were tested by direct microscopic blood examination, 633 using the Card Agglutination Test for Trypanosomes (CATT/T. evansi) and 145 by Polymerase Chain Reaction (PCR) with two sets of primers: TRYP1 (amplifying ITS1 of ribosomal DNA of all trypanosomes) and TBR (amplifying satellite genomic DNA of Trypanozoon parasites). Using TRYP1, based on the size of the PCR products, 15 samples from the three countries were positive for Trypanosoma lewisi (two were confirmed by sequencing), and three were positive for Trypanozoon (one was confirmed by sequencing and three by TBR primers); the specificity of the primers failed as rodent DNA was amplified in some cases. Using TBR, six samples were positive for Trypanozoon (one was confirmed by sequencing); as T. evansi is the only species of the Trypanozoon sub-genus possibly present in Asian rodents, these results confirmed its presence in rodents from Thailand (Rattus tanezumi) and Cambodia (R. tanezumi, Niviventer fulvescens & Maxomys surifer). Further investigations are necessary to establish the situation in Lao PDR. None of the 16 samples most strongly positive to the CATT proved to be positive for Trypanozoon by PCR. The merits of the CATT for such studies were not confirmed. Studying the urban and rural circulation of these parasites in rodents will enable an evaluation of human exposure and infection risk, as human infections by T. evansi were recently described in India and by T. lewisi in India and Thailand. As sequencing PCR products is expensive, the development of new molecular and serological tools for rodents would be very useful.

  1. Arsenic contamination in the food chain and its risk assessment of populations residing in the Mekong River basin of Cambodia.

    Science.gov (United States)

    Phan, Kongkea; Sthiannopkao, Suthipong; Heng, Savoeun; Phan, Samrach; Huoy, Laingshun; Wong, Ming Hung; Kim, Kyoung-Woong

    2013-11-15

    In the present study, we investigated the potential arsenic exposure of Cambodian residents from their daily food consumption. Environmental and ecological samples such as paddy soils, paddy rice (unhusked), staple rice (uncooked and cooked), fish and vegetables were collected from Kandal, Kratie and Kampong Cham provinces in the Mekong River basin of Cambodia. After acid-digestion, digestates were chemically analyzed by inductively coupled plasma mass spectrometry. Results revealed that the means of total arsenic concentration ([As]tot) in paddy soils and paddy rice from Kandal were significantly higher than those from Kampong Cham province (t-test, parsenic intake from food consumption indicated that the upper end of the range of the daily dose of inorganic arsenic for Kandal residents (0.089-8.386 μg d(-1) kg(-1) body wt.) was greater than the lower limits on the benchmark dose for a 0.5% increased incidence of lung cancer (BMDL0.5 is equal to 3.0 μg d(-1) kg(-1) body wt.). The present study suggests that the residents in Kandal are at risk of arsenic intake from their daily food consumption. However, the residents in Kratie and Kampong Cham provinces are less likely to be exposed to arsenic through their daily dietary intake. To the best of our knowledge, this is the first report estimating the daily intake and daily dose of inorganic arsenic from food consumption in the Mekong River basin of Cambodia. Copyright © 2012 Elsevier B.V. All rights reserved.

  2. Unsafe abortion as a birth control method: maternal mortality risks among unmarried cambodian migrant women on the Thai-Cambodia border.

    Science.gov (United States)

    Hegde, Shalika; Hoban, Elizabeth; Nevill, Annemarie

    2012-11-01

    Reproductive health research and policies in Cambodia focus on safe motherhood programs particularly for married women, ignoring comprehensive fertility regulation programs for unmarried migrant women of reproductive age. Maternal mortality risks arising due to unsafe abortion methods practiced by unmarried Cambodian women, across the Thai-Cambodia border, can be considered as a public health emergency. Since Thailand has restrictive abortion laws, Cambodian migrant women who have irregular migration status in Thailand experimented with unsafe abortion methods that allowed them to terminate their pregnancies surreptitiously. Unmarried migrant women choose abortion as a preferred birth control method seeking repeat "unsafe" abortions instead of preventing conception. Drawing on the data collected through surveys, in-depth interviews, and document analysis in Chup Commune (pseudonym), Phnom Penh, and Bangkok, the authors describe the public health dimensions of maternal mortality risks faced by unmarried Cambodian migrant women due to various unsafe abortion methods employed as birth control methods.

  3. Angiostrongylus cantonensis and A. malaysiensis Broadly Overlap in Thailand, Lao PDR, Cambodia and Myanmar: A Molecular Survey of Larvae in Land Snails.

