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Sample records for reported mortalities southeast

  1. Southeast Asia Report

    Science.gov (United States)

    1984-12-14

    apparently to save ammunition, according to the BPP report . The attacks came after a battalion of Burmese troops had arrived at the border areas to...Manuel Pangilinan says. 17 It will be divided into five " strategic business units" (or SBU’s): commercial banking, which will include Hibernia and...065082 JPRS-SEA-84-173 14 December 1 984 Southeast Asia Report Reproduced From Best Available Copy 20000107 100 IIXTIC QUALITY INSPECTED 9

  2. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012

    Directory of Open Access Journals (Sweden)

    Obiechina NJ

    2013-07-01

    Full Text Available NJ Obiechina, VE Okolie, ZC Okechukwu, CF Oguejiofor, OI Udegbunam, LSA Nwajiaku, C Ogbuokiri, R Egeonu Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria Background: Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. Objectives: This study was conducted to assess NAUTH'S progress in achieving a 75% reduction in the maternal mortality ratio (MMR and to identify the major causes of maternal mortality. Materials and methods: This was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria. Results: During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%, hemorrhage (22%, and sepsis (12%. The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98% and within the first 48 hours of admission (76%. Conclusion: MMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to

  3. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003-2012).

    Science.gov (United States)

    Obiechina, Nj; Okolie, Ve; Okechukwu, Zc; Oguejiofor, Cf; Udegbunam, Oi; Nwajiaku, Lsa; Ogbuokiri, C; Egeonu, R

    2013-01-01

    Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH) represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. This study was conducted to assess NAUTH'S progress in achieving a 75% reduction in the maternal mortality ratio (MMR) and to identify the major causes of maternal mortality. This was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria. During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%), hemorrhage (22%), and sepsis (12%). The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98%) and within the first 48 hours of admission (76%). MMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to achieve a 75% reduction in maternal mortality.

  4. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

    Science.gov (United States)

    Obiechina, NJ; Okolie, VE; Okechukwu, ZC; Oguejiofor, CF; Udegbunam, OI; Nwajiaku, LSA; Ogbuokiri, C; Egeonu, R

    2013-01-01

    Background Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH) represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. Objectives This study was conducted to assess NAUTH’S progress in achieving a 75% reduction in the maternal mortality ratio (MMR) and to identify the major causes of maternal mortality. Materials and methods This was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria. Results During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%), hemorrhage (22%), and sepsis (12%). The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98%) and within the first 48 hours of admission (76%). Conclusion MMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to achieve a 75% reduction in maternal mortality. PMID:23901299

  5. SEEA SOUTHEAST CONSORTIUM FINAL TECHNICAL REPORT

    Energy Technology Data Exchange (ETDEWEB)

    Block, Timothy [Southeast Energy Efficiency Alliance; Ball, Kia [Southeast Energy Efficiency Alliance; Fournier, Ashley [Southeast Energy Efficiency Alliance

    2014-01-21

    In 2010 the Southeast Energy Efficiency Alliance (SEEA) received a $20 million Energy Efficiency and Conservation Block Grant (EECBG) under the U.S. Department of Energy’s Better Building Neighborhood Program (BBNP). This grant, funded by the American Recovery and Reinvestment Act, also included sub-grantees in 13 communities across the Southeast, known as the Southeast Consortium. The objective of this project was to establish a framework for energy efficiency retrofit programs to create models for replication across the Southeast and beyond. To achieve this goal, SEEA and its project partners focused on establishing infrastructure to develop and sustain the energy efficiency market in specific localities across the southeast. Activities included implementing minimum training standards and credentials for marketplace suppliers, educating and engaging homeowners on the benefits of energy efficiency through strategic marketing and outreach and addressing real or perceived financial barriers to investments in whole-home energy efficiency through a variety of financing mechanisms. The anticipated outcome of these activities would be best practice models for program design, marketing, financing, data collection and evaluation as well as increased market demand for energy efficiency retrofits and products. The Southeast Consortium’s programmatic impacts along with the impacts of the other BBNP grantees would further the progress towards the overall goal of energy efficiency market transformation. As the primary grantee SEEA served as the overall program administrator and provided common resources to the 13 Southeast Consortium sub-grantees including contracted services for contractor training, quality assurance testing, data collection, reporting and compliance. Sub-grantee programs were located in cities across eight states including Alabama, Florida, Georgia, Louisiana, North Carolina, South Carolina, Tennessee, Virginia and the U.S. Virgin Islands. Each sub

  6. Southeast Asia Report

    National Research Council Canada - National Science Library

    1987-01-01

    Partial Contents: Southeast Asia, Exchange Dealer, Budget Review, Declared Nonactive, Candidacy, Finance Minister, Economic Policy, Exchange Rate, Farm, Defense Ministers, Labor Party,Local Car Manufacturer...

  7. Cancer incidence in south-east Nigeria: a report from Nnewi Cancer ...

    African Journals Online (AJOL)

    Background: This study is the first population based cancer incidence report from a cancer registry in south-east Nigeria. Objective: To evaluate the incidence of some invasive cancers in southeast Nigeria. Methodology: We collected all new cases of invasive cancers between 1st January and 31st December, 2013.

  8. Human babesiosis in Southeast China: A case report

    Directory of Open Access Journals (Sweden)

    Shanshan Huang

    2018-03-01

    Full Text Available A 60-year-old female patient living in Southeast China presented with persistent fever, chills, night sweats, fatigue, and dizziness of 12-day duration. Blood tests showed neutropenia, thrombocytopenia, and active hemolytic anemia, with elevated C-reactive protein. Broad-spectrum antibiotics were administered for a possible diagnosis of sepsis, without any response. Malaria was initially diagnosed after visualizing intraerythrocytic ring-shaped parasites in bone marrow and blood smears. The patient resided in an area of unstable endemicity for Plasmodium falciparum. Blood samples were sent to the Centers for Disease Control and Prevention and a definitive diagnosis of human babesiosis was made using Babesia microti-specific PCR. Chloroquine phosphate and clindamycin were started and the patient became normothermic. However, due to the intolerable adverse effects of the antibiotics, intravenous azithromycin was given as an alternative. The patient recovered from fever and hemolysis, and repeated peripheral blood smears showed hemoparasite clearance. Cases of human babesiosis are rarely reported and probably under-diagnosed in China; therefore, improving our understanding of this disease as a newly emerging public health threat is imperative. Keywords: Human babesiosis, Southeast China, Plasmodium falciparum, Hemoparasites

  9. Etiologies and contributing factors of perinatal mortality: A report from southeast of Iran

    Directory of Open Access Journals (Sweden)

    Maryam Hadavi

    2011-06-01

    Conclusion: Prematurity, cardiac arrest, and septicemia were the most important causes of neonatal mortality. It is concluded that attention to the following points is very important: adopting program for pregnancy care improvement, finding and removing risk factors of premature birth, control of infection in mother’s and newborn’s wards, examining of personnel skill about correct newborn resuscitation methods, and arrangement of training courses.

  10. Mechanical properties of salvaged dead yellow-cedar in southeast Alaska : Phase I

    Science.gov (United States)

    K. A. McDonald; P. E. Hennon; J. H. Stevens; D. W. Green

    An intensive decline and mortality problem is affecting yellow-cedar trees in southeast Alaska. Yellow-cedar snags (dead trees) could be important to the economy in southeast Alaska, if some high-value uses for the snags could be established. Due to the high decay resistance of yellow-cedar, the rate of deterioration is so slow that snags may remain standing for a...

  11. Project CHECO Southeast Asia Report. FAC Operations in Close Air Support Role in SVN

    National Research Council Canada - National Science Library

    Overton, James B

    1969-01-01

    This report addresses the role of the Forward Air Controller (FAC) in Southeast Asia. The various categories of FACs are discussed, including the function of the Ground FAC and the duties he performs...

  12. Ruptured Uterus At Afikpo, Southeast Nigeria. | Eze | Ebonyi Medical ...

    African Journals Online (AJOL)

    Context: Ruptured uterus is an obstetric catastrophe associated with high maternal and perinatal mortality. Objectives: To determine the incidence, causes, management and fetomaternal outcomes of ruptured uterus in Afikpo, Southeast Nigeria. Methods: Delivery records, theatre registers and case notes of all ruptured ...

  13. Economic growth and change in southeast Alaska.

    Science.gov (United States)

    Rhonda Mazza

    2004-01-01

    This report focuses on economic trends since the 1970s in rural southeast Alaska. These trends are compared with those in the Nation and in nonmetropolitan areas of the country to determine the extent to which the economy in rural southeast Alaska is affected by regional activity and by larger market forces. Many of the economic changes occurring in rural southeast...

  14. Clinical and laboratory factors associated with mortality in dengue.

    Science.gov (United States)

    Saroch, Atul; Arya, Vivek; Sinha, Nitin; Taneja, R S; Sahai, Pooja; Mahajan, R K

    2017-04-01

    Dengue is endemic in more than 100 countries, giving rise to an increased number of deaths in the last five years in the South-East Asian region. We report our findings from a retrospective study of adults admitted with confirmed dengue at our institution. We studied the clinical and laboratory parameters associated with mortality in these patients. Of the 172 hospitalised patients studied, 156 (90.69 %) recovered while 16 (9.3%) died. Univariate analysis showed altered sensorium on presentation, lower haemoglobin and haematocrit levels, higher serum creatinine, higher serum transaminase and lower serum albumin levels to be significantly associated with mortality in dengue. Further, using stepwise multivariate logistic regression, altered sensorium ( P = 0.006) and hypoalbuminemia ( P = 0.013) were identified as independent predictors of mortality in dengue. Identification of these parameters early in the course of disease should prompt intensification of treatment in dengue cases.

  15. Laparoscopically assisted vaginal hysterectomy in southeast Nigeria--case report.

    Science.gov (United States)

    Ikechebelu, J I; Mbamara, S U; Ezike, H A

    2009-01-01

    We present the first laparoscopically assisted vaginal hysterectomy (LAVH) performed in our centre and indeed in southeast Nigeria. The case records of a 60 year old post menopausal woman; Para 6(+2) with moderate cystocele, treated at the Nnamdi Azikiwe University Teaching Hospital in July 2007 was retrieved for presentation. A 60 year old post menopausal woman, Para 6(+2) with moderate cystocele, no descent of the cervix and narrowed vagina. LAVH and anterior colporraphy was performed. She had an uneventful post operative stay and was discharged home. She has not experienced any complication one year after the procedure. LAVH is our first major gynaecological laparoscopy surgery and we consider it an important breakthrough worthy of reporting.

  16. Coordination: Southeast Continental Shelf studies. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    Menzel, D.W.

    1981-02-01

    An overview of the Oceanograhic Program of Skidaway Institute of Oceanograhy is presented. Included are the current five year plan for studies of the Southeast Continental Shelf, a summary of research accomplishments, proposed research for 1981-1982, current status of the Savannah Navigational Light Tower, and a list of publications. (ACR)

  17. A systematic review of the burden of neonatal mortality and morbidity in the ASEAN Region.

    Science.gov (United States)

    Tran, Hoang T; Doyle, Lex W; Lee, Katherine J; Graham, Stephen M

    2012-01-01

    Neonatal morbidity and mortality are major global public health challenges representing an increasing proportion of overall under-5 child mortality, with the vast majority of neonatal deaths occurring in resource-limited settings. In the Association of Southeast Asian Nations (ASEAN) region, it is estimated that approximately 200 000 neonatal deaths occur annually with reported estimates of the neonatal mortality rate ranging from 1 to over 30 per 1000 live-births, depending on the setting. The aim of this study is to conduct a systematic review of published data on neonatal morbidity and mortality from the ASEAN region over the last 10 years. Very few published studies reporting neonatal morbidity and mortality in this region were found. Importantly, data are available from just a few countries, with an underrepresentation of the most resource-limited settings. The majority of the studies describing mortality and morbidity were retrospective surveys or focussed on a specific cause of neonatal morbidity. Studies included findings from a range of settings, from neonatal intensive care to community settings utilizing verbal autopsy. Therefore, comprehensive and prospective data are needed to inform priorities and potential interventions to improve neonatal care and reduce neonatal mortality in this region.

  18. Drug problem in southeast and southwest Asia.

    Science.gov (United States)

    Kulsudjarit, Kongpetch

    2004-10-01

    In 2002, the drug problem in Southeast and Southwest Asia was serious, particularly in the production of opium and heroin in Afghanistan, Myanmar, and Laos, the three largest producers of illicit opium in the world. The increasing illicit manufacture of ATS, particularly methamphetamine, in Southeast Asia, mainly in China and Myanmar, was also a major concern. Some reports indicated that ephedrine, used for illicitly producing methamphetamine in Southeast Asia, is diverted and smuggled out of China and India, whereas caffeine, the adulterant used for producing methamphetamine tablets, is mainly smuggled into Myanmar through its border with Thailand. Seizure data showed a dramatic increase in trafficking in MDMA through Southeast Asia. In terms of the drug epidemic, in 2002, cannabis remained overall the main drug of abuse in all of the countries of Southeast and Southwest Asia. Opiates, mainly opium and heroin, were also the drugs of choice except in Thailand, where opiate abuse declined, but ATS was the main drug of abuse due to its low cost and availability. A significant increase in ATS abuse, amphetamine, methamphetamine, and MDMA among the youth who smoked, sniffed, and inhaled them was reported in Cambodia, China, Indonesia, Laos, Myanmar, the Philippines, and Thailand. Injecting drug use among opiate abusers has been identified as the prime cause of the rapid spread of HIV/AIDS in Southeast and Southwest Asia.

  19. Key strategies to further reduce stunting in Southeast Asia: lessons from the ASEAN countries workshop.

    Science.gov (United States)

    Bloem, Martin W; de Pee, Saskia; Hop, Le Thi; Khan, Nguyen Cong; Laillou, Arnaud; Minarto; Moench-Pfanner, Regina; Soekarjo, Damayanti; Soekirman; Solon, J Antonio; Theary, Chan; Wasantwisut, Emorn

    2013-06-01

    To further reduce stunting in Southeast Asia, a rapidly changing region, its main causes need to be identified. Assess the relationship between different causes of stunting and stunting prevalence over time in Southeast Asia. Review trends in mortality, stunting, economic development, and access to nutritious foods over time and among different subgroups in Southeast Asian countries. Between 1990-2011, mortality among under-five children declined from 69/1,000 to 29/1,000 live births. Although disease reduction, one of two direct causes of stunting, has played an important role which should be maintained, improvement in meeting nutrient requirements, the other direct cause, is necessary to reduce stunting further. This requires dietary diversity, which is affected by rapidly changing factors: economic development; urbanization, giving greater access to larger variety of foods, including processed and fortified foods; parental education; and modernizing food systems, with increased distance between food producers and consumers. Wealthier consumers are increasingly able to access a more nutritious diet, while poorer consumers need support to improve access, and may also still need better hygiene and sanitation. In order to accelerate stunting reduction in Southeast Asia, availability and access to nutritious foods should be increased by collaboration between private and public sectors, and the Association of Southeast Asian Nations (ASEAN) can play a facilitating role. The private sector can produce and market nutritious foods, while the public sector sets standards, promotes healthy food choices, and ensures access to nutritious foods for the poorest, e.g, through social safety net programs.

  20. Project CHECO Southeast Asia Report. OV-1/AC-119 Hunter-Killer Team

    Science.gov (United States)

    1972-10-10

    between Phan Rang, Phu Cat , and Danang in order to provide best coverage of the Vietnamese conflict. -- On 16 February 1970, three AC -ll9Ks and 70...SOUTHEAST ASIA D D DDiv AY/XDOSQA I OV-1/ AC -119 " i IWB I HUNTER-KILLER TEAM 19’.1’ CONTINUING REPORT CLASSIFIED Ey 7AFIDOOC DOWNGRADE TjU SECRET...xamination of C urrent, 0 per’tions I~ I fF!lr T I TII TIIII I OV=1/ AC -119 HUNTER-KILLER TEAMI 1 10 OCTOBER 1972 HQ PACAF Directorate of Operations

  1. Coordination: southeast continental shelf studies. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    Menzel, D.W.

    1981-02-01

    The objectives are to identify important physical, chemical and biological processes which affect the transfer of materials on the southeast continental shelf, determine important parameters which govern observed temporal and spatial varibility on the continental shelf, determine the extent and modes of coupling between events at the shelf break and nearshore, and determine physical, chemical and biological exchange rates on the inner shelf. Progress in meeting these research objectives is presented. (ACR)

  2. Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

    International Nuclear Information System (INIS)

    Gaui, Eduardo Nagib; Oliveira, Gláucia Maria Moraes de; Klein, Carlos Henrique

    2014-01-01

    Circulatory system diseases are the first cause of death in Brazil. To analyze the evolution of mortality caused by heart failure, by ischemic heart diseases and by ill-defined causes, as well as their possible relations, in Brazil and in the geoeconomic regions of the country (North, Northeast, Center-West, South and Southeast), from 1996 to 2011. Data were obtained from DATASUS and death declaration records with codes I20 and I24 for acute ischemic diseases, I25 for chronic ischemic diseases, and I50 for heart failure, and codes in chapter XIII for ill-defined causes, according to geoeconomic regions of Brazil, from 1996 to 2011. Mortality rates due to heart failure declined in Brazil and its regions, except for the North and the Northeast. Mortality rates due to acute ischemic heart diseases increased in the North and Northeast regions, especially from 2005 on; they remained stable in the Center-West region; and decreased in the South and in the Southeast. Mortality due to chronic ischemic heart diseases decreased in Brazil and in the Center-West, South and Southeast regions, and had little variation in the North and in the Northeast. The highest mortality rates due to ill-defined causes occurred in the Northeast until 2005. Mortality due to heart failure is decreasing in Brazil and in all of its geoeconomic regions. The temporal evolution of mortality caused by ischemic heart diseases was similar to that of heart failure. The decreasing number of deaths due to ill-defined causes may represent the improvement in the quality of information about mortality in Brazil. The evolution of acute ischemic heart diseases ranged according to regions, being possibly confused with the differential evolution of ill-defined causes

  3. Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

    Directory of Open Access Journals (Sweden)

    Eduardo Nagib Gaui

    2014-06-01

    Full Text Available Background: Circulatory system diseases are the first cause of death in Brazil. Objective: To analyze the evolution of mortality caused by heart failure, by ischemic heart diseases and by ill-defined causes, as well as their possible relations, in Brazil and in the geoeconomic regions of the country (North, Northeast, Center-West, South and Southeast, from 1996 to 2011. Methods: Data were obtained from DATASUS and death declaration records with codes I20 and I24 for acute ischemic diseases, I25 for chronic ischemic diseases, and I50 for heart failure, and codes in chapter XIII for ill-defined causes, according to geoeconomic regions of Brazil, from 1996 to 2011. Results: Mortality rates due to heart failure declined in Brazil and its regions, except for the North and the Northeast. Mortality rates due to acute ischemic heart diseases increased in the North and Northeast regions, especially from 2005 on; they remained stable in the Center-West region; and decreased in the South and in the Southeast. Mortality due to chronic ischemic heart diseases decreased in Brazil and in the Center-West, South and Southeast regions, and had little variation in the North and in the Northeast. The highest mortality rates due to ill-defined causes occurred in the Northeast until 2005. Conclusions: Mortality due to heart failure is decreasing in Brazil and in all of its geoeconomic regions. The temporal evolution of mortality caused by ischemic heart diseases was similar to that of heart failure. The decreasing number of deaths due to ill-defined causes may represent the improvement in the quality of information about mortality in Brazil. The evolution of acute ischemic heart diseases ranged according to regions, being possibly confused with the differential evolution of ill-defined causes.

  4. Mortality by Heart Failure and Ischemic Heart Disease in Brazil from 1996 to 2011

    Energy Technology Data Exchange (ETDEWEB)

    Gaui, Eduardo Nagib, E-mail: engaui@cardiol.br; Oliveira, Gláucia Maria Moraes de [Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ (Brazil); Klein, Carlos Henrique [Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz, Rio de Janeiro, RJ (Brazil)

    2014-06-15

    Circulatory system diseases are the first cause of death in Brazil. To analyze the evolution of mortality caused by heart failure, by ischemic heart diseases and by ill-defined causes, as well as their possible relations, in Brazil and in the geoeconomic regions of the country (North, Northeast, Center-West, South and Southeast), from 1996 to 2011. Data were obtained from DATASUS and death declaration records with codes I20 and I24 for acute ischemic diseases, I25 for chronic ischemic diseases, and I50 for heart failure, and codes in chapter XIII for ill-defined causes, according to geoeconomic regions of Brazil, from 1996 to 2011. Mortality rates due to heart failure declined in Brazil and its regions, except for the North and the Northeast. Mortality rates due to acute ischemic heart diseases increased in the North and Northeast regions, especially from 2005 on; they remained stable in the Center-West region; and decreased in the South and in the Southeast. Mortality due to chronic ischemic heart diseases decreased in Brazil and in the Center-West, South and Southeast regions, and had little variation in the North and in the Northeast. The highest mortality rates due to ill-defined causes occurred in the Northeast until 2005. Mortality due to heart failure is decreasing in Brazil and in all of its geoeconomic regions. The temporal evolution of mortality caused by ischemic heart diseases was similar to that of heart failure. The decreasing number of deaths due to ill-defined causes may represent the improvement in the quality of information about mortality in Brazil. The evolution of acute ischemic heart diseases ranged according to regions, being possibly confused with the differential evolution of ill-defined causes.

  5. Multi-layered population structure in Island Southeast Asians

    Science.gov (United States)

    Mörseburg, Alexander; Pagani, Luca; Ricaut, Francois-Xavier; Yngvadottir, Bryndis; Harney, Eadaoin; Castillo, Cristina; Hoogervorst, Tom; Antao, Tiago; Kusuma, Pradiptajati; Brucato, Nicolas; Cardona, Alexia; Pierron, Denis; Letellier, Thierry; Wee, Joseph; Abdullah, Syafiq; Metspalu, Mait; Kivisild, Toomas

    2016-01-01

    The history of human settlement in Southeast Asia has been complex and involved several distinct dispersal events. Here, we report the analyses of 1825 individuals from Southeast Asia including new genome-wide genotype data for 146 individuals from three Mainland Southeast Asian (Burmese, Malay and Vietnamese) and four Island Southeast Asian (Dusun, Filipino, Kankanaey and Murut) populations. While confirming the presence of previously recognised major ancestry components in the Southeast Asian population structure, we highlight the Kankanaey Igorots from the highlands of the Philippine Mountain Province as likely the closest living representatives of the source population that may have given rise to the Austronesian expansion. This conclusion rests on independent evidence from various analyses of autosomal data and uniparental markers. Given the extensive presence of trade goods, cultural and linguistic evidence of Indian influence in Southeast Asia starting from 2.5 kya, we also detect traces of a South Asian signature in different populations in the region dating to the last couple of thousand years. PMID:27302840

  6. Zika virus from a Southeast Asian perspective

    Institute of Scientific and Technical Information of China (English)

    Nitwara Wikan; Duncan R. Smith

    2017-01-01

    Phylogenic evidence suggests that the strain of Zika virus causing an unprecedented outbreak of disease in the Americas had its origin in Southeast Asia, where reports of isolated cases of Zika virus infection have occurred since 2010. Why there has been no large outbreak of Zika infection in Southeast Asia remains unclear and whether such an outbreak will occur in the future is a question of significant concern. This review looks at Zika virus from a Southeast Asian perspective and highlights some of the possible scenarios with regards to Zika virus in this part of the world as well as highlighting some of the research questions that need to be urgently addressed.

  7. Câncer em mulheres idosas das regiões Sul e Sudeste do Brasil: Evolução da mortalidade no período 1980 - 2005 Cancer in elderly women in the South and Southeast regions of Brazil: mortality trends in the 1980- 2005 period

    Directory of Open Access Journals (Sweden)

    Denise Vianna Basílio

    2008-06-01

    South and Southeast regions of Brazil present the highest rates of cancer mortality and are inhabited by the greatest number of elderly people. OBJECTIVE: To analyze patterns of mortality for selected cancer sites in the female population of 60 years of age or older in the South and Southeast regions of Brazil, in the 1980-2005 period. METHOD: Population and mortality data for all cancers and for esophageal, gastric, colon/rectal, pancreas, breast, and uterine cervix cancer, by year of the study period, were obtained from the Ministry of Health/DATASUS. Regression models were estimated to analyze trends in mortality rates for three age groups: 60-69 years, 70-79 years, and 80 years or more. RESULTS: Mortality rates for colon-rectal, pancreas, lung and breast cancer showed significantly rising trends in all age groups in both regions. A significant decreasing trend was observed for gastric cancer in the three age groups, both in the South and in the Southeast region, while significantly decreasing trends were observed for esophageal cancer only in the Southeast region CONCLUSIONS: Patterns of cancer mortality in elderly women of the South and Southeast regions of Brazil follow world-wide trends and important changes in these trends occurred during the study period. Mechanisms involved in the behavior of cancer mortality in aging individuals, still unknown to a large extent, and regional and generational differences in the prevalence of risk and protective factors for cancer could partially explain some of the patterns observed. Further studies on cancer mortality in aging individuals are needed to extend our present knowledge.

  8. Neonatal mortality of pigs in Nsukka, Southeast Nigeria | Abonyi ...

    African Journals Online (AJOL)

    This study was conducted to investigate the causes of neonatal mortality among pig farms in Nsukka Local Government area of Enugu State, Nigeria. Forty (40) pig farms in the study area were randomly selected and used for the 20 weeks study duration. One week post partum was considered as the neonatal period. A total ...

  9. Human babesiosis in Southeast China: A case report.

    Science.gov (United States)

    Huang, Shanshan; Zhang, Lingling; Yao, Linong; Li, Jie; Chen, Hui; Ni, Qingxiang; Pan, Chenwei; Jin, Lingxiang

    2018-03-01

    A 60-year-old female patient living in Southeast China presented with persistent fever, chills, night sweats, fatigue, and dizziness of 12-day duration. Blood tests showed neutropenia, thrombocytopenia, and active hemolytic anemia, with elevated C-reactive protein. Broad-spectrum antibiotics were administered for a possible diagnosis of sepsis, without any response. Malaria was initially diagnosed after visualizing intraerythrocytic ring-shaped parasites in bone marrow and blood smears. The patient resided in an area of unstable endemicity for Plasmodium falciparum. Blood samples were sent to the Centers for Disease Control and Prevention and a definitive diagnosis of human babesiosis was made using Babesia microti-specific PCR. Chloroquine phosphate and clindamycin were started and the patient became normothermic. However, due to the intolerable adverse effects of the antibiotics, intravenous azithromycin was given as an alternative. The patient recovered from fever and hemolysis, and repeated peripheral blood smears showed hemoparasite clearance. Cases of human babesiosis are rarely reported and probably under-diagnosed in China; therefore, improving our understanding of this disease as a newly emerging public health threat is imperative. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  10. Studies of the mortality of A-bomb survivors: report 7. Mortality, 1950-1978: part II. Mortality from causes other than cancer and mortality in early entrants

    International Nuclear Information System (INIS)

    Kato, H.; Brown, C.C.; Hoel, D.G.; Shull, W.J.

    1982-01-01

    Deaths in the Radiation Effects Research Foundation (REFR) Life Span Study (LSS) sample have been determined for the 4 years 1975-1978, and mortality examined for the 28 years since 1950. An analysis of cancer mortality is presented separately. In this report, we examine whether mortality from causes other than cancer is also increased or whether a nonspecific acceleration of aging occurs. 1. Cumulative mortality from causes other than cancer, estimated by the life table method, does not increase with radiation dose in either city, in either sex, or in any of the five different age-at-the-time-of-bomb groups. 2. No specific cause of death, other than cancer, exhibits a significant relationship with A-bomb exposure. Thus there is still no evidence of a nonspecific acceleration of aging due to radiation in this cohort. 3. Mortality before the LSS sample was established has been reanalyzed using three supplementary mortality surveys to determine the magnitude of the possible bias from the exclusion of deaths prior to 1950. It is unlikely that such a bias seriously affects the interpretation of the radiation effects observed in the cohort after 1950. 4. No excess of deaths from leukemia or other malignant tumors is observed among early entrants into these cities in this cohort

  11. Long-term mortality experience of steelworkers. VIII. Mortality patterns of open hearth steelworkers (a preliminary report).

    Science.gov (United States)

    Redmond, C K; Gustin, J; Kamon, E

    1975-01-01

    The findings in this report of a deficit in mortality from cardiovascular diseases and an excess in diseases of the digestive system among open hearth workers indicate the need for further study of men working in hot environments. In future reports we hope to refine the comparisons by obtaining data which will enable classification of workers more precisely by intensity and duration of exposure within the open hearth. Of particular importance in future work are the evaluation of possible relationships between the actual levels of heat exposure and subsequent morbidity and mortality, as well as possible interactions between heat stress and physical exertion in terms of the incidence of heart disease and other select diseases.

  12. Widening Geographical Disparities in Cardiovascular Disease Mortality in the United States, 1969-2011

    Directory of Open Access Journals (Sweden)

    Gopal K. Singh, PhD

    2015-04-01

    Full Text Available Objectives: This study examined trends in geographical disparities in cardiovascular-disease (CVD mortality in the United States between 1969 and 2011. Methods: National vital statistics data and the National Longitudinal Mortality Study were used to estimate regional, state, and county-level disparities in CVD mortality over time. Log-linear, weighted least squares, and Cox regression were used to analyze mortality trends and differentials. Results: During 1969-2011, CVD mortality rates declined fastest in New England and Mid-Atlantic regions and slowest in the Southeast and Southwestern regions. In 1969, the mortality rate was 9% higher in the Southeast than in New England, but the differential increased to 48% in 2011. In 2011, Southeastern states, Mississippi and Alabama, had the highest CVD mortality rates, nearly twice the rates for Minnesota and Hawaii. Controlling for individual-level covariates reduced state differentials. State- and county-level differentials in CVD mortality rates widened over time as geographical disparity in CVD mortality increased by 50% between 1969 and 2011. Area deprivation, smoking, obesity, physical inactivity, diabetes prevalence, urbanization, lack of health insurance, and lower access to primary medical care were all significant predictors of county-level CVD mortality rates and accounted for 52.7% of the county variance. Conclusions and Global Health Implications: Although CVD mortality has declined for all geographical areas in the United States, geographical disparity has widened over time as certain regions and states, particularly those in the South, have lagged behind in mortality reduction. Geographical disparities in CVD mortality reflect inequalities in socioeconomic conditions and behavioral risk factors. With the global CVD burden on the rise, monitoring geographical disparities, particularly in low- and middle-income countries, could indicate the extent to which reductions in CVD mortality are

  13. Southeast Asian Languages Proficiency Examinations.

    Science.gov (United States)

    Brown, James Dean; And Others

    The design, administration, revision, and validation of the Southeast Asian Summer Studies Institute proficiency examinations are reported. The examinations were created as parallel language proficiency tests in each of five languages: Indonesian, Khmer, Tagalog, Thai, and Vietnamese. Four tests were developed in each language: multiple-choice…

  14. Meta-analysis of self-reported daytime napping and risk of cardiovascular or all-cause mortality.

    Science.gov (United States)

    Liu, Xiaokun; Zhang, Qi; Shang, Xiaoming

    2015-05-04

    Whether self-reported daytime napping is an independent predictor of cardiovascular or all-cause mortality remains unclear. The aim of this study was to investigate self-reported daytime napping and risk of cardiovascular or all-cause mortality by conducting a meta-analysis. A computerized literature search of PubMed, Embase, and Cochrane Library was conducted up to May 2014. Only prospective studies reporting risk ratio (RR) and corresponding 95% confidence intervals (CI) of cardiovascular or all-cause mortality with respect to baseline self-reported daytime napping were included. Seven studies with 98,163 subjects were included. Self-reported daytime napping was associated with a greater risk of all-cause mortality (RR 1.15; 95% CI 1.07-1.24) compared with non-nappers. Risk of all-cause mortality appeared to be more pronounced among persons with nap duration >60 min (RR 1.15; 95% CI 1.04-1.27) than persons with nap duration napping is a mild but statistically significant predictor for all-cause mortality, but not for cardiovascular mortality. However, whether the risk is attributable to excessive sleep duration or napping alone remains controversial. More prospective studies stratified by sleep duration, napping periods, or age are needed.

  15. Review of six year cardiovascular mortality at a tertiary hospital in ...

    African Journals Online (AJOL)

    Review of six year cardiovascular mortality at a tertiary hospital in south-east Nigeria. ... E Iheanyi, OM Oghale, K Uwanuruochi, CO Odigwe, A Chuku ... The mean age at death was highest for stroke, 65.0years, likewise the mean duration of ...

  16. Drug Abuse in Southeast Asia.

    Science.gov (United States)

    Scorzelli, James F.

    This report examines the incidence of drug abuse and the methods of treatment and prevention of drug abuse used in Southeast Asia. Countries studied include Malaysia, Singapore, Thailand, Indonesia, and the Philippines. Because of Malaysia's intensive effort to eliminate its drug abuse problem, emphasis is placed on this country's treatment and…

  17. Temporal correlation between opiate seizures in East/Southeast Asia and B.C. heroin deaths: a transoceanic model of heroin death risk.

    Science.gov (United States)

    McLean, Mark E

    2003-01-01

    Because heroin supply changes cannot be measured directly, their impact on populations is poorly understood. British Columbia has experienced an injection drug use epidemic since the 1980s that resulted in 2,590 illicit drug deaths from 1990-1999. Since previous work indicates heroin seizures can correlate with supply and B.C. receives heroin only from Southeast Asia, this study examined B.C. heroin deaths against opiate seizures in East/Southeast Asia. Opiate seizures in East/Southeast Asia and data from two B.C. mortality datasets containing heroin deaths were examined. The Pearson correlation coefficient for seizures against each mortality dataset was determined. Opiate seizures, all illicit drug deaths and all opiate deaths concurrently increased twice and decreased twice from 1989-1999, and all reached new peak values in 1993. Three B.C. sub-regions exhibited illicit drug deaths rate trends concurrent with the three principal datasets studied. The Pearson correlation coefficient for opiate-induced deaths against opiate seizures from 1980-1999 was R=0.915 (popiate seizures from 1987-1999 was R=0.896 (popiate seizures in East/Southeast Asia were very strongly correlated with B.C. opiate and illicit drug deaths. The number of B.C. heroin-related deaths may be strongly linked to heroin supply. Enforcement services are not effective in preventing harm caused by heroin in B.C.; therefore, Canada should examine other methods to prevent harm. The case for harm reduction is strengthened by the ineffectiveness of enforcement and the unlikelihood of imminent eradication of heroin production in Southeast Asia.

  18. Forest Fires, Air Pollution and Mortality in Southeast Asia.

    OpenAIRE

    Narayan Sastry

    2000-01-01

    In this paper, the author assesses the population health effects in Malaysia of air pollution generated by a widespread series of fires that occurred mainly in Indonesia between April and November of 1997. The author describes how the forest fires occurred and why the associated air pollution was so widespread and long lasting. The main objective is to determine whether there were mortality effects and to assess how large and important these were. The author also investigates whether the mort...

  19. China's Economic Engagement with Southeast Asia

    DEFF Research Database (Denmark)

    Kokko, Ari

    2014-01-01

    Review of: China’s Economic Engagement with Southeast Asia: Indonesia / by John Lee. Trends in Southeast Asia. Singapore: Institute of Southeast Asian Studies, 2013. Pp. 40. Paperback: $9.90/S$12.90. PDF available: http://www.iseas.edu.sg/documents/publication/Trends_2013-3.pdf......Review of: China’s Economic Engagement with Southeast Asia: Indonesia / by John Lee. Trends in Southeast Asia. Singapore: Institute of Southeast Asian Studies, 2013. Pp. 40. Paperback: $9.90/S$12.90. PDF available: http://www.iseas.edu.sg/documents/publication/Trends_2013-3.pdf...

  20. Management of low-level radioactive waste in the southeast compact region: Final report: Volume 3, Siting methodology

    International Nuclear Information System (INIS)

    1985-07-01

    This report is a part of the designation process and provides technical criteria and procedures for use in the designation process. It also provides information related to data sources and methodology for applying the criteria. As part of the designation process, the Commissioners will weight the recommended criteria to reflect the relative importance of the various considerations to the goal of providing facilities that will allow for the safe, environmentally sound, and cost-effective management of low-level radioactive waste in the Southeast Region. One possible method for accomplishing this weighting is described in this report

  1. Overseas Educational Developments, 1981: Mexico, South America, Southeast Asia. A World Higher Education Communique Special Report.

    Science.gov (United States)

    Institute of International Education, New York, NY.

    Educational developments in Mexico, South America, and Southeast Asia are covered in five seminar papers. In addition, country educational profiles are presented on Mexico, Hong Kong, Malaysia, the Philippines, Singapore, Thailand, and Indonesia. In "International Students from Southeast Asia," John F. Brohm considers the following…

  2. Perceived extrinsic mortality risk and reported effort in looking after health: testing a behavioral ecological prediction.

    Science.gov (United States)

    Pepper, Gillian V; Nettle, Daniel

    2014-09-01

    Socioeconomic gradients in health behavior are pervasive and well documented. Yet, there is little consensus on their causes. Behavioral ecological theory predicts that, if people of lower socioeconomic position (SEP) perceive greater personal extrinsic mortality risk than those of higher SEP, they should disinvest in their future health. We surveyed North American adults for reported effort in looking after health, perceived extrinsic and intrinsic mortality risks, and measures of SEP. We examined the relationships between these variables and found that lower subjective SEP predicted lower reported health effort. Lower subjective SEP was also associated with higher perceived extrinsic mortality risk, which in turn predicted lower reported health effort. The effect of subjective SEP on reported health effort was completely mediated by perceived extrinsic mortality risk. Our findings indicate that perceived extrinsic mortality risk may be a key factor underlying SEP gradients in motivation to invest in future health.

  3. Population and society in twentieth-century Southeast Asia.

    Science.gov (United States)

    Hirschman, C

    1994-09-01

    The historical demographic analysis in this article is a revision of a paper presented at the Conference of the Northwest Regional Consortium for Southeast Asian Studies in 1988 at the University of Oregon. The author takes the view that fertility has remained high in the Southeast Asian region due to the dynamics of colonialism and the reinforcement of traditional society. Industrialization, urbanization, and advancing education was not favored by colonial policy. The shift to planting cash crops was labor-intensive work which reinforced large families. The fertility decline after the 1960s is attributed to population pressure and the lower limits of land and production per family. Incentives for smaller families are identified as the expansion of mass education, increased consumer aspirations, and opportunities for modern sector employment. The impact of population growth is viewed as multidimensional and indicative of the conflicts between resources, obligations, and aspirations. The historical record in Southeast Asia reveals a population shortage and the risk of losing the minimum supply of labor necessary for a subsistence economy. Traditional local authorities were in need of men for waging war and producing an economic surplus. Colonial administrators imported cheap labor. As mortality declined and population increased, the societal response was migration, usually to frontier areas. New zones of wet rice production were created in lower Burma, central Siam, and Cochin China due to increased demand. Other survival strategies are identified as infinite land subdivision and multiple job holding in the off-season. Densely populated areas appeared to have lower fertility. Over the past 20 years the strategy appears to have been lower fertility coupled with acceptance of family planning, higher female educational attainment, and higher age at marriage. Southeast Asian patterns are considered indicative of the impact of wars, crises, and economic change on

  4. Project CHECO Southeast Asia Report. OV-1/AC-119 Hunter-Killer Team

    National Research Council Canada - National Science Library

    Sexton, Richard R; Hodgson, William M

    1972-01-01

    Hunter-Killer operations were but a logical extension of the resourceful thinking behind the development of gunships as a solution to some of the tactical problems of the unique war in Southeast Asia...

  5. A critical review of infant mortality rates reported by the Ministry of Health in Turkey

    Directory of Open Access Journals (Sweden)

    Muzaffer Eskiocak

    2014-12-01

    Full Text Available Objective:The infant mortality rate is an indicator that is calculated by dividing the number of infants who died before their first birthday by the number of live births in a given year. Infant mortality rates are the main determinants of the under-five mortality rate, which is used for the developmental ranking of countries by the United Nations Children’s Fund (UNICEF. It is also an important indicator for assessing the maternal and child health status of a country and for calculating life expectancy at birth. The aim of this review is to reassess the calculations that were made in recent years in Turkey in the light of the criteria mentioned in the text and to guide the steps that need to be taken to make future calculations.Methods: The infant mortality rates of Turkey were collected, and their values and methods of calculating the rates were compared. Results:According to the Annual Reports of Health Statistics by Ministry of Health, the infant mortality rate has dropped from 29,0% in 2003 to 7,4% in 2012 in Turkey; but in these reports, infant mortality rates were taken from various studies and by various methods and presented in the same charts. In the data of the Turkish Statistical Institute (TSI, UNICEF and the Turkey Demographic and Health Survey (TDHS and in references used, this value was reported by different numbers (11,6 and 12% for 2012; 13,6% for 2013, respectively. Conclusions: The infant mortality rate must be calculated by a scientific approach and with definitions according to international standards in terms of comparability. This must be consistent between countries and between years studied so that the report can be compared according to consistent standards.Keywords: Infant mortality rate, calculation of infant mortality rate, life expectancy at birth, Turkey

  6. Warm summer nights and the growth decline of shore pine in Southeast Alaska

    Science.gov (United States)

    Sullivan, Patrick F.; Mulvey, Robin L.; Brownlee, Annalis H.; Barrett, Tara M.; Pattison, Robert R.

    2015-12-01

    Shore pine, which is a subspecies of lodgepole pine, was a widespread and dominant tree species in Southeast Alaska during the early Holocene. At present, the distribution of shore pine in Alaska is restricted to coastal bogs and fens, likely by competition with Sitka spruce and Western hemlock. Monitoring of permanent plots as part of the United States Forest Service Forest Inventory and Analysis program identified a recent loss of shore pine biomass in Southeast Alaska. The apparent loss of shore pine is concerning, because its presence adds a vertical dimension to coastal wetlands, which are the richest plant communities of the coastal temperate rainforest in Alaska. In this study, we examined the shore pine tree-ring record from a newly established plot network throughout Southeast Alaska and explored climate-growth relationships. We found a steep decline in shore pine growth from the early 1960s to the present. Random Forest regression revealed a strong correlation between the decline in shore pine growth and the rise in growing season diurnal minimum air temperature. Warm summer nights, cool daytime temperatures and a reduced diurnal temperature range are associated with greater cloud cover in Southeast Alaska. This suite of conditions could lead to unfavorable tree carbon budgets (reduced daytime photosynthesis and greater nighttime respiration) and/or favor infection by foliar pathogens, such as Dothistroma needle blight, which has recently caused widespread tree mortality on lodgepole pine plantations in British Columbia. Further field study that includes experimental manipulation (e.g., fungicide application) will be necessary to identify the proximal cause(s) of the growth decline. In the meantime, we anticipate continuation of the shore pine growth decline in Southeast Alaska.

  7. Supporting document for the Southeast Quadrant historical tank content estimate report for SY-tank farm

    International Nuclear Information System (INIS)

    Brevick, C.H.; Gaddis, L.A.; Consort, S.D.

    1995-01-01

    Historical Tank Content Estimate of the Southeast Quadrant provides historical evaluations on a tank by tank basis of the radioactive mixed wastes stored in the underground double-shell tanks of the Hanford 200 East and West Areas. This report summarizes historical information such as waste history, temperature profiles, psychrometric data, tank integrity, inventory estimates and tank level history on a tank by tank basis. Tank Farm aerial photos and in-tank photos of each tank are provided. A brief description of instrumentation methods used for waste tank surveillance are included. Components of the data management effort, such as Waste Status and Transaction Record Summary, Tank Layer Model, Supernatant Mixing Model, Defined Waste Types, and Inventory Estimates which generate these tank content estimates, are also given in this report

  8. Developing silvicultural systems based on partial cutting in western hemlock–Sitka spruce stands of southeast Alaska.

    Science.gov (United States)

    Robert L. Deal; J.C. Tappeiner; Paul E. Hennon

    2002-01-01

    The effects of partial cutting on species composition, stand structure and growth, tree size distribution, and tree disease and mortality were evaluated on 73 plots in 18 stands that were harvested 12–96 years ago in southeast Alaska. Partially-cut stands had diverse and highly complex stand structures similar to uncut stands. Sitka spruce was maintained in mixed...

  9. A case-crossover analysis of forest fire haze events and mortality in Malaysia

    Science.gov (United States)

    Sahani, Mazrura; Zainon, Nurul Ashikin; Wan Mahiyuddin, Wan Rozita; Latif, Mohd Talib; Hod, Rozita; Khan, Md Firoz; Tahir, Norhayati Mohd; Chan, Chang-Chuan

    2014-10-01

    The Southeast Asian (SEA) haze events due to forest fires are recurrent and affect Malaysia, particularly the Klang Valley region. The aim of this study is to examine the risk of haze days due to biomass burning in Southeast Asia on daily mortality in the Klang Valley region between 2000 and 2007. We used a case-crossover study design to model the effect of haze based on PM10 concentration to the daily mortality. The time-stratified control sampling approach was used, adjusted for particulate matter (PM10) concentrations, time trends and meteorological influences. Based on time series analysis of PM10 and backward trajectory analysis, haze days were defined when daily PM10 concentration exceeded 100 μg/m3. The results showed a total of 88 haze days were identified in the Klang Valley region during the study period. A total of 126,822 cases of death were recorded for natural mortality where respiratory mortality represented 8.56% (N = 10,854). Haze events were found to be significantly associated with natural and respiratory mortality at various lags. For natural mortality, haze events at lagged 2 showed significant association with children less than 14 years old (Odd Ratio (OR) = 1.41; 95% Confidence Interval (CI) = 1.01-1.99). Respiratory mortality was significantly associated with haze events for all ages at lagged 0 (OR = 1.19; 95% CI = 1.02-1.40). Age-and-gender-specific analysis showed an incremental risk of respiratory mortality among all males and elderly males above 60 years old at lagged 0 (OR = 1.34; 95% CI = 1.09-1.64 and OR = 1.41; 95% CI = 1.09-1.84 respectively). Adult females aged 15-59 years old were found to be at highest risk of respiratory mortality at lagged 5 (OR = 1.66; 95% CI = 1.03-1.99). This study clearly indicates that exposure to haze events showed immediate and delayed effects on mortality.

  10. Trend of oral and pharyngeal cancer mortality in Brazil in the period of 2002 to 2013

    Science.gov (United States)

    Perea, Lillia Magali Estrada; Peres, Marco Aurélio; Boing, Antonio Fernando; Antunes, José Leopoldo Ferreira

    2018-01-01

    ABSTRACT OBJECTIVE To analyze the trend of oral and pharyngeal cancer mortality rates in the period of 2002 to 2013 in Brazil according to sex, anatomical site, and macroregion of the country. METHODS The mortality data were obtained from the Mortality Information System and the population data were obtained from the Brazilian Institute of Geography and Statistics. The trend of the rates standardized by sex and age was calculated using the Prais-Winsten estimation, and we obtained the annual percentage change and the respective 95% confidence intervals, analyzed according to sex, macroregion, and anatomical site. RESULTS The average coefficient of oral cancer mortality was 1.87 per 100,000 inhabitants and it remained stable during the study period. The coefficient of pharyngeal cancer mortality was 2.04 per 100,000 inhabitants and it presented an annual percentage change of -2.6%. Approximately eight in every 10 deaths occurred among men. There was an increase in the rates of oral cancer in the Northeast region (annual percentage change of 6.9%) and a decrease in the Southeast region (annual percentage change of -2.9%). Pharyngeal cancer mortality decreased in the Southeast and South regions with annual percentage change of -4.8% and -5.1% respectively. Cancer mortality for tonsil, other major salivary glands, hypopharynx, and other and unspecified parts of mouth and pharynx showed a decreasing trend while the other sites presented stability. CONCLUSIONS Pharyngeal cancer mortality decreased in the period of 2002 to 2013. Oral cancer increased only in the Northeast region. Mortality for tonsil cancer, other major salivary glands, hypopharynx, and other and ill-defined sites in the lip, oral cavity, and pharynx decreased. PMID:29412371

  11. Buildings energy efficiency in the Southeast. Summary of workshop: Report to attendees

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-01

    In June 1992, energy service providers from around the Southeastern United States gathered at the Shenandoah Environment and Education Center of Georgia Power Company, to discuss issues related to energy efficiency buildings in the region. The meeting was organized by an ad hoc planning committee under the auspices of the Atlanta Support Office of the DOE. The objectives of the Workshop were to provide a forum for regional energy service providers to discuss matters of mutual concern and to identify issues of particular relevance to the Southeast. What characterizes energy use in the Southeast? Most lists would include rapid population growth, high temperatures and humidity, a large air conditioning load on utilities, a relatively clean environment, and regulatory processes that seek to keep energy prices low. There was less unanimity on what are the priority issues. No definitive list of priorities emerged from the workshop. Participants did identify several areas where work should be initiated: networking, training/certification/education, performance of technical measures, and studies of market forces/incentives/barriers. The most frequently mentioned context for these work areas was that of utility programs. Presentations given during the first morning provided attendees an overview of energy use in the region and of building energy conservation programs being implemented both by state agencies and by utilities. These were the base for breakout and plenary sessions in which attendees expressed their views on specific topics. The regional need mentioned most often at the workshop was for networking among energy service providers in the region. In this context, this report itself is a follow up action. Participants also requested a regional directory of energy program resources. DOE agreed to assemble a preliminary directory based upon input from workshop attendees. Because the response was quick and positive, a directory is part of this document.

  12. Cross-sectional study of Hepatitis B Awareness among Chinese and Southeast Asian Canadians in the Vancouver-Richmond community

    Directory of Open Access Journals (Sweden)

    Justin Cheung

    2005-01-01

    Full Text Available BACKGROUND: Hepatitis B (HBV is endemic and a leading cause of morbidity and mortality in Asia. British Columbia has the highest proportion of Chinese and Southeast Asians among all Canadian provinces. The present study was designed to evaluate the degree of concern for and knowledge of HBV in this high-risk community.

  13. Understanding public opinion regarding transit in southeast Michigan.

    Science.gov (United States)

    2015-04-01

    This report presents findings from a study on public opinion regarding transit in Southeast Michigan. The overall goals of this : study were to assess the nature of public opinion regarding regional transit and to understand its relation to socio-dem...

  14. Power Transfer Potential to the Southeast in Response to a Renewable Portfolio Standard: Interim Report 1

    Energy Technology Data Exchange (ETDEWEB)

    Hadley, Stanton W [ORNL; Key, Thomas S [Electric Power Research Institute (EPRI)

    2009-03-01

    The power transfer potential for bringing renewable energy into the Southeast in response to a renewable portfolio standard (RPS) will depend not only on available transmission capacity but also on electricity supply and demand factors. This interim report examines how the commonly used EIA NEMS and EPRI NESSIE energy equilibrium models are considering such power transfers. Using regional estimates of capacity expansion and demand, a base case for 2008, 2020 and 2030 are compared relative to generation mix, renewable deployments, planned power transfers, and meeting RPS goals. The needed amounts of regional renewable energy to comply with possible RPS levels are compared to inter-regional transmission capacities to establish a baseline available for import into the Southeast and other regions. Gaps in the renewable generation available to meet RPS requirements are calculated. The initial finding is that the physical capability for transferring renewable energy into the SE is only about 10% of what would be required to meet a 20% RPS. Issues that need to be addressed in future tasks with respect to modeling are the current limitations for expanding renewable capacity and generation in one region to meet the demand in another and the details on transmission corridors required to deliver the power.

  15. A Review of Barriers to and Opportunities for the Integration of Renewable Energy in the Southeast

    Energy Technology Data Exchange (ETDEWEB)

    McConnell, Ben W [ORNL; Hadley, Stanton W [ORNL; Xu, Yan [ORNL

    2011-08-01

    The objectives of this study were to prepare a summary report that examines the opportunities for and obstacles to the integration of renewable energy resources in the Southeast between now and the year 2030. The report, which is based on a review of existing literature regarding renewable resources in the Southeast, includes the following renewable energy resources: wind, solar, hydro, geothermal, biomass, and tidal. The evaluation was conducted by the Oak Ridge National Laboratory for the Energy Foundation and is a subjective review with limited detailed analysis. However, the report offers a best estimate of the magnitude, time frame, and cost of deployment of renewable resources in the Southeast based upon the literature reviewed and reasonable engineering and economic estimates. For the purposes of this report, the Southeast is defined as the states of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, and West Virginia. In addition, some aspects of the report (wind and geothermal) also consider the extended Southeast, which includes Maryland, Missouri, Oklahoma, and Texas. A description of the existing base of renewable electricity installations in the region is given for each technology considered. Where available, the possible barriers and other considerations regarding renewable energy resources are listed in terms of availability, investment and maintenance costs, reliability, installation requirements, policies, and energy market. As stated above, the report is a comprehensive review of renewable energy resources in the southeastern region of United States based on a literature study that included information obtained from the Southern Bio-Power wiki, sources from the Energy Foundation, sources available to ORNL, and sources found during the review. The report consists of an executive summary, this introductory chapter describing report objectives, a chapter on analysis methods and

  16. Maternal health practices, beliefs and traditions in southeast Madagascar.

    Science.gov (United States)

    Morris, Jessica L; Short, Samm; Robson, Laura; Andriatsihosena, Mamy Soafaly

    2014-09-01

    Contextualising maternal health in countries with high maternal mortality is vital for designing and implementing effective health interventions. A research project was therefore conducted to explore practices, beliefs and traditions around pregnancy, delivery and postpartum in southeast Madagascar. Interviews and focus groups were conducted with 256 pregnant women, mothers of young children, community members and stakeholders; transcripts were analysed to identify and explore predetermined and emerging themes. A questionnaire was also conducted with 373 women of reproductive age from randomly selected households. Data was analysed using STATA. Results confirmed high local rates of maternal mortality and morbidity and revealed a range of traditional health care practices and beliefs impacting on women's health seeking behaviours. The following socio-cultural barriers to health were identified: 1) lack of knowledge, 2) risky practices, 3) delays seeking biomedical care, and 4) family and community expectations. Recommendations include educational outreach and behaviour change communications targeted for women, their partners and family, increased engagement with traditional midwives and healers, and capacity building of formal health service providers.