    Science.gov (United States)

    Rodpai, Rutchanee; Intapan, Pewpan M; Thanchomnang, Tongjit; Sanpool, Oranuch; Sadaow, Lakkhana; Laymanivong, Sakhone; Aung, Win Papa; Phosuk, Issarapong; Laummaunwai, Porntip; Maleewong, Wanchai

    2016-01-01

    Angiostrongylus cantonensis is a zoonotic nematode parasite causing human eosinophilic meningitis (or meningoencephalitis) worldwide. A closely related species, Angiostrongylus malaysiensis, might also be a human pathogen. Larvae were obtained from land snails in Lao PDR, Cambodia, Myanmar and Thailand. We sequenced two nuclear gene regions (nuclear ribosomal ITS2 and SSU rRNA) and a portion of one mitochondrial gene (COI) from these larvae. Angiostrongylus cantonensis and A. malaysiensis were identified. This is the first report of the molecular identification of the two Angiostrongylus species in Lao PDR, Cambodia and Myanmar. The regional distributions of the two species broadly overlap. Phylogenetic relationships were inferred including data from Angiostrongylus species deposited in public databases. All the gene regions we sequenced have potential value in distinguishing between species of Angiostrongylus. The COI gene exhibited the greatest intraspecific variation in the study region (five haplotypes in A. cantonensis and four in A. malaysiensis) and might be suitable for more detailed phylogeographic studies.

  4. Characteristics and management of infectious industrial waste in Taiwan.

    Science.gov (United States)

    Huang, Mei-Chuan; Lin, Jim Juimin

    2008-11-01

    Infectious industrial waste management in Taiwan is based on the specific waste production unit. In other countries, management is based simply on whether the producer may lead to infectious disease. Thus, Taiwan has a more detailed classification of infectious waste. The advantage of this classification is that it is easy to identify the sources, while the disadvantage lies in the fact that it is not flexible and hence increases cost. This study presents an overview of current management practices for handling infectious industrial waste in Taiwan, and addresses the current waste disposal methods. The number of small clinics in Taiwan increased from 18,183 to 18,877 between 2003 and 2005. Analysis of the data between 2003 and 2005 showed that the majority of medical waste was general industrial waste, which accounted for 76.9%-79.4% of total medical waste. Infectious industrial waste accounted for 19.3%-21.9% of total medical waste. After the SARS event in Taiwan, the amount of infectious waste reached 19,350 tons in 2004, an increase over the previous year of 4000 tons. Waste minimization was a common consideration for all types of waste treatment. In this study, we summarize the percentage of plastic waste in flammable infectious industrial waste generated by medical units, which, in Taiwan was about 30%. The EPA and Taiwan Department of Health have actively promoted different recycling and waste reduction measures. However, the wide adoption of disposable materials made recycling and waste reduction difficult for some hospitals. It has been suggested that enhancing the education of and promoting communication between medical units and recycling industries must be implemented to prevent recyclable waste from entering the incinerator.

  5. 78 FR 41421 - Certain Oil Country Tubular Goods From India, Korea, Philippines, Saudi Arabia, Taiwan, Thailand...

    Science.gov (United States)

    2013-07-10

    ..., Philippines, Saudi Arabia, Taiwan, Thailand, Turkey, Ukraine, and Vietnam of certain oil country tubular goods... COMMISSION Certain Oil Country Tubular Goods From India, Korea, Philippines, Saudi Arabia, Taiwan, Thailand, Turkey, Ukraine, and Vietnam; Institution of Antidumping and Countervailing Duty Investigations...

  6. Temporal trend and nationwide utility for hysterectomies in Taiwan, 1997–2010

    Directory of Open Access Journals (Sweden)

    Wei-Yi Huang

    2016-10-01

    Conclusion: As in most Western countries, hysterectomy rates in Taiwan declined by year. There was a marked shift in the types of hysterectomies from 1997 through to 2010 in Taiwan. Minimally invasive surgeries and supracervical hysterectomies were more commonly adopted.

  7. Can the poor enhance poverty reduction? rural and urban perspectives on water resources, poverty & participatory development in the Tonle Sap Region and Phnom Penh, Cambodia

    OpenAIRE

    Heinonen, Ulla K

    2009-01-01

    In recent years, Cambodia has seen a significant economic growth. However, this development has not reached the poorest dwellers, resulting in escalating inequality. The Tonle Sap Region is one of the poorest regions in the country. The livelihoods of the region's poor are greatly dependent on water resources. The livelihoods are thus vulnerable to possible changes in water resources associated with the current development plans. By contrast, Phnom Penh, which is the main destination for the ...

  8. Reduced Emissions from Deforestation and Forest Degradation (REDD) and Access and Exclusion: Obstacles and Opportunities in Cambodia and Laos

    OpenAIRE

    Ian G Baird

    2014-01-01

    Recently concerns have been raised regarding the potential for the Reduced Emissions from Deforestation and Forest Degradation (REDD) framework to recentralize forests, potentially setting back efforts to institute localized and decentralized forms of natural resource management. Here, I apply a political ecology approach to consider access and exclusion to land and natural resources in the contexts of three emerging REDD projects in Cambodia and Laos. I argue that each represents either a pa...