  17. Culture in Southeast Asian Language Classes.

    Science.gov (United States)

    Liem, Nguyen Dang

    A view of the status of Southeast Asian language programs in American schools leads the author to comment on five interrelated issues. They include: (1) the importance of Southeast Asian language and culture teaching and learning, (2) integrating culture in Southeast Asian language classes, (3) teaching techniques, (4) staffing, and (5)…

  18. Enterobacteriaceae rsistant to third-generation cephalosporins and quinolones in fresh culinary herbs imported from Southeast Asia

    NARCIS (Netherlands)

    Veldman, K.T.; Kant, A.; Dierikx, C.M.; Essen-Zandbergen, van A.; Wit, B.; Mevius, D.J.

    2014-01-01

    Since multidrug resistant bacteria are frequently reported from Southeast Asia, our study focused on the occurrence of ESBL-producing Enterobacteriaceae in fresh imported herbs from Thailand, Vietnam and Malaysia. Samples were collected from fresh culinary herbs imported from Southeast Asia in which

  19. Southeast Asia’s changing palaeogeography

    NARCIS (Netherlands)

    Hall, R.

    2009-01-01

    Geology provides the basis for understanding distributions of faunas and floras in Southeast Asia but only via a complex interplay of plate movements, palaeogeography, ocean circulation and climate. Southeast Asia grew incrementally by the addition of continental fragments, mainly rifted from

  20. Public Schooling in Southeast Wisconsin: 2013-2014 [Summary

    Science.gov (United States)

    Yeado, Joe; Schmidt, Jeff; Hart, Rebecca; Henken, Rob

    2014-01-01

    This summary from the "Public Schooling in Southeast Wisconsin: 2013-2014" full report presents the school district performance in a pull-out format. Definitions are provided for the column heading: (1) Total Operations Spending, (2) Property Tax Revenue, (3) Total Enrollment; (4) One-Year Change in Enrollment, (5) Minority Enrollment,…

  1. Training Southeast Asian Women for Employment: Public Policies and Community Programs, 1975-1985. Southeast Asian Refugee Studies Occasional Papers Number Four.

    Science.gov (United States)

    Mason, Sarah R.

    This paper evaluates the effect of Federal resettlement policy on Southeast Asian refugee women's employment training programs and describes the extent to which this training contributed to the refugees' economic mobility and acculturation. The report is divided into three major sections. Part 1 introduces the study by discussing its background,…

  2. Southeast Asia and U.S. Security

    National Research Council Canada - National Science Library

    Byers, Michael; Clark, Jr., R. W; Sporn, James

    1996-01-01

    The Southeast Asia region consists of the following countries Brunei, Burma Cambodia Indonesia Laos, Malaysia Philippines, Singapore Thailand and Vietnam For the purpose of this paper, Southeast Asia...

  3. Southeast Region Headboat Survey-Catch Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Region Headboat Survey (SRHS), administered by National Marine Fisheries Service (NMFS) Southeast Fisheries Science Center (SEFSC) personnel based at...

  4. NCDC Southeast Federal Records Center Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — East Point, Georgia is the former location of the National Archives and Records Administration (NARA) Southeast regional Federal Records Center (FRC). The southeast...

  5. Medication Errors in the Southeast Asian Countries: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Shahrzad Salmasi

    Full Text Available Medication error (ME is a worldwide issue, but most studies on ME have been undertaken in developed countries and very little is known about ME in Southeast Asian countries. This study aimed systematically to identify and review research done on ME in Southeast Asian countries in order to identify common types of ME and estimate its prevalence in this region.The literature relating to MEs in Southeast Asian countries was systematically reviewed in December 2014 by using; Embase, Medline, Pubmed, ProQuest Central and the CINAHL. Inclusion criteria were studies (in any languages that investigated the incidence and the contributing factors of ME in patients of all ages.The 17 included studies reported data from six of the eleven Southeast Asian countries: five studies in Singapore, four in Malaysia, three in Thailand, three in Vietnam, one in the Philippines and one in Indonesia. There was no data on MEs in Brunei, Laos, Cambodia, Myanmar and Timor. Of the seventeen included studies, eleven measured administration errors, four focused on prescribing errors, three were done on preparation errors, three on dispensing errors and two on transcribing errors. There was only one study of reconciliation error. Three studies were interventional.The most frequently reported types of administration error were incorrect time, omission error and incorrect dose. Staff shortages, and hence heavy workload for nurses, doctor/nurse distraction, and misinterpretation of the prescription/medication chart, were identified as contributing factors of ME. There is a serious lack of studies on this topic in this region which needs to be addressed if the issue of ME is to be fully understood and addressed.

  6. Impacts of Particulate Pollution from Fossil Fuel and Biomass Burnings on the Air Quality and Human Health in Southeast Asia

    Science.gov (United States)

    Lee, H. H.; Iraqui, O.; Gu, Y.; Yim, S. H. L.; Wang, C.

    2017-12-01

    Severe haze events in Southeast Asia have attracted the attention of governments and the general public in recent years, due to their impact on local economies, air quality and public health. Widespread biomass burning activities are a major source of severe haze events in Southeast Asia. On the other hand, particulate pollutants from human activities other than biomass burning also play an important role in degrading air quality in Southeast Asia. These pollutants can be locally produced or brought in from neighboring regions by long-range transport. A better understanding of the respective contributions of fossil fuel and biomass burning aerosols to air quality degradation becomes an urgent task in forming effective air pollution mitigation policies in Southeast Asia. In this study, to examine and quantify the contributions of fossil fuel and biomass burning aerosols to air quality and visibility degradation over Southeast Asia, we conducted three numerical simulations using the Weather Research and Forecasting (WRF) model coupled with a chemistry component (WRF-Chem). These simulations were driven by different aerosol emissions from: (a) fossil fuel burning only, (b) biomass burning only, and (c) both fossil fuel and biomass burning. By comparing the simulation results, we examined the corresponding impacts of fossil fuel and biomass burning emissions, separately and combined, on the air quality and visibility of the region. The results also showed that the major contributors to low visibility days (LVDs) among 50 ASEAN cities are fossil fuel burning aerosols (59%), while biomass burning aerosols provided an additional 13% of LVDs in Southeast Asia. In addition, the number of premature mortalities among ASEAN cities has increased from 4110 in 2002 to 6540 in 2008, caused primarily by fossil fuel burning aerosols. This study suggests that reductions in both fossil fuel and biomass burning emissions are necessary to improve the air quality in Southeast Asia.

  7. The mortality patterns of lung cancer between 1990 and 2013 in Xuanwei, China.

    Science.gov (United States)

    Chen, Gongbo; Sun, Xin; Ren, Hongyan; Wan, Xia; Huang, Hecang; Ma, Xiangyun; Ning, Bofu; Zou, Xiaonong; Hu, Weijiang; Yang, Gonghuan

    2015-11-01

    To explore the variations in the mortality trends, especially death due to lung cancer, from 1990 to 2013 in Xuanwei City. Mortality data were collected in Xuanwei during the 2nd and 3rd National Retrospective Sampling Survey on Mortality and Routine Death Registration System (DRS) during 2011-2013. According to the result of the survey on under-reported deaths, mortality data from DRS during 2011-2013 were adjusted. Disease specific mortality rate, age-standardized mortality rate (ASMR) and 45Q15 were calculated in Xuanwei and compared with those in rural areas of China. During three periods, 1990-1992, 2004-2005 and 2011-2013, lung cancer contributed to 56.86%, 58.45% and 63.03% of deaths from all cancers respectively with a much higher proportion than rural areas nationally. The ASMR of lung cancer for males surged from 41.43/10(5) to 88.17/10(5) during 1990-2005 and it surged from 37.70/10(5) to 74.45/10(5) for females. Although they declined slightly during 2011-2013 (82.53/10(5) and 62.62/10(5) for males and females respectively), the ASMR of lung cancer among males in Xuanwei was three times of that in rural areas in China, and it was six times higher among females. The 45Q15 of lung cancer for males in Xuanwei was 3-5 times of that in rural areas of China and for females it was 7-9 times. The high-mortality areas of lung cancer were still located in Laibin, Longchang, Wanshui and Shuanglong Communities. High-mortality areas of lung cancer expanded to their surrounding areas and those in southeast. Although indoor air pollution caused by smoky coal has been fairly well controlled, patterns of death due to lung cancer have not obviously changed. The mortality rate of lung cancer among females was similar to that among males. Therefore, further studies should be conducted to comprehensively explore the risk factors of lung cancer in Xuanwei. Copyright © 2015. Published by Elsevier Ireland Ltd.

  8. Report from the Society of Thoracic Surgeons National Database Workforce: clarifying the definition of operative mortality.

    Science.gov (United States)

    Overman, David M; Jacobs, Jeffrey P; Prager, Richard L; Wright, Cameron D; Clarke, David R; Pasquali, Sara K; O'Brien, Sean M; Dokholyan, Rachel S; Meehan, Paul; McDonald, Donna E; Jacobs, Marshall L; Mavroudis, Constantine; Shahian, David M

    2013-01-01

    Several distinct definitions of postoperative death have been used in various quality reporting programs. Some have defined postoperative mortality as the occurrence of death after a surgical procedure when the patient dies while still in the hospital, while others have considered all deaths occurring within a predetermined, standardized time interval after surgery to be postoperative mortality. While mortality data are still collected and reported using both these individual definitions, the Society of Thoracic Surgeons (STS) believes that either approach alone may be inadequate. Accordingly, the STS prefers a more encompassing metric, Operative Mortality. Operative Mortality is defined in all STS databases as (1) all deaths, regardless of cause, occurring during the hospitalization in which the operation was performed, even if after 30 days (including patients transferred to other acute care facilities); and (2) all deaths, regardless of cause, occurring after discharge from the hospital, but before the end of the 30th postoperative day. This article provides clarification for some uncommon but important scenarios in which the correct application of this definition may be challenging.

  9. Pneumonia mortality trends in all Brazilian geographical regions between 1996 and 2012

    Directory of Open Access Journals (Sweden)

    Rosemeire de Olanda Ferraz

    Full Text Available ABSTRACT Objective: To analyze the temporal trends in pneumonia mortality rates (standardized by age, using the 2010 population of Brazil as the standard in all Brazilian geographical regions between 1996 and 2012. Methods: This was an ecological time-series study examining secondary data from the Mortality Database maintained by the Information Technology Department of the Brazilian Unified Health Care System. Polynomial and joinpoint regression models, and corresponding 95% CIs, were used for trend analysis. Results: The pneumonia mortality rates in the South, Southeast, and Central-West showed a decreasing behavior until 2000, followed by increases, whereas, in the North and Northeast, they showed increasing trends virtually throughout the period studied. There was variation in annual percent change in pneumonia mortality rates in all regions except the North. The Central-West had the greatest decrease in annual percent change between 1996 and 2000, followed by an increase of the same magnitude until 2005. The 80 years and over age group was the one most influencing the trend behavior of pneumonia mortality rates in all regions. Conclusions: In general, pneumonia mortality trends reversed, with an important increase occurring in the years after 2000.

  10. Epidemiology and Inequality in the Incidence and Mortality of Nasopharynx Cancer in Asia.

    Science.gov (United States)

    Mahdavifar, Neda; Ghoncheh, Mahshid; Mohammadian-Hafshejani, Abdollah; Khosravi, Bahman; Salehiniya, Hamid

    2016-12-01

    One of the most common head and neck cancers is nasopharynx cancer. Knowledge about the incidence and mortality of this disease and its distribution in terms of geographical areas is necessary for further study and better planning. Therefore, this study was conducted with the aim of determining the incidence and mortality rates of nasopharynx cancer and its relationship with the Human Development Index (HDI) in Asia in 2012. The aim of this ecologic study was to assess the correlation between age-specific incidence rate (ASIR) and age-specific mortality rate (ASMR) with HDI and its components, which include the following: life expectancy at birth, mean years of schooling, and gross national income per capita. Data about SIR and SMR for every Asian country for 2012 were obtained from the global cancer project. We used the correlation bivariate method for the assessment. Statistical significance was assumed if p  ASMR were Indonesia, Vietnam, Singapore, Malaysia, and Brunei. The correlation between HDI and ASIR was 0.097 ( p  = 0.520) [0.105 in men ( p  = 0.488) and 0.119 in women ( p  = 0.901)]. The correlation between HDI and ASMR was -0.102 ( p  = 0.502) [-0.072 in men ( p  = 0.633) and -0.224 in women ( p  = 0.134)]. Nasopharynx cancer is native to Southeast Asia. The highest incidence and mortality rates are found in Malaysia, Singapore, Indonesia, Vietnam, and Brunei. No significant relation was found between the standardized incidence and mortality rates of nasopharynx cancer and the HDI components. Further studies are recommended in Southeast Asian countries in order to find the etiology of cancer, as well as its diagnosis and treatment.

  11. Child mortality estimation: consistency of under-five mortality rate estimates using full birth histories and summary birth histories.

    Directory of Open Access Journals (Sweden)

    Romesh Silva

    Full Text Available Given the lack of complete vital registration data in most developing countries, for many countries it is not possible to accurately estimate under-five mortality rates from vital registration systems. Heavy reliance is often placed on direct and indirect methods for analyzing data collected from birth histories to estimate under-five mortality rates. Yet few systematic comparisons of these methods have been undertaken. This paper investigates whether analysts should use both direct and indirect estimates from full birth histories, and under what circumstances indirect estimates derived from summary birth histories should be used.Usings Demographic and Health Surveys data from West Africa, East Africa, Latin America, and South/Southeast Asia, I quantify the differences between direct and indirect estimates of under-five mortality rates, analyze data quality issues, note the relative effects of these issues, and test whether these issues explain the observed differences. I find that indirect estimates are generally consistent with direct estimates, after adjustment for fertility change and birth transference, but don't add substantial additional insight beyond direct estimates. However, choice of direct or indirect method was found to be important in terms of both the adjustment for data errors and the assumptions made about fertility.Although adjusted indirect estimates are generally consistent with adjusted direct estimates, some notable inconsistencies were observed for countries that had experienced either a political or economic crisis or stalled health transition in their recent past. This result suggests that when a population has experienced a smooth mortality decline or only short periods of excess mortality, both adjusted methods perform equally well. However, the observed inconsistencies identified suggest that the indirect method is particularly prone to bias resulting from violations of its strong assumptions about recent mortality

  12. Mortalidade materna e incidência de dengue na Região Sudeste do Brasil: estudo ecológico no período 2001-2005 Maternal mortality and impact of dengue in Southeast Brazil: an ecological study, 2001-2005

    Directory of Open Access Journals (Sweden)

    Anne Karin Madureira da Mota

    2012-06-01

    Full Text Available O objetivo desse estudo foi explorar a distribuição de efeitos reprodutivos em decorrência da infecção por dengue durante a gestação, entre 2001 e 2005. Foi realizado estudo epidemiológico com delineamento ecológico cujas unidades de análise foram municípios com mais de 80 mil habitantes na Região Sudeste do Brasil. Nestes, foi determinada a correlação entre a incidência de dengue em mulheres de 15 a 39 anos e indicadores selecionados de mortalidade (materna, fetal, perinatal, neonatal, neonatal precoce e infantil, por meio do coeficiente de correlação de Spearman. Foi observada a presença de forte correlação positiva entre as medianas das taxas de incidência de dengue em mulheres de 15 a 39 anos e as medianas da taxas de mortalidade materna (r = 0,88; IC95%: 0,51; 1,00, com coeficiente de determinação R² = 0,78. A magnitude da correlação observada entre a incidência de dengue e a mortalidade materna na Região Sudeste é sugestiva de que a ocorrência da infecção durante a gravidez possa impactar negativamente a evolução desta, com repercussões para a mortalidade materna.The aim of this study was to explore the distribution of reproductive outcomes following dengue virus infection during pregnancy (2001-2005. An ecological epidemiological study was conducted in all counties with more than 80,000 inhabitants in Southeast Brazil. The study explored the correlation between dengue incidence rates in women 15-39 years of age and selected mortality indicators (maternal, fetal, perinatal, neonatal, early neonatal, and infant in these counties, and Spearman correlation coefficients were calculated. A positive correlation was observed between median dengue incidence in women 15-39 years of age and median maternal mortality (r = 0.88; 95%CI: 0.51; 1.00, with a determination coefficient R² = 0.78. The correlation between dengue incidence in childbearing-age women and reproductive outcomes in Southeast Brazil suggests that

  13. Impact of human Campylobacter infections in Southeast Asia: The contribution of the poultry sector.

    Science.gov (United States)

    Premarathne, Jayasekara Mudiyanselage Krishanthi Jayarukshi Kumari; Satharasinghe, Dilan Amila; Huat, John Tang Yew; Basri, Dayang Fredalina; Rukayadi, Yaya; Nakaguchi, Yoshitsugu; Nishibuchi, Mitsuaki; Radu, Son

    2017-12-12

    Campylobacter is globally recognized as a major cause of foodborne infection in humans, whilst the development of antimicrobial resistance and the possibility of repelling therapy increase the threat to public health. Poultry is the most frequent source of Campylobacter infection in humans, and southeast Asia is a global leader in poultry production, consumption, and exports. Though three of the world's top 20 most populated countries are located in southeast Asia, the true burden of Campylobacter infection in the region has not been fully elucidated. Based on published data, Campylobacter has been reported in humans, animals, and food commodities in the region. To our knowledge, this study is the first to review the status of human Campylobacter infection in southeast Asia and to discuss future perspectives. Gaining insight into the true burden of the infection and prevalence levels of Campylobacter spp. in the southeast Asian region is essential to ensuring global and regional food safety through facilitating improvements in surveillance systems, food safety regulations, and mitigation strategies.

  14. Governance in Southeast Asia: Issues and Options

    OpenAIRE

    Gonzalez, Eduardo T.; Mendoza, Magdalena L.

    2003-01-01

    This paper attempts to analyze governance systems in Southeast Asia and proposes some policy suggestions that can improve governance practices in the region. It also discusses the links between governance and official development assistance and the role of the Japan Bank for International Cooperation. To put the discussion on governance systems in a proper context, the paper discusses the governance and growth nexus in Southeast Asia; describes the operating governance systems in Southeast As...

  15. Project CHECO Southeast Asia Report. 7AF Local Base Defense Operations, July 1965-December 1968

    National Research Council Canada - National Science Library

    Lee, Richard R

    1969-01-01

    The characteristics of the present conflict in Southeast Asia, wherein United States and allied forces are in constant and close proximity to enemy ground forces, are unique and unprecedented in recent U.S. military history...

  16. Teaching Modern Southeast Asia

    Directory of Open Access Journals (Sweden)

    Thomas Williamson

    2009-04-01

    Full Text Available Teaching about Southeast Asia to undergraduates at an American liberal arts college presents several challenges. At my institution, it is the only course on the region in the curriculum; thus no preparation, and no follow-up. I have therefore struggled with the approach that I should take–pulled between a wish for students to gain an empirical understanding of Southeast Asian life, and a desire to have them learn the concepts and theories of critical inquiry. Obviously I am still learning how to successfully accomplish such an ambitious undertaking.

  17. Deaths in 122 U.S. cities - 1962-2016. 122 Cities Mortality Reporting System

    Data.gov (United States)

    U.S. Department of Health & Human Services — This file contains the complete set of data reported to 122 Cities Mortality Reposting System. The system was retired as of 10/6/2016. While the system was running...

  18. Anchoring Singapore Philanthropy in Southeast Asia | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Already a number of other emerging Southeast Asian middle-income economies ... Management University, to investigate philanthropy in four Southeast Asian ... Call for new OWSD Fellowships for Early Career Women Scientists now open.

  19. Trends in Cancer Mortality Among Adolescents and Young Adults in Brazil.

    Science.gov (United States)

    Balmant, Nathalie Vieira; de Souza Reis, Rejane; de Oliveira Santos, Marceli; Pinto Oliveira, Julio; de Camargo, Beatriz

    2017-06-01

    Adolescents and young adults (AYA) with cancer comprise an intermediate age group between pediatric and adult oncology, and have a spectrum of different types of cancers. Survival among this group has not improved as much as in younger children with cancer. The aim of this study was evaluate the trends in cancer mortality of AYA aged 15-29 years in Brazil. Data were extracted from the Atlas of Cancer Mortality databases from 1979 to 2013. Age-specific mortality rates were calculated based on the deaths from each type of cancer and the period via a direct method using the proposed world population age groups. To identify significant changes in the trends, we performed joinpoint regression analysis. The mortality rates per million were 54 deaths in those aged 15-19 years, 61 deaths in those aged 20-24 years, and 88 deaths in those aged 25-29 years. Leukemias, lymphomas, and central nervous system (CNS) tumors occurred at high rates in all age groups. Rates of cervical cancer were highest in those aged 25-29 years. There were significant increases in mortality trends in the North and Northeast regions for all tumor groups, especially CNS tumors. A small decrease in the mortality rate from lymphomas was observed in the South and Southeast regions. Mortality in Brazilian AYA was slightly higher than in other studies conducted throughout the world. When separated by tumor type, Brazil presents a specific pattern, with high mortality from cervical cancer.

  20. Mortality related to tuberculosis-HIV/AIDS co-infection in Brazil, 2000-2011: epidemiological patterns and time trends

    Directory of Open Access Journals (Sweden)

    Mauricélia da Silveira Lima

    Full Text Available Abstract: Co-infection of tuberculosis (TB-HIV/AIDS is a persistent public health problem in Brazil. This study describes epidemiological patterns and time trends of mortality related to TB-HIV/AIDS co-infection. Based on mortality data from 2000-2011 (almost 12.5 million deaths, 19,815 deaths related to co-infection were analyzed. The average age-adjusted mortality rate was 0.97 deaths/100,000 inhabitants. The highest mortality rates were found among males, those in economically productive age groups, black race/color and residents of the South region. There was a significant reduction in the mortality coefficient at the national level (annual average percent change: -1.7%; 95%CI: -2.4; -1.0, with different patterns among regions: increases in the North, Northeast and Central regions, a reduction in the Southeast and a stabilization in the South. The strategic integration of TB-HIV/AIDS control programmes is fundamental to reduce the burden of mortality related to co-infection in Brazil.

  1. Deploying Renewables in Southeast Asian Countries: Trends and Potentials

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    This paper is part of the IEA ongoing analysis of global renewable energy markets and policies. It focuses on six Southeast Asian countries: Indonesia, Malaysia, the Philippines, Singapore, Thailand, and Vietnam. The report investigates the potentials and barriers for scaling up market penetration of renewable energy technologies in the electricity, heating and transport sectors in the six countries.

  2. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003?2012)

    OpenAIRE

    Obiechina, NJ; Okolie, VE; Okechukwu, ZC; Oguejiofor, CF; Udegbunam, OI; Nwajiaku, LSA; Ogbuokiri, C; Egeonu, R

    2013-01-01

    NJ Obiechina, VE Okolie, ZC Okechukwu, CF Oguejiofor, OI Udegbunam, LSA Nwajiaku, C Ogbuokiri, R Egeonu Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria Background: Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless thing...

  3. Autochthonous leptospirosis in South-East Austria, 2004-2012.

    Science.gov (United States)

    Hoenigl, Martin; Wallner, Carina; Allerberger, Franz; Schmoll, Friedrich; Seeber, Katharina; Wagner, Jasmin; Valentin, Thomas; Zollner-Schwetz, Ines; Flick, Holger; Krause, Robert

    2014-01-01

    Leptospirosis is one of the world's mostly spread zoonoses causing acute fever. Over years, leptospirosis has been reported to occur rarely in Austria and Germany (annual incidence of 0.06/100,000 in Germany). Only imported cases have been on the increase. Objectives of this case-series study were to retrospectively assess epidemiologic and clinical characteristics of leptospirosis illnesses in South-East Austria, to describe risk exposures for autochthonous infections, and to compare patients with imported versus autochthonous infection. During the 9-year period between 2004 and 2012, 127 adult patients (49 females, 78 males) who tested positive by rapid point-of-care test for Leptospira-specific IgM (Leptocheck®) were identified through electronic hospital databases. Follow-up telephone interviews were conducted with 82 patients. A total of 114 (89.8%) of the 127 patients enrolled had acquired leptospirosis within Austria and 13 (10.2%) had potentially imported infections. Most autochthonous cases were diagnosed during the months of June and July, whereas fewest were diagnosed during the winter months. Exposure to rodents, recreational activities in woods or wet areas, gardening, cleaning of basements or huts were the most common risk exposures found in autochthonous infection. Serogroups Australis (n = 23), Sejroe (n = 22), and Icterohaemorrhagiae (n = 11) were identified most frequently by MAT testing in autochthonous infections. Patients with imported leptospirosis were significantly younger, less likely to be icteric and had significantly lower liver transaminase levels (p = 0.004) than those with autochthonous infections. Leptospirosis is endemic in South-East Austria. In contrast to reports from other countries we found a relatively high proportion of leptospirosis cases to be female (39% vs. ∼ 10%), likely the result of differing risk exposures for South-East Austria.

  4. Pesticide management approach towards protecting the safety and health of farmers in Southeast Asia.

    Science.gov (United States)

    Mohammad, Norsyazwani; Abidin, Emilia Zainal; How, Vivien; Praveena, Sarva Mangala; Hashim, Zailina

    2018-06-27

    It is estimated that pesticide production and use have increased continuously in the countries of Southeast Asia in recent years. Within the context of protecting the safety and health of workers in the agricultural sector, there is an existing gap in the implementation of the pesticide management framework because safety and health effects arising from occupational exposures continue to be reported. This study aims to provide narrative similarities, differences and weaknesses of the existing pesticide management system in Southeast Asian countries (Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand and Vietnam) within the context of occupational safety and health. This is preliminary traditional review study. Pesticide regulation and management at the country level were identified using web-based search engines such as Scopus, ScienceDirect, PubMed and Google. Book, reports, legislation document and other documents retrieved were also gathered from international organizations and specific websites of governmental agency in Southeast Asian countries. The scope of this review is only limited to literature written in English. In total, 44 review articles, reports and documents were gathered for this study. The approach of pesticide management in protecting safety and health in the agricultural setting were benchmarked according to the elements introduced by the United States Environmental Protection Agency, namely, (1) the protection of workers and (2) the practice of safety. All countries have assigned a local authority and government organization to manage and control pesticide use in the agricultural sector. The countries with the highest usage of pesticide are Thailand, Philippines and Malaysia. Most Southeast Asian countries have emphasized safety practice in the management of pesticide usage, but there were less emphasis on the element of protection of workers within the framework in Indonesia, Myanmar, Thailand and Vietnam

  5. Popular Music in Southeast Asia : Banal Beats, Muted Histories

    NARCIS (Netherlands)

    Barendregt, Bart; Keppy, Peter; Schulte Nordholt, Henk

    2017-01-01

    'Popular Music in Southeast Asia: Banal Beats, Muted Histories' offers a cultural history of modern Southeast Asia from the original vantage point of popular music since the 1920s up to the present. By creatively connecting indigenous musical styles with foreign musical genres, Southeast Asians

  6. SOUTHEAST ASIA: HISTORY, MODERNITY, AND RELIGIOUS CHANGE

    Directory of Open Access Journals (Sweden)

    Sumanto Al Qurtuby

    2015-11-01

    Full Text Available Southeast Asia or Southeastern Asia, with more than six hundred million populations, is home to millions of Buddhists, Muslims, Confucians, Protestants, Catholics, and now Pentecostals, as well as many followers of local religions and spiritual beliefs. Notwithstanding its great historical, political, cultural legacies, however, the region has long been neglected as a site for religious studies in the Western academia. Aiming at filling the gap in Asian and religious studies as well as exploring the richness of Southeast Asian cultures, this article discusses the dynamics, diversity, and complexity of Southeast Asian societies in their response to the region’s richly political, cultural, and religious traditions spanning from pre-modern era to modern one. The article also examines the “integrative revolutions” that shaped and reshaped warfare, state organization and economics of Southeast Asia, particularly in the pre-European colonial era. In addition, the work discusses the wave of Islamization, particularly since the nineteenth century, as well as the upsurge of religious resurgence that shift the nature of religiosity and the formation of religious groupings in the area. The advent of Islam, with some interventions of political regimes, had been an important cause for the decline of Hindu-Buddhist traditions in some areas of Southeast Asia, especially Indonesia, the coming of Pentecostalism has challenged the well-established mainstream Protestantism and Catholicism, especially in Indonesia and the Philippines. Keywords: history, modernity, religious change, Southeast Asia

  7. Sea level trends in Southeast Asian seas

    Science.gov (United States)

    Strassburg, M. W.; Hamlington, B. D.; Leben, R. R.; Manurung, P.; Lumban Gaol, J.; Nababan, B.; Vignudelli, S.; Kim, K.-Y.

    2015-05-01

    Southeast Asian seas span the largest archipelago in the global ocean and provide a complex oceanic pathway connecting the Pacific and Indian oceans. The Southeast Asian sea regional sea level trends are some of the highest observed in the modern satellite altimeter record that now spans almost 2 decades. Initial comparisons of global sea level reconstructions find that 17-year sea level trends over the past 60 years exhibit good agreement with decadal variability associated with the Pacific Decadal Oscillation and related fluctuations of trade winds in the region. The Southeast Asian sea region exhibits sea level trends that vary dramatically over the studied time period. This historical variation suggests that the strong regional sea level trends observed during the modern satellite altimeter record will abate as trade winds fluctuate on decadal and longer timescales. Furthermore, after removing the contribution of the Pacific Decadal Oscillation (PDO) to sea level trends in the past 20 years, the rate of sea level rise is greatly reduced in the Southeast Asian sea region. As a result of the influence of the PDO, the Southeast Asian sea regional sea level trends during the 2010s and 2020s are likely to be less than the global mean sea level (GMSL) trend if the observed oscillations in wind forcing and sea level persist. Nevertheless, long-term sea level trends in the Southeast Asian seas will continue to be affected by GMSL rise occurring now and in the future.

  8. Summer temperature and spatial variability of all-cause mortality in Surat city, India

    Directory of Open Access Journals (Sweden)

    S K Rathi

    2017-01-01

    Full Text Available Background: Ample information is available on extreme heat associated mortality for few Indian cities, but scant literature is available on effect of temperature on spatial variability of all-cause mortality for coastal cities. Objective: To assess the effect of daily maximum temperature, relative humidity and heat index on spatial variability of all-cause mortality for summer months (March to May from 2014 to 2015 for the urban population of Surat (coastal city. Materials and Methods: Retrospective analysis of the all-cause mortality data with temperature and humidity was performed on a total of 9,237 deaths for 184 summer days (2014-2015. Climatic and all-cause mortality data were obtained through Tutiempo website and Surat Municipal Corporation respectively. Bivariate analysis performed through SPSS. Observations: Mean daily mortality was estimated at 50.2 ± 8.5 for the study period with a rise of 20% all-cause mortality at temperature ≥ 40°C and rise of 10% deaths per day during extreme danger level (HI: > 54°C days. Spatial (Zone wise analysis revealed rise of 61% all-cause mortality for Southeast and 30% for East zones at temperature ≥ 40°C. Conclusions: All-cause mortality increased on high summer temperature days. Presence of spatial variation in all-cause mortality provided the evidence for high risk zones. Findings may be helpful in designing the interventions at micro level.

  9. Project CHECO Southeast Asia Report. Air Response to the Tet Offensive 30 January - 29 February 1968

    National Research Council Canada - National Science Library

    Thompson, A. W; Thorndale, C. W

    1968-01-01

    Project CHECO was established in 1962 to document and analyze air operations in Southeast Asia, Over the years the meaning of the acronym changed several times to reflect the escalation of operations...

  10. JPRS Report: East Asia, Southeast Asia, LPDR Criminal Code, Courts, and Criminal Procedure.

    Science.gov (United States)

    1991-03-05

    1941 - 1991 JPRS Repor East Asia Southeast Asia LPDR Criminal Code, Courts, and Criminal Procedure mom m £C QUALITY »ra^r...prostitution, will be impris- oned for three to five years. Article 124. Incest . Anyone who has sexual intercourse with parents, step- parents...This consists of facts which indicate whether there have been actions dangerous to society, the guilt of the per- sons who undertook the

  11. First report of Angiostrongylus cantonensis (Nematoda: Metastrongylidae in Achatina fulica (Mollusca: Gastropoda from Southeast and South Brazil

    Directory of Open Access Journals (Sweden)

    Arnaldo Maldonado Júnior

    2010-11-01

    Full Text Available The rat lungworm Angiostrongylus cantonensis is a worldwide-distributed zoonotic nematode that can cause human eosinophilic meningoencephalitis. Here, for the first time, we report the isolation of A. cantonensis from Achatina fulica from two Brazilian states: Rio de Janeiro (specifically the municipalities of Barra do Piraí, situated at the Paraiba River Valley region and São Gonçalo, situated at the edge of Guanabara Bay and Santa Catarina (in municipality of Joinville. The lungworms were identified by comparing morphological and morphometrical data obtained from adult worms to values obtained from experimental infections of A. cantonensis from Pernambuco, Brazil, and Akita, Japan. Only a few minor morphological differences that were determined to represent intra-specific variation were observed. This report of A. cantonensis in South and Southeast Brazil, together with the recent report of the zoonosis and parasite-infected molluscs in Northeast Brazil, provide evidence of the wide distribution of A. cantonensis in the country. The need for efforts to better understand the role of A. fulica in the transmission of meningoencephalitis in Brazil and the surveillance of molluscs and rodents, particularly in ports, is emphasized.

  12. First report of Angiostrongylus cantonensis (Nematoda: Metastrongylidae) in Achatina fulica (Mollusca: Gastropoda) from Southeast and South Brazil.

    Science.gov (United States)

    Maldonado, Arnaldo; Simões, Raquel O; Oliveira, Ana Paula M; Motta, Esther M; Fernandez, Mônica A; Pereira, Zilene M; Monteiro, Simone S; Torres, Eduardo J Lopes; Thiengo, Silvana Carvalho

    2010-11-01

    The rat lungworm Angiostrongylus cantonensis is a worldwide-distributed zoonotic nematode that can cause human eosinophilic meningoencephalitis. Here, for the first time, we report the isolation of A. cantonensis from Achatina fulica from two Brazilian states: Rio de Janeiro (specifically the municipalities of Barra do Piraí, situated at the Paraiba River Valley region and São Gonçalo, situated at the edge of Guanabara Bay) and Santa Catarina (in municipality of Joinville). The lungworms were identified by comparing morphological and morphometrical data obtained from adult worms to values obtained from experimental infections of A. cantonensis from Pernambuco, Brazil, and Akita, Japan. Only a few minor morphological differences that were determined to represent intra-specific variation were observed. This report of A. cantonensis in South and Southeast Brazil, together with the recent report of the zoonosis and parasite-infected molluscs in Northeast Brazil, provide evidence of the wide distribution of A. cantonensis in the country. The need for efforts to better understand the role of A. fulica in the transmission of meningoencephalitis in Brazil and the surveillance of molluscs and rodents, particularly in ports, is emphasized.

  13. Relationship between ever reporting depressive symptoms and all-cause mortality in a cohort of HIV-infected adults in routine care.

    Science.gov (United States)

    Bengtson, Angela M; Pence, Brian W; Moore, Richard; Mimiaga, Matthew J; Mathews, William Christopher; Heine, Amy; Gaynes, Bradley N; Napravnik, Sonia; Christopoulos, Katerina; Crane, Heidi M; Mugavero, Michael J

    2017-04-24

    The aim of this study was to assess whether ever reporting depressive symptoms affects mortality in the modern HIV treatment era. A cohort study of HIV-infected adults in routine clinical care at seven sites in the USA. We examined the effect of ever reporting depressive symptoms on all-cause mortality using data from the Centers for AIDS Research Network of Integrated Clinical Systems cohort. We included individuals with at least one depression measure between 2005 and 2014. Depressive symptoms were measured with the Patient Health Questionnaire (PHQ)-9. We used weighted Kaplan-Meier curves and marginal structural Cox models with inverse probability weights to estimate the effect of ever reporting depressive symptoms (PHQ-9 ≥10) on all-cause mortality. A total of 10 895 individuals were included. Participants were followed for a median of 3.1 years (35 621 total person-years). There were 491 (4.5%) deaths during the follow-up period (crude incidence rate 13.8/1000 person-years). At baseline, 28% of the population reported depressive symptoms. In the weighted analysis, there was no evidence that ever reporting depressive symptoms increased the hazard of all-cause mortality (hazard ratio 0.82, 95% confidence interval 0.55-1.24). In a large cohort of HIV-infected adults in care in the modern treatment era, we observed no evidence that ever reporting depressive symptoms increased the likelihood of all-cause mortality, controlling for a range of time-varying factors. Antiretroviral therapy that is increasingly robust to moderate adherence and improved access to depression treatment may help to explain changes in the relationship between depressive symptoms and mortality in the modern treatment era.

  14. Disparities in self-reported diabetes mellitus among Arab, Chaldean, and black Americans in Southeast Michigan.

    Science.gov (United States)

    Jamil, Hikmet; Fakhouri, Monty; Dallo, Florence; Templin, Thomas; Khoury, Radwan; Fakhouri, Haifa

    2008-10-01

    Diabetes mellitus is an important public health problem that disproportionately affects minorities. Using a cross sectional, convenience sample, we estimated the prevalence of self-reported diabetes for Whites (n = 212), Arabs (n = 1,303), Chaldeans (n = 828), and Blacks (n = 789) in southeast Michigan. In addition, using a logistic regression model, we estimated odds ratios and 95% confidence intervals for the association between ethnicity and diabetes before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables. The overall age- and sex-adjusted prevalence of diabetes was 7.0%. Estimates were highest for Blacks (8.0%) followed by Arabs and Whites (7.0% for each group) and Chaldeans (6.0%). In the fully adjusted model, the association between ethnicity and diabetes was not statistically significant. Future studies should collect more detailed socioeconomic status, acculturation and health behavior information, which are factors that may affect the relationship between race/ethnicity and diabetes.

  15. Cause-specific childhood mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites

    Directory of Open Access Journals (Sweden)

    P. Kim Streatfield

    2014-10-01

    Full Text Available Background: Childhood mortality, particularly in the first 5 years of life, is a major global concern and the target of Millennium Development Goal 4. Although the majority of childhood deaths occur in Africa and Asia, these are also the regions where such deaths are least likely to be registered. The INDEPTH Network works to alleviate this problem by collating detailed individual data from defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available. Objective: To present a description of cause-specific mortality rates and fractions over the first 15 years of life as documented by INDEPTH Network sites in sub-Saharan Africa and south-east Asia. Design: All childhood deaths at INDEPTH sites are routinely registered and followed up with verbal autopsy (VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provided person-time denominators for mortality rates. Cause-specific mortality rates and cause-specific mortality fractions are presented according to WHO 2012 VA cause groups for neonatal, infant, 1–4 year and 5–14 year age groups. Results: A total of 28,751 childhood deaths were documented during 4,387,824 person-years over 18 sites. Infant mortality ranged from 11 to 78 per 1,000 live births, with under-5 mortality from 15 to 152 per 1,000 live births. Sites in Vietnam and Kenya accounted for the lowest and highest mortality rates reported. Conclusions: Many children continue to die from relatively preventable causes, particularly in areas with high rates of malaria and HIV/AIDS. Neonatal mortality persists at relatively high, and perhaps sometimes under-documented, rates

  16. Mortality among Guarani Indians in Southeastern and Southern Brazil

    Directory of Open Access Journals (Sweden)

    Andrey Moreira Cardoso

    2011-01-01

    Full Text Available Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000 was similar to the Brazilian national rate, but the under-five MR (44.5/1,000 and the infant mortality rate (29.6/1,000 were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8% and preventable causes (51.6% were high. The principal causes of death were respiratory (40.6% and infectious and parasitic diseases (18.8%, suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities.

  17. Mortality among Guarani Indians in Southeastern and Southern Brazil.

    Science.gov (United States)

    Cardoso, Andrey Moreira; Coimbra, Carlos E A; Barreto, Carla Tatiana Garcia; Werneck, Guilherme Loureiro; Santos, Ricardo Ventura

    2011-01-01

    Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000) was similar to the Brazilian national rate, but the under-five MR (44.5/1,000) and the infant mortality rate (29.6/1,000) were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8%) and preventable causes (51.6%) were high. The principal causes of death were respiratory (40.6%) and infectious and parasitic diseases (18.8%), suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities.

  18. Social Movements in Southeast Asia and Latin America

    OpenAIRE

    Iqra Anugrah; Department of Political Science, Northern Illinois University

    2014-01-01

    "Three recent works provide a timely update on the contemporary landscape of social movements in Southeast Asia and Latin America. These works are also relevant for broader theoretical discussions on social movements and provide a basis for future inter-regional comparative studies." (author's abstract). Review of: 1. Ford, Michele (ed.): Social Activism in Southeast Asia. Series: Routledge Contemporary Southeast Asia. London, New York: Routledge 2013. ISBN 978-0-415-63059-7. 2. Petras, James...

  19. Self-reported heart disease among Arab and Chaldean American women residing in southeast Michigan.

    Science.gov (United States)

    Jamil, Hikmet; Fakhouri, Monty; Dallo, Florence; Templin, Thomas; Khoury, Radwan; Fakhouri, Haifa

    2008-01-01

    This study estimates the prevalence of heart disease among Arab and Chaldean American women and examines the association between Arab and Chaldean ethnicity and heart disease among a sample of women. This was a cross-sectional study of a convenience sample of 2084 Arab, Chaldean, and African American women aged > or = 18 years who completed a survey that was distributed at churches, mosques, and small businesses in southeast Michigans. Logistic regression was used to estimate odds ratios and 95% confidence intervals for the association between ethnicity and self-reported heart disease before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables. A sample of 2084 Arab, Chaldean, and African American women 18 years of age and older. The overall prevalence of heart disease was 5.1%. Estimates were higher for Arabs (7.1%), lower for Chaldeans (6.6%), and lowest among African Americans (1.8%). In the unadjusted model, Chaldeans and Arabs were four times more likely to have heart disease than were African Americans. However, in the fully adjusted model, the association between Chaldean or Arab ethnicity and heart disease was no longer statistically significant. Arab or Chaldean ethnicity was not significantly associated with self-reported heart disease among women, which suggests that other factors account for this relationship. Future studies should collect more detailed socioeconomic status, acculturation, and health behavior information.

  20. Learning Style Preferences of Southeast Asian Students.

    Science.gov (United States)

    Park, Clara C.

    2000-01-01

    Investigated the perceptual learning style preferences (auditory, visual, kinesthetic, and tactile) and preferences for group and individual learning of Southeast Asian students compared to white students. Surveys indicated significant differences in learning style preferences between Southeast Asian and white students and between the diverse…

  1. 7 CFR 1007.2 - Southeast marketing area.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Southeast marketing area. 1007.2 Section 1007.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE SOUTHEAST MARKETING AREA Order Regulating...

  2. China's Soft Power Diplomacy in Southeast Asia

    DEFF Research Database (Denmark)

    Schmidt, Johannes Dragsbæk

    2008-01-01

    The paper analyses the new geo-political and geo-economic strategic relationship between China and Southeast Asia. Is Chinese soft power encroachment into Southeast Asia creating greater stability, does it jeopardize US interests and what is the impact on the regime-types, economic restructuring...

  3. Critical incidents and mortality reporting in pediatric anesthesia: the Australian experience.

    Science.gov (United States)

    Ragg, Philip

    2011-07-01

    Since 1960, the collection and analysis of mortality data for anesthesia in Australia has been of significant benefit to practising anesthetists. These figures include pediatric deaths which fortunately have been rare and often inevitable because of severe underlying disease and patient risk factors. The reporting of critical incidents and serious morbidity, on the other hand, has been far less impressive. Only one state in Australia, Victoria, currently has a committee that collects morbidity data and, as this reporting is voluntary, is likely to under-represent the true numbers of critical events. There is no specific pediatric morbidity database in Australia so much of this discussion will be regarding overall anesthesia critical event reporting which includes pediatrics as a subset. © 2011 Blackwell Publishing Ltd.

  4. New radiocarbon dates for Milu (Elaphurus davidianus) sub-fossils from southeast China

    Energy Technology Data Exchange (ETDEWEB)

    Ding, X.F. [State Key Laboratory of Nuclear Physics and Technology and Institute of Heavy Ion Physics, School of Physics, Peking University, Beijing 100871 (China); Shen, C.D., E-mail: cdshen@gig.ac.cn [State Key Laboratory of Isotope Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, 510640 Guangzhou (China); Ding, P.; Yi, W.X. [State Key Laboratory of Isotope Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, 510640 Guangzhou (China); Fu, D.P.; Liu, K.X. [State Key Laboratory of Nuclear Physics and Technology and Institute of Heavy Ion Physics, School of Physics, Peking University, Beijing 100871 (China)

    2013-01-15

    Milu (Elaphurus davidianus, Pere David's deer) is one of the few species of large mammals that became extinct in the wild, but survived domestically. A good understanding of expansion and habitat is required if the reintroduction of Milu into the wild is to be implemented. Among the widely reported findings of Milu sub-fossils, only a small fraction have been dated. Here we report new AMS radiocarbon dates on Milu sub-fossil samples unearthed from two sites at Qingdun, Jiangsu and Fujiashan, Zhejiang in southeast China. These AMS {sup 14}C ages of Milu sub-fossils provide new evidence for the presence of Milu expansion in the lower reaches of the Yangtze River during the Holocene Optimum interval from 5000 yr BC to 3000 yr BC. These new ages also have important implications for the reconstruction of the paleoclimate and paleogeography during the Neolithic Period in southeast China.

  5. Analysis of the spatial distribution of infant mortality by cause of death in Austria in 1984 to 2006

    Directory of Open Access Journals (Sweden)

    Heinzl Harald

    2008-05-01

    Full Text Available Abstract Background In Austria, over the last 20 years infant mortality declined from 11.2 per 1,000 life births (1985 to 4.7 per 1,000 in1997 but remained rather constant since then. In addition to this time trend we already reported a non-random spatial distribution of infant mortality rates in a recent study covering the time period 1984 to 2002. This present study includes four additional years and now covers about 1.9 million individual birth certificates. It aimes to elucidate the observed non-random spatial distribution in more detail. We split up infant mortality into six groups according to the underlying cause of death. The underlying spatial distribution of standardized mortality ratios (SMR is estimated by univariate models as well as by two models incorporating all six groups simultaneously. Results We observe strong correlations between the individual spatial patterns of SMR's except for "Sudden Infant Death Syndrome" and to some extent for "Peripartal Problems". The spatial distribution of SMR's is non-random with an area of decreased risk in the South-East of Austria. The group "Sudden Infant Death Syndrome" clearly and the group "Peripartal Problems" slightly show deviations from the common pattern. When comparing univariate and multivariate SMR estimates we observe that the resulting spatial distributions are very similar. Conclusion We observe different non-random spatial distributions of infant mortality rates when grouped by cause of death. The models applied were based on individual data thereby avoiding ecological regression bias. The estimated spatial distributions do not substantially depend on the employed estimation method. The observed non-random spatial patterns of Austrian infant mortality remain to appear ambiguous.

  6. Corporate Social Disclosures in Southeast Asia: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Juniati Gunawan

    2012-12-01

    Full Text Available The issue of Corporate Social Disclosure (CSD has been growing remarkably both in business and academic world.  Inevitably, this topic is also exposed in Southeast Asia, a big region that plays important role in global economic issue. Applying a content analysis method, this paper aims to provide preliminary findings in CSD practices throughout the companies‟ annual reports in 2007 and 2008 for countries located in Southeast Asia.  Samples were selected for listed and unlisted various type of industries, based on the information availability internet searching. The sample collection and the subjectivity during the content analysis process are the limitations in conducting this study. In general, the results show that „human resources‟ are the main information disclosed, while in contrast, „energy‟ is the main least issue disclosed in the annual reports.  However, the findings need to be interpreted with considerations since there are limited in samples. Basically, the outcomes support the major prior studies and enhancing the discussion of CSD conducting in developing countries, while at the same time describing some countries which obtained very limited in exposures. To respond the vast increasing issues of CSD practice, this preliminary study has provided a basis to see the role of every country in CSR reporting and how they could support the sustainability development globally.

  7. Mortality estimate of Chinese mystery snail, Bellamya chinensis (Reeve, 1863) in a Nebraska reservoir

    Science.gov (United States)

    Haak, Danielle M.; Chaine, Noelle M.; Stephen, Bruce J.; Wong, Alec; Allen, Craig R.

    2013-01-01

    The Chinese mystery snail (Bellamya chinensis) is an aquatic invasive species found throughout the USA. Little is known about this species’ life history or ecology, and only one population estimate has been published, for Wild Plum Lake in southeast Nebraska. A recent die-off event occurred at this same reservoir and we present a mortality estimate for this B. chinensis population using a quadrat approach. Assuming uniform distribution throughout the newly-exposed lake bed (20,900 m2), we estimate 42,845 individuals died during this event, amounting to approximately 17% of the previously-estimated population size of 253,570. Assuming uniform distribution throughout all previously-reported available habitat (48,525 m2), we estimate 99,476 individuals died, comprising 39% of the previously-reported adult population. The die-off occurred during an extreme drought event, which was coincident with abnormally hot weather. However, the exact reason of the die-off is still unclear. More monitoring of the population dynamics of B. chinensis is necessary to further our understanding of this species’ ecology.

  8. Southeast Asia Report.

    Science.gov (United States)

    1984-10-11

    Reports on Davao Atmosphere (Melinda Quintos de Jesus; VERITAS, 9 Sep 84) . 46 Imelda Numerology Remarks Ridiculed (Editorial; VERITAS, 9 Sep 84...IMELDA NUMEROLOGY REMARKS RIDICULED Quezon City VERITAS in English 9 Sep 84 p 5 [Editorial: "Fasting with the Heart"] [Text] Thomas Merton, in one of... numerology , no explanation for this is necessary! To those of us who do not believe, no explanatxon xs possxble. ,-• i^i,,^ i-h-U critical period, is what

  9. Social Movements in Southeast Asia and Latin America

    Directory of Open Access Journals (Sweden)

    Iqra Anugrah

    2014-01-01

    Full Text Available Three recent works – Social Activism in Southeast Asia, Social Movements in Latin America: Neoliberalism and Popular Resistance, and Southeast Asia and the Civil Society Gaze: Scoping a Contested Concept in Cambodia and Vietnam – provide a timely update on the contemporary landscape of social movements in Southeast Asia and Latin America. These works are also relevant for broader theoretical discussions on social movements and provide a basis for future inter-regional comparative studies.

  10. Determinants of neonatal mortality in Indonesia.

    Science.gov (United States)

    Titaley, Christiana R; Dibley, Michael J; Agho, Kingsley; Roberts, Christine L; Hall, John

    2008-07-09

    Neonatal mortality accounts for almost 40 per cent of under-five child mortality, globally. An understanding of the factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to prevent neonatal deaths. This study aimed to identify the determinants of neonatal mortality in Indonesia, for a nationally representative sample of births from 1997 to 2002. The data source for the analysis was the 2002-2003 Indonesia Demographic and Health Survey from which survival information of 15,952 singleton live-born infants born between 1997 and 2002 was examined. Multilevel logistic regression using a hierarchical approach was performed to analyze the factors associated with neonatal deaths, using community, socio-economic status and proximate determinants. At the community level, the odds of neonatal death was significantly higher for infants from East Java (OR = 5.01, p = 0.00), and for North, Central and Southeast Sulawesi and Gorontalo combined (OR = 3.17, p = 0.03) compared to the lowest neonatal mortality regions of Bali, South Sulawesi and Jambi provinces. A progressive reduction in the odds was found as the percentage of deliveries assisted by trained delivery attendants in the cluster increased. The odds of neonatal death were higher for infants born to both mother and father who were employed (OR = 1.84, p = 0.00) and for infants born to father who were unemployed (OR = 2.99, p = 0.02). The odds were also higher for higher rank infants with a short birth interval (OR = 2.82, p = 0.00), male infants (OR = 1.49, p = 0.01), smaller than average-sized infants (OR = 2.80, p = 0.00), and infant's whose mother had a history of delivery complications (OR = 1.81, p = 0.00). Infants receiving any postnatal care were significantly protected from neonatal death (OR = 0.63, p = 0.03). Public health interventions directed at reducing neonatal death should address community, household and individual level factors

  11. Southeast Asia Report

    Science.gov (United States)

    1987-05-04

    the taban beta had audiences that suffered in comparison with the big crowds he and other PnB candidates belonging to the "militant bloc" drew...Bacolod City—A soft drinks boycott is going on in the Netherlands this week to pressure Pepsi Cola and Coca Cola "to take partial responsibility...many newspapers in the audience at the banquet, but only one or two reported his remarks, and it was a small news item, not an important piece of

  12. Indonesia's Transformation and the Stability of Southeast Asia

    National Research Council Canada - National Science Library

    Rabasa, Angel

    2001-01-01

    ... and straits, Indonesia is the key to Southeast Asian security. Therefore, Indonesia's choices and its evolution will frame the future of Southeast Asia and influence the balance of power in the broader Asia-Pacific region...

  13. Hydropower in Southeast United States, -a Hydroclimatological Perspective

    Science.gov (United States)

    Engstrom, J.

    2016-12-01

    Hydropower is unique among renewable energy sources for the ability to store its fuel (water) in reservoirs. The relationship between discharge, macro-scale drivers, and production is complex since production depends not only on water availability, but also upon decisions made by the institution owning the facility that has to consider many competing interests including economics, drinking water supply, recreational uses, etc. This analysis shows that the hydropower plants in Southeast U.S. (AL, GA, NC, SC, and TN) exhibit considerable year to year variability in production. Although the hydroclimatology of the Southeast U.S. has been analyzed partially, no previous study has linked the region's hydroelectricity production to any reported causes of interannual hydroclimatological variability, as has been completed in other regions. Due to the current short-term hydroelectricity production forecasts, the water resource is not optimized from a hydropower perspective as electricity generating potential is not maximized. The results of this study highlight the amount of untapped hydroelectricity that could be produced if long term hydroclimate and large-scale climate drivers were considered in production forecasts.

  14. Quality of Care at Hospitals Identified as Outliers in Publicly Reported Mortality Statistics for Percutaneous Coronary Intervention.

    Science.gov (United States)

    Waldo, Stephen W; McCabe, James M; Kennedy, Kevin F; Zigler, Corwin M; Pinto, Duane S; Yeh, Robert W

    2017-05-16

    Public reporting of percutaneous coronary intervention (PCI) outcomes may create disincentives for physicians to provide care for critically ill patients, particularly at institutions with worse clinical outcomes. We thus sought to evaluate the procedural management and in-hospital outcomes of patients treated for acute myocardial infarction before and after a hospital had been publicly identified as a negative outlier. Using state reports, we identified hospitals that were recognized as negative PCI outliers in 2 states (Massachusetts and New York) from 2002 to 2012. State hospitalization files were used to identify all patients with an acute myocardial infarction within these states. Procedural management and in-hospital outcomes were compared among patients treated at outlier hospitals before and after public report of outlier status. Patients at nonoutlier institutions were used to control for temporal trends. Among 86 hospitals, 31 were reported as outliers for excess mortality. Outlier facilities were larger, treating more patients with acute myocardial infarction and performing more PCIs than nonoutlier hospitals ( P fashion (interaction P =0.50) after public report of outlier status. The likelihood of in-hospital mortality decreased at outlier institutions (RR, 0.83; 95% CI, 0.81-0.85) after public report, and to a lesser degree at nonoutlier institutions (RR, 0.90; 95% CI, 0.87-0.92; interaction P <0.001). Among patients that underwent PCI, in-hospital mortality decreased at outlier institutions after public recognition of outlier status in comparison with prior (RR, 0.72; 9% CI, 0.66-0.79), a decline that exceeded the reduction at nonoutlier institutions (RR, 0.87; 95% CI, 0.80-0.96; interaction P <0.001). Large hospitals with higher clinical volume are more likely to be designated as negative outliers. The rates of percutaneous revascularization increased similarly at outlier and nonoutlier institutions after report of outlier status. After outlier

  15. Understanding the Southeast Asian haze

    Science.gov (United States)

    G, Karthik K. R.; Baikie, T.; T, Mohan Dass E.; Huang, Y. Z.; Guet, C.

    2017-08-01

    The Southeast Asian region had been subjected to a drastic reduction in air quality from the biomass burnings that occurred in 2013 and 2015. The smoke from the biomass burnings covered the entire region including Brunei, Indonesia, Malaysia, Singapore and Thailand, with haze particulate matter (PM) reducing the air quality to hazardous levels. Here we report a comprehensive size-composition-morphology characterization of the PM collected from an urban site in Singapore during the two haze events. The two haze events were a result of biomass burning and occurred in two different geographical source regions. We show the similarities and variations of particle size distribution during hazy and clear days during the two haze events. Sub-micron particles (method is used to determine the fractal dimensions of the PM, and the dimensionality varied for every classification from 1.79 to 1.88. We also report the complexities of particles and inconsistencies in the existing approaches to understand them.

  16. Southeast Asia activity on the rise

    International Nuclear Information System (INIS)

    Khin, J.A.; Johnston, D.

    1992-01-01

    This paper reports that the Asia-Pacific region has gained favor in the increasingly competitive global market for drilling funds and technology. The level of activity in the region contrasts to the U.S., where political, fiscal, and geological conditions have caused an industry-wide depression. Consolidation and restructuring of the oil industry have also affected the Asia-Pacific area, but not as adversely as North America. The shifting focus of most U.S. oil companies to the international sector has increased attention on Southeast Asia. The number of production-sharing contracts and exploration licenses in the region has increased to almost 800, covering an area of 7 million sq km

  17. Cultural barriers to health care for southeast Asian refugees.

    OpenAIRE

    Uba, L

    1992-01-01

    Many Southeast Asians now living in the United States experience severe health problems, attributable to physical trauma and inadequate health care in Asia, and low socioeconomic status in this country. Evidence indicates that despite their health problems, Southeast Asian refugees underuse the American health care system. Cultural reasons for this underuse are examined. Southeast Asian cultural attitudes toward suffering, such as beliefs that suffering is inevitable or that one's life span i...

  18. Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016

    DEFF Research Database (Denmark)

    Moesgaard Iburg, Kim

    2017-01-01

    Background Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify...... with complete vital registration (VR) systems, our estimates were largely driven by the observed data, with corrections for small fluctuations in numbers and estimation for recent years where there were lags in data reporting (lags were variable by location, generally between 1 year and 6 years). For other...... locations, we took advantage of different data sources available to measure under-5 mortality rates (U5MR) using complete birth histories, summary birth histories, and incomplete VR with adjustments; we measured adult mortality rate (the probability of death in individuals aged 15–60 years) using adjusted...

  19. Compilation of new and previously published geochemical and modal data for Mesoproterozoic igneous rocks of the St. Francois Mountains, southeast Missouri

    Science.gov (United States)

    du Bray, Edward A.; Day, Warren C.; Meighan, Corey J.

    2018-04-16

    The purpose of this report is to present recently acquired as well as previously published geochemical and modal petrographic data for igneous rocks in the St. Francois Mountains, southeast Missouri, as part of an ongoing effort to understand the regional geology and ore deposits of the Mesoproterozoic basement rocks of southeast Missouri, USA. The report includes geochemical data that is (1) newly acquired by the U.S. Geological Survey and (2) compiled from numerous sources published during the last fifty-five years. These data are required for ongoing petrogenetic investigations of these rocks. Voluminous Mesoproterozoic igneous rocks in the St. Francois Mountains of southeast Missouri constitute the basement buried beneath Paleozoic sedimentary rock that is over 600 meters thick in places. The Mesoproterozoic rocks of southeast Missouri represent a significant component of approximately 1.4 billion-year-old (Ga) igneous rocks that crop out extensively in North America along the southeast margin of Laurentia and subsequent researchers suggested that iron oxide-copper deposits in the St. Francois Mountains are genetically associated with ca. 1.4 Ga magmatism in this region. The geochemical and modal data sets described herein were compiled to support investigations concerning the tectonic setting and petrologic processes responsible for the associated magmatism.

  20. Phytomass in southeast Alaska.

    Science.gov (United States)

    Bert R. Mead

    1998-01-01

    Phytomass tables are presented for the southeast Alaska archipelago. Average phytomass for each sampled species of tree, shrub, grass, forb, lichen, and moss in 10 forest and 4 nonforest vegetation types is shown.

  1. The prevalence of self-reported chronic conditions among Arab, Chaldean, and African Americans in southeast Michigan.

    Science.gov (United States)

    Jamil, Hikmet; Dallo, Florence; Fakhouri, Monty; Templin, Thomas; Khoury, Radwan; Fakhouri, Haifa

    2009-01-01

    While there is a plethora of research on the prevalence of individual chronic conditions, studies that examine the clustering of these conditions are lacking, especially among immigrant, minority groups. Cross-sectional, convenience sample. A self-administered survey was distributed at churches, mosques, and small businesses. Arabs (n = 1383), Chaldeans (n = 868), Blacks (n = 809) and Whites (n = 220) in southeast Michigan. We estimated the prevalence of hypertension, high cholesterol, heart disease, diabetes, asthma, and depression. Using a logistic regression model, we estimated odds ratios and 95% confidence intervals for the association between ethnicity and reporting one or more chronic conditions before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables. The overall age and sex-adjusted prevalence of having one or more chronic conditions was 44%. Estimates were lower for Chaldeans (32%) compared to Arabs (44%), Whites and Blacks (50% for each group). In the fully adjusted model, Chaldeans were less likely (OR = 0.62; 95% CI = 0.43-0.89) to report having one more chronic conditions compared to Whites. Future studies should employ probability samples, and should collect more detailed sociodemographic and acculturation data, which influence the relationship between race/ethnicity and the prevalence of chronic conditions.

  2. Ancient genomes document multiple waves of migration in Southeast Asian prehistory.

    Science.gov (United States)

    Lipson, Mark; Cheronet, Olivia; Mallick, Swapan; Rohland, Nadin; Oxenham, Marc; Pietrusewsky, Michael; Pryce, Thomas Oliver; Willis, Anna; Matsumura, Hirofumi; Buckley, Hallie; Domett, Kate; Hai, Nguyen Giang; Hiep, Trinh Hoang; Kyaw, Aung Aung; Win, Tin Tin; Pradier, Baptiste; Broomandkhoshbacht, Nasreen; Candilio, Francesca; Changmai, Piya; Fernandes, Daniel; Ferry, Matthew; Gamarra, Beatriz; Harney, Eadaoin; Kampuansai, Jatupol; Kutanan, Wibhu; Michel, Megan; Novak, Mario; Oppenheimer, Jonas; Sirak, Kendra; Stewardson, Kristin; Zhang, Zhao; Flegontov, Pavel; Pinhasi, Ron; Reich, David

    2018-05-17

    Southeast Asia is home to rich human genetic and linguistic diversity, but the details of past population movements in the region are not well known. Here, we report genome-wide ancient DNA data from eighteen Southeast Asian individuals spanning from the Neolithic period through the Iron Age (4100-1700 years ago). Early farmers from Man Bac in Vietnam exhibit a mixture of East Asian (southern Chinese agriculturalist) and deeply diverged eastern Eurasian (hunter-gatherer) ancestry characteristic of Austroasiatic speakers, with similar ancestry as far south as Indonesia providing evidence for an expansive initial spread of Austroasiatic languages. By the Bronze Age, in a parallel pattern to Europe, sites in Vietnam and Myanmar show close connections to present-day majority groups, reflecting substantial additional influxes of migrants. Copyright © 2018, American Association for the Advancement of Science.

  3. Alternatives to clearcutting in the old-growth forests of southeast Alaska: study plan and establishment report.

    Science.gov (United States)

    Michael H. McClellan; Douglas N. Swanston; Paul E. Hennon; Robert L. Deal; Toni L. de Santo; Mark S. Wipfli

    2000-01-01

    Much is known about the ecological effects, economics, and social impacts of clearcutting, but little documented experience with other silvicultural systems exists in southeast Alaska. The Pacific Northwest Research Station and the Alaska Region of the USDA Forest Service have cooperatively established an interdisciplinary study of ecosystem and social responses to...

  4. Predictors of Mortality among Adult Antiretroviral Therapy Users in Southeastern Ethiopia: Retrospective Cohort Study

    Directory of Open Access Journals (Sweden)

    Tesfaye Setegn

    2015-01-01

    Full Text Available Background. Although efforts have been made to reduce AIDS-related mortality by providing antiretroviral therapy (ART services, still people are dying while they are on treatment due to several factors. This study aimed to investigate the predictors of mortality among adult antiretroviral therapy (ART users in Goba Hospital, Southeast Ethiopia. Methods. The medical records of 2036 ART users who enrolled at Goba Hospital between 2007 and 2012 were reviewed and sociodemographic, clinical, and ART-related data were collected. Multivariable Cox proportional hazards regression model was used to measure risk of death and identify the independent predictors of mortality. Results. The overall mortality incidence rate was 20.3 deaths per 1000 person-years. Male, bedridden, overweight/obese, and HIV clients infected with TB and other infectious diseases had higher odds of death compared with their respective counterparts. On the other hand, ART clients with primary and secondary educational level and early and less advanced WHO clinical stage had lower odds of death compared to their counterparts. Conclusion. The overall mortality incidence rate was high and majority of the death had occurred in the first year of ART initiation. Intensifying and strengthening early ART initiation, improving nutritional status, prevention and control of TB, and other opportunistic infections are recommended interventions.

  5. Characterization of HIV Transmission in South-East Austria.

    Science.gov (United States)

    Hoenigl, Martin; Chaillon, Antoine; Kessler, Harald H; Haas, Bernhard; Stelzl, Evelyn; Weninger, Karin; Little, Susan J; Mehta, Sanjay R

    2016-01-01

    To gain deeper insight into the epidemiology of HIV-1 transmission in South-East Austria we performed a retrospective analysis of 259 HIV-1 partial pol sequences obtained from unique individuals newly diagnosed with HIV infection in South-East Austria from 2008 through 2014. After quality filtering, putative transmission linkages were inferred when two sequences were ≤1.5% genetically different. Multiple linkages were resolved into putative transmission clusters. Further phylogenetic analyses were performed using BEAST v1.8.1. Finally, we investigated putative links between the 259 sequences from South-East Austria and all publicly available HIV polymerase sequences in the Los Alamos National Laboratory HIV sequence database. We found that 45.6% (118/259) of the sampled sequences were genetically linked with at least one other sequence from South-East Austria forming putative transmission clusters. Clustering individuals were more likely to be men who have sex with men (MSM; pAustria had at least one putative inferred linkage with sequences from a total of 69 other countries. In conclusion, analysis of HIV-1 sequences from newly diagnosed individuals residing in South-East Austria revealed a high degree of national and international clustering mainly within MSM. Interestingly, we found that a high number of heterosexual males clustered within MSM networks, suggesting either linkage between risk groups or misrepresentation of sexual risk behaviors by subjects.

  6. Determinants of neonatal mortality in Indonesia

    Directory of Open Access Journals (Sweden)

    Agho Kingsley

    2008-07-01

    Full Text Available Abstract Background Neonatal mortality accounts for almost 40 per cent of under-five child mortality, globally. An understanding of the factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to prevent neonatal deaths. This study aimed to identify the determinants of neonatal mortality in Indonesia, for a nationally representative sample of births from 1997 to 2002. Methods The data source for the analysis was the 2002–2003 Indonesia Demographic and Health Survey from which survival information of 15,952 singleton live-born infants born between 1997 and 2002 was examined. Multilevel logistic regression using a hierarchical approach was performed to analyze the factors associated with neonatal deaths, using community, socio-economic status and proximate determinants. Results At the community level, the odds of neonatal death was significantly higher for infants from East Java (OR = 5.01, p = 0.00, and for North, Central and Southeast Sulawesi and Gorontalo combined (OR = 3.17, p = 0.03 compared to the lowest neonatal mortality regions of Bali, South Sulawesi and Jambi provinces. A progressive reduction in the odds was found as the percentage of deliveries assisted by trained delivery attendants in the cluster increased. The odds of neonatal death were higher for infants born to both mother and father who were employed (OR = 1.84, p = 0.00 and for infants born to father who were unemployed (OR = 2.99, p = 0.02. The odds were also higher for higher rank infants with a short birth interval (OR = 2.82, p = 0.00, male infants (OR = 1.49, p = 0.01, smaller than average-sized infants (OR = 2.80, p = 0.00, and infant's whose mother had a history of delivery complications (OR = 1.81, p = 0.00. Infants receiving any postnatal care were significantly protected from neonatal death (OR = 0.63, p = 0.03. Conclusion Public health interventions directed at reducing neonatal death should

  7. Benthic fauna of southwest and southeast coasts of India

    Digital Repository Service at National Institute of Oceanography (India)

    Devi, K.S.; Sheba, P.; Balasubramanian; Venugopal, P.; Sankaranarayanan, V.N.

    Benthos, sediments characteristics and organic matter content were studied along southwest and southeast coasts of India. Number of groups/species varied with the stations and also with the depths. Population density was very low in southeast coast...

  8. Influenza vaccination guidelines and vaccine sales in southeast Asia: 2008-2011.

    Directory of Open Access Journals (Sweden)

    Vinay Gupta

    Full Text Available BACKGROUND: Southeast Asia is a region with great potential for the emergence of a pandemic influenza virus. Global efforts to improve influenza surveillance in this region have documented the burden and seasonality of influenza viruses and have informed influenza prevention strategies, but little information exists about influenza vaccination guidelines and vaccine sales. METHODS: To ascertain the existence of influenza vaccine guidelines and define the scope of vaccine sales, we sent a standard three-page questionnaire to the ten member nations of the Association of Southeast Asian Nations. We also surveyed three multinational manufacturers who supply influenza vaccines in the region. RESULTS: Vaccine sales in the private sector were <1000 per 100,000 population in the 10 countries. Five countries reported purchasing vaccine for use in the public sector. In 2011, Thailand had the highest combined reported rate of vaccine sales (10,333 per 100,000. In the 10 countries combined, the rate of private sector sales during 2010-2011 (after the A(H1N12009pdm pandemic exceeded 2008 pre-pandemic levels. Five countries (Indonesia, Malaysia, Singapore, Thailand and Vietnam had guidelines for influenza vaccination but only two were consistent with global guidelines. Four recommended vaccination for health care workers, four for elderly persons, three for young children, three for persons with underlying disease, and two for pregnant women. CONCLUSIONS: The rate of vaccine sales in Southeast Asia remains low, but there was a positive impact in sales after the A(H1N12009pdm pandemic. Low adherence to global vaccine guidelines suggests that more work is needed in the policy arena.

  9. Deformation of the southeast part of the Columbia Plateau

    International Nuclear Information System (INIS)

    Hooper, P.R.; Camp, V.E.

    1981-01-01

    Four structural elements north of the Olympic-Wallowa lineament in the southeast part of the Columbia Plateau (Washington, Idaho, and Oregon) are (1) the offlap of progressively younger basalt units from prebasalt topographic highs; (2) east-west open folds associated with reverse faulting; (3) northwest-southeast, northeast-southwest, and north-south faults with predominantly vertical displacement; and (4) vertical north-northwest-south-southeast feeder dikes. These may be explained by (1) a regional east to west tilting of the plateau caused by the isostatic rise of older rocks on the eastern margin; (2) a stress regime with a horizontal maximum principal stress in a north-northwest-south-southeast direction, and a horizontal minimum principal stress in a west-southwest-east-northeast direction; and (3) reactivation of an older northwest-southeast, northeast-southwest, and north-south structural grain in the pre-Miocene basement. The stress regime is similar to that envisaged for the area southwest of the Olympic-Wallowa lineament, and the difference in the type of deformation on either side of that feature may be attributed to differences in the thickness of the crust across the ancient boundary

  10. Management of low-level radioactive waste in the Southeast Compact Region: Volume 2, Management plan: Final report

    International Nuclear Information System (INIS)

    1985-07-01

    The Southeast Compact Commission for Low-Level Radioactive Waste Management has begun the development of a regional low-level radioactive waste management plan. They have reviewed and analyzed existing data on current low-level radioactive waste volumes shipped for disposal by generators in the Southeast region and have supplemented existing data by direct contact with State regulatory personnel, disposal site operators, and individual generators. The Commission has also projected the amounts and types of waste expected to require offsite disposal. This characterized data base and the projections of waste volumes and types through 1996 are included in this volume. Alternative disposal and treatment technologies were evaluated for management of the waste in the region. This evaluation consisted of a review of the literature concerning the several technologies in low level radioactive waste management. This information is summarized in Appendix A. 72 refs., 28 figs., 30 tabs

  11. Epidemiological surveys of, and research on, soil-transmitted helminths in Southeast Asia: a systematic review.

    Science.gov (United States)

    Dunn, Julia C; Turner, Hugo C; Tun, Aung; Anderson, Roy M

    2016-01-27

    Soil-transmitted helminth (STH) infections of humans fall within the World Health Organization's (WHO) grouping termed the neglected tropical diseases (NTDs). It is estimated that they affect approximately 1.4 billion people worldwide. A significant proportion of these infections are in the population of Southeast Asia. This review analyses published data on STH prevalence and intensity in Southeast Asia over the time period of 1900 to the present to describe age related patterns in these epidemiological measures. This is with a focus on the four major parasite species affecting humans; namely Ascaris lumbricoides, Trichuris trichiura and the hookworms; Necator americanus and Ancylostoma duodenale. Data were also collected on the diagnostic methods used in the published surveys and how the studies were designed to facilitate comparative analyses of recorded patterns and changes therein over time. PubMed, Google Scholar, EMBASE, ISI Web of Science, Cochrane Database of Systematic Reviews and the Global Atlas of Helminth Infections search engines were used to identify studies on STH in Southeast Asia with the search based on the major key words, and variants on, "soil-transmitted helminth" "Ascaris" "Trichuris" "hookworm" and the country name. A total of 280 studies satisfied the inclusion criteria from 11 Southeast Asian countries; Brunei, Cambodia, Indonesia, Lao People's Democratic Republic (Lao PDR), Malaysia, Myanmar, Philippines, Singapore, Thailand, Timor-Leste and Vietnam. It was concluded that the epidemiological patterns of STH infection by age and species mix in Southeast Asia are similar to those reported in other parts of the world. In the published studies there were a large number of different diagnostic methods used with differing sensitivities and specificities, which makes comparison of the results both within and between countries difficult. There is a clear requirement to standardise the methods of both STH diagnosis in faecal material and how the

  12. India China Rivalry and Competition in Southeast Asia

    DEFF Research Database (Denmark)

    Schmidt, Johannes Dragsbæk

    2011-01-01

    The main objective of this paper is to examine the implications of these gradual and in some cases opposing shifts in foreign policy of China and India in Southeast Asia. Both countries are increasingly struggling for a hegemonic position in the developing countries and especially in Southeast As...... Asian titans in Myanmar and finally the conclusion wraps...

  13. Children and adolescents' self-reported coping strategies during the Southeast Asian Tsunami.

    Science.gov (United States)

    Jensen, Tine K; Ellestad, Ane; Dyb, Grete

    2013-03-01

    The objective of this study was to investigate how Norwegian children on holiday in Southeast Asia coped when the tsunami hit December 26, 2004. The goal is to understand more about children and adolescents' immediate coping strategies when faced with a life-threatening situation. Acquiring more knowledge on coping strategies at different points in the recovery process can be useful for gaining insight to the relationship between coping and psychological adjustment. Semi-structured interviews of 56 children aged 6-18 years (36 girls and 20 boys) were conducted in their homes approximately 10 months after the tsunami. The interviews were analysed using qualitative methods. Two primary coping strategies were described and labelled as self-soothing thoughts and behavioural strategies. Self-soothing thoughts were divided into five categories: positive thinking; avoidant thinking; rational thoughts; and thoughts on parental competencies and parental protection. Behavioural strategies were divided into six categories: attachment seeking behaviour; distraction behaviour; helping others; seeking information and comfort; and talking. The children's coping responses point to the developmental aspects of coping and how children are dependent upon adults for guidance and protection. In addition, very few youth reported using problem-focused coping strategies that are normally thought of as helpful in the aftermath of trauma, whereas strategies often thought of as not so helpful such as distraction and avoidance, was more predominant. It may be that helpful immediate coping strategies are different from long-term coping strategies, and that coping strategies differ according to the degree of perceived control of the situation. © 2012 The British Psychological Society.

  14. Mortality from Cardiovascular Diseases in the Elderly: Comparative Analysis of Two Five-year Periods

    Directory of Open Access Journals (Sweden)

    Grasiela Piuvezam

    2015-01-01

    Full Text Available Background:Cardiovascular diseases are the leading cause of death in Brazil. The better understanding of the spatial and temporal distribution of mortality from cardiovascular diseases in the Brazilian elderly population is essential to support more appropriate health actions for each region of the country.Objective:To describe and to compare geospatially the rates of mortality from cardiovascular disease in elderly individuals living in Brazil by gender in two 5-year periods: 1996 to 2000 and 2006 to 2010.Methods:This is an ecological study, for which rates of mortality were obtained from DATASUS and the population rates from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística. An average mortality rate for cardiovascular disease in elderly by gender was calculated for each period. The spatial autocorrelation was evaluated by TerraView 4.2.0 through global Moran index and the formation of clusters by the index of local Moran-LISA.Results:There was an increase, in the second 5-year period, in the mortality rates in the Northeast and North regions, parallel to a decrease in the South, South-East and Midwest regions. Moreover, there was the formation of clusters with high mortality rates in the second period in Roraima among females, and in Ceará, Pernambuco and Roraima among males.Conclusion:The increase in mortality rates in the North and Northeast regions is probably related to the changing profile of mortality and improvement in the quality of information, a result of the increase in surveillance and health care measures in these regions.

  15. Parental Contributions to Southeast Asian American Adolescents' Well-Being

    Science.gov (United States)

    Ying, Yu-Wen; Han, Meekyung

    2008-01-01

    Informed by acculturation, ecological, and social capital theories, the study examined the contribution of parental acculturation, parental involvement, and intergenerational relationship to well-being in Southeast Asian American adolescents. Using data from the Children of Immigrants Longitudinal Study, 491 Southeast Asian American adolescents…

  16. Loneliness, health and mortality

    DEFF Research Database (Denmark)

    Henriksen, J; Larsen, E R; Mattisson, C

    2017-01-01

    Aims.: Literature suggests an association between loneliness and mortality for both males and females. Yet, the linkage of loneliness to mortality is not thoroughly examined, and need to be replicated with a long follow-up time. This study assessed the association between loneliness and mortality...... not been previously reported. If replicated, our results indicate that loneliness may have differential physical implications in some subgroups. Future studies are needed to further investigate the influence of gender on the relationship....

  17. The frequency of explosive volcanic eruptions in Southeast Asia.

    Science.gov (United States)

    Whelley, Patrick L; Newhall, Christopher G; Bradley, Kyle E

    There are ~750 active and potentially active volcanoes in Southeast Asia. Ash from eruptions of volcanic explosivity index 3 (VEI 3) and smaller pose mostly local hazards while eruptions of VEI ≥ 4 could disrupt trade, travel, and daily life in large parts of the region. We classify Southeast Asian volcanoes into five groups, using their morphology and, where known, their eruptive history and degassing style. Because the eruptive histories of most volcanoes in Southeast Asia are poorly constrained, we assume that volcanoes with similar morphologies have had similar eruption histories. Eruption histories of well-studied examples of each morphologic class serve as proxy histories for understudied volcanoes in the class. From known and proxy eruptive histories, we estimate that decadal probabilities of VEI 4-8 eruptions in Southeast Asia are nearly 1.0, ~0.6, ~0.15, ~0.012, and ~0.001, respectively.

  18. Smoking and nasopharyngeal carcinoma mortality: a cohort study of 101,823 adults in Guangzhou, China

    International Nuclear Information System (INIS)

    Lin, Jia-Huang; Jiang, Chao-Qiang; Ho, Sai-Yin; Zhang, Wei-Sen; Mai, Zhi-Ming; Xu, Lin; Lo, Ching-Man; Lam, Tai-Hing

    2015-01-01

    Nasopharyngeal carcinoma (NPC), also known as Cantonese cancer, is rare worldwide, but has particularly high incidence in North Africa and Southeast Asia, especially in Guangdong, China, such as Guangzhou. Tobacco causes head and neck cancers, but nasopharyngeal carcinoma is not included as causally related to smoking in the 2014 United States Surgeon General’s report. Prospective evidence remains limited. We used Guangzhou Occupational Cohort data to conduct the first and robust prospective study on smoking and NPC mortality in an NPC high-risk region. Information on demographic characteristics and smoking status was collected through occupational health examinations in factories and driver examination stations from March 1988 to December 1992. Vital status and causes of deaths were retrieved until the end of 1999. Cox proportional hazard model was used to assess the association of smoking with NPC mortality. Of 101,823 subjects included for the present analysis, 34 NPC deaths occurred during the average 7.3 years of follow up. The mean age (standard deviation) of the subjects was 41 (5.7) years. Compared with never smokers, the hazard ratio (HR) of NPC mortality was 2.95 (95 % confidence interval 1.01–8.68; p = 0.048) for daily smokers and 4.03 (1.29–12.58; p = 0.016) for smokers with more than 10 pack-years of cumulative consumption, after adjusting for age, sex, education, drinking status, occupation and cohort status and accounting for smoking-drinking interaction. The risk of NPC mortality increased significantly with cigarettes per day (p for trend = 0.01) and number of pack-years (p for trend = 0.02). In this first and largest cohort in a high NPC risk region, smoking was associated with higher NPC mortality. The findings have shown statistically significant dose–response trend between smoking amount and smoking cumulative consumption and the risk of NPC mortality, but due to the small event number, further studies with larger sample size are needed

  19. EMIGRATION FROM RUSSIA TO SOUTHEAST ASIA: FACTORS, GEOGRAPHY AND IMPLICATIONS

    Directory of Open Access Journals (Sweden)

    S. V. Ryazantsev

    2017-01-01

    Full Text Available The article describes the geographical features and trends of emigration of Russian citizens to the countries of Southeast Asia on the basis of a comparative analysis of domestic and foreign statistics. The results of sociological research in these countries have been used: interviews with experts and migrant citizens of various countries of the former USSR who live or stay in Southeast Asia for more than six months. In the course of the study, a comprehensive methodology was developed and the degree of favorableness of the migration and visa regimes of the Southeast Asian countries for Russian citizens has been assessed for a number of characteristics. Factors attracting Russian citizens to the countries of the region in the context of the migration theory of the factors of “pull and push” have been revealed. The socio-demographic structure of migration flows and the geographical features of the resettlement of Russian citizens in the Southeast Asian countries have been considered. The main channels of migration of Russian citizens to the region are given: temporary labor migration, migration for permanent residence, and tourism. Several groups of Russian-speaking migrants in the Southeast Asian countries have been singled out: migrants who have moved to permanent residence, as a rule, opened their own businesses; temporary migrant workers who work for several years in Southeast Asia, are tied to work and are planning to return to Russia after some time; temporary migrants who live in Southeast Asia for several months and periodically return to Russia; Russian women who married citizens of Thailand, Vietnam, Cambodia and other Southeast Asian countries – former students who studied in the USSR and Russia. On the basis of expert assessments, the types of migration and visa regimes of the countries of Southeast Asia for Russian citizens have been highlighted. Specifics of the formation of Russian-speaking communities in the countries of the

  20. Native Hawaiian Ethnographic Study for the Hawaii Geothermal Project Proposed for Puna and Southeast Maui

    Energy Technology Data Exchange (ETDEWEB)

    Matsuoka, J.K; Minerbi, L. [Cultural Advocacy Network for Developing Options (CANDO) (United States); Kanahele, P.; Kelly, M.; Barney-Campbell, N.; Saulsbury [Oak Ridge National Lab., TN (United States); Trettin, L.D. [Tennessee Univ., Knoxville, TN (United States)

    1996-05-01

    This report makes available and archives the background scientific data and related information collected for an ethnographic study of selected areas on the islands of Hawaii and Maui. The task was undertaken during preparation of an environmental impact statement for Phases 3 and 4 of the Hawaii Geothermal Project (HGP) as defined by the state of Hawaii in its April 1989 proposal to Congress. Since the state of Hawaii is no longer pursuing or planning to pursue the HGP, DOE considers the project to be terminated. Information is included on the ethnohistory of Puna and southeast Maui; ethnographic fieldwork comparing Puna and southeast Maui; and Pele beliefs, customs, and practices.

  1. 2016 Federal Green Challenge Award Winners in the Southeast Region

    Science.gov (United States)

    2016 FGC award winners in the Southeast are: the Department of Human Services’ U.S. Citizenship and Immigration Services Southeast Regional Office and Department of Energy’s East Tennessee Technology Park.

  2. Tangled skeins: a first report of non-captive mating behavior in the Southeast Asian Paradise Flying Snake (Reptilia: Squamata: Colubridae: Chrysopelea paradisi

    Directory of Open Access Journals (Sweden)

    Hinrich Kaiser

    2016-02-01

    Full Text Available We describe the courtship behavior of the Paradise Flying Snake, Chrysopelea paradisi, from a series of images taken near Sandakan, eastern Sabah, Borneo, Malaysia. During the episode observed, four males moved together with a female in various states of entanglement, traveling at ground level and into a series of bushes.  The observations took place over the course of a 30-min period until the snakes were lost to view.  Our report is the first direct observation of mating behavior in C. paradisi in the wild and provides another rare glimpse of the multi-male courtship in Southeast Asian colubrids. 

  3. Uses of tuberculosis mortality surveillance to identify programme errors and improve database reporting.

    Science.gov (United States)

    Selig, L; Guedes, R; Kritski, A; Spector, N; Lapa E Silva, J R; Braga, J U; Trajman, A

    2009-08-01

    In 2006, 848 persons died from tuberculosis (TB) in Rio de Janeiro, Brazil, corresponding to a mortality rate of 5.4 per 100 000 population. No specific TB death surveillance actions are currently in place in Brazil. Two public general hospitals with large open emergency rooms in Rio de Janeiro City. To evaluate the contribution of TB death surveillance in detecting gaps in TB control. We conducted a survey of TB deaths from September 2005 to August 2006. Records of TB-related deaths and deaths due to undefined causes were investigated. Complementary data were gathered from the mortality and TB notification databases. Seventy-three TB-related deaths were investigated. Transmission hazards were identified among firefighters, health care workers and in-patients. Management errors included failure to isolate suspected cases, to confirm TB, to correct drug doses in underweight patients and to trace contacts. Following the survey, 36 cases that had not previously been notified were included in the national TB notification database and the outcome of 29 notified cases was corrected. TB mortality surveillance can contribute to TB monitoring and evaluation by detecting correctable and specific programme- and hospital-based care errors, and by improving the accuracy of TB database reporting. Specific local and programmatic interventions can be proposed as a result.

  4. Teaching East and Southeast Asia through Asian Eyes

    Directory of Open Access Journals (Sweden)

    Tracy C. Barrett

    2014-06-01

    Full Text Available Colonialism and indigenous responses to its varied forms dominate modern Asian historiography and imbue the history of the region with rich and multifaceted connections to world history. As a result, the histories of East and Southeast Asian nation-states since 1500 cannot be viewed outside of the context of global affairs. Imagining Asian peoples and cultures during this time is problematic for students, who typically approach colonialism from a western perspective. This presentation explores various means of incorporating into the classroom pedagogical materials and diverse media sources that facilitate a more grounded examination of East and Southeast Asian colonies, peoples, and nation-states.It pays special attention to teaching colonialism, anti-colonialism, nationalism, and transnationalism from the perspective of Southeast Asia’s indigenous peoples.

  5. Disarmament and security measures in South-East Asia

    International Nuclear Information System (INIS)

    Hasmy Bin Agam

    1992-01-01

    The situation in South-East Asia is something of a paradox wrought by the end of the cold war and super Power rivalry. As a subregion and integral part of the great Pacific region in cannot be considered in isolation. On the other hand South-East Asia is one of great complexity in terms of its history, peoples and cultures, as well as in its political social and economic systems and orientation. Security picture in South-east Asia in the coming decades depends on a number of impoderables, mainly the situation in Indochina, notably Cambodia, the kind of relationship that will develop between the ASEAN member states and the Indochina countries, as well as with China, as nuclear owning regional Power

  6. Serological Evidence of Orthopoxvirus Circulation Among Equids, Southeast Brazil

    Directory of Open Access Journals (Sweden)

    Iara A. Borges

    2018-03-01

    Full Text Available Since 1999 Vaccinia virus (VACV outbreaks involving bovines and humans have been reported in Brazil; this zoonosis is known as Bovine Vaccinia (BV and is mainly an occupational disease of milkers. It was only in 2008 (and then again in 2011 and 2014 however, that VACV was found causing natural infections in Brazilian equids. These reports involved only equids, no infected humans or bovines were identified, and the sources of infections remain unknown up to date. The peculiarities of Equine Vaccinia outbreaks (e.g., absence of human infection, the frequently shared environments, and fomites by equids and bovines in Brazilian farms and the remaining gaps in BV epidemiology incited a question over OPV serological status of equids in Brazil. For this report, sera from 621 equids - representing different species, ages, sexes and locations of origin within Minas Gerais State, southeast Brazil – were examined for the presence of anti-Orthopoxvirus (OPV antibodies. Only 74 of these were sampled during an Equine Vaccinia outbreak, meaning some of these specific animals presented typical lesions of OPV infections. The majority of sera, however, were sampled from animals without typical signs of OPV infection and during the absence of reported Bovine or Equine Vaccinia outbreaks. Results suggest the circulation of VACV among equids of southeast Brazil even prior to the time of the first VACV outbreak in 2008. There is a correlation of OPVs outbreaks among bovines and equids although many gaps remain to our understanding of its nature. The data obtained may even be carefully associated to recent discussion over OPVs history. Moreover, data is available to improve the knowledge and instigate new researches regarding OPVs circulation in Brazil and worldwide.

  7. Impacts of air pollutants from fire and non-fire emissions on the regional air quality in Southeast Asia

    Science.gov (United States)

    Lee, Hsiang-He; Iraqui, Oussama; Gu, Yefu; Hung-Lam Yim, Steve; Chulakadabba, Apisada; Yiu-Ming Tonks, Adam; Yang, Zhengyu; Wang, Chien

    2018-05-01

    Severe haze events in Southeast Asia caused by particulate pollution have become more intense and frequent in recent years. Widespread biomass burning occurrences and particulate pollutants from human activities other than biomass burning play important roles in degrading air quality in Southeast Asia. In this study, numerical simulations have been conducted using the Weather Research and Forecasting (WRF) model coupled with a chemistry component (WRF-Chem) to quantitatively examine the contributions of aerosols emitted from fire (i.e., biomass burning) versus non-fire (including fossil fuel combustion, and road dust, etc.) sources to the degradation of air quality and visibility over Southeast Asia. These simulations cover a time period from 2002 to 2008 and are driven by emissions from (a) fossil fuel burning only, (b) biomass burning only, and (c) both fossil fuel and biomass burning. The model results reveal that 39 % of observed low-visibility days (LVDs) can be explained by either fossil fuel burning or biomass burning emissions alone, a further 20 % by fossil fuel burning alone, a further 8 % by biomass burning alone, and a further 5 % by a combination of fossil fuel burning and biomass burning. Analysis of an 24 h PM2.5 air quality index (AQI) indicates that the case with coexisting fire and non-fire PM2.5 can substantially increase the chance of AQI being in the moderate or unhealthy pollution level from 23 to 34 %. The premature mortality in major Southeast Asian cities due to degradation of air quality by particulate pollutants is estimated to increase from ˜ 4110 per year in 2002 to ˜ 6540 per year in 2008. In addition, we demonstrate the importance of certain missing non-fire anthropogenic aerosol sources including anthropogenic fugitive and industrial dusts in causing urban air quality degradation. An experiment of using machine learning algorithms to forecast the occurrence of haze events in Singapore is also explored in this study. All of these

  8. Impacts of air pollutants from fire and non-fire emissions on the regional air quality in Southeast Asia

    Directory of Open Access Journals (Sweden)

    H.-H. Lee

    2018-05-01

    Full Text Available Severe haze events in Southeast Asia caused by particulate pollution have become more intense and frequent in recent years. Widespread biomass burning occurrences and particulate pollutants from human activities other than biomass burning play important roles in degrading air quality in Southeast Asia. In this study, numerical simulations have been conducted using the Weather Research and Forecasting (WRF model coupled with a chemistry component (WRF-Chem to quantitatively examine the contributions of aerosols emitted from fire (i.e., biomass burning versus non-fire (including fossil fuel combustion, and road dust, etc. sources to the degradation of air quality and visibility over Southeast Asia. These simulations cover a time period from 2002 to 2008 and are driven by emissions from (a fossil fuel burning only, (b biomass burning only, and (c both fossil fuel and biomass burning. The model results reveal that 39 % of observed low-visibility days (LVDs can be explained by either fossil fuel burning or biomass burning emissions alone, a further 20 % by fossil fuel burning alone, a further 8 % by biomass burning alone, and a further 5 % by a combination of fossil fuel burning and biomass burning. Analysis of an 24 h PM2.5 air quality index (AQI indicates that the case with coexisting fire and non-fire PM2.5 can substantially increase the chance of AQI being in the moderate or unhealthy pollution level from 23 to 34 %. The premature mortality in major Southeast Asian cities due to degradation of air quality by particulate pollutants is estimated to increase from  ∼  4110 per year in 2002 to  ∼  6540 per year in 2008. In addition, we demonstrate the importance of certain missing non-fire anthropogenic aerosol sources including anthropogenic fugitive and industrial dusts in causing urban air quality degradation. An experiment of using machine learning algorithms to forecast the occurrence of haze events in Singapore is

  9. Occurrence of cyanobacteria (Richelia intracellularis)-diatom (Rhizosolenia hebetata) consortium in the Palk Bay, southeast coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Madhu, N.V.; Paul, M.; Ullas, N.; Ashwini, R.; Rehitha, T.V.

    Symbiotic association of heterocystous cyanobacterium, Richelia intracellularis Schmidt with oceanic centric diatom, Rhizosolenia hebetata is reported from the Palk Bay, southeast coast of India. One to six trichomes of R. intracellularis were...

  10. Intermediate transport in Southeast Asia. [Carts, cycles, mini-buses

    Energy Technology Data Exchange (ETDEWEB)

    Meier, A.K.

    1977-06-01

    Traffic flows through the streets of Southeast Asian countries even though they are used for almost all aspects of human and animal existence. The carts, bicycles, tricycles, and motorcycles, motorized three-wheelers, mini-buses are the so-called intermediate-transport vehicles. It is upon this group of vehicles that a culture--constrained by its own unique economic, environmental, and technological factors--exerts its influence most directly toward the solution of the transport problem. Transportation fills more service roles in Southeast Asian cities than in Western cities. Communication facilities such as telephones and postal services are notoriously unreliable. The personal encounter is all important in social and business interactions in Southeast Asia. Each of the transport modes is examined in view of design and use in a number of specific cultural settings for the countries in Southeast Asia. Present use of intermediate transport in developed countries is discussed briefly, and its further development predicted--pointing out the health and conservation advantages. (MCW)

  11. Risk Factors Predicting Mortality in Patients with Lung Abscess in a Public Tertiary Care Center in Karachi, Pakistan

    OpenAIRE

    Shaista Ghazal; Ashok Kumar; Binav Shrestha; Sana Sajid; Maria Malik; Nadeen Rizvi

    2013-01-01

    Introduction: Lung abscess is a commonly encountered entity in South-East Asia but not much data regarding its outcome is available. The objective of this study was to identify the factors associated with increased mortality in patients diagnosed with lung abscess in a tertiary care center of Karachi, Pakistan. Methods: A retrospective case analysis was performed via hospital records, on patients admitted with lung abscess between January 2009 and January 2011 at the largest state...

  12. Southeast Economic Add-on 2009

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Revealed preference models provide insights into recreational angler behavior and the economic value of recreational fishing trips. This data is for the Southeast...

  13. Perinatal Mortality Among Twins In Lagos University Teaching ...

    African Journals Online (AJOL)

    Background: Perinatal mortality rate is reported to be higher in twins than in singletons. More than two decades ago, Abudu and Agarin reported a twinning rate of 21.1/1000 maternities and perinatal mortality rate of 142.6/1000 among twins in Lagos. Objective: To determine the current perinatal mortality rate and risk factors ...

  14. Prevalence of HIV infection among premarital couples in southeast ...

    African Journals Online (AJOL)

    The Catholic Church in Nigeria offers premarital HIV screening to couples, yet instances of voluntary screening are rare in southeast Nigeria. This study examines the contribution of such tests to HIV detection, and evaluates the prevalence of HIV infection in southeast Nigeria among couples who are planning to marry.

  15. China, Southeast Asia, and the United States

    Directory of Open Access Journals (Sweden)

    Lowell Dittmer

    2016-04-01

    Full Text Available Southeast Asia has historically been a meeting point between East Asia and South Asia before Western colonialism opened the region to the West and to the winds of global modernization. Since Japan’s coercive decolonization during the Second World War, the dominant outside influences have come from the United States and from the People’s Republic of China. The post-Cold War era began with a withdrawal of both China’s and US power projection from Southeast Asia, facilitating the configuration of a triangular ménage à trios, with ASEAN expanding to include all of Southeast Asia and introducing a number of extended forums intended to socialize the rest of East Asia into the ASEAN way. The “rise of China” occurred within this friendly context, though beginning around 2010 its strategic implications began to appear more problematic with the mounting dispute over the issue of the South China Sea.

  16. Rapidly developing marketing regions : Southeast Asia

    International Nuclear Information System (INIS)

    Howe, J.

    1997-01-01

    The risks and opportunities in the rapidly developing markets in Southeast Asia, China in particular, were discussed. It was asserted that no other region in the world can match the long-term market opportunities that China and Southeast Asia promise. The forces driving the economic development in Southeast Asia were described, including the great potential the region holds for the petrochemical industry. Graphs showing total polyethylene production vs. demand for year 2005 were included as illustrative examples. By 2005, China is projected to be importing almost one-half of the products it consumes. Every country with excess capacity will supply China with polyethylene. The political uncertainties that makes doing business in the region a high risk undertaking were reviewed, along with other risks relevant to the petrochemical industry such as (1) high capital costs, (2) over-building to the point that there is more supply than demand for the product, (3) low-cost producers may drive down prices to maintain market share, and (4) the uncertain nature of projections regarding economic growth and (5) inflated estimates of demand for petrochemicals. 1 tab., 4 figs

  17. Disentangling the effects of climate, species, and management on growth and mortality of southeast Asian mangroves

    Science.gov (United States)

    Baker, Patrick; Bunyavejchewin, Sarayudh; Robinson, Andrew

    2013-04-01

    Mangrove forests are one of the most biologically important ecosystems of the littoral tropics. They provide a wide range of ecosystem services including tsunami protection, food production, and waste processing. They are also rapidly disappearing due to increasing rates of clearance for development and aquaculture. It remains unclear how mangroves will respond to changing climatic conditions. Here we discuss the results of a long-term study that explored the interacting effects of climate, species, and management practices on annual variability of growth and mortality of mangroves in peninsular Thailand. The 15-year study period included the extreme 1997-98 ENSO event that led to widespread drought-induced mortality and forest fires across the region, but which appeared to have little impact on the mangroves. Our results provide an important, and much-needed, framework for conservation and forest management planning in these mangrove forests given future concerns and uncertainty about climate change in the tropics.

  18. How will Southeast Asian petrochemicals impact the HPI?

    International Nuclear Information System (INIS)

    Rothman, S.N.

    1997-01-01

    Development of East Asia's petrochemical industry has been phenomenal, with major complexes built in numerous locations. The Southeast Asian countries of particular interest are members of the Association of Southeast Asian Nations (ASEAN): Singapore, Thailand, Malaysia, Indonesia, the Philippines, Brunei and Vietnam. As new capacity is built in this region, these large operating facilities will affect supply and demand for key petrochemical products--ethylene and polyolefins. What are the potential regional effects from this new capacity? Traditional net export countries will have to re-evaluate their future marketing strategies to remain competitive in Southeast Asia and other trading areas. As East Asia's petrochemical industry comes of age, competition will undoubtedly increase. However, this growing region offers opportunities to widen manufacturing basis. The paper discusses basic chemical demands and the outlook for the Asian petrochemical industry

  19. Non-Responsive Feeding Practices, Unhealthy Eating Behaviors, and Risk of Child Overweight and Obesity in Southeast Asia: A Systematic Review.

    Science.gov (United States)

    Lindsay, Ana Cristina; Sitthisongkram, Somporn; Greaney, Mary L; Wallington, Sherrie F; Ruengdej, Praewrapee

    2017-04-19

    Childhood obesity is increasing dramatically in many Southeast Asian countries, and becoming a significant public health concern. This review summarizes the evidence on associations between parental feeding practices, child eating behaviors, and the risk of overweight and obesity in Southeast Asian children 2-12 years old. We systematically searched five electronic academic/research (PubMed, PsycINFO, ProQuest Nursing, Medline, and CINAHL) databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for peer-reviewed studies published in English between January 2000 and December 2016. Fourteen observational studies met the inclusion criteria and were reviewed. Reviewed studies were examined separately for preschool- and school-aged children and revealed that non-responsive parental feeding practices and unhealthy child eating behaviors were associated with a risk of child overweight and obesity in several Southeast Asian countries. Nonetheless, due to the small number of identified studies ( n = 14) and because only about half of the Southeast Asian countries (Thailand, Vietnam, Singapore, the Philippines, and Malaysia) were represented (5/11) in the examined studies, additional research is needed to further understand the factors associated with childhood obesity among children in Southeast Asia to develop interventions that are tailored to the specific needs of Southeast Asian countries and designed to address practices and behaviors that may promote childhood obesity.

  20. Non-Responsive Feeding Practices, Unhealthy Eating Behaviors, and Risk of Child Overweight and Obesity in Southeast Asia: A Systematic Review

    Science.gov (United States)

    Cristina Lindsay, Ana; Sitthisongkram, Somporn; Greaney, Mary L.; Wallington, Sherrie F.; Ruengdej, Praewrapee

    2017-01-01

    Childhood obesity is increasing dramatically in many Southeast Asian countries, and becoming a significant public health concern. This review summarizes the evidence on associations between parental feeding practices, child eating behaviors, and the risk of overweight and obesity in Southeast Asian children 2–12 years old. We systematically searched five electronic academic/research (PubMed, PsycINFO, ProQuest Nursing, Medline, and CINAHL) databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for peer-reviewed studies published in English between January 2000 and December 2016. Fourteen observational studies met the inclusion criteria and were reviewed. Reviewed studies were examined separately for preschool- and school-aged children and revealed that non-responsive parental feeding practices and unhealthy child eating behaviors were associated with a risk of child overweight and obesity in several Southeast Asian countries. Nonetheless, due to the small number of identified studies (n = 14) and because only about half of the Southeast Asian countries (Thailand, Vietnam, Singapore, the Philippines, and Malaysia) were represented (5/11) in the examined studies, additional research is needed to further understand the factors associated with childhood obesity among children in Southeast Asia to develop interventions that are tailored to the specific needs of Southeast Asian countries and designed to address practices and behaviors that may promote childhood obesity. PMID:28422081

  1. [Report of Cancer Incidence and Mortality in China, 2014].

    Science.gov (United States)

    Chen, W Q; Li, H; Sun, K X; Zheng, R S; Zhang, S W; Zeng, H M; Zou, X N; Gu, X Y; He, J

    2018-01-23

    Objective: The registration data of local cancer registries in 2014 were collected by National Central Cancer Registry (NCCR)in 2017 to estimate the cancer incidence and mortality in China. Methods: The data submitted from 449 registries were checked and evaluated, and the data of 339 registries out of them were qualified and selected for the final analysis. Cancer incidence and mortality were stratified by area, gender, age group and cancer type, and combined with the population data of 2014 to estimate cancer incidence and mortality in China. The age composition of standard population of Chinese census in 2000 and Segi's population were used for age-standardized incidence and mortality in China and worldwide, respectively. Results: Total covered population of 339 cancer registries (129 in urban and 210 in rural) in 2014 were 288 243 347 (144 061 915 in urban and 144 181 432 in rural areas). The mortality verified cases (MV%) were 68.01%. Among them, 2.19% cases were identified through death certifications only (DCO%), and the mortality to incidence ratio was 0.61. There were about 3, 804, 000 new cases diagnosed as malignant cancer and 2, 296, 000 cases dead in 2014 in the whole country. The incidence rate was 278.07/100, 000 (males 301.67/100, 000, females 253.29/100, 000) in China, age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population were 190.63/100, 000 and 186.53/100, 000, respectively, and the cumulative incidence rate (0-74 age years old) was 21.58%. The cancer incidence and ASIRC in urban areas were 302.13/100, 000 and 196.58/100, 000, respectively, whereas in rural areas, those were 248.94/100, 000 and 182.64/100, 000, respectively. The cancer mortality in China was 167.89/100, 000 (207.24/100, 000 in males and 126.54/100, 000 in females), age-standardized mortality rates by Chinese standard population (ASMRC) and by world standard population were 106.98/100, 000 and 106.09/100, 000, respectively. And

  2. Health spending, macroeconomics and fiscal space in countries of the World Health Organization South-East Asia Region.

    Science.gov (United States)

    Gupta, Indrani; Mondal, Swadhin

    2014-01-01

    The paper examines the issues around mobilization of resources for the 11 countries of the South-East Asia Region of the World Health Organization (WHO), by analysing their macroeconomic situation, health spending, fiscal space and other determinants of health. With the exception of a few, most of these countries have made fair progress on their own Millennium Development Goal (MDG) targets of maternal mortality ratio and mortality rate in children aged under 5 years. However, the achieved targets have been very modest - with the exception of Thailand and Sri Lanka - indicating the continued need for additional efforts to improve these indicators. The paper discusses the need for investment, by looking at evidence on economic growth, the availability of fiscal space, and improvements in "macroeconomic-plus" factors like poverty, female literacy, governance and efficiency of the health sector. The analysis indicates that, overall, the countries of the WHO South-East Asia Region are collectively in a position to make the transition from low public spending to moderate or even high health spending, which is required, in turn, for transition from lowcoverage-high out-of-pocket spending (OOPS) to highcoverage-low OOPS. However, explicit prioritization for health within the overall government budget for low spenders would require political will and champions who can argue the case of the health sector. Additional innovative avenues of raising resources, such as earmarked taxes or a health levy can be considered in countries with good macroeconomic fundamentals. With the exception of Thailand, this is applicable for all the countries of the region. However, countries with adverse macroeconomic-plus factors, as well as inefficient health systems, need to be alert to the possibility of overinvesting - and thereby wasting - resources for modest health gains, making the challenge of increasing health sector spending alongside competing demands for spending on other areas of

  3. Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities.

    Science.gov (United States)

    Darze, Eduardo Sahade; Casqueiro, Juliana Borges; Ciuffo, Luisa Allen; Santos, Jessica Mendes; Magalhães, Iuri Resedá; Latado, Adriana Lopes

    2016-01-01

    A significant variation in pulmonary embolism (PE) mortality trends have been documented around the world. We investigated the trends in mortality rate from PE in Brazil over a period of 21 years and its regional and gender differences. Using a nationwide database of death certificate information we searched for all cases with PE as the underlying cause of death between 1989 and 2010. Population data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). We calculated age-, gender- and region-specific mortality rates for each year, using the 2000 Brazilian population for direct standardization. Over 21 years the age-standardized mortality rate (ASMR) fell 31% from 3.04/100,000 to 2.09/100,000. In every year between 1989 and 2010, the ASMR was higher in women than in men, but both showed a significant declining trend, from 3.10/100,000 to 2.36/100,000 and from 2.94/100,000 to 1.80/100,000, respectively. Although all country regions showed a decline in their ASMR, the largest fall in death rates was concentrated in the highest income regions of the South and Southeast Brazil. The North and Northeast regions, the lowest income areas, showed a less marked fall in death rates and no distinct change in the PE mortality rate in women. Our study showed a reduction in the PE mortality rate over two decades in Brazil. However, significant variation in this trend was observed amongst the five country regions and between genders, pointing to possible disparities in health care access and quality in these groups.

  4. Doctor-Patient Communication in Southeast Asia: A Different Culture?

    Science.gov (United States)

    Claramita, Mora; Nugraheni, Mubarika D. F.; van Dalen, Jan; van der Vleuten, Cees

    2013-01-01

    Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative…

  5. Heat Mortality Versus Cold Mortality: A Study of Conflicting Databases in the United States.

    Science.gov (United States)

    Dixon, P. G.; Brommer, D. M.; Hedquist, B. C.; Kalkstein, A. J.; Goodrich, G. B.; Walter, J. C.; Dickerson, C. C., IV; Penny, S. J.; Cerveny, R. S.