  9. Correlations between Maternal, Breast Milk, and Infant Vitamin B12 Concentrations among Mother–Infant Dyads in Vancouver, Canada and Prey Veng, Cambodia: An Exploratory Analysis

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    Philip Chebaya

    2017-03-01

    Full Text Available Vitamin B12 plays an essential role in fetal and infant development. In regions where animal source food consumption is low and perinatal supplementation is uncommon, infants are at risk of vitamin B12 deficiency. In this secondary analysis, we measured total vitamin B12 concentrations in maternal and infant serum/plasma and breast milk among two samples of mother–infant dyads in Canada (assessed at 8 weeks post-partum and in Cambodia (assessed between 3–27 weeks post-partum. Canadian mothers (n = 124 consumed a daily vitamin B12-containing multiple micronutrient supplement throughout pregnancy and lactation; Cambodian mothers (n = 69 were unsupplemented. The maternal, milk, and infant total vitamin B12 concentrations (as geometric means (95% CI in pmol/L were as follows: in Canada, 698 (648,747, 452 (400, 504, and 506 (459, 552; in Cambodia, 620 (552, 687, 317 (256, 378, and 357 (312, 402. The majority of participants were vitamin B12 sufficient (serum/plasma total B12 > 221 pmol/L: 99% and 97% of mothers and 94% and 84% of infants in Canada and Cambodia, respectively. Among the Canadians, maternal, milk, and infant vitamin B12 were all correlated (p < 0.05; only maternal and infant vitamin B12 were correlated among the Cambodians (p < 0.001.

  10. Correlations between Maternal, Breast Milk, and Infant Vitamin B12 Concentrations among Mother-Infant Dyads in Vancouver, Canada and Prey Veng, Cambodia: An Exploratory Analysis.

    Science.gov (United States)

    Chebaya, Philip; Karakochuk, Crystal D; March, Kaitlin M; Chen, Nancy N; Stamm, Rosemary A; Kroeun, Hou; Sophonneary, Prak; Borath, Mam; Shahab-Ferdows, Setareh; Hampel, Daniela; Barr, Susan I; Lamers, Yvonne; Houghton, Lisa A; Allen, Lindsay H; Green, Tim J; Whitfield, Kyly C

    2017-03-12

    Vitamin B12 plays an essential role in fetal and infant development. In regions where animal source food consumption is low and perinatal supplementation is uncommon, infants are at risk of vitamin B12 deficiency. In this secondary analysis, we measured total vitamin B12 concentrations in maternal and infant serum/plasma and breast milk among two samples of mother-infant dyads in Canada (assessed at 8 weeks post-partum) and in Cambodia (assessed between 3-27 weeks post-partum). Canadian mothers (n = 124) consumed a daily vitamin B12-containing multiple micronutrient supplement throughout pregnancy and lactation; Cambodian mothers (n = 69) were unsupplemented. The maternal, milk, and infant total vitamin B12 concentrations (as geometric means (95% CI) in pmol/L) were as follows: in Canada, 698 (648,747), 452 (400, 504), and 506 (459, 552); in Cambodia, 620 (552, 687), 317 (256, 378), and 357 (312, 402). The majority of participants were vitamin B12 sufficient (serum/plasma total B12 > 221 pmol/L): 99% and 97% of mothers and 94% and 84% of infants in Canada and Cambodia, respectively. Among the Canadians, maternal, milk, and infant vitamin B12 were all correlated (p B12 were correlated among the Cambodians (p < 0.001).

  11. Elusive retributive justice in post-Khmer Rouge Cambodia: Challenges of using ECCC Victim Information Forms as a victim participatory rights mechanism.

    Science.gov (United States)

    Nou, Leakhena

    2015-01-01

    This paper focuses on the procedural challenges of using the Victim Information Forms (VIFs) to analyze survivors' experiences with the Extraordinary Chambers in the Courts of Cambodia (ECCC), commonly known as the Khmer Rouge Tribunal. The paper takes a systematic public/medical sociology approach to examining the VIF as a participatory rights mechanism for victims wishing to pursue justice for themselves and their loved ones who experienced the Khmer Rouge atrocities, torture, forced relocation, starvation, forced labor, rape, robbery, and other physical and psychological torment, firsthand. It provides the first comparative, critical analysis of both the original VIF and the revised form issued midway through the submission period; both forms appear as appendices to the paper. Conclusions are drawn and suggestions made by the researcher based on the firsthand collection and submission of the largest group of VIFs from any single source around the world (outside of Cambodia itself), as well as on support work with victims/survivors during the ECCC proceedings in Phnom Penh, Cambodia in 2013.

  12. Structural design of Kaohsiung Stadium, Taiwan

    Science.gov (United States)

    Watanabe, Hideyuki; Tanno, Yoshiro; Nakai, Masayoshi; Ohshima, Takashi; Suguichi, Akihiro; Lee, William H.; Wang, Jensen

    2013-01-01

    This paper presents an outline description of the structural design of the main stadium for the World Games held in Kaohsiung City, Taiwan, in 2009. Three new design concepts, unseen in previous stadiums, were proposed and realized: “an open stadium”, “an urban park”, and “a spiral continuous form”. Based on the open stadium concept, simple cantilever trusses in the roof structure were arranged in a delicate rhythm, and a so-called oscillating hoop of steel tubes was wound around the top and bottom surfaces of a group of cantilever trusses to form a continuous spiral form. Also, at the same time by clearly grouping the structural elements of the roof structure, the dramatic effect of the urban park was highlighted by unifying the landscape and the spectator seating area to form the stadium facade. This paper specifically reports on the overview of the building, concepts of structural design, structural analysis of the roof, roof design, foundation design, and an outline of the construction.