    2005-07-01

    Studies, public reports, news reports, and Web sites cite a wide range of values associated with deaths resulting from excessive heat and excessive cold. For example, in the United States, the National Climatic Data Center's Storm Data statistics of temperature- related deaths are skewed heavily toward heat-related deaths, while the National Center for Health Statistics Compressed Mortality Database indicates the reverse—4 times more people die of “excessive cold” conditions in a given year than of “excessive heat.” In this study, we address the fundamental differences in the various temperature-related mortality databases, assess their benefits and limitations, and offer suggestions as to their use. These datasets suffer from potential incompleteness of source information, long compilation times, limited quality control, and the subjective determination of a direct versus indirect cause of death. In general, these separate mortality datasets should not be combined or compared, particularly with regard to policy determination. The use of gross mortality numbers appears to be one of the best means of determining temperature-related mortality, but those data must be detrended into order to remove a persistent winter-dominant death maximum and are difficult to obtain on a regional daily basis.

  6. Cancer and non-cancer mortality risks in atomic bomb survivors, 1950-1997: lSS report 13

    International Nuclear Information System (INIS)

    Shimizu, Y.; Preston, D.L.; Pierce, D.A.; Suyama, A.; Kodama, K.; Mabuchi, K.

    2003-01-01

    The present report continues the series of general reports on mortality in the Life Span Study (LSS) cohort followed by the Radiation Effects Research Foundation (RERF). The present report deals with solid cancer and non-cancer disease mortality during the period from 1950 through 1997, updating with seven additional years of follow-up LSS Report 12. The LSS cohort includes 86,572 people with individual dose estimates. There have been 9,335 deaths from solid cancer and 31,881 deaths from non-cancer disease during the 47 years follow-up. 19% of the solid cancer and 15% of the non-cancer disease deaths occurred during the newly added follow-up period. While excess rates for radiation-associated solid cancers are seen to increase throughout the study period regardless of age at exposure, relative risks are highest for those exposed as children but appear to decline with increasing age. For those exposed at age 30 the solid cancer risk is elevated by 47% at age 70. There are interesting variations by site of age and age at exposure pattern, though the patterns of the risk do not differ statistically from those for solid cancer as a group. However, the interpretation of age at exposure effects on the ERR or the EAR is complicated by changes in background rates with birth cohort or time trend. The evidence for radiation effects on non-cancer mortality remains strong with risks increased by about 14% per Sv during the last thirty years of follow-up. Statistically significant increases are seen for heart disease, stroke, digestive diseases, and respiratory diseases. Although the non-cancer data are consistent with some non-linearity in the dose response, the evidence against linearity is weaker than past. However, there is no direct statistical evidence of radiation effects for doses less than 0.5 Sv

  7. Performance Theory: Southeast Asia.

    Science.gov (United States)

    Kirby, Michael, Ed.

    1979-01-01

    Focusing on the contemporary theatre in Southeast Asia, this journal issue sheds light on the intercultural relationships that exist between that part of the world and the Western world. In addition to a transcript of a Balinese "topeng" (storytelling) performance, the journal contains eight articles that provide information on the…

  8. Mortality after shoulder arthroplasty

    DEFF Research Database (Denmark)

    Amundsen, Alexander; Rasmussen, Jeppe Vejlgaard; Olsen, Bo Sanderhoff

    2016-01-01

    BACKGROUND: The primary aim was to quantify the 30-day, 90-day, and 1-year mortality rates after primary shoulder replacement. The secondary aims were to assess the association between mortality and diagnoses and to compare the mortality rate with that of the general population. METHODS: The study...... included 5853 primary operations reported to the Danish Shoulder Arthroplasty Registry between 2006 and 2012. Information about deaths was obtained from the Danish Cause of Death Register and the Danish Civil Registration System. Age- and sex-adjusted control groups were retrieved from Statistics Denmark...

  9. Maternal mortality and maternity care from 1990 to 2005: uneven but important gains.

    Science.gov (United States)

    Shah, Iqbal H; Say, Lale

    2007-11-01

    Maternal mortality continues to be the major cause of death among women of reproductive age in many countries. Data from published studies and Demographic and Health Surveys show that gains in reducing maternal mortality between 1990 and 2005 have been modest overall. In 2005, there were about 536,000 maternal deaths, and the maternal mortality ratio was estimated at 400 per 100,000 live births, compared to 430 in 1990. Noteworthy declines took place in east Asia (4% per year) and north Africa (3% per year). Maternal deaths and mortality ratios were highest in sub-Saharan Africa and southeast Asia and low in east Asia and Latin America/Caribbean. In 11 of 53 countries with data, fewer than 25% of women had had at least four antenatal visits. About 63% of births were attended by a skilled attendant: from 47% in Africa to 88% in Latin America/Caribbean. In 16 of 23 countries with data, less than 50% of the recommended levels of emergency obstetric care had been fulfilled. Only 61% of women who delivered in a health facility in 30 developing countries received post-partum care, and far fewer who gave birth at home. Countries with maternal mortality ratios of 750+ per 100,000 live births shared problems of high fertility and unplanned pregnancies, poor health infrastructure with limited resources and low availability of health personnel. The task ahead is enormous.

  10. Leprosy-related mortality in Brazil: a neglected condition of a neglected disease.

    Science.gov (United States)

    Martins-Melo, Francisco Rogerlândio; Assunção-Ramos, Adriana Valéria; Ramos, Alberto Novaes; Alencar, Carlos Henrique; Montenegro, Renan Magalhães; Wand-Del-Rey de Oliveira, Maria Leide; Heukelbach, Jorg

    2015-10-01

    Leprosy is a public health problem and a neglected condition of morbidity and mortality in several countries of the world. We analysed time trends and spatiotemporal patterns of leprosy-related mortality in Brazil. We performed a nationwide population-based study using secondary mortality data. We included all deaths that occurred in Brazil between 2000 and 2011, in which leprosy was mentioned in any field of death certificates. Leprosy was identified in 7732/12 491 280 deaths (0.1%). Average annual age-adjusted mortality rate was 0.43 deaths/100 000 inhabitants (95% CI 0.40-0.46). The burden of leprosy deaths was higher among males, elderly, black race/colour and in leprosy-endemic regions. Lepromatous leprosy was the most common clinical form mentioned. Mortality rates showed a significant nationwide decrease over the period (annual percent change [APC]: -2.8%; 95% CI -4.2 to -2.4). We observed decreasing mortality rates in the South, Southeast and Central-West regions, while the rates remained stable in North and Northeast regions. Spatial and spatiotemporal high-risk clusters for leprosy-related deaths were distributed mainly in highly endemic and socio-economically deprived regions. Leprosy is a neglected cause of death in Brazil since the disease is preventable, and a cost-effective treatment is available. Sustainable control measures should include appropriate management and systematic monitoring of leprosy-related complications, such as severe leprosy reactions and adverse effects to multidrug therapy. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Acculturation, gender, and mental health of Southeast Asian immigrant youth in Canada.

    Science.gov (United States)

    Hilario, Carla T; Vo, Dzung X; Johnson, Joy L; Saewyc, Elizabeth M

    2014-12-01

    The relationships between mental health, protective factors and acculturation among Southeast Asian youth were examined in this study using a gender-based analysis. Population-based data from the 2008 British Columbia Adolescent Health Survey were used to examine differences in extreme stress and despair by acculturation. Associations between emotional distress and hypothesized protective factors were examined using logistic regression. Stratified analyses were performed to assess gender-related differences. Recent immigrant youth reported higher odds of emotional distress. Family connectedness and school connectedness were linked to lower odds of extreme stress and despair among girls. Family connectedness was associated with lower odds of extreme stress and despair among boys. Higher cultural connectedness was associated with lower odds of despair among boys but with higher odds of extreme stress among girls. Findings are discussed in relation to acculturation and gender-based patterns in protective factors for mental health among Southeast Asian immigrant youth.

  12. ‘Borderless’ Southeast Asia historiography: New scholarship on the interactions and exchanges between Southeast Asia and its South Asian and Chinese neighbours in the pre-1500 era

    Directory of Open Access Journals (Sweden)

    Kenneth R. Hall

    2011-12-01

    Full Text Available Review of:Nola Cooke, Li Tana and James A. Anderson (eds, The Tongking Gulf through history. Philadelphia: University of Pennsylvania Press, 2011, x + 223 pp. [Encounters with Asia Series.] ISBN 9780812243369. Price: USD 59.95 (hardback.Derek Heng, Sino-Malay trade and diplomacy from the tenth through the fourteenth century. Athens: Ohio University Press, 2009, xiii + 286 pp. [Research in International Studies, Southeast Asia Series 121.] ISBN 9780896802711. Price: USD 28.00 (paperback.Hermann Kulke, K. Kesavapany and Vijay Sakhuja (eds, Nagapattinam to Suvarnadwipa: Reflections on the Chola naval expeditions to Southeast Asia. Singapore: Institute of Southeast Asian Studies, 2009, xxv + 337 pp. [Nalanda-Sriwijaya Series.] ISBN 9789812509365, price: USD 39.90 (hardback; 9789812309372, USD 59.90 (paperback.Pierre-Yves Manguin, A. Mani and Geoff Wade (eds, Early interactions between South and Southeast Asia: Reflections on cross-cultural exchange. Singapore: Institute of Southeast Asian Studies, 2011, xxxi + 514 pp. [Nalanda-Sriwijaya Series.] ISBN 9789814345101, price USD 49.90 (paperback; 9789814311168, USD 59.90 (hardback. [India Hardcover Edition co-published with Manohar Publishers and Distributors, India.]Geoff Wade and Sun Laichen (eds, Southeast Asia in the fifteenth century: The China factor. Singapore: NUS Press; Hong Kong: Hong Kong University Press, 2010, xii + 508 pp. ISBN 9789971694487. Price: USD 32.00.

  13. Mortality in a cohort of Danish patients with fibromyalgia

    DEFF Research Database (Denmark)

    Dreyer, Lene; Kendall, Sally; Danneskiold-Samsøe, Bente

    2010-01-01

    A previous study demonstrated an association between self-reported widespread body pain and increased mortality. The aim of this study was to analyze whether fibromyalgia (FM) and FM-like symptoms are related to increased mortality.......A previous study demonstrated an association between self-reported widespread body pain and increased mortality. The aim of this study was to analyze whether fibromyalgia (FM) and FM-like symptoms are related to increased mortality....

  14. First case of detection of Plasmodium knowlesi in Spain by Real Time PCR in a traveller from Southeast Asia

    Directory of Open Access Journals (Sweden)

    Arroyo Eduardo

    2010-07-01

    Full Text Available Abstract Previously, Plasmodium knowlesi was not considered as a species of Plasmodium that could cause malaria in human beings, as it is parasite of long-tailed (Macaca fascicularis and pig-tailed (Macaca nemestrina macaques found in Southeast Asia. A case of infection by P. knowlesi is described in a Spanish traveller, who came back to Spain with daily fever after his last overseas travel, which was a six-month holiday in forested areas of Southeast Asia between 2008 and 2009. His P. knowlesi infection was detected by multiplex Real time quantitative PCR and confirmed by sequencing the amplified fragment. Using nested multiplex malaria PCR (reference method in Spain and a rapid diagnostic test, the P. knowlesi infection was negative. This patient was discharged and asymptomatic when the positive result to P. knowlesi was reported. Prior to this case, there have been two more reports of European travellers with malaria caused by P. knowlesi, a Finnish man who travelled to Peninsular Malaysia during four weeks in March 2007, and a Swedish man who did a short visit to Malaysian Borneo in October 2006. Taken together with this report of P. knowlesi infection in a Spanish traveller returning from Southeast Asia, this is the third case of P. knowlesi infection in Europe, indicating that this simian parasite can infect visitors to endemic areas in Southeast Asia. This last European case is quite surprising, given that it is an untreated-symptomatic P. knowlesi in human, in contrast to what is currently known about P. knowlesi infection. Most previous reports of human P. knowlesi malaria infections were in adults, often with symptoms and relatively high parasite densities, up to the recent report in Ninh Thuan province, located in the southern part of central Vietnam, inhabited mainly by the Ra-glai ethnic minority, in which all P. knowlesi infections were asymptomatic, co-infected with P. malariae, with low parasite densities and two of the three

  15. First case of detection of Plasmodium knowlesi in Spain by Real Time PCR in a traveller from Southeast Asia.

    Science.gov (United States)

    Ta, Tang Thuy-Huong; Salas, Ana; Ali-Tammam, Marwa; Martínez, María Del Carmen; Lanza, Marta; Arroyo, Eduardo; Rubio, Jose Miguel

    2010-07-27

    Previously, Plasmodium knowlesi was not considered as a species of Plasmodium that could cause malaria in human beings, as it is parasite of long-tailed (Macaca fascicularis) and pig-tailed (Macaca nemestrina) macaques found in Southeast Asia. A case of infection by P. knowlesi is described in a Spanish traveller, who came back to Spain with daily fever after his last overseas travel, which was a six-month holiday in forested areas of Southeast Asia between 2008 and 2009. His P. knowlesi infection was detected by multiplex Real time quantitative PCR and confirmed by sequencing the amplified fragment. Using nested multiplex malaria PCR (reference method in Spain) and a rapid diagnostic test, the P. knowlesi infection was negative. This patient was discharged and asymptomatic when the positive result to P. knowlesi was reported. Prior to this case, there have been two more reports of European travellers with malaria caused by P. knowlesi, a Finnish man who travelled to Peninsular Malaysia during four weeks in March 2007, and a Swedish man who did a short visit to Malaysian Borneo in October 2006. Taken together with this report of P. knowlesi infection in a Spanish traveller returning from Southeast Asia, this is the third case of P. knowlesi infection in Europe, indicating that this simian parasite can infect visitors to endemic areas in Southeast Asia. This last European case is quite surprising, given that it is an untreated-symptomatic P. knowlesi in human, in contrast to what is currently known about P. knowlesi infection. Most previous reports of human P. knowlesi malaria infections were in adults, often with symptoms and relatively high parasite densities, up to the recent report in Ninh Thuan province, located in the southern part of central Vietnam, inhabited mainly by the Ra-glai ethnic minority, in which all P. knowlesi infections were asymptomatic, co-infected with P. malariae, with low parasite densities and two of the three identified cases were very

  16. An Education in Entertainment – Possible Trends in Southeast Asia

    Directory of Open Access Journals (Sweden)

    Benny Lim

    2014-03-01

    Full Text Available The term Entertainment Industry has been used interchangeably with the term Creative Industries and also has been suggested to be part of the creative industries. The creative industries seeks to provide commercially viable artistic and creative products, known as intellectual property, and in the process of such provision, contributes to the nation’s creative economy. From an education perspective in Southeast Asia, two observations can be made. Firstly, the focus of education in relation to the entertainment industry has always been technical. Secondly, the introduction of the concepts of the creative industries in Southeast Asia has spurred new trends in the education of the entertainment industry. Outside of Southeast Asia, there have been a growing number of academic programs in the field of Entertainment. From within Southeast Asia, Malaysia has taken the lead to introduce two new trends in the entertainment education – entertainment management and entertainment arts.

  17. Model calculated global, regional and megacity premature mortality due to air pollution

    Directory of Open Access Journals (Sweden)

    J. Lelieveld

    2013-07-01

    Full Text Available Air pollution by fine particulate matter (PM2.5 and ozone (O3 has increased strongly with industrialization and urbanization. We estimate the premature mortality rates and the years of human life lost (YLL caused by anthropogenic PM2.5 and O3 in 2005 for epidemiological regions defined by the World Health Organization (WHO. This is based upon high-resolution global model calculations that resolve urban and industrial regions in greater detail compared to previous work. Results indicate that 69% of the global population is exposed to an annual mean anthropogenic PM2.5 concentration of >10 μg m−3 (WHO guideline and 33% to > 25 μg m−3 (EU directive. We applied an epidemiological health impact function and find that especially in large countries with extensive suburban and rural populations, air pollution-induced mortality rates have been underestimated given that previous studies largely focused on the urban environment. We calculate a global respiratory mortality of about 773 thousand/year (YLL ≈ 5.2 million/year, 186 thousand/year by lung cancer (YLL ≈ 1.7 million/year and 2.0 million/year by cardiovascular disease (YLL ≈ 14.3 million/year. The global mean per capita mortality caused by air pollution is about 0.1% yr−1. The highest premature mortality rates are found in the Southeast Asia and Western Pacific regions (about 25% and 46% of the global rate, respectively where more than a dozen of the most highly polluted megacities are located.

  18. Completeness and underestimation of cancer mortality rate in Iran: a report from Fars Province in southern Iran.

    Science.gov (United States)

    Marzban, Maryam; Haghdoost, Ali-Akbar; Dortaj, Eshagh; Bahrampour, Abbas; Zendehdel, Kazem

    2015-03-01

    The incidence and mortality rates of cancer are increasing worldwide, particularly in the developing countries. Valid data are needed for measuring the cancer burden and making appropriate decisions toward cancer control. We evaluated the completeness of death registry with regard to cancer death in Fars Province, I. R. of Iran. We used data from three sources in Fars Province, including the national death registry (source 1), the follow-up data from the pathology-based cancer registry (source 2) and hospital based records (source 3) during 2004 - 2006. We used the capture-recapture method and estimated underestimation and the true age standardized mortality rate (ASMR) for cancer. We used log-linear (LL) modeling for statistical analysis. We observed 1941, 480, and 355 cancer deaths in sources 1, 2 and 3, respectively. After data linkage, we estimated that mortality registry had about 40% underestimation for cancer death. After adjustment for this underestimation rate, the ASMR of cancer in the Fars Province for all cancer types increased from 44.8 per 100,000 (95% CI: 42.8 - 46.7) to 76.3 per 100,000 (95% CI: 73.3 - 78.9), accounting for 3309 (95% CI: 3151 - 3293) cancer deaths annually. The mortality rate of cancer is considerably higher than the rates reported by the routine registry in Iran. Improvement in the validity and completeness of the mortality registry is needed to estimate the true mortality rate caused by cancer in Iran.

  19. Breaking the news or fueling the epidemic? Temporal association between news media report volume and opioid-related mortality.

    Directory of Open Access Journals (Sweden)

    Nabarun Dasgupta

    2009-11-01

    Full Text Available Historical studies of news media have suggested an association between reporting and increased drug abuse. Period effects for substance use have been documented for different classes of legal and illicit substances, with the suspicion that media publicity may have played major roles in their emergence. Previous analyses have drawn primarily from qualitative evidence; the temporal relationship between media reporting volume and adverse health consequences has not been quantified nationally. We set out to explore whether we could find a quantitative relationship between media reports about prescription opioid abuse and overdose mortality associated with these drugs. We assessed whether increases in news media reports occurred before or after increases in overdose deaths.Our ecological study compared a monthly time series of unintentional poisoning deaths involving short-acting prescription opioid substances, from 1999 to 2005 using multiple cause-of-death data published by the National Center for Health Statistics, to monthly counts of English-language news articles mentioning generic and branded names of prescription opioids obtained from Google News Archives from 1999 to 2005. We estimated the association between media volume and mortality rates by time-lagged regression analyses. There were 24,272 articles and 30,916 deaths involving prescription opioids during the seven-year study period. Nationally, the number of articles mentioning prescription opioids increased dramatically starting in early 2001, following prominent coverage about the nonmedical use of OxyContin. We found a significant association between news reports and deaths, with media reporting preceding fatal opioid poisonings by two to six months and explaining 88% (p<0.0001, df 78 of the variation in mortality.While availability, structural, and individual predispositions are key factors influencing substance use, news reporting may enhance the popularity of psychoactive

  20. Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand.

    Science.gov (United States)

    Chang, Shu-Sen; Gunnell, David; Sterne, Jonathan A C; Lu, Tsung-Hsueh; Cheng, Andrew T A

    2009-04-01

    In 1997-1998 a widespread economic crisis hit the economies of many East/Southeast Asian countries; its impact on suicide rates across the region has not been systematically documented. We investigated the impact of the Asian economic crisis (1997-1998) on suicide in Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Suicide and population data for the period 1985-2006 were extracted from the World Health Organisation's mortality database and Taiwanese mortality statistics. Sex-specific age-standardised suicide rates for people aged 15years or above were analysed using joinpoint regression. Trends in divorce, marriage, unemployment, gross domestic product (GDP) per capita and alcohol consumption were compared with trends in suicide rates graphically and using time-series analysis. Suicide mortality decreased in the late 1980s and early 1990s but subsequently increased markedly in all countries except Singapore, which had steadily declining suicide rates throughout the study period. Compared to 1997, male rates in 1998 rose by 39% in Japan, 44% in Hong Kong and 45% in Korea; rises in female rates were less marked. Male rates also rose in Thailand, but accurate data were incomplete. The economic crisis was associated with 10,400 more suicides in 1998 compared to 1997 in Japan, Hong Kong and Korea. Similar increases in suicide rates were not seen in Taiwan and Singapore, the two countries where the economic crisis had a smaller impact on GDP and unemployment. Time-series analyses indicated that some of the crisis's impact on male suicides was attributable to increases in unemployment. These findings suggest an association of the Asian economic crisis with a sharp increase in suicide mortality in some, but not all, East/Southeast Asian countries, and that these increases were most closely associated with rises in unemployment.

  1. Infant Mortality and Hispanic Americans

    Science.gov (United States)

    ... Infant Mortality Statistics from the 2013 Period Linked Birth/Infant Death Data Set. National Vital Statistics Reports . Table 5. http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_09.pdf [PDF | 994KB] Infant deaths and mortality rates for the top 4 leading cause of death ...

  2. Dengue mortality in Colombia, 1985-2012.

    Science.gov (United States)

    Chaparro-Narváez, Pablo; León-Quevedo, Willian; Castañeda-Orjuela, Carlos Andrés

    2016-02-11

    Dengue in Colombia is an important public health problem due to the huge economic and social costs it has caused, especially during the disease outbreaks.  To describe the behavior of dengue mortality in Colombia between 1985 and 2012.  We conducted a descriptive study. Information was obtained from mortality and population projection databases provided by the Departamento Administrativo Nacional de Estadística (DANE) for the 1985-2012 period. Mortality rates, rate ratios, and case fatality rates were estimated.  A total of 1,990 dengue deaths were registered during this period in Colombia. Dengue mortality rates presented an increasing trend with statistical significance between 1985 and 1998. Higher mortality rates were reported in men both younger than 5 years and older than 65 years. Between 1995 and 2012, category 1 to 4 municipalities reported the highest mortality rates. Case fatality rates varied during the period between 0.01% and 0.39%.  Dengue is an avoidable disease that should disappear from mortality statistics as a cause of death. The event is avoidable if the proposed activities from the Estrategia de Gestión Integrada (EGI)-Dengue are implemented and evaluated. We recommend encouraging the development of an informational culture to contribute to decision making and prioritizing resource allocation.

  3. Mortality resulting from head injury in professional boxing: case report.

    Science.gov (United States)

    Baird, Lissa C; Newman, C Benjamin; Volk, Hunter; Svinth, Joseph R; Conklin, Jordan; Levy, Michael L

    2010-08-01

    The majority of boxing-related fatalities result from traumatic brain injury. Biomechanical forces in boxing result in rotational acceleration with resultant subdural hematoma and diffuse axonal injury. Given the inherent risk and the ongoing criticism boxing has received, we evaluated mortalities associated with professional boxing. We used the Velazquez Fatality Collection of boxing injuries and supplementary sources to analyze mortality from 1950 to 2007. Variables evaluated included age at time of death, association with knockout or other outcome of match, rounds fought, weight class, location of fight, and location of preterminal event. There were 339 mortalities between 1950 and 2007 (mean age, 24 +/- 3.8 years); 64% were associated with knockout and 15% with technical knockout. A higher percentage occurred in the lower weight classes. The preterminal event occurred in the ring (61%), in the locker room (17%), and outside the arena (22%). We evaluated for significant changes after 1983 when championship bouts were reduced from 15 to 12 rounds. There was a significant decline in mortality after 1983. We found no significant variables to support that this decline is related to a reduction in rounds. Rather, we hypothesize the decline to be the result of a reduction in exposure to repetitive head trauma (shorter careers and fewer fights), along with increased medical oversight and stricter safety regulations. Increased efforts should be made to improve medical supervision of boxers. Mandatory central nervous system imaging after a knockout could lead to a significant reduction in associated mortality.

  4. Competitive Advantage in Tourism of Southeast Asian Countries

    OpenAIRE

    Akarapong Untong

    2013-01-01

    The competitive advantage in tourism of the countries in Southeast Asia was assessed by using coverage ratio and revealed comparative advantage (RCA). Static and dynamic analyses were applied to the data of tourism services export during 2002-2010. The results show that Cambodia, Laos PDR, Malaysia, Thailand, and Vietnam had competitive advantages, i.e. these countries gain the surpluses more than that of the region’s. Thailand had the highest specialization in Southeast Asia but declining. M...

  5. Land rights of indigenous peoples in Southeast Asia

    OpenAIRE

    Xanthaki, A

    2003-01-01

    Very little has been written on indigenous rights in South-East Asia. This article attempts to address issues concerning indigenous land rights in the region, arguing that there is a clear gap between the existing situation and the relevant standards of the international human rights system. After a short overview of the international human rights framework currently binding South-East Asian states, the article analyses issues of indigenous land ownership and control by indigenous peoples ove...

  6. Bycatch and catch-release mortality of small sharks in the Gulf coast nursery grounds of Tampa Bay and Charlotte Harbor

    OpenAIRE

    Hueter, Robert E.; Manire, Charles A.

    1994-01-01

    The bays and estuaries of the southeast United States coast generally are thought to serve as nursery areas for various species of coastal sharks, where juvenile sharks find abundant food and are less exposed to predation by larger sharks. Because these areas typically support substantial commercial and recreational fisheries, fishing mortality of sharks in the nurseries particularly by bycatch, may be significant. This two-year project assessed the relative importance of two estuaries of the...

  7. Anthropogenic impacts on the water quality of Aba River, southeast ...

    African Journals Online (AJOL)

    Anthropogenic impacts on the water quality of Aba River, southeast Nigeria. ... Ethiopian Journal of Environmental Studies and Management ... of Aba River, southeast Nigeria was studied in four stations from November 2014 to August 2015 to identify the major anthropogenic activities and their impact on the water quality.

  8. An adaptive thermal comfort model for hot humid South-East Asia

    OpenAIRE

    Nguyen, Anh Tuan; Singh, Manoj Kumar; Reiter, Sigrid

    2012-01-01

    The present paper presents a full procedure to develop an adaptive comfort model for South-East Asia. Meta-analysis on large number of observations from field surveys which were conducted in this region was employed. Standardization and bias control of the database were fully reported. Statistical tests of significance and weighted regression method applied in the analyses strengthened the reliability of the findings. This paper found a great influence of ‘Griffiths constant’ on the establish...

  9. Corporate governance and corruption : A comparative study of Southeast Asia

    NARCIS (Netherlands)

    Wijayati, Nureni; Hermes, Niels; Holzhacker, Ronald

    2015-01-01

    The weak corporate governance framework in Indonesia, as in other countries in Southeast Asia, was deemed a crucial factor in deepening the financial and economic crisis in the late 1990s. Over a decade after the 1997 Asian financial crisis, Indonesia and other Southeast Asian countries have made

  10. Turning value chains into social gains in Southeast Asia | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Turning value chains into social gains in Southeast Asia. Global value chains, which now form the largest share of the world's trade, involve producers and enterprises that produce goods as inputs for other producers. In Southeast Asian countries, these industries employ large numbers of low-skilled workers, particularly ...

  11. Doctor-patient communication in Southeast Asia: a different culture?

    Science.gov (United States)

    Claramita, Mora; Nugraheni, Mubarika D F; van Dalen, Jan; van der Vleuten, Cees

    2013-03-01

    Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in internal medicine outpatient clinics of an Indonesian teaching hospital and two affiliated hospitals. During 26 weeks we engaged in an iterative interview and coding process to identify emergent factors. Patients were generally dissatisfied with doctors' communication style. The doctors indicated that they did not deliberately use a one-way style. Communication style appeared to be associated with characteristics of Southeast Asian culture, the health care setting and medical education. Doctor-patient communication appeared to be affected by cultural characteristics which fell into two broad categories representing key features of Southeast Asian culture, "social distance" and "closeness of relationships", and to characteristics categorized as "specific clinical context". Consideration of these characteristics could be helpful in promoting the use of a partnership communication style.

  12. Mortality attributable to tobacco among men in Sweden and other European countries: an analysis of data in a WHO report.

    Science.gov (United States)

    Ramström, Lars; Wikmans, Tom

    2014-01-01

    It is well known that Swedish men have lower tobacco-related mortality than men in other European countries, but there are questions that need further investigation to what extent this is related to the specific patterns of tobacco use in Sweden, where use of snus, the Swedish low-nitrosamine oral tobacco, dominates over smoking in men but not in women. The recent WHO Global Report: Mortality Attributable to Tobacco provides a unique set of estimates of the health burden of tobacco in all countries of the world in the year 2004, and these data can help elucidating the above-mentioned questions. For Sweden and all other European Union Member States mortality data for a number of tobacco-related causes of death were extracted from the WHO Report. The size of the mortality advantage for selected causes of death in different age groups of Swedish men compared to men of the same age in Europe as a whole was calculated in terms of ratios of death rates attributable to tobacco. Differences between age groups with respect to tobacco-related mortality were analyzed with respect to differences in terms of development and status of smoking and snus use. The analyses also paid attention to differences between countries regarding tobacco control regulations. Among men in the European Union Member States the lowest level of mortality attributable to tobacco was consistently found in Sweden, while Swedish women showed levels similar to European average. A strong co-variation was found between the mortality advantage and the degree of dominance of snus use in the different age groups of Swedish men. Among Swedish women there are no age groups with dominant use of snus, and similar observations were therefore not possible for women. The above findings support the assumption that the widespread use of snus instead of cigarettes among Swedish men may be a major part of the explanation behind their position with Europe's lowest mortality attributable to tobacco.

  13. The effect of performing corrections on reported uterine cancer mortality data in the city of São Paulo

    Directory of Open Access Journals (Sweden)

    J.L.F. Antunes

    2006-08-01

    Full Text Available Reports of uterine cancer deaths that do not specify the subsite of the tumor threaten the quality of the epidemiologic appraisal of corpus and cervix uteri cancer mortality. The present study assessed the impact of correcting the estimated corpus and cervix uteri cancer mortality in the city of São Paulo, Brazil. The epidemiologic assessment of death rates comprised the estimation of magnitudes, trends (1980-2003, and area-level distribution based on three strategies: i using uncorrected death certificate information; ii correcting estimates of corpus and cervix uteri mortality by fully reallocating unspecified deaths to either one of these categories, and iii partially correcting specified estimates by maintaining as unspecified a fraction of deaths certified as due to cancer of "uterus not otherwise specified". The proportion of uterine cancer deaths without subsite specification decreased from 42.9% in 1984 to 20.8% in 2003. Partial and full corrections resulted in considerable increases of cervix (31.3 and 48.8%, respectively and corpus uteri (34.4 and 55.2% cancer mortality. Partial correction did not change trends for subsite-specific uterine cancer mortality, whereas full correction did, thus representing an early indication of decrease for cervical neoplasms and stability for tumors of the corpus uteri in this population. Ecologic correlations between mortality and socioeconomic indices were unchanged for both strategies of correcting estimates. Reallocating unspecified uterine cancer mortality in contexts with a high proportion of these deaths has a considerable impact on the epidemiologic profile of mortality and provides more reliable estimates of cervix and corpus uteri cancer death rates and trends.

  14. Southeast Asia: Of Tigers and Turmoil

    National Research Council Canada - National Science Library

    Kline, Jeff; Morris, James; Syrett, Ann; Szeles, Erno

    1997-01-01

    .... Economic growth has been phenomenal for most Association of Southeast Asian Nations (ASEAN) countries, while Cambodia and Vietnam are struggling to provide a basic economic foundation to feed their people...

  15. Time trends for prostate cancer mortality in Brazil and its geographic regions: An age-period-cohort analysis.

    Science.gov (United States)

    Braga, Sonia Faria Mendes; de Souza, Mirian Carvalho; Cherchiglia, Mariangela Leal

    2017-10-01

    In the 1980s, an increase in mortality rates for prostate cancer was observed in North America and developed European countries. In the 1990s, however, mortality rates decreased for these countries, an outcome related to early detection of the disease. Conversely, an upward trend in mortality rates was observed in Brazil. This study describe the trends in mortality for prostate cancer in Brazil and geographic regions (North, Northeast, South, Southeast, and Central-West) between 1980 until 2014 and analyze the influence of age, period, and cohort effects on mortality rates. This time-series study used data from the Mortality Information System (SIM) and population data from Brazilian Institute for Geography and Statistics (IBGE). The effects on mortality rates were examined using age-period-cohort (APC) models. Crude and standardized mortality rates showed an upward trend for Brazil and its regions more than 2-fold the last 30 years. Age effects showed an increased risk of death in all regions. Period effects showed a higher risk of death in the finals periods for the North and Northeast. Cohort effects showed risk of death was higher for younger than older generations in Brazil and regions, mainly Northeast (RR Adjusted =3.12, 95% CI 1.29-1.41; RR Adjusted =0.28, 95% CI 0.26-0.30, respectively). The increase in prostate cancer mortality rates in Brazil and its regions was mainly due to population aging. The differences in mortality rates and APC effects between regions are related to demographic differences and access of health services across the country. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities

    Directory of Open Access Journals (Sweden)

    Eduardo Sahade Darze

    2015-01-01

    Full Text Available AbstractBackground:A significant variation in pulmonary embolism (PE mortality trends have been documented around the world. We investigated the trends in mortality rate from PE in Brazil over a period of 21 years and its regional and gender differences.Methods:Using a nationwide database of death certificate information we searched for all cases with PE as the underlying cause of death between 1989 and 2010. Population data were obtained from the Brazilian Institute of Geography and Statistics (IBGE. We calculated age-, gender- and region-specific mortality rates for each year, using the 2000 Brazilian population for direct standardization.Results:Over 21 years the age-standardized mortality rate (ASMR fell 31% from 3.04/100,000 to 2.09/100,000. In every year between 1989 and 2010, the ASMR was higher in women than in men, but both showed a significant declining trend, from 3.10/100,000 to 2.36/100,000 and from 2.94/100,000 to 1.80/100,000, respectively. Although all country regions showed a decline in their ASMR, the largest fall in death rates was concentrated in the highest income regions of the South and Southeast Brazil. The North and Northeast regions, the lowest income areas, showed a less marked fall in death rates and no distinct change in the PE mortality rate in women.Conclusions:Our study showed a reduction in the PE mortality rate over two decades in Brazil. However, significant variation in this trend was observed amongst the five country regions and between genders, pointing to possible disparities in health care access and quality in these groups.

  17. A South-East Asian perspective.

    Science.gov (United States)

    Koh, D; Chia, S E; Jeyaratnam, J

    2000-01-01

    In order to discuss the subject of occupational medicine in the next century, changes in the present demographic profile and work activity must be considered first. Only then can the challenges be identified, and appropriate strategies be formulated to respond to them. In the diverse countries of South-East Asia, improved health and work conditions, the advent of new technology, a redistribution of work activity, and an ageing workforce can be expected. Two other factors that have specific impact in the region are the recent financial crisis and the occurrence of an international environmental haze from forest fires. The various countries in South-East Asia, which are in different stages of development, and have different problems and priorities, will respond differently to the demands for occupational health. It is likely that there will be a shift in the focus of current health care activities towards specific work sectors, the recognition of new hazards at work, the identification of newly emerging work related diseases, and an increase in health promotion in the workplace. Hopefully, there will be improved training of health professionals to ensure that there are adequate numbers and that they are well prepared to face these changes. Responsive, appropriate and well enforced labour legislation to protect the health of all workers, and international cooperation in occupational and environmental health are also required. As global and regional economic conditions continue to remain unstable and the impact of the crisis further takes its course, the final effect on occupational health in South-East Asia remains to be seen.

  18. Mortality among atomic-bomb survivors, 1950-1990

    International Nuclear Information System (INIS)

    Preston, D.L.; Mabuchi, Kiyohiko; Pierce, D.A.

    1997-01-01

    A comprehensive analysis of cancer mortality in the Life Span Study (LSS) cohort of atomic bomb survivors during the period from 1950 through 1990 was recently published in Radiation Research. Work is also nearing completion on an updated analysis of data on noncancer mortality in the LSS. The new LSS mortality reports, collectively called Report 12, differ from earlier LSS reports in several general aspects. The Report includes some simple tabular, and graphical summaries of the excess risks which were developed to make it easier to comprehend the magnitude and nature of the excess risks in this cohort while highlighting uncertainties in the current LSS data. In order to overcome problems inherent in the use of summary risk estimates averaged over the current follow-up, sex- and age-at-exposure-specific lifetime risks computed for the LSS cohort are used as primary summaries of the excess risks. Throughout the new report, risk estimates were derived from models that make explicit allowance for important risk-modifying factors, such as age-at-exposure, sex, or attained age. This chapter contains a brief summary of some of the findings of the cancer mortality report and provides a preview of the latest non-cancer results

  19. The Scale of Sexual Aggression in Southeast Asia: A Review.

    Science.gov (United States)

    Winzer, Lylla; Krahé, Barbara; Guest, Philip

    2017-01-01

    Southeast Asia is one of the most dynamic regions in the world. It is experiencing rapid socioeconomic change that may influence the level of sexual aggression, but data on the scale of sexual aggression in the region remain sparse. The aim of the present article was to systematically review the findings of studies available in English on the prevalence of self-reported sexual aggression and victimization among women and men above the age of 12 years in the 11 countries of Southeast Asia (Brunei, Cambodia, East Timor, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand, and Vietnam). Based on four scientific databases, the search engine Google, Opengrey database, and reference checking, 49 studies were found on sexual victimization. Of those, 32 included only women. Self-reported perpetration was assessed by only three studies and included all-male samples. Prevalence rates varied widely across studies but showed that sexual victimization was widespread among different social groups, irrespective of sex and sexual orientation. Methodological heterogeneity, lack of representativeness of samples, imbalance of information available by country, missing information within studies, and cultural differences hampered the comparability between and within countries. There is a need for operationalizations that specifically address sexual aggression occurring after the age of consent, based on detailed behavioral descriptions of unwanted sexual experiences and allied to a qualitative approach with cultural sensitivity. Data on sexual aggression in conflict settings and in human trafficking are also limited. Recommendations for future research are presented in the discussion.

  20. Variations in mortality after emergency laparotomy: the first report of the UK Emergency Laparotomy Network.

    Science.gov (United States)

    Saunders, D I; Murray, D; Pichel, A C; Varley, S; Peden, C J

    2012-09-01

    Emergency laparotomy is a common intra-abdominal procedure. Outcomes are generally recognized to be poor, but there is a paucity of hard UK data, and reports have mainly been confined to single-centre studies. Clinicians were invited to join an 'Emergency Laparotomy Network' and to collect prospective non-risk-adjusted outcome data from a large number of NHS Trusts providing emergency surgical care. Data concerning what were considered to be key aspects of perioperative care, including thirty-day mortality, were collected over a 3 month period. Data from 1853 patients were collected from 35 NHS hospitals. The unadjusted 30 day mortality was 14.9% for all patients and 24.4% in patients aged 80 or over. There was a wide variation between units in terms of the proportion of cases subject to key interventions that may affect outcomes. The presence of a consultant surgeon in theatre varied between 40.6% and 100% of cases, while a consultant anaesthetist was present in theatre for 25-100% of cases. Goal-directed fluid management was used in 0-63% of cases. Between 0% and 68.9% of the patients returned to the ward (level one) after surgery, and between 9.7% and 87.5% were admitted to intensive care (level three). Mortality rates varied from 3.6% to 41.7%. This study confirms that emergency laparotomy in the UK carries a high mortality. The variation in clinical management and outcomes indicates the need for a national quality improvement programme.

  1. Taenia solium Taeniasis and Cysticercosis in Southeast Asia

    Science.gov (United States)

    Aung, Ar Kar; Spelman, Denis W.

    2016-01-01

    Human taeniasis/cysticercosis caused by the pork tapeworm Taenia solium has been identified as a potentially eradicable disease by the International Task Force for Disease Eradication of the World Health Organization. In southeast Asia, T. solium taeniasis/cysticercosis is considered one of the major neglected tropical diseases afflicting the region. In the last few decades, a considerable effort has been invested toward establishing the epidemiology and burden of disease in several southeast Asian countries. Moreover, further evidence is emerging as to understanding the dynamics of disease transmission and cultural, political, and socioeconomic factors influencing the success of control and eradication efforts within the region. However, despite major collaborations by several champion groups, advances have been slow and little remains known about the complete epidemiology of taeniasis/cysticercosis and the barriers to programmatic success. This review article aims to address the above issues with a further focus on the challenges to control and eradicate taeniasis/cysticercosis within the southeast Asia region. PMID:26834197

  2. Falls amongst older people in Southeast Asia: a scoping review.

    Science.gov (United States)

    Romli, M H; Tan, M P; Mackenzie, L; Lovarini, M; Suttanon, P; Clemson, L

    2017-04-01

    The older population in the Southeast Asian region is accelerating and is expected to surpass the proportion of the ageing population in North America and Europe in the future. This study aims to identify the research literature related to falls among older people in Southeast Asia, to examine current practice and discuss the future direction on falls prevention and interventions in the region. A scoping review design was used. A systematic literature search was conducted using the Medline, CINAHL, AMED, Ageline, PsycINFO, Web of Sciences, Scopus, Thai-Journal Citation Index, MyCite and trial registries databases. Thirty-seven studies and six study protocols were included, from Thailand, Malaysia, Singapore, Vietnam, Indonesia and the Philippines. One-sixth of the studies involved interventions, while the remainder were observational studies. The observational studies mainly determined the falls risk factors. The intervention studies comprised multifactorial interventions and single interventions such as exercises, educational materials and visual correction. Many of the studies replicated international studies and may not have taken into account features unique to Southeast Asia. Our review has revealed studies evaluating falls and management of falls in the Southeast Asian context. More research is required from all Southeast Asian countries to prepare for the future challenges of managing falls as the population ages. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  3. Mortality reporting in interventional radiology: Experience of a pilot audit with the Scottish Audit of Surgical Mortality

    International Nuclear Information System (INIS)

    White, R.D.; Ingram, S.; Moss, J.G.; Pace, N.; Chakraverty, S.

    2013-01-01

    Aim: To describe the initial pilot phase of the 2009 Scottish Audit of Surgical Mortality (SASM), which includes outcomes and difficulties that arose during any interventional radiology (IR) procedure performed on patients in this audit over an 18 month period. Materials and methods: Approximately 40 consultant interventional radiologists from all units in Scotland elected to participate in the audit. Each response was then peer reviewed after anonymisation of the patient and institution. If a relevant ACON (area for consideration or area of concern) was generated, this was checked by one of the other reviewers before communication with the original reporting radiologist and colleagues. There was then a right of reply by the reporting unit before formal documentation was sent out. Results: Initial results were analysed after 18 months period, during which time 95 forms relating to deaths of surgical inpatients were sent to interventional radiologists identified as having been involved in an IR procedure at some time during the patient’s admission. Seventy-one forms had been returned by July 2010, of which 46 had gone through the entire SASM process. From these, 10 ACONs were attributed. Anonymised case vignettes and reports from these were used as educational tools. Conclusion: Involvement with SASM is a useful process. Significant safety issues and learning points were identified in the pilot. The majority of ACONs identified by the audit were in patients who had undergone percutaneous biliary interventions

  4. Evaluating the disparity of female breast cancer mortality among racial groups - a spatiotemporal analysis

    Directory of Open Access Journals (Sweden)

    Jacobson Holly

    2004-02-01

    Full Text Available Abstract Background The literature suggests that the distribution of female breast cancer mortality demonstrates spatial concentration. There remains a lack of studies on how the mortality burden may impact racial groups across space and over time. The present study evaluated the geographic variations in breast cancer mortality in Texas females according to three predominant racial groups (non-Hispanic White, Black, and Hispanic females over a twelve-year period. It sought to clarify whether the spatiotemporal trend might place an uneven burden on particular racial groups, and whether the excess trend has persisted into the current decade. Methods The Spatial Scan Statistic was employed to examine the geographic excess of breast cancer mortality by race in Texas counties between 1990 and 2001. The statistic was conducted with a scan window of a maximum of 90% of the study period and a spatial cluster size of 50% of the population at risk. The next scan was conducted with a purely spatial option to verify whether the excess mortality persisted further. Spatial queries were performed to locate the regions of excess mortality affecting multiple racial groups. Results The first scan identified 4 regions with breast cancer mortality excess in both non-Hispanic White and Hispanic female populations. The most likely excess mortality with a relative risk of 1.12 (p = 0.001 occurred between 1990 and 1996 for non-Hispanic Whites, including 42 Texas counties along Gulf Coast and Central Texas. For Hispanics, West Texas with a relative risk of 1.18 was the most probable region of excess mortality (p = 0.001. Results of the second scan were identical to the first. This suggested that the excess mortality might not persist to the present decade. Spatial queries found that 3 counties in Southeast and 9 counties in Central Texas had excess mortality involving multiple racial groups. Conclusion Spatiotemporal variations in breast cancer mortality affected racial

  5. Current therapies and mortality in acromegaly.

    Science.gov (United States)

    Găloiu, S; Poiană, C

    2015-01-01

    Acromegaly is a rare disease most frequently due to a GH secreting pituitary adenoma. Without an appropriate therapy, life of patients with acromegaly can be shortened with ten years. Pituitary surgery is usually the first line therapy for GH secreting pituitary adenomas. A meta-analysis proved that mortality is much lower in operated patients, even uncured, than the entire group of patients and is similar with the general population in patients with GH30% utilization of SRAs reported a lower mortality ratio than studies with lower percentages of SRA administration. Although therapy with DA has long been used in patients with acromegaly, there are no studies reporting its effect on mortality, but its efficacy is limited by the low remission rate obtained. The use of conventional external radiotherapy, although with good remission rate in time, was linked with increased mortality, mostly due to cerebrovascular diseases. Mortality in acromegaly can be reduced to expected levels from general population by using modern therapies either in monotherapy or by using multimodal approaches in experienced centers.

  6. Sex-Specific Associations Between Self-reported Sleep Duration, Cardiovascular Disease, Hypertension, and Mortality in an Elderly Population.

    Science.gov (United States)

    Broström, Anders; Wahlin, Ake; Alehagen, Urban; Ulander, Martin; Johansson, Peter

    2017-01-05

    Both short and long sleep durations have been associated to increased mortality. Knowledge about sex-specific differences among elderly regarding associations between sleep duration, cardiovascular health, and mortality is sparse. The aims of this study are to examine the association between self-reported sleep duration and mortality and to investigate whether this association is sex specific and/or moderated by cardiovascular morbidity, and also to explore potential mediators of sleep duration effects on mortality. A population-based, observational, cross-sectional design with 6-year follow-up with mortality as primary outcome was conducted. Self-rated sleep duration, clinical examinations, echocardiography, and blood samples (N-terminal fragment of proBNP) were collected. A total of 675 persons (50% women; mean age, 78 years) were divided into short sleepers (≤6 hours; n = 231), normal sleepers (7-8 hours; n = 338), and long sleepers (≥9 hours; n = 61). Data were subjected to principal component analyses. Cardiovascular disease (CVD) and hypertension factors were extracted and used as moderators and as mediators in the regression analyses. During follow-up, 55 short sleepers (24%), 68 normal sleepers (20%), and 21 long sleepers (34%) died. Mediator analyses showed that long sleep was associated with mortality in men (hazard ratio [HR], 1.8; P = .049), independently of CVD and hypertension. In men with short sleep, CVD acted as a moderator of the association with mortality (HR, 4.1; P = .025). However, when using N-terminal fragment of proBNP, this effect became nonsignificant (HR, 3.1; P = .06). In woman, a trend to moderation involving the hypertension factor and short sleep was found (HR, 4.6; P = .09). Short and long sleep duration may be seen as risk markers, particularly among older men with cardiovascular morbidity.

  7. All-cause mortality among people with serious mental illness (SMI, substance use disorders, and depressive disorders in southeast London: a cohort study

    Directory of Open Access Journals (Sweden)

    Lee William

    2010-09-01

    Full Text Available Abstract Background Higher mortality has been found for people with serious mental illness (SMI, including schizophrenia, schizoaffective disorders, and bipolar affective disorder at all age groups. Our aim was to characterize vulnerable groups for excess mortality among people with SMI, substance use disorders, depressive episode, and recurrent depressive disorder. Methods A case register was developed at the South London and Maudsley National Health Services Foundation Trust (NHS SLAM, accessing full electronic clinical records on over 150,000 mental health service users as a well-defined cohort since 2006. The Case Register Interactive Search (CRIS system enabled searching and retrieval of anonymised information since 2008. Deaths were identified by regular national tracing returns after 2006. Standardized mortality ratios (SMRs were calculated for the period 2007 to 2009 using SLAM records for this period and the expected number of deaths from age-specific mortality statistics for the England and Wales population in 2008. Data were stratified by gender, ethnicity, and specific mental disorders. Results A total of 31,719 cases, aged 15 years old or more, active between 2007-2009 and with mental disorders of interest prior to 2009 were detected in the SLAM case register. SMRs were 2.15 (95% CI: 1.95-2.36 for all SMI with genders combined, 1.89 (1.64-2.17 for women and 2.47 (2.17-2.80 for men. In addition, highest mortality risk was found for substance use disorders (SMR = 4.17; 95% CI: 3.75-4.64. Age- and gender-standardised mortality ratios by ethnic group revealed huge fluctuations, and SMRs for all disorders diminished in strength with age. The main limitation was the setting of secondary mental health care provider in SLAM. Conclusions Substantially higher mortality persists in people with serious mental illness, substance use disorders and depressive disorders. Furthermore, mortality risk differs substantially with age, diagnosis, gender

  8. Spatial Patterns of Soil Development, Methane Oxidation, and Methanotrophic Diversity along a Receding Glacier Forefield, Southeast Greenland

    DEFF Research Database (Denmark)

    Barcena, Teresa Gomez; Finster, Kai; Yde, Jacob Clement

    2011-01-01

    Increasing global annual temperature leads to massive loss of ice cover worldwide. Consequently, glaciers retreat and ice-covered areas become exposed. We report on a study from the Mittivakkat Gletscher forefield in Southeast Greenland with special focus on methanotrophy in relation to exposure ...

  9. Mortality tradeoff between air quality and skin cancer from changes in stratospheric ozone

    Science.gov (United States)

    Eastham, Sebastian D.; Keith, David W.; Barrett, Steven R. H.

    2018-03-01

    Skin cancer mortality resulting from stratospheric ozone depletion has been widely studied. Similarly, there is a deep body of literature on surface ozone and its health impacts, with modeling and observational studies demonstrating that surface ozone concentrations can be increased when stratospheric air mixes to the Earth’s surface. We offer the first quantitative estimate of the trade-off between these two effects, comparing surface air quality benefits and UV-related harms from stratospheric ozone depletion. Applying an idealized ozone loss term in the stratosphere of a chemistry-transport model for modern-day conditions, we find that each Dobson unit of stratospheric ozone depletion results in a net decrease in the global annual mortality rate of ~40 premature deaths per billion population (d/bn/DU). The impacts are spatially heterogeneous in sign and magnitude, composed of a reduction in premature mortality rate due to ozone exposure of ~80 d/bn/DU concentrated in Southeast Asia, and an increase in skin cancer mortality rate of ~40 d/bn/DU, mostly in Western Europe. This is the first study to quantify air quality benefits of stratospheric ozone depletion, and the first to find that marginal decreases in stratospheric ozone around modern-day values could result in a net reduction in global mortality due to competing health impact pathways. This result, which is subject to significant methodological uncertainty, highlights the need to understand the health and environmental trade-offs involved in policy decisions regarding anthropogenic influences on ozone chemistry over the 21st century.

  10. Arsenic geochemistry of groundwater in Southeast Asia.

    Science.gov (United States)

    Kim, Kyoung-Woong; Chanpiwat, Penradee; Hanh, Hoang Thi; Phan, Kongkea; Sthiannopkao, Suthipong

    2011-12-01

    The occurrence of high concentrations of arsenic in the groundwater of the Southeast Asia region has received much attention in the past decade. This study presents an overview of the arsenic contamination problems in Vietnam, Cambodia, Lao People's Democratic Republic and Thailand. Most groundwater used as a source of drinking water in rural areas has been found to be contaminated with arsenic exceeding the WHO drinking water guideline of 10 μg·L(-1). With the exception of Thailand, groundwater was found to be contaminated with naturally occurring arsenic in the region. Interestingly, high arsenic concentrations (> 10 μg·L(-1)) were generally found in the floodplain areas located along the Mekong River. The source of elevated arsenic concentrations in groundwater is thought to be the release of arsenic from river sediments under highly reducing conditions. In Thailand, arsenic has never been found naturally in groundwater, but originates from tin mining activities. More than 10 million residents in Southeast Asia are estimated to be at risk from consuming arsenic-contaminated groundwater. In Southeast Asia, groundwater has been found to be a significant source of daily inorganic arsenic intake in humans. A positive correlation between groundwater arsenic concentration and arsenic concentration in human hair has been observed in Cambodia and Vietnam. A substantial knowledge gap exists between the epidemiology of arsenicosis and its impact on human health. More collaborative studies particularly on the scope of public health and its epidemiology are needed to conduct to fulfill the knowledge gaps of As as well as to enhance the operational responses to As issue in Southeast Asian countries.

  11. Air pollution and mortality in Barcelona.

    OpenAIRE

    Sunyer, J; Castellsagué, J; Sáez, M; Tobias, A; Antó, J M

    1996-01-01

    STUDY OBJECTIVES: Studies conducted in Barcelona reported a short term relation between daily air pollutant values and emergency department admissions for exacerbation of chronic obstructive pulmonary diseases and asthma. Air pollution in Barcelona is mainly generated by vehicle exhaust and is below the World Health Organization air quality guidelines. The acute relation between air pollution and mortality was assessed. DESIGN: Daily variations in total mortality, mortality in subjects older ...

  12. Southeast Alaska ESI: BIRDS (Bird Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for waterfowl in Southeast Alaska. Vector polygons in this data set represent locations of foraging and rafting...