  13. Managing Stability in the Taiwan Strait: Non-Military Policy towards Taiwan under Hu Jintao

    Directory of Open Access Journals (Sweden)

    Wu-ueh Chang

    2009-10-01

    Full Text Available China’s Taiwan policy has been one of coupling intimidation (the “stick” approach with coercion (the “carrot” approach, a policy mix which, in the near term, is not likely to change, as is evidenced by the passage of the “Anti-Secession Law” in March, 2005. However, under Hu Jintao, the focus has been on pragmatism. The warm atmosphere that presently reigns in the Taiwan Strait area is unprecedented. Further talks are expected before the two cross-Strait leaders are slated to step down, simultaneously, in 2012. An era of reconciliation and negotiations has dawned. For the first time there is consensus regarding norms of interaction between the two sides. Cross-Strait relations have stabilized after years of tumult. More open, stable and predictable cross-Strait relations are in the interests of both sides. Difficulties surely lie ahead, but they will be dealt with in a different manner than what has been witnessed in the past.

  14. 75 FR 39208 - Polyester Staple Fiber from Taiwan: Final Results of Changed-Circumstances Antidumping Duty...

    Science.gov (United States)

    2010-07-08

    ... International Trade Administration Polyester Staple Fiber from Taiwan: Final Results of Changed- Circumstances... antidumping duty order on polyester staple fiber from Taiwan. DATES: Effective Date: July 8, 2010. FOR FURTHER... changed-circumstances review of the antidumping duty order on polyester staple fiber from Taiwan...

  15. 77 FR 54561 - Certain Polyester Staple Fiber From Taiwan: Final Results of Antidumping Duty Administrative Review

    Science.gov (United States)

    2012-09-05

    ...] Certain Polyester Staple Fiber From Taiwan: Final Results of Antidumping Duty Administrative Review AGENCY... antidumping duty order on certain polyester staple fiber from Taiwan. The period of review is May 1, 2010... administrative review of the antidumping duty order on certain polyester staple fiber from Taiwan. See...

  16. 75 FR 4044 - Polyester Staple Fiber From Taiwan: Initiation and Preliminary Results of Changed-Circumstances...

    Science.gov (United States)

    2010-01-26

    ... International Trade Administration Polyester Staple Fiber From Taiwan: Initiation and Preliminary Results of... antidumping duty order on polyester staple fiber from Taiwan. We have preliminarily concluded that Far Eastern... the antidumping duty order on polyester staple fiber from Taiwan. Interested parties are invited...

  17. 78 FR 17637 - Polyester Staple Fiber From Taiwan: Preliminary Results of Antidumping Duty Administrative Review...

    Science.gov (United States)

    2013-03-22

    ... International Trade Administration Polyester Staple Fiber From Taiwan: Preliminary Results of Antidumping Duty... the antidumping duty order on polyester staple fiber (PSF) from Taiwan. The period of review (POR) is... Antidumping Duty Administrative Review: Polyester Staple Fiber from Taiwan'' dated concurrently with...

  18. 76 FR 58040 - Certain Polyester Staple Fiber From Korea and Taiwan

    Science.gov (United States)

    2011-09-19

    ... COMMISSION Certain Polyester Staple Fiber From Korea and Taiwan Determination On the basis of the record \\1... antidumping duty orders on certain polyester staple fiber from Korea and Taiwan would be likely to lead to...), entitled Certain Polyester Staple Fiber From Korea and Taiwan: Investigation Nos. 731-TA-825 and...

  19. 78 FR 69047 - Travel and Tourism Trade Mission to Taiwan, Japan and Korea

    Science.gov (United States)

    2013-11-18

    ... International Trade Administration Travel and Tourism Trade Mission to Taiwan, Japan and Korea AGENCY... notice ] for the Travel and Tourism Trade Mission to Taiwan, Japan and Korea scheduled for March 10-14... executive lead the Travel and Tourism Trade Mission to Taiwan, Japan and Korea, March 10-14, 2014, published...

  20. SWOT Analysis on Educational Systems on the Two Sides of the Taiwan Strait

    Science.gov (United States)

    Wang, I-Ming; Shieh, Chich-Jen

    2005-01-01

    It was an important, historic phenomenon for Taiwan to separate from mainland China in 1949. Mainland China and Taiwan were originally a unified country, using the same language and same alphabet characters. Now there are still similarities in many aspects; the differences are primarily governmental. Taiwan has become more Westernized and more…

  1. MOC Released the Procedure for Mainland Enterprises to Invest in Taiwan

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    To promote the investment of Mainlandenterprises into Taiwan,Ministry ofCommerce and the State Council TaiwanAffairs Office jointely released the Noticeof Related Affairs for Mainland Enterprisesto Invest in Taiwan or Set Non-enterprise-corporation.This Notice makes a clear procedurefor mainland enterprises entering

  2. Utterance-final particles in Taiwan Mandarin : contact, context and core functions

    NARCIS (Netherlands)

    Lin, Chin-hui

    2014-01-01

    The use of utterance-final particles (UFPs) is a salient feature of Taiwan Mandarin, a Mandarin variety spoken in Taiwan. Despite their widespread use, Taiwan Mandarin UFPs have not attracted much attention in previous research. One reason for this neglect is that previous studies focus on UFPs that

  3. Internet Service Cognition and Use, and Their Promotion of Quality of Life in Taiwan

    Science.gov (United States)

    Liang, Te-Hsin

    2011-01-01

    The "e-Taiwan Program" implemented by Taiwan government is aimed at showing the e-advantage in people's life and bring about essential benefits. This research follows the e-Life indicators of the Quality of Life measurement system developed by "e-Taiwan Program", which including four major dimensions of e-Daily Life, e-Business, e-Government,…

  4. SWOT Analysis on Educational Systems on the Two Sides of the Taiwan Strait

    Science.gov (United States)

    Wang, I-Ming; Shieh, Chich-Jen

    2005-01-01

    It was an important, historic phenomenon for Taiwan to separate from mainland China in 1949. Mainland China and Taiwan were originally a unified country, using the same language and same alphabet characters. Now there are still similarities in many aspects; the differences are primarily governmental. Taiwan has become more Westernized and more…

  5. 75 FR 81308 - Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan

    Science.gov (United States)

    2010-12-27

    ... COMMISSION Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan AGENCY... steel sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan. SUMMARY: The Commission... sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan would be likely to lead...

  6. Internet Service Cognition and Use, and Their Promotion of Quality of Life in Taiwan

    Science.gov (United States)

    Liang, Te-Hsin

    2011-01-01

    The "e-Taiwan Program" implemented by Taiwan government is aimed at showing the e-advantage in people's life and bring about essential benefits. This research follows the e-Life indicators of the Quality of Life measurement system developed by "e-Taiwan Program", which including four major dimensions of e-Daily Life,…

  7. Levels of dioxin-like compounds in Taiwan foodstuffs

    Energy Technology Data Exchange (ETDEWEB)

    Hsu, M.S.; Wang, S.M.; Chou, U.; Chen, S.Y.; Huang, N.C.; Liao, G.Y.; Yu, T.P.; Ling, Y.C. [National Tsing Hua Univ., Hsinchu (Taiwan)

    2004-09-15

    Food is the major route of human intake of toxic dioxin-like compounds (DLCs), which include PolyChlorinated Dibenzo-p-Dioxins (PCDDs), PolyChlorinated DibenzoFurans (PCDFs), and WHO PolyChlorinated Biphenyls (PCBs). Approximately 95% of human DLCs exposure derives from food, with nearly 80% coming from food of animal origin. The DLCs levels in foodstuffs and the consumption rate of foodstuffs are essential to evaluate health risk posing to humans. The lack of DLCs levels in foodstuffs increases the population risk to DLCs exposure. The Department of Health, Taiwan has entrusted us to conduct a comprehensive monitoring program on PCDD/Fs levels in Taiwan foodstuffs in 2001 and 2002. In 2003, the program has extended the analytes to include 12 WHO-PCBs. The DLCs levels in Taiwan foodstuffs is, therefore, being surveyed for the first time.

  8. Asian perspectives in thoracic surgery: clinical innovation in Taiwan.

    Science.gov (United States)

    Liu, Chao-Yu; Lin, Chen-Sung; Liu, Chia-Chuan

    2016-08-01

    The development of minimally-invasive surgery of the thorax began in the 1990s, but not until the recent decade did we see dramatic improvements in patient care and refinement of technique. The current generation has witnessed the evolution from traditional thoracotomy, to a single-port, non-intubated thoracoscopic approach. The investigation of subxiphoid single-port, transumbilical approach, and natural orifice transluminal endoscopic surgery (NOTES) in animal model are also undergoing. In Taiwan, several talented young surgeons have vigorously devoted their ideas and innovations to this field, making the Taiwan surgical society vivid and prosperous. The desire to improve, and willingness to change are the foundation of those surgeons. Providing better patient care is their impetus to strive for improvement. This article provides an account of how minimally-invasive thoracic surgery has evolved in recent years, and what clinical innovations have been developed by the Taiwan surgical society.

  9. Uncertainty and Spatial Correlation of Earthquake Ground Motion in Taiwan

    Directory of Open Access Journals (Sweden)

    Vladimir Sokolov

    2010-01-01

    Full Text Available In this work we analyzed characteristics of aleatory variability with regard to intra-event and inter-event components in the prediction of peak ground acceleration in Taiwan and the spatial (site-to-site correlation of ground motion residuals. The characteristics are very important for an assessment of seismic hazard and loss for regionally located building assets (portfolio and spatially distributed systems (lifelines and ShakeMap generation. The strong-motion database collected by the TSMIP network in Taiwan, which includes about 4650 records from 66 shallow earthquakes (ML > 4.5, focal depth < 30 km occurred in 1993 - 2004, was used for this purpose. The results of the analysis show that the ground motion correlation structure is highly dependent on local geology and on peculiarities of the propagation path (azimuth-dependent attenuation. Thus, a single generalized spatial correlation model may not be adequate for all of Taiwan territory or similar large areas.

  10. [The internationalization of the nursing profession in Taiwan].