  13. Southeast Alaska ESI: NESTS (Nest Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for alcids, shorebirds, waterfowl, diving birds, pelagic birds, gulls, and terns in Southeast Alaska. Points in this...

  14. Energy in Southeast Asia: from Networks to Markets Integration

    International Nuclear Information System (INIS)

    Cornot-Gandolphe, Sylvie

    2017-01-01

    Southeast Asia is one of the world's most dynamic regions and experiences strong economic and energy demand growth rates. In this context, the Association of Southeast Asian Nations (ASEAN) is seeking to interconnect the electric grids and gas networks of the countries through two initiatives, the Asean Power Grid and the Trans-Asean Gas Pipeline, in order to pool resources and optimize energy markets integration in the region

  15. South-East Asia's Trembling Rainforests.

    Science.gov (United States)

    Laird, John

    1991-01-01

    This discussion focuses on potential solutions to the degradation of rainforests in Southeast Asia caused by indiscriminate logging, inappropriate road-construction techniques, forest fires, and the encroachment upon watersheds by both agricultural concerns and peasant farmers. Vignettes illustrate the impact of this degradation upon the animals,…

  16. Locally increased mortality of harbour seals (Phoca vitulina) in the Danish Limfjord

    DEFF Research Database (Denmark)

    Jensen, Trine Hammer; Krog, Jesper Schak; Hjulsager, Charlotte Kristiane

    2014-01-01

    At the end of August 2014 an aerial seal counting was done by Aarhus University (Galatius, A) and increased mortality was observed on a small island Ejerslev Røn (56° 56’N 0, 8° 57’Ø) and a sand bank Blinderøn about 4 km south-east of Ejserslev Røn. Both islands/sandbanks are protected nature...... reserves. The islands were inspected the following day by boat/walking. In total, 56 dead seals were found on Ejerslev Røn and Blinderøn. Four were shot due to severe respiratory symptoms and these four seals did not escape into the water when approached. All 60 seals except one with fishing net around...

  17. Southeast Alaska ESI: FISHPT (Fish Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for anadromous fish streams in Southeast Alaska. Vector points in this data set represent locations of fish streams....

  18. Southeast Alaska ESI: FISH (Fish Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for estuarine, benthic, and pelagic fish in Southeast Alaska. Vector polygons in this data set represent locations of...

  19. Global Morbidity and Mortality of Leptospirosis: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Federico Costa

    Full Text Available Leptospirosis, a spirochaetal zoonosis, occurs in diverse epidemiological settings and affects vulnerable populations, such as rural subsistence farmers and urban slum dwellers. Although leptospirosis is a life-threatening disease and recognized as an important cause of pulmonary haemorrhage syndrome, the lack of global estimates for morbidity and mortality has contributed to its neglected disease status.We conducted a systematic review of published morbidity and mortality studies and databases to extract information on disease incidence and case fatality ratios. Linear regression and Monte Carlo modelling were used to obtain age and gender-adjusted estimates of disease morbidity for countries and Global Burden of Disease (GBD and WHO regions. We estimated mortality using models that incorporated age and gender-adjusted disease morbidity and case fatality ratios. The review identified 80 studies on disease incidence from 34 countries that met quality criteria. In certain regions, such as Africa, few quality assured studies were identified. The regression model, which incorporated country-specific variables of population structure, life expectancy at birth, distance from the equator, tropical island, and urbanization, accounted for a significant proportion (R(2 = 0.60 of the variation in observed disease incidence. We estimate that there were annually 1.03 million cases (95% CI 434,000-1,750,000 and 58,900 deaths (95% CI 23,800-95,900 due to leptospirosis worldwide. A large proportion of cases (48%, 95% CI 40-61% and deaths (42%, 95% CI 34-53% were estimated to occur in adult males with age of 20-49 years. Highest estimates of disease morbidity and mortality were observed in GBD regions of South and Southeast Asia, Oceania, Caribbean, Andean, Central, and Tropical Latin America, and East Sub-Saharan Africa.Leptospirosis is among the leading zoonotic causes of morbidity worldwide and accounts for numbers of deaths, which approach or exceed those

  20. Visiting the Site of Death: Experiences of the Bereaved after the 2004 Southeast Asian Tsunami

    Science.gov (United States)

    Kristensen, Pal; Tonnessen, Arnfinn; Weisaeth, Lars; Heir, Trond

    2012-01-01

    The authors examined how many bereaved relatives of Norwegian tourists who perished in the 2004 Southeast Asian Tsunami had visited the site of death and the most important outcome from the visit. We conducted in-depth interviews (n = 110) and used self-report questionnaires (Impact of Event Scale--Revised, Inventory of Complicated Grief, and…

  1. Host preference of the hemiparasite Struthanthus flexicaulis (Loranthaceae in ironstone outcrop plant communities, southeast Brazil

    Directory of Open Access Journals (Sweden)

    Fabiana Alves Mourão

    2016-03-01

    Full Text Available Struthanthus flexicaulis is a hemiparasite abundant in ironstone outcrops in southeast Brazil. We evaluated its host preference among species of the plant community, taking into account the abundance and foliage cover of the hosts. The importance of each species in the community and the mortality caused by the parasite were assessed based on a quantitative survey in 10 strips measuring 1m x 50m. The 10,290 individuals belonged to 42 species. Only 15 had a relative abundance in the plant community greater than 1%, of which 12 showed vestiges of parasitism. More than 80% of deaths in the community were associated with parasitism. Non-infected individuals had significantly less mortality rates (7% than those infected (83% (²= 1102.4, df = 1, p < 0.001. The observed infestation was different from the expected both regarding relative host abundance (²= 714.2, df = 11, p<0.001 and foliage cover (²= 209.2, df = 11, p<0.001. Struthanthus flexicaulis preferredMimosa calodendron, a legume attractive to avian seed dispersers. The interaction is maintained and intensified not only by the birds, who deposit innumerous seeds on the hosts branches, but also very likely by the ability of M. calodendron to fix nitrogen, thereby enhancing the mistletoe's development.

  2. 40 CFR 81.117 - Southeast Missouri Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.117 Section 81.117 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.117 Southeast Missouri Intrastate Air Quality Control Region. The Southeast Missouri Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  3. 40 CFR 81.49 - Southeast Florida Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.49 Section 81.49 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.49 Southeast Florida Intrastate Air Quality Control Region. The Southeast Florida Intrastate Air Quality Control Region is redesignated to consist of the territorial area...

  4. The democratizing potential of the Internet in Southeast Asia

    OpenAIRE

    Parker, Kevin J

    1997-01-01

    This thesis argues that the Internet is likely to he a strong, positive facilitating factor for the transition to and consolidation of democracy for states in Southeast Asia. U.S. policy makers intent on promoting democracy in Southeast Asia should consider the Internet's potential as a tool for promoting democratization. A review of the existing democratization literature, coupled with quantitative analysis of the societal impact of computer networking technologies, suggests that the level o...

  5. Knowledge gaps in tropical Southeast Asian seagrass systems

    Science.gov (United States)

    Ooi, Jillian Lean Sim; Kendrick, Gary A.; Van Niel, Kimberly P.; Affendi, Yang Amri

    2011-03-01

    Seagrasses are habitats with significant ecological and economic functions but we have limited knowledge of seagrasses in Southeast Asia, the hypothesized centre-of-origin for tropical seagrasses. There have been only 62 ISI-cited publications on the seagrasses of Southeast Asia in the last three decades and most work has been in few sites such as Northwest Luzon in the Philippines and South Sulawesi in Indonesia. Our understanding of the processes driving spatial and temporal distributions of seagrass species here has focussed primarily on backreef and estuarine seagrass meadows, with little work on forereef systems. We used Pulau Tinggi, an island off the southeast coast of Peninsular Malaysia, as an example of a subtidal forereef system. It is characterized by a community of small and fast growing species such as Halophila ovalis (mean shoot density 1454.6 ± 145.1 m -2) and Halodule uninervis (mean shoot density 861.7 ± 372.0 m -2) growing in relatively low light conditions (mean PAR 162.1 ± 35.0 μmol m -2 s -1 at 10 m depth to 405.8 ± 99.0 μmol m -2 s -1 at 3 m water depth) on sediment with low carbonate (mean 9.24 ± 1.74 percentage dry weight), organic matter (mean 2.56 ± 0.35 percentage dry weight) and silt-clay content (mean 2.28 ± 2.43 percentage dry weight). The literature reveals that there is a range of drivers operating in Southeast Asian seagrass systems and we suggest that this is because there are various types of seagrass habitats in this region, i.e. backreef, forereef and estuary, each of which has site characteristics and ecological drivers unique to it. Based on our case study of Pulau Tinggi, we suggest that seagrasses in forereef systems are more widespread in Southeast Asia than is reflected in the literature and that they are likely to be driven by recurring disturbance events such as monsoons, sediment burial and herbivory.

  6. Mortality in epilepsy.

    Science.gov (United States)

    Hitiris, Nikolas; Mohanraj, Rajiv; Norrie, John; Brodie, Martin J

    2007-05-01

    All studies report an increased mortality risk for people with epilepsy compared with the general population. Population-based studies have demonstrated that the increased mortality is often related to the cause of the epilepsy. Common etiologies include neoplasia, cerebrovascular disease, and pneumonia. Deaths in selected cohorts, such as sudden unexpected death in epilepsy (SUDEP), status epilepticus (SE), suicides, and accidents are more frequently epilepsy-related. SUDEP is a particular cause for concern in younger people, and whether and when SUDEP should be discussed with patients with epilepsy remain problematic issues. Risk factors for SUDEP include generalized tonic-clonic seizures, increased seizure frequency, concomitant learning disability, and antiepileptic drug polypharmacy. The overall incidence of SE may be increasing, although case fatality rates remain constant. Mortality is frequently secondary to acute symptomatic disorders. Poor compliance with treatment in patients with epilepsy accounts for a small proportion of deaths from SE. The incidence of suicide is increased, particularly for individuals with epilepsy and comorbid psychiatric conditions. Late mortality figures in patients undergoing epilepsy surgery vary and are likely to reflect differences in case selection. Future studies of mortality should be prospective and follow agreed guidelines to better quantify risk and causation in individual populations.

  7. Ranavirus-associated mass mortality in wild amphibians, the Netherlands, 2010: a first report.

    Science.gov (United States)

    Kik, Marja; Martel, An; Sluijs, Annemarieke Spitzen-van der; Pasmans, Frank; Wohlsein, Peter; Gröne, Andrea; Rijks, Jolianne M

    2011-11-01

    In 2010, a mass die-off of over 1000 wild water frogs (Pelophylax spp.) and at least 10 common newts (Lissotriton vulgaris) occurred in a pond in The Netherlands. Haemorrhagic disease with hepatomegaly and splenomegaly was evident. Microscopically, multiple organs presented cells with multifocal intracytoplasmic inclusion bodies, in which ranavirus-like particles were demonstrated ultrastructurally. All specimens examined tested positive for ranavirus by PCR. The sequence obtained showed a 100% identity with the one deposited for common midwife toad virus (CMTV). This is the first report of ranavirus-associated mortality in wild amphibian populations in The Netherlands. It is also the first time CMTV or a CMTV-like virus has been reported in these two species in the adult stage and outside of Spain. Copyright © 2011 Elsevier Ltd. All rights reserved.

  8. Neonatal mortality in East Africa and West Africa: a geographic analysis of district-level demographic and health survey data

    Directory of Open Access Journals (Sweden)

    Sue C. Grady

    2017-05-01

    Full Text Available Under-five child mortality declined 47% since 2000 following the implementation of the United Nation’s (UN Millennium Development Goals. To further reduce under-five child mortality, the UN’s Sustainable Development Goals (SDGs will focus on interventions to address neonatal mortality, a major contributor of under-five mortality. The African region has the highest neonatal mortality rate (28.0 per 1000 live births, followed by that of the Eastern Mediterranean (26.6 and South-East Asia (24.3. This study used the Demographic and Health Survey Birth Recode data (http://dhsprogram.com/data/File-Types-and-Names.cfm to identify high-risk districts and countries for neonatal mortality in two sub-regions of Africa – East Africa and West Africa. Geographically weighted Poisson regression models were estimated to capture the spatially varying relationships between neonatal mortality and dimensions of potential need i care around the time of delivery, ii maternal education, and iii women’s empowerment. In East Africa, neonatal mortality was significantly associated with home births, mothers without an education and mothers whose husbands decided on contraceptive practices, controlling for rural residency. In West Africa, neonatal mortality was also significantly associated with home births, mothers with a primary education and mothers who did not want or plan their last child. Importantly, neonatal mortality associated with home deliveries were explained by maternal exposure to unprotected water sources in East Africa and older maternal age and female sex of infants in West Africa. Future SDG-interventions may target these dimensions of need in priority high-risk districts and countries, to further reduce the burden of neonatal mortality in Africa.

  9. Projections of temperature-related excess mortality under climate change scenarios.

    Science.gov (United States)

    Gasparrini, Antonio; Guo, Yuming; Sera, Francesco; Vicedo-Cabrera, Ana Maria; Huber, Veronika; Tong, Shilu; de Sousa Zanotti Stagliorio Coelho, Micheline; Nascimento Saldiva, Paulo Hilario; Lavigne, Eric; Matus Correa, Patricia; Valdes Ortega, Nicolas; Kan, Haidong; Osorio, Samuel; Kyselý, Jan; Urban, Aleš; Jaakkola, Jouni J K; Ryti, Niilo R I; Pascal, Mathilde; Goodman, Patrick G; Zeka, Ariana; Michelozzi, Paola; Scortichini, Matteo; Hashizume, Masahiro; Honda, Yasushi; Hurtado-Diaz, Magali; Cesar Cruz, Julio; Seposo, Xerxes; Kim, Ho; Tobias, Aurelio; Iñiguez, Carmen; Forsberg, Bertil; Åström, Daniel Oudin; Ragettli, Martina S; Guo, Yue Leon; Wu, Chang-Fu; Zanobetti, Antonella; Schwartz, Joel; Bell, Michelle L; Dang, Tran Ngoc; Van, Dung Do; Heaviside, Clare; Vardoulakis, Sotiris; Hajat, Shakoor; Haines, Andy; Armstrong, Ben

    2017-12-01

    Climate change can directly affect human health by varying exposure to non-optimal outdoor temperature. However, evidence on this direct impact at a global scale is limited, mainly due to issues in modelling and projecting complex and highly heterogeneous epidemiological relationships across different populations and climates. We collected observed daily time series of mean temperature and mortality counts for all causes or non-external causes only, in periods ranging from Jan 1, 1984, to Dec 31, 2015, from various locations across the globe through the Multi-Country Multi-City Collaborative Research Network. We estimated temperature-mortality relationships through a two-stage time series design. We generated current and future daily mean temperature series under four scenarios of climate change, determined by varying trajectories of greenhouse gas emissions, using five general circulation models. We projected excess mortality for cold and heat and their net change in 1990-2099 under each scenario of climate change, assuming no adaptation or population changes. Our dataset comprised 451 locations in 23 countries across nine regions of the world, including 85 879 895 deaths. Results indicate, on average, a net increase in temperature-related excess mortality under high-emission scenarios, although with important geographical differences. In temperate areas such as northern Europe, east Asia, and Australia, the less intense warming and large decrease in cold-related excess would induce a null or marginally negative net effect, with the net change in 2090-99 compared with 2010-19 ranging from -1·2% (empirical 95% CI -3·6 to 1·4) in Australia to -0·1% (-2·1 to 1·6) in east Asia under the highest emission scenario, although the decreasing trends would reverse during the course of the century. Conversely, warmer regions, such as the central and southern parts of America or Europe, and especially southeast Asia, would experience a sharp surge in heat

  10. Mortality associated with phaeochromocytoma.

    Science.gov (United States)

    Prejbisz, A; Lenders, J W M; Eisenhofer, G; Januszewicz, A

    2013-02-01

    Two major categories of mortality are distinguished in patients with phaeochromocytoma. First, the effects of excessive circulating catecholamines may result in lethal complications if the disease is not diagnosed and/or treated timely. The second category of mortality is related to development of metastatic disease or other neoplasms. Improvements in disease recognition and diagnosis over the past few decades have reduced mortality from undiagnosed tumours. Nevertheless, many tumours remain unrecognised until they cause severe complications. Death resulting from unrecognised or untreated tumour is caused by cardiovascular complications. There are also numerous drugs and diagnostic or therapeutic manipulations that can cause fatal complications in patients with phaeochromocytoma. Previously it has been reported that operative mortality was as high as 50% in unprepared patients with phaeochromocytoma who were operated and in whom the diagnosis was unsuspected. Today mortality during surgery in medically prepared patients with the tumour is minimal. Phaeochromocytomas may be malignant at presentation or metastases may develop later, but both scenarios are associated with a potentially lethal outcome. Patients with phaeochromocytoma run an increased risk to develop other tumours, resulting in an increased mortality risk compared to the general population. Phaeochromocytoma during pregnancy represents a condition with potentially high maternal and foetal mortality. However, today phaeochromocytoma in pregnancy is recognised earlier and in conjunction with improved medical management, maternal mortality has decreased to less than 5%. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Consumer and purchasing agent response to terms used to describe forest products from southeast Alaska

    Science.gov (United States)

    Allen M. Brackley; Valerie Barber

    2007-01-01

    This study surveys 204 consumers and purchasing agents and reports their reaction to terms used to describe forest products from southeast Alaska. Although 67 percent of the respondents would purchase products from old-growth trees, purchasing agents were more likely to refuse to purchase such products (negative response from 12 percent of consumers vs. 29 percent for...

  12. 77 FR 70149 - Fisheries of the Gulf of Mexico; Southeast Data, Assessment, and Review (SEDAR); Public Meetings

    Science.gov (United States)

    2012-11-23

    ... appropriate for assessment analyses. The product of the Assessment Process is a stock assessment report which describes the fisheries, evaluates the status of the stock, estimates biological benchmarks, projects future... fish stocks in the Southeast Region. SEDAR is a three-step process including: (1) Data Workshop; (2...

  13. TVET Initiatives in Southeast Asian Countries in Response to Increasing Labour Mobility within the Region and beyond

    Science.gov (United States)

    Paryono

    2011-01-01

    The International Labour Organisation (ILO) report (2007) highlights that labour productivity, education and migration play important roles in shaping competitiveness, growth and development in Southeast Asia. The statistics also reveal interesting aspects of labour mobility. Thirteen and a half million migrants originate from countries in the…

  14. Taenia solium Taeniasis and Cysticercosis in Southeast Asia.

    Science.gov (United States)

    Aung, Ar Kar; Spelman, Denis W

    2016-05-04

    Human taeniasis/cysticercosis caused by the pork tapeworm Taenia solium has been identified as a potentially eradicable disease by the International Task Force for Disease Eradication of the World Health Organization. In southeast Asia, T. solium taeniasis/cysticercosis is considered one of the major neglected tropical diseases afflicting the region. In the last few decades, a considerable effort has been invested toward establishing the epidemiology and burden of disease in several southeast Asian countries. Moreover, further evidence is emerging as to understanding the dynamics of disease transmission and cultural, political, and socioeconomic factors influencing the success of control and eradication efforts within the region. However, despite major collaborations by several champion groups, advances have been slow and little remains known about the complete epidemiology of taeniasis/cysticercosis and the barriers to programmatic success. This review article aims to address the above issues with a further focus on the challenges to control and eradicate taeniasis/cysticercosis within the southeast Asia region. © The American Society of Tropical Medicine and Hygiene.

  15. Short Communication - Hospital-Based Mortality in Federal Capital ...

    African Journals Online (AJOL)

    Background: Cause-specific mortality data are important to monitor trends in mortality over time. Medical records provide reliable documentation of the causes of deaths occurring in hospitals. This study describes all causes of mortality reported at hospitals in the Federal Capital Territory (FCT) of Nigeria. Methods: Deaths ...

  16. Buildings energy efficiency in the Southeast

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-01

    In June 1992, energy service providers from around the Southeastern United States gathered at the Shenandoah Environment and Education Center of Georgia Power Company, to discuss issues related to energy efficiency buildings in the region. The meeting was organized by an ad hoc planning committee under the auspices of the Atlanta Support Office of the DOE. The objectives of the Workshop were to provide a forum for regional energy service providers to discuss matters of mutual concern and to identify issues of particular relevance to the Southeast. What characterizes energy use in the Southeast Most lists would include rapid population growth, high temperatures and humidity, a large air conditioning load on utilities, a relatively clean environment, and regulatory processes that seek to keep energy prices low. There was less unanimity on what are the priority issues. No definitive list of priorities emerged from the workshop. Participants did identify several areas where work should be initiated: networking, training/certification/education, performance of technical measures, and studies of market forces/incentives/barriers. The most frequently mentioned context for these work areas was that of utility programs. Presentations given during the first morning provided attendees an overview of energy use in the region and of building energy conservation programs being implemented both by state agencies and by utilities. These were the base for breakout and plenary sessions in which attendees expressed their views on specific topics. The regional need mentioned most often at the workshop was for networking among energy service providers in the region. In this context, this report itself is a follow up action. Participants also requested a regional directory of energy program resources. DOE agreed to assemble a preliminary directory based upon input from workshop attendees. Because the response was quick and positive, a directory is part of this document.

  17. Winter mortality in relation to climate

    NARCIS (Netherlands)

    Keatinge, W. R.; Donaldson, G. C.; Bucher, K.; Jendritzky, G.; Cordioli, E.; Martinelli, M.; Katsouyanni, K.; Kunst, A. E.; McDonald, C.; Näyhä, S.; Vuori, I.

    2000-01-01

    We report further details of the Eurowinter survey of cold related mortalities and protective measures against cold in seven regions of Europe, and review these with other evidence on the relationship of winter mortality to climate. Data for the oldest subject group studied, aged 65-74, showed that

  18. JPRS Report, East Asia, Southeast Asia

    Science.gov (United States)

    1988-06-20

    but rather a question of membership, which is an individual matter." Pointing to a reporter who is a Christian , H. J. Naro said: "If you are...Los Angeles : "...If one carefully examines the Government’s land redistribution proposals, one can discover not only that they involve taking...Intervention HK0406085788 Manila PHILIPPINE DAILY INQUIRER in English 6 Jun 88 pp 1, 10 [Report filed by Nimfa U. Rueda ] [Text] The National

  19. Doctor?patient communication in Southeast Asia: a different culture?

    OpenAIRE

    Claramita, Mora; Nugraheni, Mubarika D. F.; van Dalen, Jan; van der Vleuten, Cees

    2012-01-01

    Studies of doctor?patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a Southeast Asian setting. We conducted a qualitative study based on principles of grounded theory. Twenty residents and specialists and 20 patients of a low or high educational level were interviewed in in...

  20. Risk factors predicting mortality in patients with lung abscess in a public tertiary care center in Karachi, Pakistan.

    Science.gov (United States)

    Ghazal, Shaista; Kumar, Ashok; Shrestha, Binav; Sajid, Sana; Malik, Maria; Rizvi, Nadeen

    2013-01-01

    Lung abscess is a commonly encountered entity in South-East Asia but not much data regarding its outcome is available. The objective of this study was to identify the factors associated with increased mortality in patients diagnosed with lung abscess in a tertiary care center of Karachi, Pakistan. A retrospective case analysis was performed via hospital records, on patients admitted with lung abscess between January 2009 and January 2011 at the largest state-owned tertiary care centre in Karachi, Pakistan. Out of the 41 patients hospitalized, 17 could not survive and were evaluated for clinical, radiological and microbiological factors to determine association with heightened mortality. Mortality due to lung abscess stood at 41.4% (17 of 41 cases). Adult male patients were found to have higher mortality with 13 out of 17 (43%) dead patients being male. A majority (21/41, 51.2%) of the cases belonged to the 41-60 year old age group. Highest mortality was seen in patients200 mg/dL (56%) succumb to disease. Patients with a positive history of smoking, diabetes mellitus, and alcohol intake expressed mortality rates of 44%, 56%, and 50% respectively; while 29.4% of the mortalities were positive for Pseudomonas aeruginosa on sputum culture. A significant association was found with elevated mortality and low haemoglobin levels at time of admission; mortality was 58% (p=0.005) in patients with Hb less than or equal to 10 mg/dL. The risk factors involved with heightened mortality included male gender and history of smoking, diabetes and alcohol intake. High blood sugar levels and detection of Pseudomonas aeruginosa on sputum cultures were also implicated. Anemia (Hb level less than or equal to 10 mg/dl) was statistically significant predictive factor for increased mortality.

  1. Confidence- and security-building in South-East Asia. Working group II

    International Nuclear Information System (INIS)

    Alagappa, M.

    1991-01-01

    Discussion in the Working Group II focused on the following subjects: the establishment of a zone of peace, freedom and neutrality in South-East Asia; the establishment of a nuclear weapon-free zone in South-East Asia; the Cambodian conflict; regional co-operation; military security confidence-building measures

  2. State of rare disease management in Southeast Asia.

    Science.gov (United States)

    Shafie, Asrul Akmal; Chaiyakunapruk, Nathorn; Supian, Azuwana; Lim, Jeremy; Zafra, Matt; Hassali, Mohamed Azmi Ahmad

    2016-08-02

    Rare diseases, also referred to as orphan diseases, are characterised by their low prevalence with majority of them are chronically debilitating and life threatening. Given the low prevalence and the widely dispersed but very small patient base for each disease, there may often be a disproportion in the availability of treatments and resources to manage patients, spur research and train experts. This is especially true in Southeast Asian countries that are currently in the process of implementing or revising their universal health coverage schemes. This paper aims to examine the status of rare disease management in Southeast Asian countries. It will serve as the basis for a more active discussion on how countries in the region can address an under-recognised rare disease burden and enhance national and regional capacities. The study consists of literature reviews and key stakeholders interviews in six focus countries, including the Philippines, Singapore, Malaysia, Indonesia, Vietnam, and Thailand and five countries as best practice, comprising of France, Canada, Australia, Taiwan, and South Korea. Rare disease management initiatives across each country were examined based on the World Health Organization's framework for action in strengthening health systems. The results suggest rare disease management remains challenging across Southeast Asia, as many of the focus countries face fundamental issues from basic healthcare systems to funding. Nonetheless, there are substantial improvement opportunities, including leveraging best practices from around the world and organising a multi-stakeholder and regional approach and strategy. Southeast Asian countries have made significant progress in the management of rare disease, but there remain key areas for substantial development opportunities.

  3. The Rise of China and Foreign Direct Investment from Southeast Asia

    Directory of Open Access Journals (Sweden)

    Krislert Samphantharak

    2011-01-01

    Full Text Available This paper discusses foreign direct investment from Southeast Asia to China. With the exception of some government-linked companies, most investments from Southeast Asia have been dominated by the region’s overseas Chinese businesses. In addition to cheap labour costs, large domestic market and growing economy, China has provided business opportunities to investors from Southeast Asia thanks to their geographic proximity and ethnic connections, at least during the initial investment period. However, the network effects seem to decline soon after. As the Chinese economy becomes more globalised and more competitive, the success of foreign investment in China will increasingly depend on business competency rather than ethnic relations.

  4. Social policy and population growth in South-East Asia.

    Science.gov (United States)

    You Poh Seng Rao, B; Shantakumar, G

    1974-01-01

    Social and population policies are considered for the 10 countries comprising Southeast Asia--Burma, Indonesia, the Khmer Republic, Laos, Malaysia, the Philippines, Singapore, Thailand, North Vietnam, and South Vietnam. All but Singapore have high fertility rates and Burma, Indonesia, the Khmer Republic, Laos and the two Vietnams have high mortality rates also. Government expenditures for education and social security systems is expanding throughout the region and it is hoped that their continued growth will contribute substantially to the effective implementation of population policies. Population policies in the 5 countries which have them are discussed. These are Indonesia, Malaysia, the Philippines, Singapore, and Thailand. It is noted, however, that declaration of policy is but the first step. Strategies and programs differ from one country to the next and depend very much on the stage of development, level of literacy, degree of urbanization, and other factors. Family planning activities generally are endogenous to urban social systems but exogenous to rural social systems. Thus, the rural elite has a large role to play in making population policies an integral part of rural life. The possibility is considered of developing workable incentive packages integrating health, education, and social security benefits with suitable emphasis on fertility reduction.

  5. 77 FR 26744 - Fishing Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery

    Science.gov (United States)

    2012-05-07

    ... Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery AGENCY: National Marine... of reduction payment tender of Southeast Alaska purse seine salmon permits. SUMMARY: The National... Southeast Alaska purse seine salmon fishery. The program authorizes NMFS to make payments to permit holders...

  6. Future of Beech in Southeast Europe from the Perspective of Evolutionary Ecology

    Directory of Open Access Journals (Sweden)

    MÁTYÁS, Csaba

    2010-01-01

    Full Text Available The aim of this study is to provide quantitative information on the effect of climaticchange on the growth and vitality of European beech: although the species is considered in itsoptimum highly plastic and adaptable, it becomes climate-sensitive closer to its xeric (lowerdistribution limits. The future of beech in Southeast Europe requires special attention because thisregion harbours significant populations living at or near their xeric distribution boundary. Even thoughthe low elevation occurrences are uniquely vulnerable to climatic shifts, observations and modellingstudies pertaining to this region are particularly scarce.Out of climatic factors determining the xeric distributional limits for beech, Ellenberg’s droughtindex (EQ appeared as the most influential. Growth response analyses in comparative tests haveconfirmed the existence of macroclimatic adaptation of beech and have proven that warming and morearid conditions lead to decline of growth and vitality, while no decline was observed if EQ changed inthe opposite direction. The response to weather extremes was investigated in field plots. Recurrentsummer droughts of 3 to 4 consecutive years, above mean EQ value 40-42 resulted in pest and diseaseattacks and mass mortality.The discussed approaches indicate consistently a high level of uncertainty regarding the future ofbeech at the xeric limit in Southeast Europe. According to field observations and bioclimatic data inHungary, a large part of low-elevation beech forests presently in the zone of EQ index 20 might bethreatened by the warming in the second half of the century, while higher-elevation occurrences mayremain stable.The interpretation of the results bears some stipulations, such as the consequence of ecologicaland human interactions in influencing present distribution patterns, the unclear role of persistence,natural selection and plasticity and uncertainties of climate projections. Grim projections mayprobably be partly

  7. JPRS Report, East Asia Southeast Asia

    Science.gov (United States)

    1987-08-03

    said support for her had been fantastic. "I don"t think I’ll be like a lonely little petunia in an onion patch." But there the petunia has remained...reports of the alleged propagation of Christian- ity to Muslims in the State. He said he would be waiting for a full report before deciding" on the...next course of action. He said people of other religions were free to practise their religious beliefs but should not propagate their religion to

  8. Identification of racial disparities in breast cancer mortality: does scale matter?

    Directory of Open Access Journals (Sweden)

    Zhan F Benjamin

    2010-07-01

    Full Text Available Abstract Background This paper investigates the impact of geographic scale (census tract, zip code, and county on the detection of disparities in breast cancer mortality among three ethnic groups in Texas (period 1995-2005. Racial disparities were quantified using both relative (RR and absolute (RD statistics that account for the population size and correct for unreliable rates typically observed for minority groups and smaller geographic units. Results were then correlated with socio-economic status measured by the percentage of habitants living below the poverty level. Results African-American and Hispanic women generally experience higher mortality than White non-Hispanics, and these differences are especially significant in the southeast metropolitan areas and southwest border of Texas. The proportion and location of significant racial disparities however changed depending on the type of statistic (RR versus RD and the geographic level. The largest proportion of significant results was observed for the RD statistic and census tract data. Geographic regions with significant racial disparities for African-Americans and Hispanics frequently had a poverty rate above 10.00%. Conclusions This study investigates both relative and absolute racial disparities in breast cancer mortality between White non-Hispanic and African-American/Hispanic women at the census tract, zip code and county levels. Analysis at the census tract level generally led to a larger proportion of geographical units experiencing significantly higher mortality rates for minority groups, although results varied depending on the use of the relative versus absolute statistics. Additional research is needed before general conclusions can be formulated regarding the choice of optimal geographic regions for the detection of racial disparities.

  9. Southeast Asia Report. No. 1296

    Science.gov (United States)

    1983-06-07

    proposals. Agrarian Reform Minister Coftrado F. Estrella , head of the seven-man delegation, said the Philippine posi- tions on integrated...rural development, human set- tlements, social develop- ment, and other topics were incorporated in the commission’s report. Estrella said the...alleviation of poverty." Estrella said that the ESCAP sought to "analy* ze agricultural policies and Strategie« of member- countries and examine ways of

  10. Zika virus infection and its emerging trends in Southeast Asia

    Institute of Scientific and Technical Information of China (English)

    Ahmad Ruzain Salehuddin; Haszianaliza Haslan; Norshalizah Mamikutty; Nurul Hannim Zaidun; Mohamad Fairuz Azmi; Mohamad Mu'izuddin Senin; Syed Baharom Syed Ahmad Fuad; Zar Chi Thent

    2017-01-01

    Zika virus is a mosquito-borne flavivirus that represents a public health emergency at the ongoing epidemic. Previously, this rare virus was limited to sporadic cases in Africa and Asia until its emergence in Brazil, South America in 2015, where it rapidly spread throughout the world. Recently, a high number of cases were reported in Singapore and other Southeast Asia countries. A combination of factors explains the current Zika virus outbreak although it is highly likely that the changes in the climate and high frequency of travelling contribute to the spread of Aedes vector carrying the Zika virus mainly to the tropical climate countries such as the Southeast Asia. The Zika virus is known to cause mild clinical symptoms similar to those of dengue and chikungunya and transmitted by different species of Aedes mosquitoes. However, neurological complications such as Guillain-Barré syndrome in adults, and congenital anomalies, including microcephaly in babies born to infected mothers, raised a serious concern. Currently, there is no specific antiviral treatment or vaccine available for Zika virus infection. Therefore, international public health response is primarily focused on preventing infection, particularly in pregnant women, and on providing up-to-date recommendations to reduce the risk of non-vector transmission of Zika virus.

  11. Risk factors of maternal mortality in Sistan region: 10-year report

    Directory of Open Access Journals (Sweden)

    Mohammad Sarani

    2014-12-01

    Conclusion: Based on our findings, some factors including multiparity, pregnancy his-tory more than 4 times, short interval between pregnancies lower than 2 years and ma-ternal age more than 35 years were some risk factors for maternal death. Maternal mortality in the postpartum period was more than pre-delivery period. Bleeding was the main cause of maternal mortality. Therefore monitoring of vital signs in the post-partum period and the proper management of bleeding are very important. It is sug-gested that risk assessment should be done for pregnant women in delivery ward for detecting high risk pregnant women. Suitable management for these women especially for patients with postpartum hemorrhage plays an important role to decrease the ma-ternal mortality.

  12. Infant mortality due to perinatal causes in Brazil: trends, regional patterns and possible interventions

    Directory of Open Access Journals (Sweden)

    Cesar Gomes Victora

    2001-01-01

    Full Text Available CONTEXT: Brazilian infant and child mortality levels are not compatible with the country's economic potential. In this paper, we provide a description of levels and trends in infant mortality due to perinatal causes and malformations and assess the likely impact of changing intermediate-level determinants, many of which are amenable to direct interventions through the health or related sectors. TYPE OF STUDY: Review paper. METHODS: Two main sources of mortality data were used: indirect mortality estimates based on censuses and surveys, and rates based on registered deaths. The latter were corrected for under-registration. Combination of the two sources of data allowed the estimation of cause-specific mortality rates. Data on current coverage of preventive and curative interventions were mostly obtained from the 1996 Demographic and Health Survey. Other national household surveys and Ministry of Health Statistics were also used. A thorough review of the Brazilian literature on levels, trends and determinants of infant mortality led to the identification of a large number of papers and books. These provided the background for the analyses of risk factors and potential interventions. RESULTS: The indirect infant mortality rate estimate for 1995-97 is of 37.5 deaths per thousand live births, about six times higher than in the lowest mortality countries in the world. Perinatal causes account for 57% of all infant deaths, and congenital malformations are responsible for 11.2% of these deaths. Mortality levels are highest in the Northeast and North, and lowest in the South and Southeast; the Center-West falls in between. Since surveys of the North region do not cover rural areas, mortality for this region may be underestimated. CONCLUSIONS: A first priority for the further reduction in infant mortality in Brazil is to improve equality among regions, since the North and Northeast, and particularly rural areas, still show very high death rates. Further

  13. Investigation of the possible effect of the Chernobyl accident on Irish mortality rates

    International Nuclear Information System (INIS)

    Crowley, M.J.; Reville, W.J.

    1989-01-01

    Radioactive fallout from the Chernobyl accident reached Ireland in May 1986 and caused serious concern with regard to its possible effects on health. Reports of a large scale American study claim an almost immediate effect of Chernobyl fallout in terms of increased mortality rates. A study of Irish mortality rates reported a substantial increase in numbers of deaths during the three months immediately post-Chernobyl. The present study investigates whether there is a statistically significant basis for the reported increase in mortality in Ireland. No discernible evidence was found for increased mortality rates in Ireland during 1986, following the Chernobyl accident. The initial report of increased mortality rates was based on provisional mortality registration statistics and not on actual day to day data. (author)

  14. School Physics Education in Southeast Asia.

    Science.gov (United States)

    Seng, Chin Pin; Tee, Tan Boon

    1978-01-01

    Traces physics curriculum innovation in Southeast Asia since the 1950s. The unique features of such innovation in Indonesia, Malaysia, Philippines, Singapore, and Thailand are highlighted. Forecasts for the future of physics education in part of the world are also discussed. (Author/HM)

  15. El Nino and Health Risks from Landscape Fire Emissions in Southeast Asia

    Science.gov (United States)

    Marlier, Miriam E.; Defries, Ruth S.; Voulgarakis, Apostolos; Kinney, Patrick L.; Randerson, James T.; Shindell, Drew T.; Chen, Yang; Faluvegi, Greg

    2013-01-01

    Emissions from landscape fires affect both climate and air quality. Here, we combine satellite-derived fire estimates and atmospheric modelling to quantify health effects from fire emissions in southeast Asia from 1997 to 2006. This region has large interannual variability in fire activity owing to coupling between El Nino-induced droughts and anthropogenic land-use change. We show that during strong El Nino years, fires contribute up to 200 micrograms per cubic meter and 50 ppb in annual average fine particulate matter (PM2.5) and ozone surface concentrations near fire sources, respectively. This corresponds to a fire contribution of 200 additional days per year that exceed the World Health Organization 50 micrograms per cubic metre 24-hr PM(sub 2.5) interim target and an estimated 10,800 (6,800-14,300)-person (approximately 2 percent) annual increase in regional adult cardiovascular mortality. Our results indicate that reducing regional deforestation and degradation fires would improve public health along with widely established benefits from reducing carbon emissions, preserving biodiversity and maintaining ecosystem services.

  16. Youth Risk Behavior Surveillance--United States, 2011. Morbidity and Mortality Weekly Report. Surveillance Summaries. Volume 61, Number 4

    Science.gov (United States)

    Eaton, Danice K.; Kann, Laura; Kinchen, Steve; Shanklin, Shari; Flint, Katherine H.; Hawkins, Joseph; Harris, William A.; Lowry, Richard; McManus, Tim; Chyen, David; Whittle, Lisa; Lim, Connie; Wechsler, Howell

    2012-01-01

    Problem: Priority health-risk behaviors, which are behaviors that contribute to the leading causes of morbidity and mortality among youth and adults, often are established during childhood and adolescence, extend into adulthood, and are interrelated and preventable. Reporting Period Covered: September 2010-December 2011. Description of the…

  17. 78 FR 33810 - Fishing Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery

    Science.gov (United States)

    2013-06-05

    ... Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery AGENCY: National Marine... reduction loan for the fishing capacity reduction program in the Southeast Alaska purse seine salmon fishery... July 22, 2012. Since then, all harvesters of Southeast Alaska purse seine salmon must pay the fee and...

  18. Simulation of Drought-induced Tree Mortality Using a New Individual and Hydraulic Trait-based Model (S-TEDy)

    Science.gov (United States)

    Sinha, T.; Gangodagamage, C.; Ale, S.; Frazier, A. G.; Giambelluca, T. W.; Kumagai, T.; Nakai, T.; Sato, H.

    2017-12-01

    Drought-related tree mortality at a regional scale causes drastic shifts in carbon and water cycling in Southeast Asian tropical rainforests, where severe droughts are projected to occur more frequently, especially under El Niño conditions. To provide a useful tool for projecting the tropical rainforest dynamics under climate change conditions, we developed the Spatially Explicit Individual-Based (SEIB) Dynamic Global Vegetation Model (DGVM) applicable to simulating mechanistic tree mortality induced by the climatic impacts via individual-tree-scale ecophysiology such as hydraulic failure and carbon starvation. In this study, we present the new model, SEIB-originated Terrestrial Ecosystem Dynamics (S-TEDy) model, and the computation results were compared with observations collected at a field site in a Bornean tropical rainforest. Furthermore, after validating the model's performance, numerical experiments addressing a future of the tropical rainforest were conducted using some global climate model (GCM) simulation outputs.

  19. Southeast US Historical Marine Mammal Stranding Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data on marine mammal strandings are collected by the Southeast Marine Mammal Stranding Network. Basic data on the location, species identification, animal...

  20. AFSC/ABL: Ocean Acidification in Southeast Alaska

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This database contains information from one primary project a Southeast Alaska (SEAK) environmental monitoring study. It also includes support analyses for Kodiak...

  1. A Trend Model for Alzheimer’s Mortality

    Directory of Open Access Journals (Sweden)

    Örjan Hallberg

    2015-09-01

    Full Text Available In Sweden, mortality rates from Alzheimer’s disease have increased since early 90’s.  In this study, we compared rates reported from 2006-2012 with projected trends determined previously and found a good fit.  The objective of this study was to investigate if increased mortality can be modeled as a single exponential function of time lived in a new environment, where the risk of dying from Alzheimer’s disease has been increased.  The results demonstrated that the exponential model can be used to predict future mortalities for different scenarios, and that it can also project age-specific trends.  We conclude that increasing mortality rates from Alzheimer’s disease seem caused by an environmental change introduced since the 1990’s.  Since similar trend breaks also have been reported for different cancers, responsible authorities should seriously address this problem to pinpoint causative factors.

  2. The political and scientific challenges in evaluating compulsory drug treatment centers in Southeast Asia.

    Science.gov (United States)

    Vuong, Thu; Nguyen, Nhu; Le, Giang; Shanahan, Marian; Ali, Robert; Ritter, Alison

    2017-01-11

    In Vietnam, like many countries in Southeast Asia, the commonly used approach of center-based compulsory drug treatment (CCT) has been criticized on human rights ground. Meanwhile, community-based voluntary methadone maintenance treatment (MMT) has been implemented for nearly a decade with promising results. Reform-minded leaders have been seeking empirical evidence of the costs and effectiveness associated with these two main treatment modalities. Conducting evaluations of these treatments, especially where randomization is not ethical, presents challenges. The aim of this paper is to discuss political challenges and methodological issues when conducting cost-effectiveness studies within the context of a non-democratic Southeast Asian country. A retrospective analysis of the political and scientific challenges that were experienced in the study design, sample size determination, government approval and ethics approvals, participant recruitment, data collection, and determination of sources, and quantification of cost and effectiveness data was undertaken. As a consequence of the non-randomized design, analysis of patient characteristics for both treatment types was undertaken to identify the magnitude of baseline group differences. Concordance between self-reported heroin use and urine drug testing was undertaken to determine the reliability of self-report data in a politically challenging environment. We demonstrate that conducting research around compulsory treatment in a non-democratic society is feasible, yet it is politically challenging and requires navigation between science and politics. We also demonstrate that engagement with the government decision makers in the research conception, implementation, and dissemination of the results increases the likelihood of research evidence being considered for change in a contentious drug policy area. Local empirical evidence on the comparative cost-effectiveness of CCT and MMT in a Southeast Asian setting is

  3. A Cohort Mortality Study of Workers in a Second Soup Manufacturing Plant.

    Science.gov (United States)

    Faramawi, Mohammed F; Ndetan, Harrison; Jadhav, Supriya; Johnson, Eric S

    2015-01-01

    The authors previously reported on mortality among workers in a Baltimore soup plant. Increased mortality was observed for cancers of the floor of the mouth, rectosigmoid colon/rectum/anus, epilepsy, and chronic nephritis. Here, the authors report on mortality on a second soup plant in the same locality. Excess mortality was similarly recorded for cancers of the tonsils/oropharynx, rectosigmoid colon/rectum/anus, and lung and myelofibrosis. Excess risk from cardiovascular, cerebrovascular, kidney, and infectious diseases was also observed. These 2 studies are important because firstly, to the authors' knowledge, they are the only reports of mortality in this occupational group in spite of their having a potential for exposure to hazardous carcinogenic agents. Secondly, there is no information on any exposure assessment in this industry. These 2 reports will draw attention to the need to conduct more detailed exposure and mortality investigations in this little-studied group.

  4. Mortality in people with type 2 diabetes in the UK

    NARCIS (Netherlands)

    Mulnier, H.E.; Seaman, H.E.; Raleigh, V.S.; Soedamah-Muthu, S.S.; Colhoun, H.M.; Lawrenson, R.A.

    2006-01-01

    Aims Under-reporting of diabetes on death certificates contributes to the unreliable estimates of mortality as a result of diabetes. The influence of obesity on mortality in Type 2 diabetes is not well documented. We aimed to study mortality from diabetes and the influence of obesity on mortality in

  5. 2010 ARRA Lidar: 4 Southeast Counties (MI)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — TASK NAME: Southeast Michigan LiDAR LiDAR Data Acquisition and Processing Production Task- Monroe, St. Clair, Macomb, and Livingston Counties SEMCOG CONTRACT:...

  6. Infectious Diseases and Tropical Cyclones in Southeast China.

    Science.gov (United States)

    Zheng, Jietao; Han, Weixiao; Jiang, Baofa; Ma, Wei; Zhang, Ying

    2017-05-07

    Southeast China is frequently hit by tropical cyclones (TCs) with significant economic and health burdens each year. However, there is a lack of understanding of what infectious diseases could be affected by tropical cyclones. This study aimed to examine the impacts of tropical cyclones on notifiable infectious diseases in southeast China. Disease data between 2005 and 2011 from four coastal provinces in southeast China, including Guangdong, Hainan, Zhejiang, and Fujian province, were collected. Numbers of cases of 14 infectious diseases were compared between risk periods and reference periods for each tropical cyclone. Risk ratios (RR s ) were calculated to estimate the risks. TCs were more likely to increase the risk of bacillary dysentery, paratyphoid fever, dengue fever and acute hemorrhagic conjunctivitis ( ps infectious diseases. TCs are more likely to increase the risk of intestinal and contact transmitted infectious diseases than to decrease the risk, and more likely to decrease the risk of respiratory infectious diseases than to increase the risk. Findings of this study would assist in developing public health strategies and interventions for the reduction of the adverse health impacts from tropical cyclones.

  7. Mortality in babies with achondroplasia: revisited.

    Science.gov (United States)

    Simmons, Kristen; Hashmi, S Shahrukh; Scheuerle, Angela; Canfield, Mark; Hecht, Jacqueline T

    2014-04-01

    Natural history studies performed 30 years ago identifying higher mortality among children born with achondroplasia, a genetic dwarfing condition, resulted in clinical recommendations aimed at improving mortality in childhood. The objective of this study was to determine if mortality rates have changed over the past few decades. Children born with achondroplasia during 1996 to 2003 were ascertained from the Texas Birth Defects Registry and matched with death certificate data from the Bureau of Vital Statistics through 2007. Infant and overall mortality rates, both crude and standardized to the 2005 (SMR2005 ) and 1975 (SMR1975 ) U.S. populations, were calculated. 106 children born with achondroplasia were identified. Four deaths were reported, with all occurring in the first year of life (mortality rate: 41.4 /1000 live-births). Infant mortality was higher when standardized to the 2005 U.S. population (SMR2005 :6.02, 95% CI:1.64-15.42) than the 1975 population (SMR1975 :2.58, 95% CI:0.70-6.61). The higher SMR2005 compared with SMR1975 , along with the fact that SMR1975 was nearly half that of a previous cohort reported 25 years ago (rate ratio: 0.53, 95% CI: 0.11-2.25), reflect a discrepancy in the changes in mortality in the overall population and in our cohort. Although an overall improvement in mortality, especially after the first year of life, is observed in our cohort, children with achondroplasia are still at a much higher risk of death compared with the general population. A longer follow-up is needed to elucidate whether evaluation/intervention changes have resulted in significant improvement in long-term survival among these patients. Copyright © 2014 Wiley Periodicals, Inc.

  8. Energy policy and cooperation in Southeast Asia: The history, challenges, and implications of the trans-ASEAN gas pipeline (TAGP) network

    Energy Technology Data Exchange (ETDEWEB)

    Sovacool, Benjamin K. [Energy Governance Program, Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, National University of Singapore (Singapore)], E-mail: bsovacool@nus.edu.sg

    2009-06-15

    This article explores the proposed multibillion dollar Trans-ASEAN Gas Pipeline (TAGP) network in Southeast Asia, focusing on the interests that have promoted the TAGP and why. Based on extensive field research, textual analysis of government reports, and more than 100 research interviews at government institutions, multilateral development banks, universities, consulting firms, energy companies, and nongovernmental organizations, this article assesses the challenges facing the TAGP in terms of promotion, implementation, and operation. It explores the genesis of the TAGP project and the drivers pushing Southeast Asian investment in natural gas, with a special emphasis on the development needs of the region. It also investigates the numerous technical, economic, legal, political, social, and environmental impediments to the TAGP project. The article concludes that the rhetoric of regional energy cooperation touted by the Association of Southeast Asian Nations (ASEAN) does not match its actual practice, and that in many cases discussions of regionalism and energy security are intended to obscure opportunistic thinking within individual countries.

  9. Energy policy and cooperation in Southeast Asia. The history, challenges, and implications of the trans-ASEAN gas pipeline (TAGP) network

    Energy Technology Data Exchange (ETDEWEB)

    Sovacool, Benjamin K. [Energy Governance Program, Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, National University of Singapore (Singapore)

    2009-06-15

    This article explores the proposed multibillion dollar Trans-ASEAN Gas Pipeline (TAGP) network in Southeast Asia, focusing on the interests that have promoted the TAGP and why. Based on extensive field research, textual analysis of government reports, and more than 100 research interviews at government institutions, multilateral development banks, universities, consulting firms, energy companies, and nongovernmental organizations, this article assesses the challenges facing the TAGP in terms of promotion, implementation, and operation. It explores the genesis of the TAGP project and the drivers pushing Southeast Asian investment in natural gas, with a special emphasis on the development needs of the region. It also investigates the numerous technical, economic, legal, political, social, and environmental impediments to the TAGP project. The article concludes that the rhetoric of regional energy cooperation touted by the Association of Southeast Asian Nations (ASEAN) does not match its actual practice, and that in many cases discussions of regionalism and energy security are intended to obscure opportunistic thinking within individual countries. (author)

  10. Energy policy and cooperation in Southeast Asia: The history, challenges, and implications of the trans-ASEAN gas pipeline (TAGP) network

    International Nuclear Information System (INIS)

    Sovacool, Benjamin K.

    2009-01-01

    This article explores the proposed multibillion dollar Trans-ASEAN Gas Pipeline (TAGP) network in Southeast Asia, focusing on the interests that have promoted the TAGP and why. Based on extensive field research, textual analysis of government reports, and more than 100 research interviews at government institutions, multilateral development banks, universities, consulting firms, energy companies, and nongovernmental organizations, this article assesses the challenges facing the TAGP in terms of promotion, implementation, and operation. It explores the genesis of the TAGP project and the drivers pushing Southeast Asian investment in natural gas, with a special emphasis on the development needs of the region. It also investigates the numerous technical, economic, legal, political, social, and environmental impediments to the TAGP project. The article concludes that the rhetoric of regional energy cooperation touted by the Association of Southeast Asian Nations (ASEAN) does not match its actual practice, and that in many cases discussions of regionalism and energy security are intended to obscure opportunistic thinking within individual countries.

  11. Health system resource gaps and associated mortality from pandemic influenza across six Asian territories.

    Directory of Open Access Journals (Sweden)

    James W Rudge

    Full Text Available BACKGROUND: Southeast Asia has been the focus of considerable investment in pandemic influenza preparedness. Given the wide variation in socio-economic conditions, health system capacity across the region is likely to impact to varying degrees on pandemic mitigation operations. We aimed to estimate and compare the resource gaps, and potential mortalities associated with those gaps, for responding to pandemic influenza within and between six territories in Asia. METHODS AND FINDINGS: We collected health system resource data from Cambodia, Indonesia (Jakarta and Bali, Lao PDR, Taiwan, Thailand and Vietnam. We applied a mathematical transmission model to simulate a "mild-to-moderate" pandemic influenza scenario to estimate resource needs, gaps, and attributable mortalities at province level within each territory. The results show that wide variations exist in resource capacities between and within the six territories, with substantial mortalities predicted as a result of resource gaps (referred to here as "avoidable" mortalities, particularly in poorer areas. Severe nationwide shortages of mechanical ventilators were estimated to be a major cause of avoidable mortalities in all territories except Taiwan. Other resources (oseltamivir, hospital beds and human resources are inequitably distributed within countries. Estimates of resource gaps and avoidable mortalities were highly sensitive to model parameters defining the transmissibility and clinical severity of the pandemic scenario. However, geographic patterns observed within and across territories remained similar for the range of parameter values explored. CONCLUSIONS: The findings have important implications for where (both geographically and in terms of which resource types investment is most needed, and the potential impact of resource mobilization for mitigating the disease burden of an influenza pandemic. Effective mobilization of resources across administrative boundaries could go some way

  12. Southeast Alaska ESI: SOCECON (Socioeconomic Resource Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains human-use resource data for airports, aquaculture sites, boat ramps, marinas, heliports, and log storage areas in Southeast Alaska. Vector...

  13. Southeast Alaska ESI: MGT (Management Area Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains management area data for National Parks, Wildlife Refuges, and areas designated as Critical Habitat in Southeast Alaska. Vector polygons in...

  14. Mortality from nonneoplastic skin disease in the United States.

    Science.gov (United States)

    Lott, Jason P; Gross, Cary P

    2014-01-01

    The mortality burden from nonneoplastic skin disease in the United States is unknown. We sought to estimate mortality from nonneoplastic skin disease as underlying and contributing causes of death. Population-based death certificate data detailing mortality from nonneoplastic skin disease for years 1999 to 2009 were used to calculate absolute numbers of death and age-adjusted mortality by year, patient demographics, and 10 most commonly reported diagnoses. Nonneoplastic skin diseases were reported as underlying and contributing causes of mortality for approximately 3948 and 19,542 patients per year, respectively. Age-adjusted underlying cause mortality (per 100,000 persons) were significantly greater (P deaths occurred in patients ages 65 years and older (34,248 total deaths). Common underlying causes of death included chronic ulcers (1789 deaths/y) and cellulitis (1348 deaths/y). Errors in death certificate data and inability to adjust for patient-level confounders may limit the accuracy and generalizability of our results. Mortality from nonneoplastic skin disease is uncommon yet potentially preventable. The elderly bear the greatest burden of mortality from nonneoplastic skin disease. Chronic ulcers and cellulitis constitute frequent causes of death. Copyright © 2013 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  15. The Change of Perinatal Mortality Over Three Decades in a Reference Centre in the Aegean Region: Neonatal Mortality has decreased but Foetal Mortality Remains Unchanged

    Directory of Open Access Journals (Sweden)

    Nilgün Kültürsay

    2017-12-01

    Full Text Available Background: Perinatal, foetal and neonatal mortality statistics are important to show the development of a health care system in a country. However, in our country there are very few national and regional data about the changing pattern of perinatal neonatal mortality along with the development of new technologies in this area. Aims: Evaluation of the changes in mortality rates and the causes of perinatal and neonatal deaths within years in a perinatal reference centre which serves a high-risk population. Study Design: Cross-sectional retrospective study. Methods: The perinatal, neonatal and foetal mortality rates in the years 1979-1980 (1st time point and 1988-1989 (2nd time point were compared with the year 2008 (3rd time point. The causes of mortality were assessed by Wigglesworth classification and death reports. The neonatal mortality in the neonatal intensive care unit was also calculated. Results: Foetal mortality rates were 44/1000, 31.4/1000 and 41.75/1000 births, perinatal mortality rates were 35.6/1000, 18.8/1000 and 9/1000 births, and neonatal mortality rates were 35.6/1000, 18.8/1000 and 9/1000 live births for the three study time points, respectively. The mortality rate in neonatal intensive care unit decreased consistently from 33%, to 22.6% and 10%, respectively, together with decreasing neonatal mortality rates. The causes of perinatal deaths were foetal death 85%, immaturity 4%, and lethal congenital malformations 8% according to Wigglesworth classification in 2008, showing the high impact of foetal deaths on this high perinatal mortality rate. Infectious causes of neonatal deaths decreased but congenital anomalies increased in the last decades. Conclusion: Although neonatal mortality rate decreased significantly; foetal mortality rate has stayed unchanged since the late eighties. In order to decrease foetal and perinatal mortality rates more efficiently, reducing consanguineous marriages and providing better antenatal care for

  16. Characteristics and Pedagogical Behaviours of Good EFL Instructors: The Views of Selected Southeast Asian and Mexican SLTE Students

    Science.gov (United States)

    Richter, Kenneth G.; Lara Herrera, Romero

    2017-01-01

    This article reports on the views of selected Southeast Asian and Mexican second language teacher education students regarding the characteristics and pedagogical behaviours of good EFL instructors. A total of 116 participants from Mexico, Brunei, Malaysia, Myanmar, the Philippines, Thailand, Indonesia, Cambodia, and Vietnam took part in the…

  17. Mortality and cause-of-death reporting and analysis systems in seven pacific island countries

    Directory of Open Access Journals (Sweden)

    Carter Karen L

    2012-06-01

    Full Text Available Abstract Background Mortality statistics are essential for population health assessment. Despite limitations in data availability, Pacific Island Countries are considered to be in epidemiological transition, with non-communicable diseases increasingly contributing to premature adult mortality. To address rapidly changing health profiles, countries would require mortality statistics from routine death registration given their relatively small population sizes. Methods This paper uses a standard analytical framework to examine death registration systems in Fiji, Kiribati, Nauru, Palau, Solomon Islands, Tonga and Vanuatu. Results In all countries, legislation on death registration exists but does not necessarily reflect current practices. Health departments carry the bulk of responsibility for civil registration functions. Medical cause-of-death certificates are completed for at least hospital deaths in all countries. Overall, significantly more information is available than perceived or used. Use is primarily limited by poor understanding, lack of coordination, limited analytical skills, and insufficient technical resources. Conclusion Across the region, both registration and statistics systems need strengthening to improve the availability, completeness, and quality of data. Close interaction between health staff and local communities provides a good foundation for further improvements in death reporting. System strengthening activities must include a focus on clear assignment of responsibility, provision of appropriate authority to perform assigned tasks, and fostering ownership of processes and data to ensure sustained improvements. These human elements need to be embedded in a culture of data sharing and use. Lessons from this multi-country exercise would be applicable in other regions afflicted with similar issues of availability and quality of vital statistics.

  18. Mortality in heroin-assisted treatment in Switzerland 1994-2000.

    Science.gov (United States)

    Rehm, Jürgen; Frick, Ulrich; Hartwig, Christina; Gutzwiller, Felix; Gschwend, Patrick; Uchtenhagen, Ambros

    2005-08-01

    A major goal of heroin-assisted treatment in Switzerland has been to reduce the drug-related mortality of heroin users. Therefore, a continuous monitoring of deaths under treatment is essential. To assess mortality of participants in heroin-assisted treatment in Switzerland over a 7-year period from 1994 to 2000, and to compare this mortality to the general population and to other populations of opioid users, as reported in the literature. Estimation of person years under heroin-assisted treatment from the complete case registry of heroin-assisted treatment in Switzerland. Estimation of standardized mortality ratios comparing the population in treatment to the Swiss population (standardized to the year 2000). Over the 7-year period, the crude death rate of patients in heroin-assisted treatment, and including one month after discharge from treatment, was 1% per year. The standardized mortality ratio for the entire observation period was 9.7 (95% C.I. 7.3-12.8), with females having higher standardized mortality ratios (SMR 17.2) than males (SMR 8.4). There was no clear time trend. Mortality in heroin-assisted treatment was low compared to the mortality rate of Swiss opioid users 1990s (estimated to be between 2.5 and 3%). It was also low compared to mortality rates of opioid users in other maintenance treatments in other countries as reported in the literature. The SMR was also lower than that reported in the only meta-analysis in the literature: 13.2 (95% C.I. 12.3-14.1). The low mortality rate is all the more noteworthy as heroin-assisted treatment in Switzerland included only refractory opioid addicts with existing severe somatic and/or mental problems. No conflicts of interest declared.

  19. Child and Adolescent Mortality Across Malaysia's Epidemiological Transition: A Systematic Analysis of Global Burden of Disease Data.

    Science.gov (United States)

    Abdul-Razak, Suraya; Azzopardi, Peter S; Patton, George C; Mokdad, Ali H; Sawyer, Susan M

    2017-10-01

    A rapid epidemiological transition in developing countries in Southeast Asia has been accompanied by major shifts in the health status of children and adolescents. In this article, mortality estimates in Malaysian children and adolescents from 1990 to 2013 are used to illustrate these changes. All-cause and cause-specific mortality estimates were obtained from the 2013 Global Burden of Disease Study. Data were extracted from 1990 to 2013 for the developmental age range from 1 to 24 years, for both sexes. Trends in all-cause and cause-specific mortality for the major epidemiological causes were estimated. From 1990 to 2013, all-cause mortality decreased in all age groups. Reduction of all-cause mortality was greatest in 1- to 4-year-olds (2.4% per year reduction) and least in 20- to 24-year-olds (.9% per year reduction). Accordingly, in 2013, all-cause mortality was highest in 20- to 24-year-old males (129 per 100,000 per year). In 1990, the principal cause of death for 1- to 9-year boys and girls was vaccine preventable diseases. By 2013, neoplasms had become the major cause of death in 1-9 year olds of both sexes. The major cause of death in 10- to 24-year-old females was typhoid in 1990 and neoplasms in 2013, whereas the major cause of death in 10- to 24-year-old males remained road traffic injuries. The reduction in mortality across the epidemiological transition in Malaysia has been much less pronounced for adolescents than younger children. The contribution of injuries and noncommunicable diseases to adolescent mortality suggests where public health strategies should focus. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  20. A nuclear-weapons-free zone in Southeast Asia : problems and prospects

    International Nuclear Information System (INIS)

    Alagappa, M.

    1987-01-01

    Although the idea of a nuclear-weapons-free zone was already recognised in the Kuala Lumpur Declaration of 1971 and has been on the Asean agenda since the late 1970s as a component of the package to realise a Zone of Peace, Freedom and Neutrality in Southeast Asia, the formal initiative to make the region a nuclear-weapons-free zone is of relatively recent origin. The security benefits that are likely to accrue from declaring Southeast Asia nuclear-weapons-free are rather marginal. Benefits, as there are, are in the political and diplomatic realm where the proposed agreement can be used to influence the conduct of international relations which in turn may have the potential to modify the strategic environment of Southeast Asia

  1. Multiple social disadvantage does it have an effect on amenable mortality: a brief report.

    Science.gov (United States)

    Manderbacka, Kristiina; Arffman, Martti; Sund, Reijo; Karvonen, Sakari

    2014-08-01

    Most studies on inequalities in health and health-care focus on single indicators of social position, e.g. income or education. Recent research has suggested that multiple social circumstances need to be analysed simultaneously to disentangle their influence on health. In past decades mortality amenable to health-care, i.e. premature mortality that should not occur given timely and effective health-care, has increasingly been used to study the effect of health-care on health outcomes. This study elaborates the effect of social and regional deprivation and unemployment on the association between income and mortality amenable to health-care in Finland. Individual-level data for deaths were gathered by disease category between 1992 and 2008 for the resident Finnish population aged 25 to 59 years. Differences in amenable mortality and changes over time were assessed using individual-level linked register data. We used gender- and age-standardised rates and Poisson regression models to examine the simultaneous effect of these indicators on amenable mortality. Altogether 22,663 persons aged 25-59 years died from causes amenable to health-care during the study period. An inverse pattern was found in amenable mortality for income. The mortality rate in the lowest income quintile was 98 (93-104) per 100,000 in the period 1991-1996 while in the highest group the figure was 40 (38-42) for the same period. Whereas the level of amenable mortality decreased, mortality differences between income groups steepened and amenable mortality increased in the lowest income group towards the end of the study period. Those in poor labour market position or living alone had significantly larger income differences in amenable mortality. Risk of regional deprivation was not associated with amenable mortality. In order to prevent and treat at an early phase conditions that otherwise may lead to premature and unnecessary deaths more attention should be focused on groups with increased social

  2. Challenges in assessing hospital-level stroke mortality as a quality measure: comparison of ischemic, intracerebral hemorrhage, and total stroke mortality rates.

    Science.gov (United States)

    Xian, Ying; Holloway, Robert G; Pan, Wenqin; Peterson, Eric D

    2012-06-01

    Public reporting efforts currently profile hospitals based on overall stroke mortality rates, yet the "mix" of hemorrhagic and ischemic stroke cases may impact this rate. Using the 2005 to 2006 New York state data, we examined the degree to which hospital stroke mortality rankings varied regarding ischemic versus hemorrhagic versus total stroke. Observed/expected ratio was calculated using the Agency for Healthcare Research and Quality Inpatient Quality Indicator software. The observed/expected ratio and outlier status based on stroke types across hospitals were examined using Pearson correlation coefficients (r) and weighted κ. Overall 30-day stroke mortality rates were 15.2% and varied from 11.3% for ischemic stroke and 37.3% for intracerebral hemorrhage. Hospital risk-adjusted ischemic stroke observed/expected ratio was weakly correlated with its own intracerebral hemorrhage observed/expected ratio (r=0.38). When examining hospital performance group (mortality better, worse, or no different than average), disagreement was observed in 35 of 81 hospitals (κ=0.23). Total stroke mortality observed/expected ratio and rankings were correlated with intracerebral hemorrhage (r=0.61 and κ=0.36) and ischemic stroke (r=0.94 and κ=0.71), but many hospitals still switched classification depending on mortality metrics. However, hospitals treating a higher percent of hemorrhagic stroke did not have a statistically significant higher total stroke mortality rate relative to those treating fewer hemorrhagic strokes. Hospital stroke mortality ratings varied considerably depending on whether ischemic, hemorrhagic, or total stroke mortality rates were used. Public reporting of stroke mortality measures should consider providing risk-adjusted outcome on separate stroke types.

  3. Health claims on food products in Southeast Asia: regulatory frameworks, barriers, and opportunities.

    Science.gov (United States)

    Tan, Karin Y M; van der Beek, Eline M; Chan, M Y; Zhao, Xuejun; Stevenson, Leo

    2015-09-01

    The Association of Southeast Asian Nations aims to act as a single market and allow free movement of goods, services, and manpower. The purpose of this article is to present an overview of the current regulatory framework for health claims in Southeast Asia and to highlight the current barriers and opportunities in the regulatory frameworks in the Association of Southeast Asian Nations. To date, 5 countries in Southeast Asia, i.e., Indonesia, Malaysia, the Philippines, Singapore, and Thailand, have regulations and guidelines to permit the use of health claims on food products. There are inconsistencies in the regulations and the types of evidence required for health claim applications in these countries. A clear understanding of the regulatory frameworks in these countries may help to increase trade in this fast-growing region and to provide direction for the food industry and the regulatory community to develop and market food products with better nutritional quality tailored to the needs of Southeast Asian consumers. © The Author(s) 2015. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  4. The nuclear power development program of south-east asian countries

    International Nuclear Information System (INIS)

    Yang, Maeng Ho; Lee, Tae Jun; Lee, Byung Jun

    1996-08-01

    The objective of this study is to investigate the status of nuclear policy environments and nuclear power programmes of South-east Asian countries which are emerging as major markets in the international nuclear industry. To do this, the study investigated seven South-east Asian countries which are especially expected to strengthen nuclear cooperation with our country : China, Indonesia, Thailand, Malaysia, Vietnam, India and the Philippines. Considering the above, the study concentrated upon the status and the environment of nuclear development, as well as its planning and regulatory structure including energy resource environments, energy development policy and planning, and the major problems in nuclear power development encountered by those counties. This study could be used to develop the national policy of nuclear technological cooperation and nuclear business with South-east Asian countries, which will be expected to develop active nuclear power programmes int eh future. 41 tabs., 9 figs., 49 refs. (Author)

  5. The nuclear power development program of south-east asian countries

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Maeng Ho; Lee, Tae Jun; Lee, Byung Jun [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1996-08-01

    The objective of this study is to investigate the status of nuclear policy environments and nuclear power programmes of South-east Asian countries which are emerging as major markets in the international nuclear industry. To do this, the study investigated seven South-east Asian countries which are especially expected to strengthen nuclear cooperation with our country : China, Indonesia, Thailand, Malaysia, Vietnam, India and the Philippines. Considering the above, the study concentrated upon the status and the environment of nuclear development, as well as its planning and regulatory structure including energy resource environments, energy development policy and planning, and the major problems in nuclear power development encountered by those counties. This study could be used to develop the national policy of nuclear technological cooperation and nuclear business with South-east Asian countries, which will be expected to develop active nuclear power programmes int eh future. 41 tabs., 9 figs., 49 refs. (Author).

  6. Hemoglobin Constant Spring among Southeast Asian Populations: Haplotypic Heterogeneities and Phylogenetic Analysis.

    Directory of Open Access Journals (Sweden)

    Wittaya Jomoui

    Full Text Available Hemoglobin Constant Spring (Hb CS is an abnormal Hb caused by a mutation at the termination codon of α2-globin gene found commonly among Southeast Asian and Chinese people. Association of Hb CS with α°-thalassemia leads to a thalassemia intermedia syndrome commonly encountered in the region. We report chromosome background and addressed genetic origins of Hb CS observed in a large cohort of Hb CS among Southeast Asian populations.A study was done on 102 Vietnamese (aged 15-49 year-old and 40 Laotian (aged 18-39 year-old subjects with Hb CS and results compared with 120 Hb CS genes in Thailand. Hematological parameters were recorded and Hb analysis was performed using capillary electrophoresis. Hb CS mutation and thalassemia genotypes were defined by DNA analysis. Six DNA polymorphisms within α-globin gene cluster including 5'Xba I, Bgl I, Inter-zeta HVR, AccI, RsaI and αPstI 3', were determined using PCR-RFLP assay.Nine different genotypes of Hb CS were observed. In contrast to the Thai Hb CS alleles which are mostly linked to haplotype (+-S + + -, most of the Vietnamese and the Laotian Hb CS genes were associated with haplotype (+-M + + -, both of which are different from that of the European Hb CS.Hb CS is commonly found in combination with other thalassemias among Southeast Asian populations. Accurate genotyping of the cases requires both hematologic and DNA analyses. At least two independent origins are associated with the Hb CS gene which could indirectly explain the high prevalence of this Hb variant in the region.

  7. Agricultural land acquisitions: a lens on Southeast Asia

    Energy Technology Data Exchange (ETDEWEB)

    Polack, Emily

    2012-04-15

    Recent years have seen 'land grabbing' emerge as a big issue in media houses across the world, with reporters quick to write about deals involving millions of hectares, particularly within Africa. Yet large-scale land acquisitions are not a purely African phenomenon. Other parts of the world are also subject to the global land rush. Home to emerging economies with profit potential, Southeast Asia has become ever more appealing to investors from both within and beyond the region seeking to include agriculture in their portfolios. Regional agribusiness companies are booming. And rapid change in land ownership and use is already taking place. Set against a backdrop of insecure rights and weak land governance, land acquisitions here are posing significant threats to local livelihoods and environments alike.

  8. Breaking the news or fueling the epidemic? Temporal association between news media report volume and opioid-related mortality.

    Science.gov (United States)

    Dasgupta, Nabarun; Mandl, Kenneth D; Brownstein, John S

    2009-11-18

    Historical studies of news media have suggested an association between reporting and increased drug abuse. Period effects for substance use have been documented for different classes of legal and illicit substances, with the suspicion that media publicity may have played major roles in their emergence. Previous analyses have drawn primarily from qualitative evidence; the temporal relationship between media reporting volume and adverse health consequences has not been quantified nationally. We set out to explore whether we could find a quantitative relationship between media reports about prescription opioid abuse and overdose mortality associated with these drugs. We assessed whether increases in news media reports occurred before or after increases in overdose deaths. Our ecological study compared a monthly time series of unintentional poisoning deaths involving short-acting prescription opioid substances, from 1999 to 2005 using multiple cause-of-death data published by the National Center for Health Statistics, to monthly counts of English-language news articles mentioning generic and branded names of prescription opioids obtained from Google News Archives from 1999 to 2005. We estimated the association between media volume and mortality rates by time-lagged regression analyses. There were 24,272 articles and 30,916 deaths involving prescription opioids during the seven-year study period. Nationally, the number of articles mentioning prescription opioids increased dramatically starting in early 2001, following prominent coverage about the nonmedical use of OxyContin. We found a significant association between news reports and deaths, with media reporting preceding fatal opioid poisonings by two to six months and explaining 88% (pnews reporting may enhance the popularity of psychoactive substances. Albeit ecological in nature, our finding suggests the need for further evaluation of the influence of news media on health. Reporting on prescription opioids conforms

  9. Detection of PCV2e strains in Southeast China

    Directory of Open Access Journals (Sweden)

    Jiankui Liu

    2018-03-01

    Full Text Available Porcine circovirus 2 (PCV2 has been prevalent in swine herds in China since 2002, causing severe economic loss to the pig industry. The number of live pigs in southeast China is > 20 million. Since information on the genetic variation of PCV2 in the Fujian province is limited, the objective of the present work was to investigate the epidemiological and evolutionary characteristics of PCV2 in southeast China from 2013 to 2017. Of the 685 samples collected from 90 different swine herds from 2013 to 2017, 356 samples from 84 different swine herds were positive for PCV2. PCV2a, PCV2b, PCV2d, and PCV2e co-existed in the Fujian province, with PCV2d being the predominant circulating strain in swineherds and PCV2e being reported for the first time in China. Strikingly, PCV2-FJ-water DNA comes from contaminated river water and not infected animals. Sequence comparison among all isolates indicated that 95 isolates shared approximately 78.7%–100% nucleotide identity and 74.5%–100% amino acid identity for open reading frame 2 (ORF2. Amino acid alignment showed that the Cap protein of PCV2e differed markedly from those of PCV2a, PCV2b, PCV2c, and PCV2d. These results indicated that various PCV2 genotypes exist in China, and that PCV2 is continuously evolving, leading to rapid emergence of new variant stains.

  10. A Regional Decision Support Scheme for Pest Risk Analysis in Southeast Asia.

    Science.gov (United States)

    Soliman, T; MacLeod, A; Mumford, J D; Nghiem, T P L; Tan, H T W; Papworth, S K; Corlett, R T; Carrasco, L R

    2016-05-01

    A key justification to support plant health regulations is the ability of quarantine services to conduct pest risk analyses (PRA). Despite the supranational nature of biological invasions and the close proximity and connectivity of Southeast Asian countries, PRAs are conducted at the national level. Furthermore, some countries have limited experience in the development of PRAs, which may result in inadequate phytosanitary responses that put their plant resources at risk to pests vectored via international trade. We review existing decision support schemes for PRAs and, following international standards for phytosanitary measures, propose new methods that adapt existing practices to suit the unique characteristics of Southeast Asia. Using a formal written expert elicitation survey, a panel of regional scientific experts was asked to identify and rate unique traits of Southeast Asia with respect to PRA. Subsequently, an expert elicitation workshop with plant protection officials was conducted to verify the potential applicability of the developed methods. Rich biodiversity, shortage of trained personnel, social vulnerability, tropical climate, agriculture-dependent economies, high rates of land-use change, and difficulties in implementing risk management options were identified as challenging Southeast Asian traits. The developed methods emphasize local Southeast Asian conditions and could help support authorities responsible for carrying out PRAs within the region. These methods could also facilitate the creation of other PRA schemes in low- and middle-income tropical countries. © 2016 Society for Risk Analysis.

  11. Mortality from tetanus between 1990 and 2015: findings from the global burden of disease study 2015

    Directory of Open Access Journals (Sweden)

    Hmwe H. Kyu

    2017-02-01

    Full Text Available Abstract Background Although preventable, tetanus still claims tens of thousands of deaths each year. The patterns and distribution of mortality from tetanus have not been well characterized. We identified the global, regional, and national levels and trends of mortality from neonatal and non-neonatal tetanus based on the results from the Global Burden of Disease Study 2015. Methods Data from vital registration, verbal autopsy studies and mortality surveillance data covering 12,534 site-years from 1980 to 2014 were used. Mortality from tetanus was estimated using the Cause of Death Ensemble modeling strategy. Results There were 56,743 (95% uncertainty interval (UI: 48,199 to 80,042 deaths due to tetanus in 2015; 19,937 (UI: 17,021 to 23,467 deaths occurred in neonates; and 36,806 (UI: 29,452 to 61,481 deaths occurred in older children and adults. Of the 19,937 neonatal tetanus deaths, 45% of deaths occurred in South Asia, and 44% in Sub-Saharan Africa. Of the 36,806 deaths after the neonatal period, 47% of deaths occurred in South Asia, 36% in sub-Saharan Africa, and 12% in Southeast Asia. Between 1990 and 2015, the global mortality rate due to neonatal tetanus dropped by 90% and that due to non-neonatal tetanus dropped by 81%. However, tetanus mortality rates were still high in a number of countries in 2015. The highest rates of neonatal tetanus mortality (more than 1,000 deaths per 100,000 population were observed in Somalia, South Sudan, Afghanistan, and Kenya. The highest rates of mortality from tetanus after the neonatal period (more than 5 deaths per 100,000 population were observed in Somalia, South Sudan, and Kenya. Conclusions Though there have been tremendous strides globally in reducing the burden of tetanus, tens of thousands of unnecessary deaths from tetanus could be prevented each year by an already available inexpensive and effective vaccine. Availability of more high quality data could help narrow the uncertainty of tetanus

  12. Vitamin D with calcium reduces mortality

    DEFF Research Database (Denmark)

    Rejnmark, Lars; Avenell, Alison; Masud, Tahir

    2012-01-01

    Introduction: Vitamin D may affect multiple health outcomes. If so, an effect on mortality is to be expected. Using pooled data from randomized controlled trials, we performed individual patient data (IPD) and trial level meta-analyses to assess mortality among participants randomized to either...... vitamin D alone or vitamin D with calcium. Subjects and Methods: Through a systematic literature search, we identified 24 randomized controlled trials reporting data on mortality in which vitamin D was given either alone or with calcium. From a total of 13 trials with more than 1000 participants each......,528 randomized participants (86.8% females) with a median age of 70 (interquartile range, 62-77) yr. Vitamin D with or without calcium reduced mortality by 7% [hazard ratio, 0.93; 95% confidence interval (CI), 0.88-0.99]. However, vitamin D alone did not affect mortality, but risk of death was reduced if vitamin...

  13. Alcohol and Mortality: Combining Self-Reported (AUDIT-C) and Biomarker Detected (PEth) Alcohol Measures Among HIV Infected and Uninfected.

    Science.gov (United States)

    Eyawo, Oghenowede; McGinnis, Kathleen A; Justice, Amy C; Fiellin, David A; Hahn, Judith A; Williams, Emily C; Gordon, Adam J; Marshall, Brandon D L; Kraemer, Kevin L; Crystal, Stephen; Gaither, Julie R; Edelman, E Jennifer; Bryant, Kendall J; Tate, Janet P

    2018-02-01

    Unhealthy alcohol use may be particularly detrimental among individuals living with HIV and/or hepatitis C virus (HCV), and is often under-reported. Direct biomarkers of alcohol exposure may facilitate improved detection of alcohol use. We evaluated the association of alcohol exposure determined by both self-report [Alcohol Use Disorders Identification Test-Consumption (AUDIT-C)] and a direct biomarker [phosphatidylethanol (PEth)], with mortality among HIV-infected and HIV-uninfected in the Veterans Aging Cohort Study-Biomarker Cohort. We considered PEth AUDIT-C scores [0, 1-3/1-2 (men/women), 4-7/3-7 (men/women), 8-12] and PEth (AUDIT-C = 0 (abstinence). Of these, 15% (149/1015) had PEth ≥8 suggesting recent alcohol exposure. Among those with AUDIT-C = 0, HCV+ individuals were more likely to have PEth ≥8. After controlling for age, sex, race, HIV, HCV, and HIV viral suppression, those with AUDIT-C = 0 but PEth ≥8 had the highest risk of mortality (adjusted hazard ratio 2.15, 95% confidence interval: 1.40 to 3.29). PEth in addition to self-report may improve detection of alcohol use in clinical settings, particularly among those at increased risk of harm from alcohol use. Individuals infected with HCV were more likely to under-report alcohol use.

  14. Enhancing US Operational Reach in Southeast Asia

    National Research Council Canada - National Science Library

    Hitchcock, David

    2003-01-01

    .... While this treat continues to exist, the US Pacific Command (PACOM) must also pursue a neat term methodology to expand its operational reach and ability to respond to contingencies throughout the East Asian littoral, especially within Southeast Asia...

  15. Review of insulin-associated hypoglycemia and its impact on the management of diabetes in Southeast Asian countries.

    Science.gov (United States)

    Goh, Su-Yen; Hussein, Zanariah; Rudijanto, Achmad

    2017-09-01

    Although the incidence of diabetes is rising in Southeast Asia, there is limited information regarding the incidence and manifestation of insulin-associated hypoglycemia. The aim of the present review was to discuss what is currently known regarding insulin-associated hypoglycemia in Southeast Asia, including its known incidence and impact in the region, and how the Southeast Asian population with diabetes differs from other populations. We found a paucity of data regarding the incidence of hypoglycemia in Southeast Asia, which has contributed to the adoption of Western guidelines. This might not be appropriate, as Southeast Asians have a range of etiological, educational and cultural differences from Western populations with diabetes that might place them at greater risk of hypoglycemia if not managed optimally. For example, Southeast Asians with type 2 diabetes tend to be younger, with lower body mass indexes than their Western counterparts, and the management of type 2 diabetes with premixed insulin preparations is more common in Southeast Asia. Both of these factors might result in higher rates of hypoglycemia. In addition, Southeast Asians are often poorly educated about hypoglycemia and its management, including during Ramadan fasting. We conclude there is a need for more information about Southeast Asian populations with diabetes to assist with the construction of more appropriate national and regional guidelines for the management of hypoglycemia, more closely aligned to patient demographics, behaviors and treatment practices. Such bespoke guidelines might result in a greater degree of implementation and adherence within clinical practice in Southeast Asian nations. © 2017 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

  16. Youth Risk Behavior Surveillance--United States, 2009. Morbidity and Mortality Weekly Report. Surveillance Summaries. Volume 59, Number SS-5

    Science.gov (United States)

    Eaton, Danice K.; Kann, Laura; Kinchen, Steve; Shanklin, Shari; Ross, James; Hawkins, Joseph; Harris, William A.; Lowry, Richard; McManus, Tim; Chyen, David; Lim, Connie; Whittle, Lisa; Brener, Nancy D.; Wechsler, Howell

    2010-01-01

    Problem: Priority health-risk behaviors, which are behaviors that contribute to the leading causes of morbidity and mortality among youth and adults, often are established during childhood and adolescence, extend into adulthood, and are interrelated and preventable. Reporting Period Covered: September 2008-December 2009. Description of the…

  17. Oil refining and product marketing developments in southeast Asia

    International Nuclear Information System (INIS)

    Szabo, A.M.

    1992-01-01

    Views on the future are based on supplies from a relatively stable Middle East and continued economic growth in the southeast Asian and Pacific countries. Under these circumstances the oil market for the Association of Southeast Asian Nations (ASEAN) will expand considerably during the decade of the 90's. Pacific country demand, 5.92 MMB/D, in 1990 is likely to grow to 7.06 MMB/D in 2000. Regional production could supply about 40% of this. The Asia-Pacific shortage of refining capacity could lead to high regional refined product prices and health refining profit margins. (author)

  18. Premature mortality of epilepsy in low- and middle-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

    Science.gov (United States)

    Levira, Francis; Thurman, David J; Sander, Josemir W; Hauser, W Allen; Hesdorffer, Dale C; Masanja, Honorati; Odermatt, Peter; Logroscino, Giancarlo; Newton, Charles R

    2017-01-01

    To determine the magnitude of risk factors and causes of premature mortality associated with epilepsy in low- and middle-income countries (LMICs). We conducted a systematic search of the literature reporting mortality and epilepsy in the World Bank-defined LMICs. We assessed the quality of the studies based on representativeness; ascertainment of cases, diagnosis, and mortality; and extracted data on standardized mortality ratios (SMRs) and mortality rates in people with epilepsy. We examined risk factors and causes of death. The annual mortality rate was estimated at 19.8 (range 9.7-45.1) deaths per 1,000 people with epilepsy with a weighted median SMR of 2.6 (range 1.3-7.2) among higher-quality population-based studies. Clinical cohort studies yielded 7.1 (range 1.6-25.1) deaths per 1,000 people. The weighted median SMRs were 5.0 in male and 4.5 in female patients; relatively higher SMRs within studies were measured in children and adolescents, those with symptomatic epilepsies, and those reporting less adherence to treatment. The main causes of death in people with epilepsy living in LMICs include those directly attributable to epilepsy, which yield a mean proportional mortality ratio (PMR) of 27.3% (range 5-75.5%) derived from population-based studies. These direct causes comprise status epilepticus, with reported PMRs ranging from 5 to 56.6%, and sudden unexpected death in epilepsy (SUDEP), with reported PMRs ranging from 1 to 18.9%. Important causes of mortality indirectly related to epilepsy include drowning, head injury, and burns. Epilepsy in LMICs has a significantly greater premature mortality, as in high-income countries, but in LMICs the excess mortality is more likely to be associated with causes attributable to lack of access to medical facilities such as status epilepticus, and preventable causes such as drowning, head injuries, and burns. This excess premature mortality could be substantially reduced with education about the risk of death and

  19. Patient-reported mental and physical health outcomes are independent predictors of one-year mortality and cardiac events across cardiac diagnoses. Findings from the national DenHeart survey."

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Thorup, Charlotte Brun; Borregaard, Britt

    2018-01-01

    -reported outcomes at hospital discharge as a predictor of mortality and cardiac events. Design: A cross-sectional survey with register follow-up. Methods: Participants: All patients discharged from April 2013 to April 2014 from five national heart centres in Denmark. Main outcomes: Patient-reported outcomes......Aims: Patient-reported quality of life and anxiety/depression scores provide important prognostic information independently of traditional clinical data. The aims of this study were to describe: (a) mortality and cardiac events one year after hospital discharge across cardiac diagnoses; (b) patient...

  20. Mortality and Case Fatality Due to Visceral Leishmaniasis in Brazil: A Nationwide Analysis of Epidemiology, Trends and Spatial Patterns

    Science.gov (United States)

    Martins-Melo, Francisco Rogerlândio; Lima, Mauricélia da Silveira; Ramos, Alberto Novaes; Alencar, Carlos Henrique; Heukelbach, Jorg

    2014-01-01

    Background Visceral leishmaniasis (VL) is a significant public health problem in Brazil and several regions of the world. This study investigated the magnitude, temporal trends and spatial distribution of mortality related to VL in Brazil. Methods We performed a study based on secondary data obtained from the Brazilian Mortality Information System. We included all deaths in Brazil from 2000 to 2011, in which VL was recorded as cause of death. We present epidemiological characteristics, trend analysis of mortality and case fatality rates by joinpoint regression models, and spatial analysis using municipalities as geographical units of analysis. Results In the study period, 12,491,280 deaths were recorded in Brazil. VL was mentioned in 3,322 (0.03%) deaths. Average annual age-adjusted mortality rate was 0.15 deaths per 100,000 inhabitants and case fatality rate 8.1%. Highest mortality rates were observed in males (0.19 deaths/100,000 inhabitants), Brazil over the period, with different patterns between regions: increasing mortality rates in the North (Annual Percent Change – APC: 9.4%; 95% confidence interval – CI: 5.3 to 13.6), and Southeast (APC: 8.1%; 95% CI: 2.6 to 13.9); and increasing case fatality rates in the Northeast (APC: 4.0%; 95% CI: 0.8 to 7.4). Spatial analysis identified a major cluster of high mortality encompassing a wide geographic range in North and Northeast Brazil. Conclusions Despite ongoing control strategies, mortality related to VL in Brazil is increasing. Mortality and case fatality vary considerably between regions, and surveillance and control measures should be prioritized in high-risk clusters. Early diagnosis and treatment are fundamental strategies for reducing case fatality of VL in Brazil. PMID:24699517

  1. Supporting Biotechnology Regulatory Policy Processes in Southeast ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Supporting Biotechnology Regulatory Policy Processes in Southeast Asia. Biotechnology innovations or bio-innovations can provide solutions to problems associated with food security, poverty and environmental degradation. Innovations such as genetically engineered (GE) crops can increase food production and ...

  2. Sidewalk Survey Implementation for the Southeast Region

    Science.gov (United States)

    2017-06-01

    With funding from GDOT and STRIDE, the team deployed the Online Sidewalk Assessment Survey to gather input on local sidewalk repair and maintenance preferences across a variety of community types in the southeast. The team targeted four major cities ...

  3. The burden of premature mortality of epilepsy in high-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

    Science.gov (United States)

    Thurman, David J; Logroscino, Giancarlo; Beghi, Ettore; Hauser, W Allen; Hesdorffer, Dale C; Newton, Charles R; Scorza, Fulvio Alexandre; Sander, Josemir W; Tomson, Torbjörn

    2017-01-01

    Since previous reviews of epidemiologic studies of premature mortality among people with epilepsy were completed several years ago, a large body of new evidence about this subject has been published. We aim to update prior reviews of mortality in epilepsy and to reevaluate and quantify the risks, potential risk factors, and causes of these deaths. We systematically searched the Medline and Embase databases to identify published reports describing mortality risks in cohorts and populations of people with epilepsy. We reviewed relevant reports and applied criteria to identify those studies likely to accurately quantify these risks in representative populations. From these we extracted and summarized the reported data. All population-based studies reported an increased risk of premature mortality among people with epilepsy compared to general populations. Standard mortality ratios are especially high among people with epilepsy aged <50 years, among those whose epilepsy is categorized as structural/metabolic, those whose seizures do not fully remit under treatment, and those with convulsive seizures. Among deaths directly attributable to epilepsy or seizures, important immediate causes include sudden unexpected death in epilepsy (SUDEP), status epilepticus, unintentional injuries, and suicide. Epilepsy-associated premature mortality imposes a significant public health burden, and many of the specific causes of death are potentially preventable. These require increased attention from healthcare providers, researchers, and public health professionals. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  4. Establishing a foot-and-mouth disease laboratory network in Southeast Asia

    International Nuclear Information System (INIS)

    Gleeson, L.J.

    2000-01-01

    The Joint FAO/IAEA Division has established an effective laboratory network in Southeast Asia to support the diagnostic requirements of the Southeast Asian Foot-and-mouth disease control campaign (SEAFMD). All laboratories have a capability to accurately detect and type foot-and-mouth disease virus antigen in clinical specimens and to conduct the screening test for detection of serum antibodies against the endemic sero-types of the virus. (author)

  5. Global epidemiology of phytoplasma diseases of economic importance in Southeast Europe

    OpenAIRE

    Mitrev, Sasa

    2007-01-01

    The network ‘Global epidemiology of phytoplasma diseases of economic importance in Southeast Europe’ will coordinate the efforts of plant pathologists, microbiologists and entomologists of Southeast European countries to better monitor phytoplasma strains propagation through nurseries and insect vectors, at the European scale. This will be investigated both in plants and insects using up to date molecular typing tools and real-time PCR detection technology. In addition, the network will initi...

  6. Institutions and regional development in Southeast Asia

    NARCIS (Netherlands)

    Andriesse, E.H.S.

    2008-01-01

    The study of relationships between regional performance and varieties of capitalism within developing countries is an interesting and challenging topic. Although it is evident that capitalist institutions have made further inroads in Southeast Asia, it is far from certain how particular

  7. Youth Risk Behavior Surveillance--United States, 2005. Morbidity and Mortality Weekly Report. Surveillance Summaries. Volume 55, Number SS-5

    Science.gov (United States)

    Eaton, Danice K.; Kann, Laura; Kinchen, Steve; Ross, James; Hawkins, Joseph; Harris, William A.; Lowry, Richard; McManus, Tim; Chyen, David; Shanklin, Shari; Lim, Connie; Grunbaum, Jo Anne; Wechsler, Howell

    2006-01-01

    Problem: Priority health-risk behaviors, which contribute to the leading causes of morbidity and mortality among youth and adults, often are established during childhood and adolescence, extend into adulthood, are interrelated, and are preventable. Reporting Period Covered: October 2004-January 2006. Description of the System: The Youth Risk…

  8. Youth Risk Behavior Surveillance--United States, 2007. Morbidity and Mortality Weekly Report. Surveillance Summaries. Volume 57, Number SS-4

    Science.gov (United States)

    Eaton, Danice K.; Kann, Laura; Kinchen, Steve; Shanklin, Shari; Ross, James; Hawkins, Joseph; Harris, William A.; Lowry, Richard; McManus, Tim; Chyen, David; Lim, Connie; Brener, Nancy D.; Wechsler, Howell

    2008-01-01

    Problem: Priority health-risk behaviors, which are behaviors that contribute to the leading causes of morbidity and mortality among youth and adults, often are established during childhood and adolescence, extend into adulthood, are interrelated, and are preventable. Reporting Period Covered: January-December 2007. Description of the System: The…

  9. Soil Respiration Declines Following Beetle - Induced Forest Mortality in a Lodgepole Pine Forest

    Science.gov (United States)

    Borkhuu, B.; Peckham, S. D.; Norton, U.; Ewers, B. E.; Pendall, E.

    2014-12-01

    Lodgepole pine (Pinus contorta var. latifolia) forests in northern Colorado and southeast Wyoming have been undergoing a major mortality event owing to mountain pine beetle (Dendroctonus ponderosae) infestation since 2007. We studied biotic and abiotic drivers of growing season soil respiration in four mature stands experiencing different levels of mortality between 2008 and 2012 in the Medicine Bow Mountains, southeastern Wyoming, USA. For five years, beetle infestation significantly altered forest structure. Stand mortality was 30% and more than 80% in stands with the lowest and highest mortality, respectively. Understory vegetation cover increased by 50% for five years following beetle infestation. Needlefall was increased by more than 50% during first two years of beetle infestation compared to the pre-disturbance period. We did not observe an immediate increase in soil respiration following beetle infestation as suggested by some researchers. Soil respiration rates in midsummer ranged from 1.4 ± 0.1 μmol m-2 s-1 in stands with highest mortality to 3.1 ± 0.2 μmol m-2s-1 in uninfested stand. Live tree basal area was the dominant factor controlling soil respiration, explaining more than 60% of the interannual and spatial variations in response to the disturbance. In addition, soil respiration was significantly correlated with fine root biomass, which explained 55% of variations, providing strong evidence that autotrophic respiration dominated the forest soil respiration flux. Furthermore, the seasonality of soil respiration was controlled mainly by mean monthly precipitation and mid-day photosynthetically active radiation. Each factor predicted from 30% to 50% of seasonal soil respiration variability with the highest correlation coefficients in stand with the lowest mortality. Our results clearly indicate that the reduction of photosynthesis in trees over the infestation period significantly reduced soil respiration. The remaining activity in dead stands may

  10. Regional Commonalities and Regional Identities: Forging a Normative Understanding of Southeast Asian Identity

    Directory of Open Access Journals (Sweden)

    Gürol Baba

    2016-01-01

    Full Text Available In the last two decades, most of the IR academia’s attention on Southeast Asian regionalism utilised constructivism and/or realism and has focused on ASEAN and its derivatives. This article aims to skew this angle by elaborating a possible relationship between Asian values and a normative understanding of Southeast Asian identity. The major reason for this article’s focus on a normative interpretation is that a practical application of Southeast Asian identity is not very achievable due to various ethnic, cultural, political, territorial, and historical diversities. While the region is diverse, there are also a number of commonalities among its states. Asian values, from a Confucian perspective, account for some of these commonalities. By using constructivists’ claims on both the links between norms and identity and the dynamic interaction between values and norms, this article argues that Asian values could contribute to the development of Amitav Acharya’s widely cited normative/ideational format of Southeast Asian identity. The article takes ASEAN identity as a case study and aims to show why a normative identity is more achievable than a practical identity among Southeast Asians, and how Asian values might contribute to the creation of this shared identity.

  11. The Appreciation and Study of Qur’an Manuscripts from Southeast Asia: Past, Present, and Future

    Directory of Open Access Journals (Sweden)

    Annabel Teh Gallop

    2016-01-01

    Full Text Available The focus of this paper is not on theological aspects of the Qur’an, or on the study of the Qur’anic sciences in Southeast Asia over the past centuries, but rather to attempt to trace the path of the appreciation of old copies of the Qur’an in Southeast Asia as part of the historical record of the Islamic heritage of the region.  In this light, Qur’an manuscripts are viewed as objects of material culture which can cast light on the societies which produced them, and as works of art which testify to the heights of artistic creativity in the region, for illuminated Qur’an manuscripts represent the pinnacle of achievements in the arts of the book in Southeast Asia. This historical record can be measured through a survey of how, where, when and by whom Qur’an manuscripts in Southeast Asia were collected, documented, studied and published, both in Southeast Asia itself and in the west.

  12. More Than We Bargained For: The Impact of Consumer Culture in Southeast Asia.

    Science.gov (United States)

    Frith, Katherine T.

    Advertising by multinational corporations in Southeast Asia is generating a growing resistance to its perceived role in creating a "consumer culture" damaging to indigenous values systems. Critics of advertising in Southeast Asia argue that when multinational advertisers or their multinational advertising agencies move into this foreign…

  13. ‘Temples’ in the Neolithic and Copper Age in Southeast Europe

    Directory of Open Access Journals (Sweden)

    Clemens Lichter

    2014-12-01

    Full Text Available Several buildings dated to the Neolithic period and Copper Age in Southeast Europe have been designated as ‘temple’, ‘sanctuary’, ‘cultic structure’ or ‘place of cult’ in scholarly works. The present contribution discusses the problems of identifying religious architecture; it elucidates some of these archaeological records and evaluates arguments with which the designation ‘temple’ or ‘cultic structure’ is justified. Thereby, the author concludes that no structure has been found among the houses excavated in Southeast Europe that can be classified as a ‘sanctuary’. Instead, there are many indications that ritual activities took place in every dwelling and that these were specially decorated for such occasions. The author also considers so-called ‘special buildings’ of the Neolithic period in the Near East and discusses their absence in Southeast Europe.

  14. Southeast Region Level A Marine Mammal Stranding Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data on marine mammal strandings are collected by the Southeast Marine Mammal Stranding Network. Basic data on the location, species identification, animal...

  15. Participation in Southeast Asian pollution control policies

    NARCIS (Netherlands)

    Hofman, Peter; Coenen, Franciscus H.J.M.; Huitema, Dave; O'Toole, Laurence J.

    1998-01-01

    Although public awareness of environmental issues in Southeast Asian countries has increased dramatically during the nineties, there has not been a corresponding rise in the level of participation in environmental decision-making. Public participation often takes places at the end of a

  16. Heat-Related Mortality in India: Excess All-Cause Mortality Associated with the 2010 Ahmedabad Heat Wave

    Science.gov (United States)

    Azhar, Gulrez Shah; Mavalankar, Dileep; Nori-Sarma, Amruta; Rajiva, Ajit; Dutta, Priya; Jaiswal, Anjali; Sheffield, Perry; Knowlton, Kim; Hess, Jeremy J.; Azhar, Gulrez Shah; Deol, Bhaskar; Bhaskar, Priya Shekhar; Hess, Jeremy; Jaiswal, Anjali; Khosla, Radhika; Knowlton, Kim; Mavalankar, Mavalankar; Rajiva, Ajit; Sarma, Amruta; Sheffield, Perry

    2014-01-01

    Introduction In the recent past, spells of extreme heat associated with appreciable mortality have been documented in developed countries, including North America and Europe. However, far fewer research reports are available from developing countries or specific cities in South Asia. In May 2010, Ahmedabad, India, faced a heat wave where the temperatures reached a high of 46.8°C with an apparent increase in mortality. The purpose of this study is to characterize the heat wave impact and assess the associated excess mortality. Methods We conducted an analysis of all-cause mortality associated with a May 2010 heat wave in Ahmedabad, Gujarat, India, to determine whether extreme heat leads to excess mortality. Counts of all-cause deaths from May 1–31, 2010 were compared with the mean of counts from temporally matched periods in May 2009 and 2011 to calculate excess mortality. Other analyses included a 7-day moving average, mortality rate ratio analysis, and relationship between daily maximum temperature and daily all-cause death counts over the entire year of 2010, using month-wise correlations. Results The May 2010 heat wave was associated with significant excess all-cause mortality. 4,462 all-cause deaths occurred, comprising an excess of 1,344 all-cause deaths, an estimated 43.1% increase when compared to the reference period (3,118 deaths). In monthly pair-wise comparisons for 2010, we found high correlations between mortality and daily maximum temperature during the locally hottest “summer” months of April (r = 0.69, pheat (May 19–25, 2010), mortality rate ratios were 1.76 [95% CI 1.67–1.83, pheat wave in Ahmedabad, Gujarat, India had a substantial effect on all-cause excess mortality, even in this city where hot temperatures prevail through much of April-June. PMID:24633076

  17. Performance of technical trading rules: evidence from Southeast Asian stock markets

    OpenAIRE

    Tharavanij, Piyapas; Siraprapasiri, Vasan; Rajchamaha, Kittichai

    2015-01-01

    This paper examines the profitability of technical trading rules in the five Southeast Asian stock markets. The data cover a period of 14 years from January 2000 to December 2013. The instruments investigated are five Southeast Asian stock market indices: SET index (Thailand), FTSE Bursa Malaysia KLC index (Malaysia), FTSE Straits Times index (Singapore), JSX Composite index (Indonesia), and PSE composite index (the Philippines). Trading strategies investigated include Relative Strength Index...

  18. Incidence of human rabies and characterization of rabies virus nucleoprotein gene in dogs in Fujian Province, Southeast China, 2002-2012.

    Science.gov (United States)

    Zhang, Jian-Ming; Zhang, Zhi-Shan; Deng, Yan-Qin; Wu, Shou-Li; Wang, Wei; Yan, Yan-Sheng

    2017-08-30

    Rabies is a global fatal infectious viral disease that is characterized by a high mortality after onset of clinical symptoms. Recently, there has been an increase in the incidence of rabies in China. The aim of this study was to investigate the incidence of human rabies and characterize the rabies virus nucleoprotein gene in dogs sampled from Fujian Province, Southeast China from 2002 to 2012. Data pertaining to human rabies cases in Fujian Province during the period from 2002 through 2012 were collected, and the epidemiological profiles were described. The saliva and brain specimens were collected from dogs in Quanzhou, Longyan and Sanming cities of the province, and the rabies virus antigen was determined in the canine saliva specimens using an ELISA assay. Rabies virus RNA was extracted from canine brain specimens, and rabies virus nucleoprotein gene was amplified using a nested RT-PCR assay, followed by sequencing and genotyping. A total of 226 human rabies cases were reported in Fujian Province from 2002 to 2012, in which 197 cases were detected in three cities of Quanzhou, Longyan and Sanming. ELISA assay revealed positive rabies virus antigen in six of eight rabid dogs and 165 of 3492 seemingly healthy dogs. The full-length gene fragment of the rabies virus nucleoprotein gene was amplified from the brain specimens of seven rabid dogs and 12 seemingly healthy dogs. Sequence alignment and phylogenetic analysis revealed that these 19 rabies virus nucleoprotein genes all belonged to genotype I, and were classified into three genetic groups. Sequencing analysis showed a 99.7% to 100% intra-group and an 86.4% to 89.3% inter-group homology. This study is the first description pertaining to the epidemiological characteristics of human rabies cases and characterization of the rabies virus nucleoprotein gene in dogs in Fujian Province, Southeast China. Our findings may provide valuable knowledge for the development of strategies targeting the prevention and control of

  19. High Incidence of Hepatitis B Infection-Associated Cirrhosis and Hepatocellular Carcinoma in the Southeast Asian Patients with Portal Vein Thrombosis

    Directory of Open Access Journals (Sweden)

    Auewarakul Chirayu U

    2011-06-01

    Full Text Available Abstract Background Portal vein thrombosis (PVT is a rare condition associated with serious morbidity and mortality. The objective of this study was to determine the frequency, clinical presentations, and risk factors of PVT from the set of data firstly collected among the Southeast Asian population. Methods A retrospective study was undertaken to identify patients diagnosed with thrombosis of the portal system and other abdominal veins. The hospital medical records were retrieved based on the selected ICD-10 codes. Clinical presentations were collected and risk factors determined. Results From 2000-2009, 467 hospital charts with designated ICD-10 codes of I81, I82.2, I82.3, I82.8, I82.9, or K55.0 were identified. PVT (I81 was the most common thrombosis (194 cases, 41.54%. The majority of PVT patients were males (65%, older than 40 years (75%, and presented with abdominal distension/ascites (69%, splenomegaly (54.6%, and abdominal pain (50.5%. Overall, the predominant risk factor was hepatocellular carcinoma (HCC (52.5%, followed by liver cirrhosis without cancer (9.3%, abdominal infection/inflammation (9.3%, cholangiocarcinoma (8.2%, and abdominal intervention (7.7%. In young patients, abdominal interventions including umbilical catheterization (23.1% and hepatectomy (7.7% were the most frequent risks whereas in older cases, primary hepatobiliary cancer and cirrhosis (78% were the major risks. Liver metastases from other organs were infrequently found. Chronic hepatitis B virus (HBV infection was the main etiology associated with cirrhosis/HCC leading to PVT in this cohort. A third of the older PVT patients (age >40 had HBV and very few carried hepatitis C virus (HCV whereas none of the young PVT patients (age Conclusion HBV is the major risk of PVT in the Southeast Asian population. Several risk factors identified in this population have rarely been described and some are remarkably different from those reported in the West. Host and

  20. Twenty-year mortality of adult patients with primary immune thrombocytopenia

    DEFF Research Database (Denmark)

    Frederiksen, Henrik; dybdal, Merete Lund; Nørgaard, Mette

    2014-01-01

    Studies have reported a 1·3- to 2·2-fold higher mortality rate among patients with primary immune thrombocytopenia (ITP) compared to the general population. However, long-term mortality estimates as well as cause-specific mortality data are sparse. In our population-based cohort of adult patients...

  1. Perinatal mortality and associated risk factors: a case control study ...

    African Journals Online (AJOL)

    BACKGROUND: Perinatal mortality is reported to be five times higher in developing than in developed nations. Little is known about the commonly associated risk factors for perinatal mortality in Southern Nations National Regional State of Ethiopia. METHODS: A case control study for perinatal mortality was conducted in ...

  2. Support for and reported compliance among smokers with smoke-free policies in air-conditioned hospitality venues in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia Survey.

    Science.gov (United States)

    Yong, Hua-Hie; Foong, Kin; Borland, Ron; Omar, Maizurah; Hamann, Stephen; Sirirassamee, Buppha; Fong, Geoffrey T; Fotuhi, Omid; Hyland, Andrew

    2010-01-01

    This study examined support for and reported compliance with smoke-free policy in air-conditioned restaurants and other similar places among adult smokers in Malaysia and Thailand. Baseline data (early 2005) from the International Tobacco Control Southeast Asia Survey (ITC-SEA), conducted face-to-face in Malaysia and Thailand (n = 4005), were used. Among those attending venues, reported total smoking bans in indoor air-conditioned places such as restaurants, coffee shops, and karaoke lounges were 40% and 57% in Malaysia and Thailand, respectively. Support for a total ban in air-conditioned venues was high and similar for both countries (82% Malaysian and 90% Thai smokers who believed there was a total ban), but self-reported compliance with bans in such venues was significantly higher in Thailand than in Malaysia (95% vs 51%, P air-conditioned venues was associated with a greater support for a ban in such venues in both countries.