    Science.gov (United States)

    Chuang, Hsiao-Ling; Wang, Cheng-Ching; Kuo, Pi-Chao

    2011-06-01

    Globalization, nursing manpower migration, and the multinational nature of the medical industry have increased the level of internationalization in Taiwan's nursing profession. In nursing practice, competencies for the general nursing list (Taiwan version) and ICNP (International Classification for Nursing Practice) have been clinically tested and revised. In academic nursing, significant effort is invested toward achieving the three general objectives of internationalized teaching, internationalized campuses, and international academic exchanges. We should further test and revise Taiwan's competencies for the general nursing list, and the ICNP should be continually tested and revised. Additionally, nursing personnel should strengthen foreign language competencies, appreciate different nursing practice cultures, participate in international exchange activities, and place increasing emphasis on international cooperation in research and nursing education accreditation. Such should further enhance and strengthen international cooperation, which should further encourage internationalization in the domestic nursing profession.

  11. Indoor Air Quality in the Metro System in North Taiwan.

    Science.gov (United States)

    Chen, Ying-Yi; Sung, Fung-Chang; Chen, Mei-Lien; Mao, I-Fang; Lu, Chung-Yen

    2016-12-02

    Indoor air pollution is an increasing health concern, especially in enclosed environments such as underground subway stations because of increased global usage by urban populations. This study measured the indoor air quality of underground platforms at 10 metro stations of the Taipei Rapid Transit system (TRTS) in Taiwan, including humidity, temperature, carbon monoxide (CO), carbon dioxide (CO₂), formaldehyde (HCHO), total volatile organic compounds (TVOCs), ozone (O₃), airborne particulate matter (PM10 and PM2.5), bacteria and fungi. Results showed that the CO₂, CO and HCHO levels met the stipulated standards as regulated by Taiwan's Indoor Air Quality Management Act (TIAQMA). However, elevated PM10 and PM2.5 levels were measured at most stations. TVOCs and bacterial concentrations at some stations measured in summer were higher than the regulated standards stipulated by Taiwan's Environmental Protection Administration. Further studies should be conducted to reduce particulate matters, TVOCs and bacteria in the air of subway stations.

  12. Predictive susceptibility analysis of typhoon induced landslides in Central Taiwan

    Science.gov (United States)

    Shou, Keh-Jian; Lin, Zora

    2017-04-01

    Climate change caused by global warming affects Taiwan significantly for the past decade. The increasing frequency of extreme rainfall events, in which concentrated and intensive rainfalls generally cause geohazards including landslides and debris flows. The extraordinary, such as 2004 Mindulle and 2009 Morakot, hit Taiwan and induced serious flooding and landslides. This study employs rainfall frequency analysis together with the atmospheric general circulation model (AGCM) downscaling estimation to understand the temporal rainfall trends, distributions, and intensities in the adopted Wu River watershed in Central Taiwan. To assess the spatial hazard of the landslides, landslide susceptibility analysis was also applied. Different types of rainfall factors were tested in the susceptibility models for a better accuracy. In addition, the routes of typhoons were also considered in the predictive analysis. The results of predictive analysis can be applied for risk prevention and management in the study area.

  13. Review of enterobiasis in Taiwan and offshore islands.

    Science.gov (United States)

    Fan, P C

    1998-12-01

    From 1995 to 1997, we carried out extensive surveys of Enterobius vermicularis infection among school children in Taiwan and offshore islands. Among 6,315 children at 80 schools in 21 towns and districts of 8 counties tested, an overall infection rate was 11%. The pre-school children had the highest rate of 14%. These findings indicate that pinworm infection remains highly prevalent in Taiwan and offshore islands. Moreover, in this paper, the results from the studies conducted by parasitologists of Taiwan in the past 43 (1955-1997) years were reviewed. This information included epidemiology, diagnosis, chemotherapy, and control methods, may provide some useful suggestions on the prevention of pinworm infection specialists and agencies concerned with the control of this disease.

  14. A dermatoglyphic study of the Kavalan aboriginal population of Taiwan

    Institute of Scientific and Technical Information of China (English)

    CHEN Yao-Fong; ZHANG HaiGuo; LAI Chun-Hung; LU ZhenYu; WANG ZhuGang

    2007-01-01

    By the 1970s, a number of dermatoglyphic studies of Taiwan aborigines (Gaoshan nationality) had been published, however in each only a few dermatoglyphic variables were addressed. Since that time, little new research has been conducted. In this study, we collected and analyzed the dermatoglyphs of 100 individuals of Kavalan, a Taiwan aboriginal population, and we reported a wide range of dermatoglyphic variables including total finger ridge count (TFRC), a-b total ridge count (a-b RC), atd angle and axial triradius percent distance (tPD), and frequencies of fingerprint pattern, palmar thenar pattern, palmar interdigital pattern, palmar hypothenar pattern, and simian line. This study is the first comprehensive dermatoglyphic research of any Taiwan aboriginal population.

  15. Developing Situation of Tea Harvesting Machines in Taiwan

    Directory of Open Access Journals (Sweden)

    C. C. Wu

    2015-12-01

    Full Text Available In recent years rapid social change and industrial and commercial development in Taiwan has lead to migration of rural labor, population ageing, high wages and labor shortages, which resulted in significant problems for the tea industry. Thus, mechanization in the tea industry emerges as the direction for the future. According to a survey, tea harvesting and tea manufacturing use 87% and 5% of available labor, so the mechanization of tea harvesting is a priority. The application and development of tea harvesting machines worldwide and especially in Taiwan in recent years is investigated in this paper. Recommendations are made for the implementation of tea harvesting machinery in Taiwan in the future. This report may also used as a reference for the use of mechanical harvesting.