  3. THE HISTORY OF JAMA‘AH TABLIGH IN SOUTHEAST ASIA: The Role of Islamic Sufism in Islamic Revival

    Directory of Open Access Journals (Sweden)

    Kamaruzzaman Bustamam-Ahmad

    2008-08-01

    Full Text Available The article examines the history of Jama‘ah Tabligh in Southeast Asia, especially in Kuala Lumpur and Aceh. The author traces the historical background of this religious movement with particular reference to the birth place of Jama‘ah Tabligh, India. The author investigates the major role of Indian in disseminating Islam in Southeast Asia, especially in Malaysia and Indonesia. Many scholars believe that Islam came to Southeast Asia from India (Gujarat, and this is the reason why many Islamic traditions in this region were influenced by Indian culture. However, to analyze Islamic movement in Southeast Asia one should take into consideration the Middle East context in which various Islamic movements flourished. Unlike many scholars who believe that the spirit of revivalism or Islamic modernism in Southeast Asia was more influenced by Islam in the Middle East than Indian, the author argues that the influence of Indian Muslim in Southeast Asia cannot be neglected, particularly in the case of Jama‘ah Tabligh.

  4. Using Evaluation for CBNRM Capacity Development (Southeast Asia)

    International Development Research Centre (IDRC) Digital Library (Canada)

    Using Evaluation for CBNRM Capacity Development (Southeast Asia) ... for evaluating both the process and outcome of capacity development efforts in CBNRM. ... Cluster Case Studies Planning Workshop, Beijing, September 21-23, 2006; ...

  5. Maternal mortality ratio in Lebanon in 2008: a hospital-based reproductive age mortality study (RAMOS).

    Science.gov (United States)

    Hobeika, Elie; Abi Chaker, Samer; Harb, Hilda; Rahbany Saad, Rita; Ammar, Walid; Adib, Salim

    2014-01-01

    International agencies have recently assigned Lebanon to the group H of countries with "no national data on maternal mortality," and estimated a corresponding maternal mortality ratio (MMR) of 150 per 100,000 live births. The Ministry of Public Health addressed the discrepancy perceived between the reality of the maternal mortality ratio experience in Lebanon and the international report by facilitating a hospital-based reproductive age mortality study, sponsored by the World Health Organization Representative Office in Lebanon, aiming at providing an accurate estimate of a maternal mortality ratio for 2008. The survey allowed a detailed analysis of maternal causes of deaths. Reproductive age deaths (15-49 years) were initially identified through hospital records. A trained MD traveled to each hospital to ascertain whether recorded deaths were in fact maternal deaths or not. ICD10 codes were provided by the medical controller for each confirmed maternal deaths. There were 384 RA death cases, of which 13 were confirmed maternal deaths (339%) (numerator). In 2008, there were 84823 live births in Lebanon (denominator). The MMR in Lebanon in 2008 was thus officially estimated at 23/100,000 live births, with an "uncertainty range" from 153 to 30.6. Hemorrhage was the leading cause of death, with double the frequency of all other causes (pregnancy-induced hypertension, eclampsia, infection, and embolism). This specific enquiry responded to a punctual need to correct a clearly inadequate report, and it should be relayed by an on-going valid surveillance system. Results indicate that special attention has to be devoted to the management of peri-partum hemorrhage cases. Arab, postpartum hemorrhage, development, pregnancy management, verbal autopsy

  6. Infectious Diseases and Tropical Cyclones in Southeast China

    Directory of Open Access Journals (Sweden)

    Jietao Zheng

    2017-05-01

    Full Text Available Southeast China is frequently hit by tropical cyclones (TCs with significant economic and health burdens each year. However, there is a lack of understanding of what infectious diseases could be affected by tropical cyclones. This study aimed to examine the impacts of tropical cyclones on notifiable infectious diseases in southeast China. Disease data between 2005 and 2011 from four coastal provinces in southeast China, including Guangdong, Hainan, Zhejiang, and Fujian province, were collected. Numbers of cases of 14 infectious diseases were compared between risk periods and reference periods for each tropical cyclone. Risk ratios (RRs were calculated to estimate the risks. TCs were more likely to increase the risk of bacillary dysentery, paratyphoid fever, dengue fever and acute hemorrhagic conjunctivitis (ps < 0.05 than to decrease the risk, more likely to decrease the risk of measles, mumps, varicella and vivax malaria (ps < 0.05 than to increase the risk. In conclusion, TCs have mixed effects on the risk of infectious diseases. TCs are more likely to increase the risk of intestinal and contact transmitted infectious diseases than to decrease the risk, and more likely to decrease the risk of respiratory infectious diseases than to increase the risk. Findings of this study would assist in developing public health strategies and interventions for the reduction of the adverse health impacts from tropical cyclones.

  7. Southeast Alaska ESI: T_MAMMAL (Terrestrial Mammal Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for brown bears in Southeast Alaska. Vector polygons in this data set represent locations of bear concentrations....

  8. Climate change vulnerability map of Southeast Asia

    International Development Research Centre (IDRC) Digital Library (Canada)

    anshory

    Development Studies (CEDS), Padjadjaran University, for his excellent research assistance. ... Malaysia, and Philippines) are the most vulnerable to climate change. 2. ... system to adjust to climate change (including climate variability and extremes), ... national administrative areas in seven countries in Southeast Asia, i.e., ...

  9. Southeast Asia: A Climatological Study

    Science.gov (United States)

    1997-05-01

    settlements and line grown here, and a small amount of rubber is still highways and railroads. Cogon grass is commonly produced from rubber trees...Gam, Cau, Black Da, Ky Cung, and Ba Brushwood, bamboo, weeds, and tall grasses invade Che-generally flow northwest-southeast and either clear cut forest...Tonkin is the northwest dunes with eucalyptus and small, thorny deciduous arm of the South China Sea. trees and flowering plants. Colon grass is

  10. 30-Day, 90-day and 1-year mortality after emergency colonic surgery

    DEFF Research Database (Denmark)

    Pedersen, T; Watt, S K; Tolstrup, M-B

    2017-01-01

    PURPOSE: Emergency surgery is an independent risk factor in colonic surgery resulting in high 30-day mortality. The primary aim of this study was to report 30-day, 90-day and 1-year mortality rates after emergency colonic surgery, and to report factors associated with 30-day, 90-day and 1-year...... mortality. Second, the aim was to report 30-day postoperative complications and their relation to in-hospital mortality. METHODS: All patients undergoing acute colonic surgery in the period from May 2009 to April 2013 at Copenhagen University Hospital Herlev, Denmark, were identified. Perioperative data...... postoperative deaths. CONCLUSION: Mortality and complication rates after emergency colonic surgery are high and associated with patient related risk factors that cannot be modified, but also treatment related outcomes that are modifiable. An increased focus on medical and other preventive measures should...

  11. Uranium metallogeny, magmatism and structure in southeast China

    International Nuclear Information System (INIS)

    Simpson, P.R.

    1989-01-01

    Granite magmatism and the associated uranium metallogeny in southeast China are considered in relation to a plate tectonic model previously developed for Jiangxi Province which envisages the suturing of three separate continental fault blocks or plates which are thought to have existed as separate continental microplates until the Permian, namely the Sino-Korean, Yangtze and South China Plates. In Jiangxi Province, most of the granitic magmas, including those considered in the paper to be associated with U ore deposits, can be shown to be systematically distributed in relation to the postulated destructive plate margins which are thought to have existed along all the plate boundaries between the continental microplates. The granitic intrusions in Jiangxi range from those more proximal to the inferred location of the subduction zone in a modified Andean type model, such as porphyries of Cu, Cu-Mo and W-Cu type, to more distal granites of U-W-Sn-F-Nb-REE type. They range in age from Indosinian to Yanshanian (but mainly the latter) and are intruded in tensional settings along major lithospheric fracture zones, with sinistral strike slip, many of which continued to move both during and after granite emplacement. These U, W, Sn, F, Nb and REE rich metalliferous granites, which all intruded post-tectonically long after the principal metamorphic events, which are Jinningian (Late Proterozoic on the Yangtze Plate) and Caledonian (South China Plate), and the younger suturing events, are considered in the study to be essentially of juvenile magmatic rather than crustal origin. Such a tectonic model helps to account for the well developed and structurally zoned metallogeny of southeast China and the genesis of the Southeast China Uranium Province. Selected examples of U ore deposits which occur within the Southeast China Uranium Province are considered in order to develop the basis for a genetic model for U which would be more generally applicable to this region and possibly

  12. Recurrent blooms of Heterosigma akashiwo (Raphidophyceae in the Piraquê Channel, Rodrigo de Freitas Lagoon, southeast Brazil

    Directory of Open Access Journals (Sweden)

    S Branco

    Full Text Available Six blooms of Heterosigma akashiwo(Raphidophyceae were observed from March 2007 through March 2008 in the Rodrigo de Freitas Lagoon, a semi-confined eutrophic system located in Rio de Janeiro state, southeast Brazil. Vegetative cells of H. akashiwo analysed by optical and electron microscopy showed morphology as described in the literature. The blooms (2.8 × 104 to 4 × 108 cell.L–1 were restricted to the middle section of the Piraquê Channel, which is situated in the northeastern part of the lagoon and receives freshwater inflow. The salinity of subsurface water and the channel depth showed significant negative correlations with H. akashiwo abundances, and appeared to restrict the blooms to this compartment of the lagoon. No fish mortality was associated with the H. akashiwo blooms, nor were brevetoxins detected in a cell extract obtained from the bloom observed on 19 March 2007.

  13. Origins of the current outbreak of multidrug-resistant malaria in southeast Asia: a retrospective genetic study.

    Science.gov (United States)

    Amato, Roberto; Pearson, Richard D; Almagro-Garcia, Jacob; Amaratunga, Chanaki; Lim, Pharath; Suon, Seila; Sreng, Sokunthea; Drury, Eleanor; Stalker, Jim; Miotto, Olivo; Fairhurst, Rick M; Kwiatkowski, Dominic P

    2018-03-01

    Antimalarial resistance is rapidly spreading across parts of southeast Asia where dihydroartemisinin-piperaquine is used as first-line treatment for Plasmodium falciparum malaria. The first published reports about resistance to antimalarial drugs came from western Cambodia in 2013. Here, we analyse genetic changes in the P falciparum population of western Cambodia in the 6 years before those reports. We analysed genome sequence data on 1492 P falciparum samples from 11 locations across southeast Asia, including 464 samples collected in western Cambodia between 2007 and 2013. Different epidemiological origins of resistance were identified by haplotypic analysis of the kelch13 artemisinin resistance locus and the plasmepsin 2-3 piperaquine resistance locus. We identified more than 30 independent origins of artemisinin resistance, of which the KEL1 lineage accounted for 140 (91%) of 154 parasites resistant to dihydroartemisinin-piperaquine. In 2008, KEL1 combined with PLA1, the major lineage associated with piperaquine resistance. By 2013, the KEL1/PLA1 co-lineage had reached a frequency of 63% (24/38) in western Cambodia and had spread to northern Cambodia. The KEL1/PLA1 co-lineage emerged in the same year that dihydroartemisinin-piperaquine became the first-line antimalarial drug in western Cambodia and spread rapidly thereafter, displacing other artemisinin-resistant parasite lineages. These findings have important implications for management of the global health risk associated with the current outbreak of multidrug-resistant malaria in southeast Asia. Wellcome Trust, Bill & Melinda Gates Foundation, Medical Research Council, UK Department for International Development, and the Intramural Research Program of the National Institute of Allergy and Infectious Diseases. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

  14. Southeast Fishery-Independent Survey (PC1402, ME70)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Fishery-Independent Survey (SEFIS) was created by the National Marine Fisheries Service in 2010 and operates out of the NOAA Beaufort Laboratory. The...

  15. Ecohealth Field-building Leadership Initiative in Southeast Asia ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Ecohealth Field-building Leadership Initiative in Southeast Asia ... This grant will allow a consortium of research centres in China, Indonesia, Thailand ... Kunming Institute of Botany, Chinese Academy of Sciences as represented by Sun Hang.

  16. AFSC/ABL: Southeast Coastal Monitoring Project - CTD database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Alaska Coastal Monitoring (SECM) project in Alaska was initiated in 1997 by the Auke Bay Laboratory, National Marine Fisheries Service, to study the...

  17. Southeast Fishery-Independent Survey (PC1304, ME70)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Fishery-Independent Survey (SEFIS) was created by the National Marine Fisheries Service in 2010 and operates out of the NOAA Beaufort Laboratory. The...

  18. Southeast Fishery-Independent Survey (PC1204, ME70)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Southeast Fishery-Independent Survey (SEFIS) was created by the National Marine Fisheries Service in 2010 and operates out of the NOAA Beaufort Laboratory. The...

  19. Mortality in Central Java: results from the indonesian mortality registration system strengthening project

    Directory of Open Access Journals (Sweden)

    Irianto Joko

    2010-12-01

    Full Text Available Abstract Background Mortality statistics from death registration systems are essential for health policy and development. Indonesia has recently mandated compulsory death registration across the entire country in December 2006. This article describes the methods and results from activities to ascertain causes of registered deaths in two pilot registration areas in Central Java during 2006-2007. The methods involved several steps, starting with adaptation of international standards for reporting causes of registered deaths for implementation in two sites, Surakarta (urban and Pekalongan (rural. Causes for hospital deaths were certified by attending physicians. Verbal autopsies were used for home deaths. Underlying causes were coded using ICD-10. Completeness of registration was assessed in a sample of villages and urban wards by triangulating data from the health sector, the civil registration system, and an independent household survey. Finally, summary mortality indicators and cause of death rankings were developed for each site. Findings A total of 10,038 deaths were registered in the two sites during 2006-2007; yielding annual crude death rates of 5.9 to 6.8 per 1000. Data completeness was higher in rural areas (72.5% as compared to urban areas (52%. Adjusted life expectancies at birth were higher for both males and females in the urban population as compared to the rural population. Stroke, ischaemic heart disease and chronic respiratory disease are prominent causes in both populations. Other important causes are diabetes and cancer in urban areas; and tuberculosis and diarrhoeal diseases in rural areas. Conclusions Non-communicable diseases cause a significant proportion of premature mortality in Central Java. Implementing cause of death reporting in conjunction with death registration appears feasible in Indonesia. Better collaboration between health and registration sectors is required to improve data quality. These are the first local

  20. INDIA’S GROWING INFLUENCE IN STABILIZING REGIONAL SECURITY IN SOUTHEAST ASIA

    Science.gov (United States)

    2016-02-16

    East Policy’ focusing on engagement with Southeast Asia .2 Following the reforms, Indian economy grew rapidly with an...civilizational neighbors in Southeast Asia and East Asia .”19 Thus, LEP and recognition of India’s economic, political, security and cultural potential by ASEAN...point. 21 During the 10th East Asia Summit, Prime Minister Modi emphasized the importance of South East Asian region and informed that his

  1. Freshwater Choices in China: Options That Will Impact South and Southeast Asia

    Science.gov (United States)

    2014-12-04

    economies in the world. To sustain this economic growth and transform chronic hunger into food self-sufficiency, both China and India have embarked...FRESHWATER CHOICES IN CHINA: OPTIONS THAT WILL IMPACT SOUTH AND SOUTHEAST ASIA A Monograph by Mr. Steven M. Nystrom...TITLE AND SUBTITLE Freshwater Choices in China: Options that will Impact South and Southeast Asia 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c

  2. Efforts to promote scientific co-operation in South-East Europe

    CERN Document Server

    2001-01-01

    On 13 and 14 May this year CERN hosted a meeting of a task force entrusted with the task of making recommendations for the reconstruction of scientific collaboration in the countries of South-East Europe (1). This meeting follows a conference attended by delegates from the countries of South-East Europe and international experts which was held in Venice between 24 and 27 March this year. The conference was organised under the aegis of UNESCO's Regional Office for Science and Technology for Europe (ROSTE), attended by representatives of the European Science Foundation (ESF), the European Union and the Academia Europaea as well as by observers from CERN. The aim of the conference was to seek resources and assess the prospects for integration of R&D facilities in the countries of South-East Europe into the networks of European countries. Les membres du groupe de Reconstruction d'une coopération scientifique dans l'Europe du sud-est, réunis au CERN, le 14 mai dernier, dé...

  3. Oral and Hand Hygiene Behaviour and Risk Factors among In-School Adolescents in Four Southeast Asian Countries

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-03-01

    Full Text Available The aim of this study was to investigate oral and hand hygiene behaviour and risk factors among 13 to 15 year-old in-school adolescents in four Southeast Asian countries. Data were collected by self-reported questionnaire from nationally representative samples (total 13,824 of school children aged 13 to 15 years in India, Indonesia, Myanmar and Thailand. Results indicate that overall, 22.4% of school children reported sub-optimal oral hygiene (Southeast Asian countries found sub-optimal hygiene behaviour. Several determinants of sub-optimal hygiene behaviour were identified that can inform programmes in order to improve oral and hand hygiene behaviour of this adolescent population.

  4. Occupational physical activity and mortality among Danish workers

    DEFF Research Database (Denmark)

    Holtermann, Andreas; Burr, Hermann; Hansen, Jørgen V

    2012-01-01

    in a representative sample of 5,839 Danish workers aged 18-59 years at baseline. A 19-year follow-up on mortality was assessed by linkage with the national death registry. Gender-stratified Cox regression models were used to determine the effect of high OPA on all-cause mortality while controlling for age, BMI...... occupational physical activity increases the risk for all-cause mortality among male workers. Future studies need to further examine gender differences in the effects of OPA on mortality.......PURPOSE: The relationship between occupational physical activity (OPA) and mortality has mainly been studied among males and shows conflicting results. This study examines this relationship in a cohort of both male and female workers. METHODS: OPA was determined by 4 self-reported questions...

  5. Southeast Fishery-Independent Survey (PC1603, ME70)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA ship Pisces departed Morehead city on 3 July 2016 for a Southeast Fishery-Independent Survey (SEFIS) research cruise in continental shelf and shelf-break...

  6. Southeast Alaska ESI: M_MAMPT (Marine Mammal Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains biological resource data for seals and sea lions in Southeast Alaska. Points in this data set represent locations of haulout and rookery...

  7. Is a U.S. Military Presence in Southeast Asia Necessary in the Twenty-First Century?

    National Research Council Canada - National Science Library

    Siow, Terry

    2000-01-01

    For many years, the U.S. military presence in Southeast Asia (SEA) has served as an important stabilizing factor in region and has allow countries in the Association of Southeast Asian Nations (ASEAN...

  8. Epidemiology and molecular characterization of multidrug-resistant Gram-negative bacteria in Southeast Asia

    Directory of Open Access Journals (Sweden)

    Nuntra Suwantarat

    2016-05-01

    Full Text Available Abstract Background Multidrug-resistant Gram-negative bacteria (MDRGN, including extended-spectrum β-lactamases (ESBLs and multidrug-resistant glucose-nonfermenting Gram-negative bacilli (nonfermenters, have emerged and spread throughout Southeast Asia. Methods We reviewed and summarized current critical knowledge on the epidemiology and molecular characterization of MDRGN in Southeast Asia by PubMed searches for publications prior to 10 March 2016 with the term related to “MDRGN definition” combined with specific Southeast Asian country names (Thailand, Singapore, Malaysia, Vietnam, Indonesia, Philippines, Laos, Cambodia, Myanmar, Brunei. Results There were a total of 175 publications from the following countries: Thailand (77, Singapore (35, Malaysia (32, Vietnam (23, Indonesia (6, Philippines (1, Laos (1, and Brunei (1. We did not find any publications on MDRGN from Myanmar and Cambodia. We did not include publications related to Shigella spp., Salmonella spp., and Vibrio spp. and non-human related studies in our review. English language articles and abstracts were included for analysis. After the abstracts were reviewed, data on MDRGN in Southeast Asia from 54 publications were further reviewed and included in this study. Conclusions MDRGNs are a major contributor of antimicrobial-resistant bacteria in Southeast Asia. The high prevalence of ESBLs has been a major problem since 2005 and is possibly related to the development of carbapenem resistant organisms in this region due to the overuse of carbapenem therapy. Carbapenem–resistant Acinetobacter baumannii is the most common pathogen associated with nosocomial infections in this region followed by carbapenem-resistant Pseudomonas aeruginosa. Although Southeast Asia is not an endemic area for carbapenem-resistant Enterobacteriaceae (CRE, recently, the rate of CRE detection has been increasing. Limited infection control measures, lack of antimicrobial control, such as the presence of

  9. Burden of cancer attributable to tobacco smoking in member countries of the Association of Southeast Asian Nations (ASEAN), 2012.

    Science.gov (United States)

    Kristina, Susi Ari; Endarti, Dwi; Thavorncharoensap, Montarat

    2016-10-01

    Cancer is an increasing problem in ASEAN (Association of Southeast Asian Nations). Tobacco use is a well-established risk factor for many types of cancers. Evidence on burden of cancer attributable to tobacco is essential to raise public and political awareness of the negative effects of tobacco on cancer and to be used to stimulate political action aims at reducing smoking prevalence in ASEAN member countries. The objective of this study was to estimate burden of cancer attributable to tobacco smoking in ASEAN, 2012. In this study, smoking prevalence was combined with Relative Risks (RRs) of cancer to obtain Smoking Attributable Fractions (SAFs). Cancer incidence and mortality data among individuals aged 15 years and older were derived from GLOBOCAN 2012. Fourteen types of cancer were included in the analysis. Sensitivity analyses were conducted to examine the impact of the use of alternative RRs and the use of alternative prevalence of smoking in some countries. The findings showed that tobacco smoking was responsible for 131,502 cancer incidence and 105,830 cancer mortality in ASEAN countries in 2012. In other words, tobacco smoking was accounted for 28.4% (43.3% in male and 8.5% in female) of cancer incidence and 30.5% (44.2% in male and 9.4% in female) of cancer mortality in ASEAN. When looking at the types of cancer, lung cancer showed the strongest association with tobacco smoking. Incidence of cancer and cancer mortality attributable to tobacco smoking varied by countries due to the differences in size of population, background risk of cancer, and prevalence of smoking in each country. According to the sensitivity analyses, RRs of lung cancer, pharynx cancer, and larynx cancer used in the estimates have significant impact on the estimates. As about one-third of cancer incidence and mortality in ASEAN are attributable to tobacco smoking ASEAN member countries are strongly encouraged to put in place stronger tobacco control policies and to strengthen the

  10. Will biofuel projects in Southeast Asia become white elephants?

    International Nuclear Information System (INIS)

    Goh, Chun Sheng; Lee, Keat Teong

    2010-01-01

    Southeast Asia's attempt to join the global biofuel development has not been very successful, despite the large amount of subsidies and incentives allotted for biofuel projects. The outcome of these projects has failed to meet expectation due to overrated assumptions and shortsighted policies. Utilization of edible feedstock such as palm oil and sugar cane for biofuel has disrupted the fragile industry due to the fluctuations of feedstock prices. The appropriate research on jatropha to prove its economic and environmental feasibility as energy crop has not been performed. Biofuel development in Southeast Asia remains at an early stage of development and requires highly intensive monitoring and strict legal enforcement to ensure future success.

  11. Whither a Common Security for Southeast Asia?

    Science.gov (United States)

    1998-06-05

    by China. Even in 1994, the then-Malaysian Defense Minister Najib was careful to play down the security role of ASEAN as he still saw it as being... Razak Baginda. "Southeast Asia and Pacific Regional Security: Towards Multilateralism Amid Uncertainty?" Military Technology (April 1994): 10- 16

  12. Diversification and autonomy: axes in Argentine rapprochement to Southeast Asia

    Directory of Open Access Journals (Sweden)

    María Florencia Rubiolo

    2017-04-01

    Full Text Available From 2007 onwards, with the change of presidency in Argentina and the consolidation of the internal recovery, the orientation of foreign policy acquires more autonomist nuances. It is in this scenario that the links with less developed countries - or of the South - should be understood, including the ties with the economies of Southeast Asia. Our objective in this work is to analyze the current state of Argentina’s bilateral ties with Southeast Asia - with special emphasis on the Philippines -analyzing these bonds as an alternative for insertion within a strategy of selective diversification and extension of margins of autonomy.

  13. Mortality among workers at the Mound Facility: A preliminary report

    International Nuclear Information System (INIS)

    Reyes, M.; Wilkinson, G.S.; Tietjen, G.L.; Wiggs, L.D.; Galke, W.A.

    1991-04-01

    Mortality among 4,697 white males who were employed at the Mound Facility between 1943 and 1979 was compared with expected mortality based on US white male death rates. Standardized mortality ratios (SMRs) of 96 were observed for both all causes and all cancers. SMRs for digestive cancers and unintentional injuries were significantly less than 100. No SMR was significantly greater than 100 for these workers. A significantly elevated lung cancer SMR was observed for the subcohort of workers employed from 1943--1959, a period during which polonium-210 was processed at the plant. To determine the potential impact of wartime selection factors, this time period was further divided into two periods, 1943--1945 and 1946--1959. In the 1943--1945 period, the SMR for lung cancer was 204 (90% CI = 140, 290), while in the later period the lung cancer SMR was 105 (90% CI = 77, 140). Similar results were observed for all causes, all cancers, cancers of the rectum, nonmalignant respiratory diseases, and all injuries for which the SMRs were elevated during the wartime period but were not elevated after the war. Additional analyses considering workers hired in the period 1960--1979, during which plutonium-238 was processed at the facility, yielded little information. Generally, a strong healthy worker effect was observed and was attributed to the limited follow-up time and small numbers of deaths among this subcohort. 22 refs., 9 tabs

  14. A comparative analysis of renewable electricity support mechanisms for Southeast Asia

    Energy Technology Data Exchange (ETDEWEB)

    Sovacool, Benjamin K. [National University of Singapore, Energy Governance Program, Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, 469C Bukit Timah Road, Singapore 259772 (Singapore)

    2010-04-15

    This study evaluates the applicability of eight renewable electricity policy mechanisms for Southeast Asian electricity markets. It begins by describing the methodology behind 90 research interviews of stakeholders in the electricity industry. It then outlines four justifications given by respondents for government intervention to support renewables in Southeast Asia: unpriced negative externalities, counteracting subsidies for conventional energy sources, the public goods aspect of renewable energy, and the presence of non-technical barriers. The article develops an analytical framework to evaluate renewable portfolio standards, green power programs, public research and development expenditures, systems benefits charges, investment tax credits, production tax credits, tendering, and feed-in tariffs in Southeast Asia. It assesses each of these mechanisms according to the criteria of efficacy, cost effectiveness, dynamic efficiency, equity, and fiscal responsibility. The study concludes that one mechanism, feed-in tariffs, is both the most preferred by respondents and the only one that meets all criteria. (author)

  15. A comparative analysis of renewable electricity support mechanisms for Southeast Asia

    International Nuclear Information System (INIS)

    Sovacool, Benjamin K.

    2010-01-01

    This study evaluates the applicability of eight renewable electricity policy mechanisms for Southeast Asian electricity markets. It begins by describing the methodology behind 90 research interviews of stakeholders in the electricity industry. It then outlines four justifications given by respondents for government intervention to support renewables in Southeast Asia: unpriced negative externalities, counteracting subsidies for conventional energy sources, the public goods aspect of renewable energy, and the presence of non-technical barriers. The article develops an analytical framework to evaluate renewable portfolio standards, green power programs, public research and development expenditures, systems benefits charges, investment tax credits, production tax credits, tendering, and feed-in tariffs in Southeast Asia. It assesses each of these mechanisms according to the criteria of efficacy, cost effectiveness, dynamic efficiency, equity, and fiscal responsibility. The study concludes that one mechanism, feed-in tariffs, is both the most preferred by respondents and the only one that meets all criteria. (author)

  16. Forest resources of southeast Alaska, 2000: results of a single-phase systematic sample.

    Science.gov (United States)

    Willem W.S. van Hees

    2003-01-01

    A baseline assessment of forest resources in southeast Alaska was made by using a single-phase, unstratified, systematic-grid sample, with ground plots established at each grid intersection. Ratio-of-means estimators were used to develop population estimates. Forests cover an estimated 48 percent of the 22.9-million-acre southeast Alaska inventory unit. Dominant forest...

  17. Social Media and Academic Performance of Business Education Students in South-East Nigeria

    Science.gov (United States)

    Nwazor, Joseph Chukwudi; Godwin-Maduike, Chinwe Constance

    2015-01-01

    The aim of the study was to analyze effects of social media on academic performance of business education students in south-east Nigeria. To achieve this, an instrument was designed and sent out to four universities in south-east Nigeria. Out of the 600 copies of the questionnaire distributed, 520 were completely filled and returned giving a…

  18. Maternal mortality in Vietnam in 1994-95.

    Science.gov (United States)

    Hieu, D T; Hanenberg, R; Vach, T H; Vinh, D Q; Sokal, D

    1999-12-01

    This report presents the first population-based estimates of maternal mortality in Vietnam. All the deaths of women aged 15-49 in 1994-95 in three provinces of Vietnam were identified and classified by cause. Maternal mortality was the fifth most frequent cause of death. The maternal mortality ratio was 155 deaths per 100,000 live births. This ratio compares with the World Health Organization's estimates of 430 such deaths globally and 390 for Asia. The maternal mortality ratio in the delta regions of these provinces was half that of the mountainous and semimountainous regions. Because a larger proportion of the Vietnamese population live in delta regions than elsewhere, the maternal mortality ratio for Vietnam as a whole may be lower than that of the three provinces studied. Maternal mortality is low in Vietnam primarily because a relatively high proportion of deliveries take place in clinics and hospitals, where few women die in childbirth. Also, few women die of the consequences of induced abortion in Vietnam because the procedure is legal and easily available.

  19. The economic significance of mortality in old-growth Douglas-fir management.

    Science.gov (United States)

    R.O. McMahon

    1961-01-01

    Current mortality in the Douglas-fir subregion, exclusive of catastrophic mortality, approximates a billion feet a year. The Forest Service report "Timber Resources for America's Future" recommended "...utilizing a substantial portion of the unsalvaged mortality loss..." as one means of permanently increasing the Nation's timber supply and...

  20. Heat-related mortality in India: excess all-cause mortality associated with the 2010 Ahmedabad heat wave.

    Directory of Open Access Journals (Sweden)

    Gulrez Shah Azhar

    Full Text Available In the recent past, spells of extreme heat associated with appreciable mortality have been documented in developed countries, including North America and Europe. However, far fewer research reports are available from developing countries or specific cities in South Asia. In May 2010, Ahmedabad, India, faced a heat wave where the temperatures reached a high of 46.8 °C with an apparent increase in mortality. The purpose of this study is to characterize the heat wave impact and assess the associated excess mortality.We conducted an analysis of all-cause mortality associated with a May 2010 heat wave in Ahmedabad, Gujarat, India, to determine whether extreme heat leads to excess mortality. Counts of all-cause deaths from May 1-31, 2010 were compared with the mean of counts from temporally matched periods in May 2009 and 2011 to calculate excess mortality. Other analyses included a 7-day moving average, mortality rate ratio analysis, and relationship between daily maximum temperature and daily all-cause death counts over the entire year of 2010, using month-wise correlations.The May 2010 heat wave was associated with significant excess all-cause mortality. 4,462 all-cause deaths occurred, comprising an excess of 1,344 all-cause deaths, an estimated 43.1% increase when compared to the reference period (3,118 deaths. In monthly pair-wise comparisons for 2010, we found high correlations between mortality and daily maximum temperature during the locally hottest "summer" months of April (r = 0.69, p<0.001, May (r = 0.77, p<0.001, and June (r = 0.39, p<0.05. During a period of more intense heat (May 19-25, 2010, mortality rate ratios were 1.76 [95% CI 1.67-1.83, p<0.001] and 2.12 [95% CI 2.03-2.21] applying reference periods (May 12-18, 2010 from various years.The May 2010 heat wave in Ahmedabad, Gujarat, India had a substantial effect on all-cause excess mortality, even in this city where hot temperatures prevail through much of April-June.

  1. Chronic pain and mortality: a systematic review.

    Directory of Open Access Journals (Sweden)

    Diane Smith

    Full Text Available Chronic pain is common, often widespread and has a substantial impact on health and quality of life. The relationship between chronic pain and mortality is unclear. This systematic review aimed to identify and evaluate evidence for a relationship between chronic pain and mortality.A search of ten electronic databases including EMBASE and MEDLINE was conducted in March 2012, and updated until March 2014. Observational studies investigating the association between chronic or widespread pain (including fibromyalgia and mortality were included. Risk of bias was assessed and a meta-analysis was undertaken to quantify heterogeneity and pool results. A narrative review was undertaken to explore similarities and differences between the included studies.Ten studies were included in the review. Three reported significant associations between chronic or widespread pain and mortality in unadjusted results. In adjusted analyses, four studies reported a significant association. The remaining studies reported no statistically significant association. A meta-analysis showed statistically significant heterogeneity of results from studies using comparable outcome measures (n = 7(I2 = 78.8% and a modest but non-significant pooled estimate (MRR1.14,95%CI 0.95-1.37 for the relationship between chronic pain and all-cause mortality. This association was stronger when analysis was restricted to studies of widespread pain (n = 5,I2 = 82.3% MRR1.22(95%CI 0.93-1.60. The same pattern was observed with deaths from cancer and cardiovascular diseases. Heterogeneity is likely to be due to differences in study populations, follow-up time, pain phenotype, methods of analysis and use of confounding factors.This review showed a mildly increased risk of death in people with chronic pain, particularly from cancer. However, the small number of studies and methodological differences prevented clear conclusions from being drawn. Consistently applied definitions of

  2. Diphyllobothriasis caused by Diphyllobothrium latum in Southeast Asia: A new emerging fish-borne disease

    Directory of Open Access Journals (Sweden)

    Somsri Wiwanitkit

    2016-01-01

    Full Text Available Diphyllobothriasis caused by Diphyllobothrium latum is an important helminthiasis. It is seen in many non-tropical countries. Since it is a marine fish-borne zoonosis, it becomes an important issue in coastal medicine. However, in the few recent years, there are some reports on a new emerging diphyllobothriasis caused by Diphyllobothrium latum in tropical countries. In this specific short article, the authors review and present on the situation of diphyllobothriasis in Southeast Asia. Diphyllobothriasis presently becomes a new concern in tropical coastal medicine.

  3. A nuclear free southeast Asia - the China factor

    International Nuclear Information System (INIS)

    Malik, J.M.

    1989-01-01

    It is estimated that the principal nuclear threat to Southeast Asia comes from nuclear weapons stored by the two superpowers in their respective bases and their targeting of each other's bases. Calls for the creation of a nuclear weapons free zone in Southeast Asia (SEANFZ) poses a number of problems to China because of the perceived negative impact of such zones on Chinese security interests, force deployment and strategic doctrine. Hence, it is argued that China is unlikely to support a nuclear free zone treaty which only embraces the Asean states because it would lead to unilateral disarmament on the part of pro-western countries while leaving Indochinese states and the Soviet Union. However, if the proposed SEANFZ treaty resembles the South Pacific Nuclear Free Zone treaty, which allow the transit of nuclear-armed vessels, China could be expected to support it. ills

  4. Globalization and its discontents in Southeast Asia

    NARCIS (Netherlands)

    van Klinken, G.; Owen, N.G.

    2013-01-01

    Something was missing from the Asian Studies conference I attended in Gothenburg, Sweden, in 2009: a panel on globalization. Instead, there was one on the impact of climate change in Southeast Asia, and one on the coming "East Asian community." For the rest, as they had done for years, nations in

  5. Changes in Financial Practices: Southeast Asian Refugees.

    Science.gov (United States)

    Johnson, Phyllis J.

    1989-01-01

    Presents research on changes over a two-year period in the use of new, Western financial practices by Southeast Asian refugees and in variables affecting those changes. Significant interaction effects showed that increased use of new practices was affected by age, education, work experience, and changes in English ability. (JOW)

  6. News reports of bullying-related fatal and nonfatal injuries in the Americas Reportajes informativos sobre lesiones mortales y no mortales relacionadas con la intimidación en la Región de las Américas

    Directory of Open Access Journals (Sweden)

    Jorge Carlos Srabstein

    2013-05-01

    Full Text Available Bullying is a multifaceted and injurious form of maltreatment, prevalent across social settings and around the globe. Victims and perpetrators of bullying are at significant risk of suffering from an array of morbidity and dying young due to accidental injuries, suicide, and homicide. This study reviews news reports of nonfatal and fatal injuries linked to bullying throughout the Western Hemisphere during 12 months. News reports, obtained through a Google search, of episodes of fatal and nonfatal injuries related to school bullying and violence from July 2011 through June 2012 that affected children and adolescents (ages 5 to 19 years throughout the Americas were analyzed. News reports were found of 82 cases of bullying-related fatal and nonfatal injuries, occurring in one year, across 24 countries and dependent territories in the Western Hemisphere, which have a combined total youth population of 225.5 million children and adolescents ages 5 to 19 years. Ninety-seven percent of the victims were between 10 and 19 years old; 60% of them were below age 15, with a male/female ratio of 2:1. News reports of fatal and nonfatal injurious events related to bullying and affecting children and adolescents in the Americas in one year represent the tip of the public health iceberg composing the unknown magnitude of injuries associated with this type of maltreatment. Data on the magnitude of mortality linked to bullying, which would be of the essence in developing public health policies for its prevention, have not been documented.La intimidación es una forma multifacética y lesiva de maltrato, prevalente en diferentes entornos sociales y en todo el mundo. Las víctimas y los autores de la intimidación están sometidos a un importante riesgo de padecer varias enfermedades y de morir durante la juventud como consecuencia de lesiones accidentales, suicidios y homicidios. Este estudio analiza los reportajes informativos sobre lesiones mortales y no mortales

  7. Iraq War mortality estimates: A systematic review

    Directory of Open Access Journals (Sweden)

    Guyatt Gordon H

    2008-03-01

    Full Text Available Abstract Background In March 2003, the United States invaded Iraq. The subsequent number, rates, and causes of mortality in Iraq resulting from the war remain unclear, despite intense international attention. Understanding mortality estimates from modern warfare, where the majority of casualties are civilian, is of critical importance for public health and protection afforded under international humanitarian law. We aimed to review the studies, reports and counts on Iraqi deaths since the start of the war and assessed their methodological quality and results. Methods We performed a systematic search of 15 electronic databases from inception to January 2008. In addition, we conducted a non-structured search of 3 other databases, reviewed study reference lists and contacted subject matter experts. We included studies that provided estimates of Iraqi deaths based on primary research over a reported period of time since the invasion. We excluded studies that summarized mortality estimates and combined non-fatal injuries and also studies of specific sub-populations, e.g. under-5 mortality. We calculated crude and cause-specific mortality rates attributable to violence and average deaths per day for each study, where not already provided. Results Thirteen studies met the eligibility criteria. The studies used a wide range of methodologies, varying from sentinel-data collection to population-based surveys. Studies assessed as the highest quality, those using population-based methods, yielded the highest estimates. Average deaths per day ranged from 48 to 759. The cause-specific mortality rates attributable to violence ranged from 0.64 to 10.25 per 1,000 per year. Conclusion Our review indicates that, despite varying estimates, the mortality burden of the war and its sequelae on Iraq is large. The use of established epidemiological methods is rare. This review illustrates the pressing need to promote sound epidemiologic approaches to determining

  8. [Liver cirrhosis mortality in Mexico. II. Excess mortality and pulque consumption].

    Science.gov (United States)

    Narro-Robles, J; Gutiérrez-Avila, J H; López-Cervantes, M; Borges, G; Rosovsky, H

    1992-01-01

    Over the years high cirrhosis mortality rates have been reported in Mexico City and in the surrounding states (Hidalgo, Tlaxcala, Puebla and the State of Mexico); on the contrary, well defined areas, such as the northern states, have shown a considerably lower mortality rate. This situation may indicate that some factors such as the pattern of alcoholic intake and other environmental characteristics could explain this striking difference. To determine the role of alcohol, the availability and consumption of alcohol at regional and state level were compared with cirrhosis mortality rates. A high and statistically significant correlation was found with pulque availability and consumption (r = 72-92%, p less than 0.01) in all periods of time under examination. On the contrary, a statistically significant negative association was observed with beer consumption and a positive, but not significant correlation, with distilled alcoholic beverages. Infectious hepatitis incidence, prevalence of exclusive use of native languages (as an indirect index of ethnic background) and nutritional deficiencies were also studied as possible risk factors. Nutritional deficiencies and the prevalence of exclusive use of náhuatl and otomí languages were positively correlated. These results can be useful to conduct further epidemiological studies still needed to determine the etiologic role of pulque consumption as well as of the other risk factors. Nonetheless, the current data stress the need to implement public health programs to reduce alcohol consumption, especially pulque, and to minimize the impact of these risk factors in high mortality areas.

  9. JPRS Report, East Asia Southeast Asia

    Science.gov (United States)

    1987-07-31

    New Dell « yesterday. "We will have rallies, civil disobedi- ence . . . everything to oppose the army rule," Mr Reddy told reporters after two...21 Jun 87 p 14 [Article by David Jenkins] [Text] hr ~gu~",^llE Indonesian Ambassador to Australia, Major-General August Marpaung, leaves this...appointment (1964-68) spanned Presi- dent Soekanio’s ill-considered Confron- tation of Malaysia and the difficult early years of the New Order

  10. DoD Workshop on Southeast Regional Planning and Sustainability

    National Research Council Canada - National Science Library

    Berke, Philip; Brown, Robert; Elliott, Michael; Friday, Paul; Holst, Robert; Weiss, Jonathan; Wilkens, R. N

    2007-01-01

    These proceedings encompass outcomes from the DoD Southeast Regional Planning and Sustainability Workshop, which took place in April 2007, and reflect the opinions and views of workshop participants...

  11. Avian influenza A (H5N1)

    NARCIS (Netherlands)

    de Jong, Menno D.; Hien, Tran Tinh

    2006-01-01

    Since their reemergence in 2003, highly pathogenic avian influenza A (H5N1) viruses have reached endemic levels among poultry in several southeast Asian countries and have caused a still increasing number of more than 100 reported human infections with high mortality. These developments have ignited

  12. Mortality by suicide: a focus on municipalities with a high proportion of self-reported indigenous people in the state of Amazonas, Brazil

    Directory of Open Access Journals (Sweden)

    Jesem Douglas Yamall Orellana

    2013-09-01

    Full Text Available Objective: To analyze mortality rates and to describe the demographic and epidemiological characteristics of suicides recorded in the state of Amazonas. Methods: A descriptive and retrospective study has been carried out with emphasis on municipalities, which have shown, simultaneously, a high mortality rates and a high proportion of self-reported indigenous population, based on 2005 - 2009 data as provided by the Informatics Department of the Unified National Health System. Results: Among the general population of the state of Amazonas, the mortality rate, by suicide, of 4.2/100.000 inhabitants has been reported, similar to that of Manaus (4.6/100.000 inhabitants. In contrast, at Tabatinga (25.2/100.000 inhabitants, at São Gabriel da Cachoeira (27.6/100.000 inhabitants and at Santa Isabel do Rio Negro (36.4/100.000 inhabitants, municipalities, where the proportion of self-reported indigenous population is high, besides the taxes being notably higher, it was observed that most of the suicides has occurred among men; among young men aged between 15 - 24 years; at home; by hanging; during "weekend" and among the indigenous population. Discussion: Our findings have unveiled that suicide comes forth as a serious public health issue in some municipalities in the state of Amazonas, further indicating that the event occurs within very specific contexts, and that the dimension and the magnitude of the problem can be even more serious among populations or in territories exclusively inhabited by indigenous people.

  13. Exercise Decreases and Smoking Increases Bladder Cancer Mortality.

    Science.gov (United States)

    Liss, Michael A; White, Martha; Natarajan, Loki; Parsons, J Kellogg

    2017-06-01

    The aim of this study was to investigate modifiable lifestyle factors of smoking, exercise, and obesity with bladder cancer mortality. We used mortality-linked data from the National Health Information Survey from 1998 through 2006. The primary outcome was bladder cancer-specific mortality. The primary exposures were self-reported smoking status (never- vs. former vs. current smoker), self-reported exercise (dichotomized as "did no exercise" vs. "light, moderate, or vigorous exercise in ≥ 10-minute bouts"), and body mass index. We utilized multivariable adjusted Cox proportional hazards regression models, with delayed entry to account for age at survey interview. Complete data were available on 222,163 participants, of whom 96,715 (44%) were men and 146,014 (66%) were non-Hispanic whites, and among whom we identified 83 bladder cancer-specific deaths. In multivariate analyses, individuals who reported any exercise were 47% less likely (adjusted hazard ratio [HR adj ], 0.53; 95% confidence interval [CI], 0.29-0.96; P = .038) to die of bladder cancer than "no exercise". Compared with never-smokers, current (HR adj , 4.24; 95% CI, 1.89-9.65; P = .001) and former (HR adj , 2.95; 95% CI, 1.50-5.79; P = .002) smokers were 4 and 3 times more likely, respectively, to die of bladder cancer. There were no significant associations of body mass index with bladder cancer mortality. Exercise decreases and current smoking increases the risk of bladder cancer-specific mortality. These data suggest that exercise and smoking cessation interventions may reduce bladder cancer death. Published by Elsevier Inc.

  14. Rates and drivers of mangrove deforestation in Southeast Asia, 2000-2012.

    Science.gov (United States)

    Richards, Daniel R; Friess, Daniel A

    2016-01-12

    The mangrove forests of Southeast Asia are highly biodiverse and provide multiple ecosystem services upon which millions of people depend. Mangroves enhance fisheries and coastal protection, and store among the highest densities of carbon of any ecosystem globally. Mangrove forests have experienced extensive deforestation owing to global demand for commodities, and previous studies have identified the expansion of aquaculture as largely responsible. The proportional conversion of mangroves to different land use types has not been systematically quantified across Southeast Asia, however, particularly in recent years. In this study we apply a combined geographic information system and remote sensing method to quantify the key proximate drivers (i.e., replacement land uses) of mangrove deforestation in Southeast Asia between 2000 and 2012. Mangrove forests were lost at an average rate of 0.18% per year, which is lower than previously published estimates. In total, more than 100,000 ha of mangroves were removed during the study period, with aquaculture accounting for 30% of this total forest change. The rapid expansion of rice agriculture in Myanmar, and the sustained conversion of mangroves to oil palm plantations in Malaysia and Indonesia, are identified as additional increasing and under-recognized threats to mangrove ecosystems. Our study highlights frontiers of mangrove deforestation in the border states of Myanmar, on Borneo, and in Indonesian Papua. To implement policies that conserve mangrove forests across Southeast Asia, it is essential to consider the national and subnational variation in the land uses that follow deforestation.

  15. Predictors of early neonatal mortality at a neonatal intensive care ...

    African Journals Online (AJOL)

    admin

    mortality and they have been the reasons for the wide variation in mortality rates among the health facilities reporting. Objective: ... A study in Indonesia about determinants of neonatal ..... antenatal visit, frequency of visits and administration of.

  16. Southeast Asian Fathers’ Experiences with Adolescents: Challenges and Change

    Directory of Open Access Journals (Sweden)

    Daniel F. Detzner

    2006-01-01

    Full Text Available The purpose of this paper is to examine the fathering experiences of Southeast Asian immigrant men who are parenting their adolescent children in the United States. Focus group discussions were conducted with twenty-two Cambodian, Hmong, Lao, and Vietnamese immigrant fathers. The study found that most fathers wanted to become closer to their children and be more involved in their children’s daily activities. Common fathering roles such as the family provider, teacher, supervisor, and disciplinarian also emerged from the analyses. Parent educators, social service providers, policy makers, and practitioners who work with Southeast Asian families should understand the complex and critical roles of fathers and includethem when designing, developing, and delivering programs and services for families.

  17. Cultural Community Connection and College Success: An Examination of Southeast Asian American College Students

    Science.gov (United States)

    Museus, Samuel D.; Shiroma, Kiana; Dizon, Jude Paul

    2016-01-01

    Low rates of college success continue to be a persisting problem in the United States, particularly among Southeast Asian Americans and other populations of color. The purpose of the current inquiry was to understand how cultural community connections influence the success of Southeast Asian American college students. Qualitative methods were…

  18. Patterns of mortality rates in Darfur conflict.

    Science.gov (United States)

    Degomme, Olivier; Guha-Sapir, Debarati

    2010-01-23

    Several mortality estimates for the Darfur conflict have been reported since 2004, but few accounted for conflict dynamics such as changing displacement and causes of deaths. We analyse changes over time for crude and cause-specific mortality rates, and assess the effect of displacement on mortality rates. Retrospective mortality surveys were gathered from an online database. Quasi-Poisson models were used to assess mortality rates with place and period in which the survey was done, and the proportions of displaced people in the samples were the explanatory variables. Predicted mortality rates for five periods were computed and applied to population data taken from the UN's series about Darfur to obtain the number of deaths. 63 of 107 mortality surveys met all criteria for analysis. Our results show significant reductions in mortality rates from early 2004 to the end of 2008, although rates were higher during deployment of fewer humanitarian aid workers. In general, the reduction in rate was more important for violence-related than for diarrhoea-related mortality. Displacement correlated with increased rates of deaths associated with diarrhoea, but also with reduction in violent deaths. We estimated the excess number of deaths to be 298 271 (95% CI 178 258-461 520). Although violence was the main cause of death during 2004, diseases have been the cause of most deaths since 2005, with displaced populations being the most susceptible. Any reduction in humanitarian assistance could lead to worsening mortality rates, as was the case between mid 2006 and mid 2007. Copyright 2010 Elsevier Ltd. All rights reserved.

  19. [Mortality by homicides in Colombia, 1998-2012].

    Science.gov (United States)

    Chaparro-Narváez, Pablo; Cotes-Cantillo, Karol; León-Quevedo, Willian; Castañeda-Orjuela, Carlos

    2016-12-01

    Homicide is a universal indicator of social violence with large public health consequences. To describe mortality by homicides and to analyze its trends and geographic distribution in Colombia between 1998 and 2012. We conducted a descriptive study of deaths by homicide in Colombia between 1998 and 2012 using official mortality databases and the population projections of the Departamento Administrativo Nacional de Estadística, DANE. We calculated age- and sex-specific mortality rates, and we analyzed the geographical distribution of mean-adjusted homicide mortality rates at municipal level. Between 1998 and 2012, 331,470 homicides were reported in Colombia. The mean crude rate was 51.5 per 100,000 inhabitants: 95.9 in men and 8.2 in women. Since 2003, a decrease in the number of deaths and rates was observed; 91.9% of the victims were men and the highest mortality rates were reported in the 20-29 years old group. The most frequently involved mechanism was the firearm: Eight of 10 homicides in men, and seven of 10 homicides in women. Out of 1,122 municipalities, 186 were in the highest quintile, accumulating 50.1% of all deaths. In Colombia, homicides have been one of the leading causes of death with a trend towards reduction since 2002. Its geographical distribution has been heterogeneous. To continue addressing this public health issue we must recur to multidisciplinary analytical methodologies for a better understanding of the phenomenon.

  20. A Private [School] Matter: The State of Materials Challenges in Private College Preparatory School Libraries in the Southeast United States

    Science.gov (United States)

    Franklin, Renee E.

    2008-01-01

    Materials challenges and censorship occur often in public and private educational settings. Private schools and their library media centers are not subject to the First Amendment but research reported in this article examines the state of challenges to materials held in private schools media centers in the southeast United States as a way to gauge…

  1. Mortality table construction

    Science.gov (United States)

    Sutawanir

    2015-12-01

    Mortality tables play important role in actuarial studies such as life annuities, premium determination, premium reserve, valuation pension plan, pension funding. Some known mortality tables are CSO mortality table, Indonesian Mortality Table, Bowers mortality table, Japan Mortality table. For actuary applications some tables are constructed with different environment such as single decrement, double decrement, and multiple decrement. There exist two approaches in mortality table construction : mathematics approach and statistical approach. Distribution model and estimation theory are the statistical concepts that are used in mortality table construction. This article aims to discuss the statistical approach in mortality table construction. The distributional assumptions are uniform death distribution (UDD) and constant force (exponential). Moment estimation and maximum likelihood are used to estimate the mortality parameter. Moment estimation methods are easier to manipulate compared to maximum likelihood estimation (mle). However, the complete mortality data are not used in moment estimation method. Maximum likelihood exploited all available information in mortality estimation. Some mle equations are complicated and solved using numerical methods. The article focus on single decrement estimation using moment and maximum likelihood estimation. Some extension to double decrement will introduced. Simple dataset will be used to illustrated the mortality estimation, and mortality table.

  2. The South/Southeast Asia Research Initiative (SARI) Update and Meeting Objectives

    Science.gov (United States)

    Vadrevu, Krishna Prasad

    2017-01-01

    Land Use/Cover Change (LU/CC) is one of the most important types of environmental change in South and Southeast Asian countries. Several studies suggest that LU/CC in these countries is in large part driven by population growth and economic development. In the region, changes that are most common include urban expansion, agricultural land loss, land abandonment, deforestation, logging, reforestation, etc. To address the research needs and priorities in the region, a regional initiative entitled South Southeast Asia Regional Initiative (SARI) has been developed involving US and regional scientists. The initiative is funded by NASA Land Cover, Land Use Change program. The goal of SARI is to integrate state-of-the-art remote sensing, natural sciences, engineering and social sciences to enrich LU/CC science in South Southeast Asian countries. In the presentation, LU/CC change research in SARI countries will be highlighted including the drivers of change. For example, in South Asia, forest cover has been increasing in countries like India, Nepal and Bhutan due to sustainable afforestation measures; whereas, large-scale deforestation in Southeast Asian countries is still continuing, due to oil palm plantation expansion driven by the international market demand in Malaysia and Indonesia. With respect to urbanization, South and Southeast Asian countries contain 23 megacities, each with more than 10 million people. Rapid urbanization is driving agricultural land loss and agricultural intensification has been increasing due to less availability of land for growing food crops such as in India, Vietnam, and Thailand. The drivers of LUCC vary widely in the region and include such factors as land tenure, local economic development, government policies, inappropriate land management, land speculation, improved road networks, etc. In addition, variability in the weather, climate, and socioeconomic factors also drive LU/CC resulting in disruptions of biogeochemical cycles

  3. A Note on the Occurence of Permo-Carbonifergus in the Southeast of Afyon Region

    Directory of Open Access Journals (Sweden)

    Bilge ERİŞEN

    1982-12-01

    Full Text Available The fossils aged Permo-Carboniferous related with autochthonous Paleozoic basement were found out in the region between Degirmendere, Kızıldağ and Cumhuriyet villages in the southeast of Afyon (Fig. 1. Previous research carried out in this region and surroundings by Chaput (1931, Parejas (1941, Blumenthal (1947, Brennich (1954, Abdüsselamoğlu (1958, Brunn and others (1971. These researchers tried to find out the age of the Paleozoic basement by correlation for the lack of fossils.In 1971, in the southeast of Afyon, Permo-Carboniferous aged fossils were found in the Paleozoic formations during the studies aimed at geothermal energy researches. The report related to this subject has been registered in the archive of Mineral Research and Exploration Institute of Turkey (Erişen, 1972. In the research field, the Paleozoic basement which contains Permo-Carboniferous fossils has been covered with Pliocene layers and Quaternary deposits. The Paleozoic basement, in this region, is formed by; a Sultandede Schist, b Yalnızagaç Formation, c Karahasan Limestone. Among these, Yalnızağaç Formation and Karahasan Limestone contain Permo-Carboniferous fossils.