  16. Linking the Taiwan Fish Database to the Global Database

    Directory of Open Access Journals (Sweden)

    Kwang-Tsao Shao

    2007-03-01

    Full Text Available Under the support of the National Digital Archive Program (NDAP, basic species information about most Taiwanese fishes, including their morphology, ecology, distribution, specimens with photos, and literatures have been compiled into the "Fish Database of Taiwan" (http://fishdb.sinica.edu.tw. We expect that the all Taiwanese fish species databank (RSD, with 2800+ species, and the digital "Fish Fauna of Taiwan" will be completed in 2007. Underwater ecological photos and video images for all 2,800+ fishes are quite difficult to achieve but will be collected continuously in the future. In the last year of NDAP, we have successfully integrated all fish specimen data deposited at 7 different institutes in Taiwan as well as their collection maps on the Google Map and Google Earth. Further, the database also provides the pronunciation of Latin scientific names and transliteration of Chinese common names by referring to the Romanization system for all Taiwanese fishes (2,902 species in 292 families so far. The Taiwanese fish species checklist with Chinese common/vernacular names and specimen data has been updated periodically and provided to the global FishBase as well as the Global Biodiversity Information Facility (GBIF through the national portal of the Taiwan Biodiversity Information Facility (TaiBIF. Thus, Taiwanese fish data can be queried and browsed on the WWW. For contributing to the "Barcode of Life" and "All Fishes" international projects, alcohol-preserved specimens of more than 1,800 species and cryobanking tissues of 800 species have been accumulated at RCBAS in the past two years. Through this close collaboration between local and global databases, "The Fish Database of Taiwan" now attracts more than 250,000 visitors and achieves 5 million hits per month. We believe that this local database is becoming an important resource for education, research, conservation, and sustainable use of fish in Taiwan.

  17. Rainfall intensity-duration conditions for mass movements in Taiwan

    Science.gov (United States)

    Chen, Chi-Wen; Saito, Hitoshi; Oguchi, Takashi

    2015-12-01

    Mass movements caused by rainfall events in Taiwan are analyzed during a 7-year period from 2006 to 2012. Data from the Taiwan Soil and Water Conservation Bureau reports were compiled for 263 mass movement events, including 156 landslides, 91 debris flows, and 16 events with both landslides and debris flows. Rainfall totals for each site location were obtained from interpolated rain gauge data. The rainfall intensity-duration ( I-D) relationship was examined to establish a rainfall threshold for mass movements using random sampling: I = 18.10(±2.67) D -0.17(±0.04), where I is mean rainfall intensity (mm/h) and D is the time (h) between the beginning of a rainfall event and the resulting mass movement. Significant differences were found between rainfall intensities and thresholds for landslides and debris flows. For short-duration rainfall events, higher mean rainfall intensities were required to trigger debris flows. In contrast, for long-duration rainfall events, similar mean rainfall intensities triggered both landslides and debris flows. Mean rainfall intensity was rescaled by mean annual precipitation (MAP) to define a new threshold: I MAP = 0.0060(±0.0009) D -0.17(±0.04), where I MAP is rescaled rainfall intensity and MAP is the minimum for mountainous areas in Taiwan (3000 mm). Although the I-D threshold for Taiwan is high, the I MAP -D threshold for Taiwan tends to be low relative to other areas around the world. Our results indicate that Taiwan is highly prone to rainfall-induced mass movements. This study also shows that most mass movements occur in high rainfall-intensity periods, but some events occur before or after the rainfall peak. Both antecedent and peak rainfall play important roles in triggering landslides, whereas debris flow occurrence is more related to peak rainfall than antecedent rainfall.

  18. Socially-marketed rapid diagnostic tests and ACT in the private sector: ten years of experience in Cambodia

    Directory of Open Access Journals (Sweden)

    Allen Henrietta

    2011-08-01

    Full Text Available Abstract Whilst some populations have recently experienced dramatic declines in malaria, the majority of those most at risk of Plasmodium falciparum malaria still lack access to effective treatment with artemisinin combination therapy (ACT and others are already facing parasites resistant to artemisinins. In this context, there is a crucial need to improve both access to and targeting of ACT through greater availability of good quality ACT and parasitological diagnosis. This is an issue of increasing urgency notably in the private commercial sector, which, in many countries, plays an important role in the provision of malaria treatment. The Affordable Medicines Facility for malaria (AMFm is a recent initiative that aims to increase the provision of affordable ACT in public, private and NGO sectors through a manufacturer-level subsidy. However, to date, there is little documented experience in the programmatic implementation of subsidized ACT in the private sector. Cambodia is in the unique position of having more than 10 years of experience not only in implementing subsidized ACT, but also rapid diagnostic tests (RDT as part of a nationwide social marketing programme. The programme includes behaviour change communication and the training of private providers as well as the sale and distribution of Malarine, the recommended ACT, and Malacheck, the RDT. This paper describes and evaluates this experience by drawing on the results of household and provider surveys conducted since the start of the programme. The available evidence suggests that providers' and consumers' awareness of Malarine increased rapidly, but that of Malacheck much less so. In addition, improvements in ACT and RDT availability and uptake were relatively slow, particularly in more remote areas. The lack of standardization in the survey methods and the gaps in the data highlight the importance of establishing a clear system for monitoring and evaluation for similar initiatives

  19. Determining barriers to creating an enabling environment in Cambodia: results from a baseline study with key populations and police

    Directory of Open Access Journals (Sweden)

    Mira L Schneiders

    2016-07-01

    Full Text Available Introduction: Cambodian law enforcement's limited acceptance of harm reduction has hindered HIV program effectiveness. With funding from the Australian Department of Foreign Affairs and Trade, FHI 360 supported the Ministry of Interior to implement the Police Community Partnership Initiative (PCPI in Cambodia's capital Phnom Penh. To guide this, FHI 360 conducted a baseline study examining police and key populations’ attitudes and practices towards one another, including fear and occurrence of arrest. Methods: Between December 2012 and January 2013, a cross-sectional survey of 199 police post officers, 199 people who use drugs (PWUD including people who inject drugs (PWID, 199 men who have sex with men (MSM, 200 transgender women (TGW and 200 female entertainment workers (FEW was conducted in five Phnom Penh districts. Eligible participants were ≥18 years, members of a key population from selected hotspots or police officers, deputy chiefs or chiefs. Results: Key populations’ median age was 25 years (IQR: 22–30; 40% had completed only primary school. Police were male (99.5%, with median age 43 years (IQR: 30 to 47, and 45 and 25% high school and university completion rates, respectively. Key populations feared arrest for carrying needles and syringes (67%, condoms (23% and 19% felt afraid to access health services. Close to 75% of police reported body searching and 58% arresting key populations in the past six months for using drugs (64%, selling or distributing drugs (36% or being violent (13%. Self-reported arrests (23% PWUD, 6% MSM, 6% TGW, 12% FEW; p<0.05, being verbally threatened (45% PWUD, 21% MSM, 25% TGW, 27% FEW; p<0.001 and body searched (44% PWUD, 28% MSM, 23% TGW, 8% FEW; p<0.001 was significantly higher among PWUD than other key populations. The majority (94% of police believed arrest was an appropriate solution to reduce HIV and drug use and reported selling sex (88% and carrying needles and syringes (55% as valid reasons

  20. Efficacy and Safety of Pyronaridine-Artesunate for Treatment of Uncomplicated Plasmodium falciparum Malaria in Western Cambodia.

    Science.gov (United States)

    Leang, Rithea; Canavati, Sara E; Khim, Nimol; Vestergaard, Lasse S; Borghini Fuhrer, Isabelle; Kim, Saorin; Denis, Mey Bouth; Heng, Pisal; Tol, Bunkea; Huy, Rekol; Duparc, Stephan; Dondorp, Arjen M; Menard, Didier; Ringwald, Pascal

    2016-07-01

    Pyronaridine-artesunate efficacy for the treatment of uncomplicated Plasmodium falciparum malaria was assessed in an area of artemisinin resistance in western Cambodia. This nonrandomized, single-arm, observational study was conducted between 2014 and 2015. Eligible patients were adults or children with microscopically confirmed P. falciparum infection and fever. Patients received pyronaridine-artesunate once daily for 3 days, dosed according to body weight. The primary outcome was an adequate clinical and parasitological response (ACPR) on day 42, estimated by using Kaplan-Meier analysis, PCR adjusted to exclude reinfection. One hundred twenty-three patients were enrolled. Day 42 PCR-crude ACPRs were 87.2% (95% confidence interval [CI], 79.7 to 92.6%) for the overall study, 89.8% (95% CI, 78.8 to 95.3%) for Pursat, and 82.1% (95% CI, 68.4 to 90.2%) for Pailin. Day 42 PCR-adjusted ACPRs were 87.9% (95% CI, 80.6 to 93.2%) for the overall study, 89.8% (95% CI, 78.8 to 95.3%) for Pursat, and 84.0% (95% CI, 70.6 to 91.7%) for Pailin (P = 0.353 by a log rank test). Day 28 PCR-crude and -adjusted ACPRs were 93.2% (95% CI, 82.9 to 97.4%) and 88.1% (95% CI, 75.3 to 94.5%) for Pursat and Pailin, respectively. A significantly lower proportion of patients achieved day 3 parasite clearance in Pailin (56.4% [95% CI, 43.9 to 69.6%]) than in Pursat (86.7% [95% CI, 76.8 to 93.8%]; P = 0.0019). Fever clearance was also extended at Pailin versus Pursat (P < 0.0001). Most patients (95.9% [116/121]) harbored P. falciparum kelch13 C580Y mutant parasites. Pyronaridine-artesunate was well tolerated; mild increases in hepatic transaminase levels were consistent with data from previous reports. Pyronaridine-artesunate efficacy was below the World Health Organization-recommended threshold at day 42 for medicines with a long half-life (90%) for first-line treatment of P. falciparum malaria in western Cambodia despite high efficacy elsewhere in Asia and Africa. (This study has been registered