  4. 76 FR 17625 - Fisheries of the South Atlantic; Southeast Data, Assessment, and Review; Public Meeting

    Science.gov (United States)

    2011-03-30

    ...: Participants will present summary data, and discuss data needs and treatments. Special Accommodations The... the South Atlantic; Southeast Data, Assessment, and Review; Public Meeting AGENCY: National Marine... of Southeast Data and Review (SEDAR) 26 data webinar for Caribbean Silk snapper, Queen snapper, and...

  5. Investigating the relationship between Aerosol Optical Depth and Precipitation over Southeast Asia with Relative Humidity as an influencing factor.

    Science.gov (United States)

    Ng, Daniel Hui Loong; Li, Ruimin; Raghavan, Srivatsan V; Liong, Shie-Yui

    2017-10-17

    Atmospheric aerosols influence precipitation by changing the earth's energy budget and cloud properties. A number of studies have reported correlations between aerosol properties and precipitation data. Despite previous research, it is still hard to quantify the overall effects that aerosols have on precipitation as multiple influencing factors such as relative humidity (RH) can distort the observed relationship between aerosols and precipitation. Thus, in this study, both satellite-retrieved and reanalysis data were used to investigate the relationship between aerosols and precipitation in the Southeast Asia region from 2001 to 2015, with RH considered as a possible influencing factor. Different analyses in the study indicate that a positive correlation was present between Aerosol Optical Depth (AOD) and precipitation over northern Southeast Asia region during the autumn and the winter seasons, while a negative correlation was identified over the Maritime Continent during the autumn season. Subsequently, a partial correlation analysis revealed that while RH influences the long-term negative correlations between AOD and precipitation, it did not significantly affect the positive correlations seen in the winter season. The result of this study provides additional evidence with respect to the critical role of RH as an influencing factor in AOD-precipitation relationship over Southeast Asia.

  6. Answer Markup Algorithms for Southeast Asian Languages.

    Science.gov (United States)

    Henry, George M.

    1991-01-01

    Typical markup methods for providing feedback to foreign language learners are not applicable to languages not written in a strictly linear fashion. A modification of Hart's edit markup software is described, along with a second variation based on a simple edit distance algorithm adapted to a general Southeast Asian font system. (10 references)…

  7. Sex differences in health and mortality in Moscow and Denmark

    DEFF Research Database (Denmark)

    Oksuzyan, A; Shkolnikova, M; Vaupel, J W

    2014-01-01

    and a male advantage in self-rated health, physical functioning, and depression symptomatology. Only on cognitive tests males performed similarly to or worse than women. Nevertheless, Muscovite males had more than twice higher mortality at ages 55-69 years compared to Muscovite women, almost double the ratio......In high income countries females outlive men, although they generally report worse health, the so-called male-female health-survival paradox. Russia has one of the world's largest sex difference in life expectancy with a male disadvantage of more than 10 years. We compare components of the paradox...... between Denmark and Moscow by examining sex differences in mortality and several health measures. The Human Mortality Database and the Russian Fertility and Mortality Database were used to examine sex differences in all-cause death rates in Denmark, Russia, and Moscow in 2007-2008. Self-reported health...

  8. Asthma mortality in Danish children and young adults, 1973-1994

    DEFF Research Database (Denmark)

    Jørgensen, I M; Bülow, S; Jensen, V B

    2000-01-01

    Several reports indicate that asthma mortality has increased during the last few decades. International comparisons reveal some striking differences in the pattern of asthma mortality. The authors investigated the asthma mortality rate in the Danish child and youth population 1973-1994 and studied...... the validity of death certificates. The authors reviewed all death certificates coded as asthma death in the International Classification of Diseases (ICD 8-ICD 10 (1994)) and adjacent respiratory code numbers for the age group 1-19 yrs. Hospital records and autopsy reports were assessed to validate the cause...... were false positive. Twelve per cent were false negative asthma deaths, wrongly coded as due to other causes. Only 62% of all true positive death caused by asthma were appropriately coded. The number of false negative certifications increased with increasing autopsy frequency. Asthma mortality rates...

  9. Industrial application of geothermal energy in Southeast Idaho

    Energy Technology Data Exchange (ETDEWEB)

    Batdorf, J.A.; McClain, D.W.; Gross, M.; Simmons, G.M.

    1980-02-01

    Those phosphate related and food processing industries in Southeastern Idaho are identified which require large energy inputs and the potential for direct application of geothermal energy is assessed. The total energy demand is given along with that fractional demand that can be satisfied by a geothermal source of known temperature. The potential for geothermal resource development is analyzed by examining the location of known thermal springs and wells, the location of state and federal geothermal exploration leases, and the location of federal and state oil and gas leasing activity in Southeast Idaho. Information is also presented regarding the location of geothermal, oil, and gas exploration wells in Southeast Idaho. The location of state and federal phosphate mining leases is also presented. This information is presented in table and map formats to show the proximity of exploration and development activities to current food and phosphate processing facilities and phosphate mining activities. (MHR)

  10. Southeast Asian Studies in Context

    DEFF Research Database (Denmark)

    Chou, Cynthia Gek Hua; Platt, Martin B.

    2012-01-01

    from this approach, this article calls for an examination of one important concept in innovative education, that is, context sensitive education. The case study of an annual joint Singapore-Denmark-America summer school programme to teach and study Southeast Asia in Context is discussed here.......As pressures mount to adopt new or alternative instructional delivery methods to achieve innovative education, there has been a strong orientation towards emphasising the need to integrate the latest technological applications to achieve the best in teaching and learning experiences. Moving away...

  11. Ciguatera fish poisoning in East Asia and southeast Asia.

    Science.gov (United States)

    Chan, Thomas Y K

    2015-06-02

    In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan) of southern China than in Japan (Okinawa Prefecture). In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact. Coordinated strategies to improve risk assessment, risk management and risk communication are required. The systematic collection of accurate data on the incidence and epidemiology of ciguatera should enable better assessment and management of its risk. Much more work needs to be done to define the size threshold for important coral reef fish species from different regions, above which the risk of ciguatera significantly increases.

  12. Ciguatera Fish Poisoning in East Asia and Southeast Asia

    Directory of Open Access Journals (Sweden)

    Thomas Y. K. Chan

    2015-06-01

    Full Text Available In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan of southern China than in Japan (Okinawa Prefecture. In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact. Coordinated strategies to improve risk assessment, risk management and risk communication are required. The systematic collection of accurate data on the incidence and epidemiology of ciguatera should enable better assessment and management of its risk. Much more work needs to be done to define the size threshold for important coral reef fish species from different regions, above which the risk of ciguatera significantly increases.

  13. Ciguatera Fish Poisoning in East Asia and Southeast Asia

    Science.gov (United States)

    Chan, Thomas Y. K.

    2015-01-01

    In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan) of southern China than in Japan (Okinawa Prefecture). In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact. Coordinated strategies to improve risk assessment, risk management and risk communication are required. The systematic collection of accurate data on the incidence and epidemiology of ciguatera should enable better assessment and management of its risk. Much more work needs to be done to define the size threshold for important coral reef fish species from different regions, above which the risk of ciguatera significantly increases. PMID:26042615

  14. Characteristics of tropical cyclone extreme precipitation and its preliminary causes in Southeast China

    Science.gov (United States)

    Qiu, Wenyu; Ren, Fumin; Wu, Liguang; Chen, Lianshou; Ding, Chenchen

    2018-03-01

    Extreme precipitation induced by a tropical cyclone (TC) is of great concern to Southeast China. Regional characteristics of daily TC-induced extreme precipitation (TCEP) between 1958 and 2016 and the associated preliminary causes over Southeast China (Zhejiang, Fujian, and Shanghai) were examined by applying the objective synoptic analysis technique, TC track similarity area index, daily precipitation observations, and reanalysis data. The intensity and frequency of high-intensity TCEP (≥ 100, ≥ 200, ≥ 300 mm) have had an increasing trend over recent decades. Most of TCEP occurs from July to September, with frequency peaks in August for TCEP at all intensity levels, apart from the frequency for TCEP ≥ 300 mm that peaks in September. Regions with high frequency and large TCEP (R-HFLTs) (relatively high frequency for TCEP ≥ 100 mm) were concentrated along the coastline of the southern coastal Fujian (Southern R-HFLT), the regions from northern coastal Fujian to southernmost coastal Zhejiang (Central R-HFLT), and central coastal Zhejiang (Northern R-HFLT), decreasing from the coastline to inland. The Central R-HFLT region had the highest TCEP intensity and frequency for TCEP ≥ 100 mm compared with the other R-HFLTs. Further analysis showed that the special terrain of Southeast China matched the spatial distribution of TCEP, which highlights the significance of the topography of Southeast China. To discover other factors responsible for the heavy TCEP, we compared two TC groups that influence Central R-HFLT. Under a more northerly direction and slow movement combined with the unique terrain, TCs with stronger vortex circulation generated heavier TCEP during landfall in Central R-HFLT. Heavy TCEP occurred with easterly and southeasterly winds interacting with terrain over the eastern coast for Central R-HFLT. Although large changes in the internal and external environment were sensitive to the observed TCEP intensity, the interaction between TC circulation

  15. Regional Infant and Child Mortality Review Committee--2011 final report.

    Science.gov (United States)

    Wilson, Ann L; Sideras, James

    2012-12-01

    The 2011 annual report of the Regional Infant and Child Mortality Review Committee (RICMRC) is presented. Since 1997, the committee has reviewed 224 deaths to achieve its mission to "review infant and child deaths so that information can be transformed into action to protect young lives." In 2011, the committee reviewed 21 deaths (22 met the committee's criteria) of infants and children who were residents of Minnehaha, Turner, Lincoln, Hanson and Brookings counties in South Dakota. The manner of 12 of the reviewed deaths was natural with eight of these the result of progressive neurological diseases or conditions. In 2011 there were no deaths attributed to Sudden Infant Death Syndrome (SIDS), though there were two deaths of infants during sleep. One of these infants was ruled accidental as the baby died of aspiration and the other death occurred in an unsafe environment with its manner determined to be undecided. Six deaths were accidental, one of which occurred as a result of a fire in a home without functional smoke alarms. One motor vehicle death occurred, through no fault of the teen age driver. Another death resulted from tubing over a low head dam on the Big Sioux River. One youth suicide occurred to a resident of the region.

  16. AFSC/NMML: Southeast Alaska Cetacean Vessel Surveys, 1991 - 2012

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In 1991, NMML initiated cetacean studies with vessel coverage throughout inland waters of Southeast Alaska. Between 1991 and 1993, line-transect methodology was used...

  17. Factors associated with mortality in tuberculosis patients

    Directory of Open Access Journals (Sweden)

    Roya Alavi-Naini

    2013-01-01

    Full Text Available Background: Tuberculosis (TB is one of the main causes of morbidity and mortality in different societies. Understanding factors leading to death following diagnosis of TB is important to predict prognosis in TB patients. The aim of this study was to identify common risk factors associated with death in patients with an in-hospital diagnosis of TB, in a city in Iran with the highest prevalence and incidence of TB in the country. Materials and Methods: A retrospective study was conducted at a university-affiliated hospital, Zahedan, in the south-east of Iran, which is a referral center for TB. To identify factors leading to death, medical records of 715 patients ≥15 years old with pulmonary TB from February 2002 to February 2011 have been evaluated. Registered factors included smoking, human immune deficiency virus (HIV infection, using drugs, lung cancer, drug hepatitis following anti-TB medications, diabetes mellitus, previous TB treatment, anemia; and results of sputum smears. Univariate comparison and multiple logistic regression were performed to identify factors associated with mortality in TB patients. Results: Among 715 registered TB patients, 375 (52.5% patients were male; among those, 334 (53% were in the alive group and 41 (54% in the death group. Seventy-five (10.5% of the total number of TB patients died during TB treatment. The multivariate model showed that anemia (AOR: 19.8, 95% CI: 5.6-35.5, positive sputum smear (AOR: 13.4, 95% CI: 6.8-33.6, smoking (AOR: 12.9, 95% CI: 3.9-27.3, drug hepatitis (AOR: 12.3, 95% CI: 6.7-24.7, diabetes mellitus (AOR: 9.7, 95% CI: 2.9-32.0, drug use (AOR: 7.8, 95% CI: 2.4-25.5, and history of previous TB (AOR: 6.8, 95% CI: 2.2-21.3 were major risk factors for death in TB patients. Conclusion: Monitoring co-morbid conditions like diabetes mellitus and anemia are important to reduce death rate in TB patients. Preventive measures for smoking and drug addiction also play an important role to decrease

  18. Highly pathogenic avian influenza A (H5N1) virus in wildlife: diagnostics, epidemiology and molecular characteristics

    NARCIS (Netherlands)

    Keawcharoen, J.

    2010-01-01

    Since 2003, highly pathogenic avian influenza virus subtype H5N1 outbreaks have been reported in Southeast Asia causing high mortality in poultry and have also been found to cross the species barrier infecting human and other mammalian species. Thailand is one of the countries severely affected by

  19. 78 FR 54869 - Fisheries of the Gulf of Mexico; Southeast Data, Assessment, and Review (SEDAR); Public Meetings

    Science.gov (United States)

    2013-09-06

    ... NOAA Fisheries Southeast Regional Office, Highly Migratory Species Management Division, and Southeast... describes the fisheries, evaluates the status of the stock, estimates biological benchmarks, projects future...

  20. 77 FR 41754 - Fishing Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery

    Science.gov (United States)

    2012-07-16

    ... Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery AGENCY: National Marine... program in the Southeast Alaska purse seine salmon fishery. NMFS conducted a referendum to approve the..., Chief, Financial Services Division, NMFS, Attn: SE Alaska Purse Seine Salmon Buyback, 1315 East-West...

  1. 77 FR 12568 - Fishing Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery

    Science.gov (United States)

    2012-03-01

    ... Capacity Reduction Program for the Southeast Alaska Purse Seine Salmon Fishery AGENCY: National Marine... Salmon Fishery. NMFS will hold a series of public meetings with Southeast Alaska purse seine salmon... to Paul Marx, Chief, Financial Services Division, NMFS, Attn: SE Alaska Purse Seine Salmon Buyback...

  2. Assessment of CMIP5 historical simulations of rainfall over Southeast Asia

    Science.gov (United States)

    Raghavan, Srivatsan V.; Liu, Jiandong; Nguyen, Ngoc Son; Vu, Minh Tue; Liong, Shie-Yui

    2018-05-01

    We present preliminary analyses of the historical (1986-2005) climate simulations of a ten-member subset of the Coupled Model Inter-comparison Project Phase 5 (CMIP5) global climate models over Southeast Asia. The objective of this study was to evaluate the general circulation models' performance in simulating the mean state of climate over this less-studied climate vulnerable region, with a focus on precipitation. Results indicate that most of the models are unable to reproduce the observed state of climate over Southeast Asia. Though the multi-model ensemble mean is a better representation of the observations, the uncertainties in the individual models are far high. There is no particular model that performed well in simulating the historical climate of Southeast Asia. There seems to be no significant influence of the spatial resolutions of the models on the quality of simulation, despite the view that higher resolution models fare better. The study results emphasize on careful consideration of models for impact studies and the need to improve the next generation of models in their ability to simulate regional climates better.

  3. PATHOTYPE GROUPING OF Xanthomonas oryzae pv. oryzae ISOLATES FROM SOUTH SULAWESI AND SOUTHEAST SULAWESI

    Directory of Open Access Journals (Sweden)

    Andi Khaeruni

    2013-06-01

    Full Text Available Bacterial leaf blight caused by Xanthomonas oryzae pv. oryzae (Xoo is an important rice disease, and has caused significant economic losses. This research aimed to determine the pathotype grouping and the distribution of Xoo isolates of South and Southeast Sulawesi. In order to obtain the information, 61 Xoo isolates of South Sulawesi and 29 isolates of Southeast Sulawesi were evaluated for their pathotype grouping against 5 diffential varieties. Research results showed that in South Sulawesi there were 2 pathotype groups, namely pathotype IV (32.79% and pathotype VIII(67.21%. Pathotype VIII was widely distributed over the Western and Central areas of South Sulawesi, whereas pathotype IV was widely distributed over the Southern area. In Southeast Sulawesi, it was found 5 pathotypes, namely pathotypes IV (27.58%, VI (10.34%, VIII (13.79%, IX (20.68%, and X (27.58%, with a limited and scattered distribution pattern on several areas. These results indicate that Xoo pathotype groups in South Sulawesi and Southeast Sulawesi are varied and tend to sift to more virulent pathotypes.

  4. AHP 35: Review Essay: COMPARATIVE BORDERLANDS ACROSS DISCIPLINES AND ACROSS SOUTHEAST ASIA

    Directory of Open Access Journals (Sweden)

    William B. Noseworthy

    2015-02-01

    Full Text Available Early in the colonial period, many studies examining upland Southeast Asia focused on ethnography and ecology as a means for the colonial state to better understand the region's geography. This process resulted in the construction of physical, social, and intellectual boundaries that sought to maintain control of the colonial enterprise. The natural borderlands of the region defied such easy definition – the highlands, the plains at the edges of deltas, and heavily forested regions – became a fascination of colonial study. In the climate of pending Association of Southeast Asian Nations (ASEAN integration, which promises to begin the process of loosening restrictions for border crossing between Southeast Asian states by area residents, the study of borderlands has risen again. Because many of these border areas have pockets of highlands culture, continued study of the uplands is particularly relevant to deepening an understanding of the region. This review of several books on the Southeast Asian uplands explores historical and cultural strategies of individuals, particularly in Laos, Thailand, Vietnam, the Dayak community on the island of Borneo, and the Cham community in Vietnam and Cambodia, as well as some of the challenges that they face regarding 'the borderlands'. Putting these studies in conversation can help develop an interdisciplinary dialogue between scholars in Anthropology, Political Science, Linguistics, Ethnomusicology, and History, allowing for a more integrated international perspective.

  5. Sickness absenteeism and associated factors among horticulture employees in lume district, southeast Ethiopia.

    Science.gov (United States)

    Tadesse, Sebsibe; Ebrahim, Kamil; Gizaw, Zemichael

    2015-01-01

    Sickness absenteeism is the major occupational health problem in developing countries where the majority of working population are engaged in hazardous sectors, such as agriculture. However, there is a dearth of studies clarifying the situation in most of Subsaharan African countries, like Ethiopia. The present study determined the magnitude of sickness absenteeism and associated factors among horticulture employees in Lume District, southeast Ethiopia. An institutional-based cross-sectional study was conducted among horticulture employees in Lume District, southeast Ethiopia from March to May 2014. Stratified sampling followed by simple random sampling techniques was used to select the study participants. A pre-tested and structured questionnaire was used to collect data. Multivariable analyses were employed to see the effect of explanatory variables on dependent variable. The magnitude of sickness absenteeism was 58.8 % [95 % CI: (54.9, 62.5)] in the past three months. Absence of periodic medical checkup, working for more than 48 h per week, working overtime, job dissatisfaction, and job stress were factors significantly associated with sickness absenteeism. In this study a relatively higher rate of sickness absenteeism was reported compared to other studies. Interventions to reduce sickness absenteeism should focus on areas, such as periodic medical checkup, monitoring work schedules, improving employees' job satisfaction, and managing job stress.

  6. Tree Mortality

    Science.gov (United States)

    Mark J. Ambrose

    2012-01-01

    Tree mortality is a natural process in all forest ecosystems. However, extremely high mortality also can be an indicator of forest health issues. On a regional scale, high mortality levels may indicate widespread insect or disease problems. High mortality may also occur if a large proportion of the forest in a particular region is made up of older, senescent stands....

  7. The Rising Tiger (United States Policy Consideration towards Southeast Asia)

    National Research Council Canada - National Science Library

    Douglas, Carla; Pagliano, Gary; Rosner, Elliot J

    1997-01-01

    .... Southeast Asia, consisting of the countries of Thailand, Cambodia, Burma, Laos, Vietnam, Malaysia, Singapore, Indonesia, Brunei, and the Philippines, presents opportunities for the United States...

  8. Ecohealth research helps prevent liver cancer in Southeast Asia ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-04-29

    Apr 29, 2016 ... It is transmitted to humans and animals when they consume raw or undercooked fish. ... environment when contaminated feces enter local water sources. ... Emerging Disease Research Initiative (Eco EID) in Southeast Asia.

  9. Bringing It All Together: The Southeast Alaska Music Festival.

    Science.gov (United States)

    Howey, Brad

    2003-01-01

    Describes the Southeast Alaska Music Festival discussing topics such as the role of the host school, the communities and schools within the region, and scoring procedures at the Festival. Includes a festival schedule. (CMK)

  10. Circadian Rhythm of Ambient Noise Off the Southeast Coast of India

    Science.gov (United States)

    Kannan, R.; Latha, G.; Prashanthi Devi, M.

    An ambient noise system consisting of a vertical linear hydrophone array was deployed in the shallow waters off Chennai, southeast coast of India from 1 August to 16 September 2013 to record ambient ocean noise of frequencies up to 10kHz. Biological sounds, which are broadband, short duration signals resulting from Terapon theraps, a native species, are a prominent feature of the ocean soundscape. Terapon activity peaks at 8pm and 11pm, and its presence is not observed after 12 midnight in both the months. In the other period, the ambient noise fluctuation is due to wind and vessel traffic. Hence, the present study focuses on the description of the ambient noise fluctuation over two 12h periods, i.e., 12 midnight-12 noon considered as period I, and 12 noon-12 midnight as period II in order to show the circadian rhythm of ambient noise. In this study area, Terapon vocalization reached 25dB above the ambient noise level and it dominates the short-term spectra records in the 0.4-4kHz range. All Terapon signals had daily patterns of sound production with highest levels of activity after dusk during the study period. The result shows that the circadian rhythm of ambient noise is mainly of biological sound generated by Terapon and it is reported first time in the shallow waters off the southeast coast of India.

  11. Health in Southeast Asia 6 Health-financing reforms in southeast Asia: challenges in achieving universal coverage

    OpenAIRE

    Tangcharoensathien, V; Patcharanarumol, W; Ir, P; Aljunid, SM; Mukti, AG; Akkhavong, K; Banzon, E; Huong, DB; Thabrany, H; Mills, A

    2011-01-01

    In this sixth paper of the Series, we review health-financing reforms in seven countries in southeast Asia that have sought to reduce dependence on out-of-pocket payments, increase pooled health finance, and expand service use as steps towards universal coverage. Laos and Cambodia, both resource-poor countries, have mostly relied on donor-supported health equity funds to reach the poor, and reliable funding and appropriate identification of the eligible poor are two major challenges for natio...

  12. Southeast Region Headboat Survey-Headboat Activity Report

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — HARs themselves are a quality assurance/compliance tracking tool used to verify the accuracy/completeness of the submitted trip reports.The trip (date, type, number...

  13. Health and social welfare of expatriates in Southeast Asia.

    Science.gov (United States)

    Wilde, Henry; Gollogly, James G

    2014-01-01

    Since the end of the Vietnam War and increasing tourism to Asia, there has been ongoing reverse migration of Westerners to Southeast Asia. Some, but not all, have pensions and modest assets. Some acquire a locals spouse and raise a second family. Many of those who arrived early are now aging rapidly and are depleting their financial resources. Health problems become socio/economic threats. None of the Asian target countries that attract reverse migrants have adequate health care and social safety nets that are available to them. The usual health care safety nets expected in western countries do not cover their nationals in a foreign country. This essay discusses these problems as seen from the perspective of two practicing physicians in Southeast Asia. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Ridge-like lava tube systems in southeast Tharsis, Mars

    Science.gov (United States)

    Zhao, Jiannan; Huang, Jun; Kraft, Michael D.; Xiao, Long; Jiang, Yun

    2017-10-01

    Lava tubes are widely distributed in volcanic fields on a planetary surface and they are important means of lava transportation. We have identified 38 sinuous ridges with a lava-tube origin in southeast Tharsis. The lengths vary between 14 and 740 km, and most of them occur in areas with slopes rate, low lava viscosity, and sustained magma supply during a long period. Besides, lava flow inflation is also important in the formation of the ridge-like lava tubes and some associated features. These lava tubes provide efficient lateral pathways for magma transportation over the relatively low topographic slopes in southeast Tharsis, and they are important for the formation of long lava flows in this region. The findings of this study provide an alternative formation mechanism for sinuous ridges on the martian surface.

  15. Policy and priorities for national cancer control planning in low- and middle-income countries: Lessons from the Association of Southeast Asian Nations (ASEAN) Costs in Oncology prospective cohort study.

    Science.gov (United States)

    2017-03-01

    Evidence to guide policymakers in developing affordable and equitable cancer control plans are scarce in low- and middle-income countries (LMIC). The 2012-2014 ASEAN Costs in Oncology Study prospectively followed-up 9513 newly diagnosed cancer patients from eight LMIC in Southeast Asia for 12 months. Overall and country-specific incidence of financial catastrophe (out-of-pocket health costs ≥ 30% of annual household income), economic hardship (inability to make necessary household payments), poverty (living below national poverty line), and all-cause mortality were determined. Stepwise multinomial regression was used to estimate the extent to which health insurance, cancer stage and treatment explained these outcomes. The one-year incidence of mortality (12% in Malaysia to 45% in Myanmar) and financial catastrophe (24% in Thailand to 68% in Vietnam) were high. Economic hardship was reported by a third of families, including inability to pay for medicines (45%), mortgages (18%) and utilities (12%), with 28% taking personal loans, and 20% selling assets (not mutually exclusive). Out of households that initially reported incomes above the national poverty levels, 4·9% were pushed into poverty at one year. The adverse economic outcomes in this study were mainly attributed to medical costs for inpatient/outpatient care, and purchase of drugs and medical supplies. In all the countries, cancer stage largely explained the risk of adverse outcomes. Stage-stratified analysis however showed that low-income patients remained vulnerable to adverse outcomes even when diagnosed with earlier cancer stages. The LMIC need to realign their focus on early detection of cancer and provision of affordable cancer care, while ensuring adequate financial risk protection, particularly for the poor. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Prevalence and determinants of childhood mortality in Nigeria

    Directory of Open Access Journals (Sweden)

    Sanni Yaya

    2017-05-01

    Full Text Available Abstract Background Childhood mortality has remained a major challenge to public health amongst families in Nigeria and other developing countries. The menace of incessant childhood mortality has been a major concern and this calls for studies to generate new scientific evidence to determine its prevalence and explore predisposing factors associated with it in Nigeria. Method Data was obtained from Nigeria DHS, 2013. The study outcome variable was the total number of children lost by male partners and female partners respectively who were married. The difference between the numbers of child births and the number of living children was used to determine the number of children lost. Study variables were obtained for 8658 couples captured in the data set. Descriptive statistics were computed to examine the presence of over-dispersion and zero occurrences. Data were analysed using STATA Software version 12.0. Zero-inflated negative binomial (ZINB regression analysis was carried out to determine the factors associated with childhood mortality. Results of ZINB were reported in terms of IRR and 95% confidence interval (CI. Results The age (mean ± std. of male and female participants were 36.88 ± 7.37 and 28.59 ± 7.30 respectively. The data showed that 30.8% women reported loss of children and 37.3% men reported the same problem. The study revealed age (years, region, residence, education, wealth index, age at first birth and religion of father and mother as factors associated with childhood mortality. In terms of education, secondary and tertiary educated fathers exhibited 3.8% and 12.1% lower risk of childhood mortality respectively than non-educated fathers. The results showed that the risk of childhood mortality are 26.7%, 39.7 and 45.9% lower among the mothers having primary, secondary and tertiary education respectively than those with no formal education. The mothers living in rural areas experienced 28.3% increase in childhood mortality

  17. Prevalence and determinants of childhood mortality in Nigeria.

    Science.gov (United States)

    Yaya, Sanni; Ekholuenetale, Michael; Tudeme, Godson; Vaibhav, Shah; Bishwajit, Ghose; Kadio, Bernard

    2017-05-22

    Childhood mortality has remained a major challenge to public health amongst families in Nigeria and other developing countries. The menace of incessant childhood mortality has been a major concern and this calls for studies to generate new scientific evidence to determine its prevalence and explore predisposing factors associated with it in Nigeria. Data was obtained from Nigeria DHS, 2013. The study outcome variable was the total number of children lost by male partners and female partners respectively who were married. The difference between the numbers of child births and the number of living children was used to determine the number of children lost. Study variables were obtained for 8658 couples captured in the data set. Descriptive statistics were computed to examine the presence of over-dispersion and zero occurrences. Data were analysed using STATA Software version 12.0. Zero-inflated negative binomial (ZINB) regression analysis was carried out to determine the factors associated with childhood mortality. Results of ZINB were reported in terms of IRR and 95% confidence interval (CI). The age (mean ± std.) of male and female participants were 36.88 ± 7.37 and 28.59 ± 7.30 respectively. The data showed that 30.8% women reported loss of children and 37.3% men reported the same problem. The study revealed age (years), region, residence, education, wealth index, age at first birth and religion of father and mother as factors associated with childhood mortality. In terms of education, secondary and tertiary educated fathers exhibited 3.8% and 12.1% lower risk of childhood mortality respectively than non-educated fathers. The results showed that the risk of childhood mortality are 26.7%, 39.7 and 45.9% lower among the mothers having primary, secondary and tertiary education respectively than those with no formal education. The mothers living in rural areas experienced 28.3% increase in childhood mortality than those in urban areas, while the fathers in

  18. International Comparisons of Infant Mortality and Related Factors : United States and Europe, 2010

    NARCIS (Netherlands)

    MacDorman, M.F.; Mathews, T.J.; Mohangoo, A.D.; Zeitlin, J.

    2014-01-01

    OBJECTIVES: This report investigates the reasons for the United States' high infant mortality rate when compared with European countries. Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific

  19. Devolution of the Economy and Environment Program for Southeast ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    EEPSEA). EEPSEA is the only program in Southeast Asia dedicated to helping economists and environmental researchers gain expertise in environmental economics research. Since its inception, the program has been managed by IDRC from its ...

  20. Infant Mortality

    Science.gov (United States)

    ... After hours (404) 639-2888 Contact Media Infant Mortality Recommend on Facebook Tweet Share Compartir On This ... differences in rates among population groups. About Infant Mortality Infant mortality is the death of an infant ...

  1. Alternative approach to analyzing occupational mortality data

    International Nuclear Information System (INIS)

    Gilbert, E.S.; Buchanan, J.A.

    1984-01-01

    It is widely recognized that analyzing occupational mortality by calculating standardized mortality ratios based on death rates from the general population is subject to a number of limitations. An alternative approach described in this report takes advantage of the fact that comparisons of mortality by subgroups and assessments of trends in mortality are often of equal or greater interest than overall assessments and that such comparisons do not require an external control. A computer program MOX (Mortality and Occupational Exposure) is available for performing the needed calculations for several diseases. MOX was written to asses the effect of radiation exposure on Hanford nuclear workers. For this application, analyses have been based on cumulative exposure computed (by MOX) from annual records of radiation exposure obtained from personal dosimeter readings. This program provides tests for differences and trends among subcategories defined by variables such as length of employment, job category, or exposure measurements and also provides control for age, calendar year, and several other potentially confounding variables. 29 references, 2 tables

  2. Geopolitics and security in post-cold-war South-East Asia

    International Nuclear Information System (INIS)

    Regnier, P.

    1997-01-01

    The most likely scenario is the one in which South-east Asia acquires a greater autonomy, as in Scenario 1. The recomposition of ASEAN as a larger and yet solid entity is far-reaching and requires a lot of mutual internal efforts and policy coordination on external issues. As aforementioned, a situation somewhere between the two sub-scenarios of Scenario I could be achieved. The broadened identity of ASEAN will definitely contribute to the autonomization of South-east Asia as a whole, at least in general geopolitical and security terms. In addition, a greater convergence may develop in economic, strategic and even political areas and gradually produce a subregional order with its own local character and specificities

  3. Methodological systematic review: mortality in elderly patients with cervical spine injury: a critical appraisal of the reporting of baseline characteristics, follow-up, cause of death, and analysis of risk factors.

    NARCIS (Netherlands)

    Middendorp, J.J. van; Albert, T.J.; Veth, R.P.H.; Hosman, A.J.F.

    2010-01-01

    STUDY DESIGN: Methodologic systematic review. OBJECTIVE: To determine the validity of reported risk factors for mortality in elderly patients with cervical spine injury. SUMMARY OF BACKGROUND DATA: In elderly patients with cervical spine injury, mortality has frequently been associated with the type

  4. Using Evaluation for CBNRM Capacity Development (Southeast Asia)

    International Development Research Centre (IDRC) Digital Library (Canada)

    Using Evaluation for CBNRM Capacity Development (Southeast Asia). Recently, capacity development has regained a central place on the agenda of many donor organizations, including IDRC. The challenge is to measure the results of capacity development initiatives. In Asia, there are a few ongoing efforts to document ...

  5. 76 FR 47563 - Fisheries of the South Atlantic; Southeast Data, Assessment, and Review (SEDAR); South Atlantic...

    Science.gov (United States)

    2011-08-05

    ... Management Councils, in conjunction with NOAA Fisheries and the Atlantic and Gulf States Marine Fisheries... Management Councils and NOAA Fisheries Southeast Regional Office and Southeast Fisheries Science Center..., biologists, and researchers; constituency representatives including fishermen, environmentalists, and NGO's...

  6. Risk factors of neonatal mortality and child mortality in Bangladesh.

    Science.gov (United States)

    Maniruzzaman, Md; Suri, Harman S; Kumar, Nishith; Abedin, Md Menhazul; Rahman, Md Jahanur; El-Baz, Ayman; Bhoot, Makrand; Teji, Jagjit S; Suri, Jasjit S

    2018-06-01

    Child and neonatal mortality is a serious problem in Bangladesh. The main objective of this study was to determine the most significant socio-economic factors (covariates) between the years 2011 and 2014 that influences on neonatal and child mortality and to further suggest the plausible policy proposals. We modeled the neonatal and child mortality as categorical dependent variable (alive vs death of the child) while 16 covariates are used as independent variables using χ 2 statistic and multiple logistic regression (MLR) based on maximum likelihood estimate. Using the MLR, for neonatal mortality, diarrhea showed the highest positive coefficient (β = 1.130; P  economic conditions for neonatal mortality. For child mortality, birth order between 2-6 years and 7 and above years showed the highest positive coefficients (β = 1.042; P  economic conditions for child mortality. This study allows policy makers to make appropriate decisions to reduce neonatal and child mortality in Bangladesh. In 2014, mother's age and father's education were also still significant covariates for child mortality. This study allows policy makers to make appropriate decisions to reduce neonatal and child mortality in Bangladesh.

  7. Mortality patterns in Vietnam, 2006: Findings from a national verbal autopsy survey

    Directory of Open Access Journals (Sweden)

    Adair Timothy

    2010-03-01

    Full Text Available Abstract Background Accurate nationally representative statistics on total and cause-specific mortality in Vietnam are lacking due to incomplete capture in government reporting systems. This paper presents total and cause-specific mortality results from a national verbal autopsy survey conducted first time in Vietnam in conjunction with the annual population change survey and discusses methodological and logistical challenges associated with the implementation of a nation-wide assessment of mortality based on surveys. Verbal autopsy interviews, using the WHO standard questionnaire, were conducted with close relatives of the 6798 deaths identified in the 2007 population change survey in Vietnam. Data collectors were health staff recruited from the commune health station who undertook 3-day intensive training on VA interview. The Preston-Coale method assessed the level of completeness of mortality reporting from the population change survey. The number of deaths in each age-sex grouping is inflated according to the estimate of completeness to produce an adjusted number of deaths. Underlying causes of death were aggregated to the International Classification of Diseases Mortality Tabulation List 1. Leading causes of death were tabulated by sex for three broad age groups: 0-14 years; 15-59 years; and 60 years and above. Findings Completeness of mortality reporting was 69% for males and 54% for females with substantial regional variation. The use of VA has resulted in 10% of deaths being classified to ill-defined among males, and 15% among females. More ill-defined deaths were reported among the 60 year or above age group. Incomplete death reporting, wide geographical dispersal of deaths, extensive travel between households, and substantial variation in local responses to VA interviews challenged the implementation of a national mortality and cause of death assessment based on surveys. Conclusions Verbal autopsy can be a viable tool to identify cause

  8. Popular Orientalism: Somerset Maugham in Mainland Southeast Asia

    Directory of Open Access Journals (Sweden)

    Christine Doran

    2016-02-01

    Full Text Available Based on his experiences during a journey through mainland Southeast Asia in 1923, Somerset Maugham wrote a book of colonial travel entitled The Gentleman in the Parlour. As the work of one of the most popular writers of the twentieth century, Maugham’s travelogue both expressed and helped to shape contemporary thinking about Southeast Asia and Western imperialism. Focusing especially on his representations of Burma and Cambodia, an analysis is presented of Maugham’s book in the light of postcolonial scholarship, especially the theoretical insights developed under the inspiration of Edward Said’s Orientalism. Despite its pretensions to be apolitical, Maugham’s travel book is shown to be a repository of Western colonial ideas and attitudes, integrally involved in the circulation of the prevailing European discourse of high imperialism. As such, it is a valuable resource for historians and other scholars who wish to understand the way that discourse worked at the level of popular literature.

  9. Countries with women inequalities have higher stroke mortality.

    Science.gov (United States)

    Kim, Young Dae; Jung, Yo Han; Caso, Valeria; Bushnell, Cheryl D; Saposnik, Gustavo

    2017-10-01

    Background Stroke outcomes can differ by women's legal or socioeconomic status. Aim We investigated whether differences in women's rights or gender inequalities were associated with stroke mortality at the country-level. Methods We used age-standardized stroke mortality data from 2008 obtained from the World Health Organization. We compared female-to-male stroke mortality ratio and stroke mortality rates in women and men between countries according to 50 indices of women's rights from Women, Business and the Law 2016 and Gender Inequality Index from the Human Development Report by the United Nations Development Programme. We also compared stroke mortality rate and income at the country-level. Results In our study, 176 countries with data available on stroke mortality rate in 2008 and indices of women's rights were included. There were 46 (26.1%) countries where stroke mortality in women was higher than stroke mortality in men. Among them, 29 (63%) countries were located in Sub-Saharan African region. After adjusting by country income level, higher female-to-male stroke mortality ratio was associated with 14 indices of women's rights, including differences in getting a job or opening a bank account, existence of domestic violence legislation, and inequalities in ownership right to property. Moreover, there was a higher female-to-male stroke mortality ratio among countries with higher Gender Inequality Index (r = 0.397, p Gender Inequality Index was more likely to be associated with stroke mortality rate in women than that in men (p gender inequality status is associated with women's stroke outcomes.

  10. Life span study report 11. part 3. noncancer mortality, 1950-85, based on the revised doses (DS86)

    International Nuclear Information System (INIS)

    Shimizu, Yukiko; Kato, Hiroo; Schull, W.J.; Hoel, D.G.

    1993-01-01

    Deaths in the RERF Life Span Study (LSS) sample have been determined for the years 1950-85 and previous reports have described analyses of cancer mortality using the revised Dosimetry System 1986 (DS86) doses (LSS Report 11, Parts 1 and 2). In this report, we examine the relationship to dose of deaths from all diseases other than cancer. Although the evidence is still limited, there seems to be an excess risk for noncancer death at high doses (2 or 3 Gy and over). Statistically, a pure quadratic or a linear-threshold model (the estimated threshold dose is 1.4 Gy [0.6-2.8 Gy] is found to fit better than a simple linear or linear-quadratic model. This increase in noncancer mortality is statistically demonstrable, generally, after 1965 and among the younger survivors (< 40) at the time of the bombings, suggesting a sensitivity in this age group. For specific causes of death, an excess relative risk at the high dose level, that is, ≥ 2 Gy, is seen in circulatory and digestive diseases. The relative risk is, however, much smaller than that for cancer. These findings, based as they are on death certificates, have their limitations. Most significant, perhaps, is the possible erroneous attribution of radiation-related cancer deaths to other causes. At present, the contribution such errors may make to the apparent increase in noncancer deaths at the high doses cannot be estimated as rigorously as is obviously desirable. However, even now, this increase does not appear to be fully explicable in terms of classificatory errors. (J.P.N.)

  11. THE HISTORY OF JAMA‘AH TABLIGH IN SOUTHEAST ASIA: The Role of Islamic Sufism in Islamic Revival

    OpenAIRE

    Kamaruzzaman Bustamam-Ahmad

    2008-01-01

    The article examines the history of Jama‘ah Tabligh in Southeast Asia, especially in Kuala Lumpur and Aceh. The author traces the historical background of this religious movement with particular reference to the birth place of Jama‘ah Tabligh, India. The author investigates the major role of Indian in disseminating Islam in Southeast Asia, especially in Malaysia and Indonesia. Many scholars believe that Islam came to Southeast Asia from India (Gujarat), and this is the reason why many Islamic...

  12. Decadal-scale relationship between measurements of aerosols, land-use change, and fire over Southeast Asia

    Science.gov (United States)

    Blake Cohen, Jason; Lecoeur, Eve; Loong Ng, Daniel Hui

    2017-01-01

    A simultaneous analysis of 13 years of remotely sensed data of land cover, fires, precipitation, and aerosols from the MODIS, TRMM, and MISR satellites and the AERONET network over Southeast Asia is performed, leading to a set of robust relationships between land-use change and fire being found on inter-annual and intra-annual scales over Southeast Asia, reflecting the heavy amounts of anthropogenic influence over land-use change and fires in this region of the world. First, we find that fires occur annually, but with a considerable amount of variance in their onset, duration, and intensity from year to year, and from two separate regions within Southeast Asia. Second, we show that a simple regression model of the land-cover, fire, and precipitation data can be used to recreate a robust representation of the timing and magnitude of measured aerosol optical depth (AOD) from multiple measurements sources of this region using either 8-day (better for onset and duration) or monthly (better for magnitude) measurements, but not daily measurements. We find that the reconstructed AOD matches the timing and intensity from AERONET measurements to within 70 to 90 % and the timing and intensity of MISR measurements to within 50 to 95 %. This is a unique finding in this part of the world since cloud-covered regions are large, yet the model is still robustly capable, including over regions where no fires are observed and hence no emissions would be expected to contribute to AOD. Third, we determine that while Southeast Asia is a source region of such intense smoke emissions, portions of it are also impacted by smoke transported from other regions. There are regions in northern Southeast Asia which have two annual AOD peaks, one during the local fire season and the other, smaller peak corresponding to a combination of some local smoke sources as well as transport of aerosols from fires in southern Southeast Asia and possibly even from anthropogenic sources in South Asia. Overall

  13. Forest statistics for Southeast Texas counties - 1986

    Science.gov (United States)

    William H. McWilliams; Daniel F. Bertelson

    1986-01-01

    These tables were derived from data obtained during a 1986 inventory of 22 counties comprising the Southeast Unit of Texas (fig. 1). Grimes, Leon, Madison, and Waller counties have been added to the Southeastern Unit since the previous inventory if 1975. All comparisons of the 1975 and 1986 forest statistics made in this Bulletin account for this change. The data on...

  14. Sex differentials in mortality.

    Science.gov (United States)

    1970-06-01

    The questions leing considered are whether a higher female than male mortality rate exists in Ceylon, India, and Pakistan, and whether this sex differential can account for the observed high male sex ratios. There is a choice between explaining the recorded masculinity of the Indian population by assuming that the subordinate position of women caused their omission from the census or that it caused their unrecorded death in childhood. The 1951 census report of India states that there is a traditional fondness for male issues in most parts of the country and a corresponding dislike for female children. However, a life table for India applied to the 1951 census gave a higher average female age at death 34.7 years as opposed to 33.5 years for male. Other estimates for India and Pakistan for the period 1951-1961 give 37.8 years for life expectancy for males and 36.98 for females. In 1953 the female death rate in Ceylon was over 80% higher than that of the males in the most reproductive ages, 20-29. In 1963 the female excess mortality at the same ages was still 25%, and in the age group 30-34 almost a 1/3 higher. In India the female death rate at ages 15-44 was 38% higher than that of the males in the 1958-1959 survey and as much as 174% higher in the Khanna rural survey, 1956-1960. In Pakistan a Population growth Estimate experiment conducted during 1962-1965 on a national probability sample has shown that in the ages 15-44 the female death rate was 75% higher than that of the males. High maternal mortality was the major reason. In addition, female mortality among young children over age 1 year was 24% higher in 1965 and 1963. There was little difference between the rates of mortality of the 2 sexes at age 45 and above. Recent trends in Ceylon show considerable improvement in maternal mortality which has reduced by 22% the ratio of female to male mortality at age 15-44. Also the ratio at ages 1-9 fell by 8%. to .1 of a year for every calendar year to 1980.

  15. Huperzine alkaloids from Australasian and southeast Asian Huperzia.

    Science.gov (United States)

    Lim, Wei-Han; Goodger, Jason Q D; Field, Ashley R; Holtum, Joseph A M; Woodrow, Ian E

    2010-09-01

    The pharmaceutical alkaloid huperzine A (HupA), currently used in herbal supplements and medicines worldwide, is predominantly sourced from the Chinese lycopod Huperzia serrata (Thunb. ex Murray) Trev. (Lycopodiaceae), which on average contains only 0.08 mg HupA g(-1) dry weight, and is experiencing a rapid decline in China due to over-harvesting. To find a high-yielding, natural source of HupA and/or the related huperzine B (HupB) that could potentially be used as the starting material in a commercial propagation program. We surveyed 17 Huperzia species (15 indigenous to Australia and southeast Asia) for their foliar HupA and HupB concentrations. We also studied intra-specific variation for the huperzines in four species that were available in sufficient numbers, and determined tissue-specific accumulation in larger specimens. HupA was detected in 11 Australasian and southeast Asian species, with eight also containing HupB, albeit at much lower concentrations. A H. elmeri (Herter) Holub plant from the Philippines had one of the highest HupA concentrations recorded (1.01 mg g(-1) dry wt) and it also had the highest HupB content of all plants surveyed (0.34 mg g(-1) dry wt). Intra-specific HupA and HupB concentrations were extremely variable, and at the intra-plant level, reproductive strobili were found to accumulate the highest HupA concentrations. Select Huperzia species from Australia and southeast Asia have potential as the starting material for establishing commercial HupA plantations, but the high intra-specific variability observed suggests that detailed screening is needed to isolate high huperzine-yielding individuals.

  16. Rates and drivers of mangrove deforestation in Southeast Asia, 2000–2012

    Science.gov (United States)

    Richards, Daniel R.; Friess, Daniel A.

    2016-01-01

    The mangrove forests of Southeast Asia are highly biodiverse and provide multiple ecosystem services upon which millions of people depend. Mangroves enhance fisheries and coastal protection, and store among the highest densities of carbon of any ecosystem globally. Mangrove forests have experienced extensive deforestation owing to global demand for commodities, and previous studies have identified the expansion of aquaculture as largely responsible. The proportional conversion of mangroves to different land use types has not been systematically quantified across Southeast Asia, however, particularly in recent years. In this study we apply a combined geographic information system and remote sensing method to quantify the key proximate drivers (i.e., replacement land uses) of mangrove deforestation in Southeast Asia between 2000 and 2012. Mangrove forests were lost at an average rate of 0.18% per year, which is lower than previously published estimates. In total, more than 100,000 ha of mangroves were removed during the study period, with aquaculture accounting for 30% of this total forest change. The rapid expansion of rice agriculture in Myanmar, and the sustained conversion of mangroves to oil palm plantations in Malaysia and Indonesia, are identified as additional increasing and under-recognized threats to mangrove ecosystems. Our study highlights frontiers of mangrove deforestation in the border states of Myanmar, on Borneo, and in Indonesian Papua. To implement policies that conserve mangrove forests across Southeast Asia, it is essential to consider the national and subnational variation in the land uses that follow deforestation. PMID:26712025

  17. The Paradoxical Impact of Globalisation on Women’s Political Representation: A Review of Situations In Southeast Asia

    Directory of Open Access Journals (Sweden)

    Nur Azizah

    2015-02-01

    Full Text Available The representation of women in a political system is a good test of its claims to democracy. Although there are some progress, the level of women political representation in Southeast Asian countries is still low. Women activists propose the adoption of gender quotas as a fast track to address this issue, but the implementation find many obstacles. This article base of my research which want to examine the impact of globalisation for women’s political representation in Southeast Asian countries. The discussion begin with the overview of women’s political representation issue and some theoretical framewoks for adressing that issue. It identified that globalisation has positive and negative impacts on women’s representation. On the one hand, it encourages the emergence of a global gender equality regime which influences pattern of women’s political representation among Southeast Asian countries. Yet, on the otherhand, itpromotes neo-liberalism ideology which is “inherently oppose to policy interventionism”and it also promotes liberal democratic practices, which oppose affirmative policy for women, included gender quota in parliament.We concludes that the paradoxical impact of globalisation causes progress for increasing women’s representation in Southeast Asian countries move slowly. The efforts for increasing women’s representation in some Southeast Asian countries have not been supported by governments’ “intervention” policies such as gender quota and social welfare policies. Southeast Asian countries are also trapped in a liberal democracy practice which promotes ‘one person one vote’ (equality of opportunity. Thus, the opposition to affirmative action (equality of result is so high. Although some Southeast Asian countries have women quota articles, the implementation has been undermined so far.

  18. Leisure Time Physical Activity and Mortality

    DEFF Research Database (Denmark)

    Johnsen, Nina Føns; Ekblond, Annette; Thomsen, Birthe Lykke

    2013-01-01

    BACKGROUND: Some studies indicate that a large part of the beneficial effect of physical activity on mortality is confined to a threshold effect of participation. METHODS: Self-reported physical activity was investigated in relation to all-cause mortality in the Danish Diet, Cancer and Health...... cohort, including 29,129 women and 26,576 men aged 50-64 years at baseline 1993-1997. Using Cox proportional hazards models we investigated the associations between mortality rate and leisure time physical activity by exploring 1) participation (yes/no) in each type of activity; 2) a simple dose...... in specific leisure time physical activities, but not with more time spent on those activities. This could suggest that avoiding a sedative lifestyle is more important than a high volume of activity. Nonparticipation in these types of physical activity may be considered as risk factors....

  19. A synthesis of the implementation ambivalence of REDD+ in Sub-Saharan Africa and Southeast Asia

    Directory of Open Access Journals (Sweden)

    Divine Odame Appiah

    2018-04-01

    Full Text Available Reducing emission from deforestation and forest degradation and associated benefits (REDD+, has received much attention as one of the most controversial climate change initiatives, especially by forest fringed community actors in sub-Saharan Africa (SSA and Southeast Asia, (SEA who are skeptical of the scheme.The object of this paper is to examine the seeming potential benefits and accompanying risks and challenges of REDD+ on the livelihoods among smallholder farmers in SSA and SEA. The paper espouses the sustainability context of REDD+ projects as pro-poor forest management mechanisms; through the provision of alternative livelihood. This is achieved through critical review and critique of scientific articles, project reports and relevant documents on REDD+ interventions from a worldwide, regional to local scale. The paper identifies projects that seem to solidify claims that REDD+ projects are simply a new form of colonialism; which the West is using to take advantage of vulnerable groups in the South. The paper concludes with the need to actively engage sub-Saharan African and Southeast Asian women in climate change mitigation benefit schemes on account of the expedient role women play in agricultural activities (which may involve deforestation and forest land degradation.

  20. Southeast Asia: A Selected Functional and Country Bibliography.

    Science.gov (United States)

    Foreign Service (Dept. of State), Washington, DC. Foreign Service Inst.

    This bibliography, which contains approximately 500 citations dated between 1952 and 1972, is one of a series on various areas of the world. Countries included in this bibliography on Southeast Asia are: Australia, Burma, Cambodia, Indonesia, Laos, Malaysia and Singapore, New Zealand, the Philippines, Thailand, Viet-Nam, Western Samoa and the…

  1. Regional climate change-Science in the Southeast

    Science.gov (United States)

    Jones, Sonya A.

    2010-01-01

    Resource managers are at the forefront of a new era of management. They must consider the potential impacts of climate change on the Nation's resources and proactively develop strategies for dealing with those impacts on plants, animals, and ecosystems. This requires rigorous, scientific understanding of environmental change. The role of the U.S. Geological Survey (USGS) in this effort is to analyze climate-change data and develop tools for assessing how changing conditions are likely to impact resources. This information will assist Federal, State, local, and tribal partners manage resources strategically. The 2008 Omnibus Budget Act and Secretarial Order 3289 established a new network of eight Department of Interior Regional Climate Science Centers to provide technical support for resource managers. The Southeast Regional Assessment Project (SERAP) is the first regional assessment to be funded by the USGS National Climate Change and Wildlife Science Center (http://nccw.usgs.gov/). The USGS is working closely with the developing Department of Interior Landscape Conservation Cooperatives to ensure that the project will meet the needs of resource managers in the Southeast. In addition, the U.S. Fish and Wildlife Service is providing resources to the SERAP to expand the scope of the project.

  2. The presence of hydrocarbons in southeast Norway

    DEFF Research Database (Denmark)

    Hanken, Niels Martin; Hansen, Malene Dolberg; Kresten Nielsen, Jesper

    Hydrocarbons, mostly found as solid pyrobitumen, are known from more than 30 localities in southeast Norway. They occur as inclusions in a wide range of "reservoir rocks" spanning from Permo-Carboniferous breccias to veins (vein quartz and calcite veins) in Precambrian granites, gneisses and amph......Hydrocarbons, mostly found as solid pyrobitumen, are known from more than 30 localities in southeast Norway. They occur as inclusions in a wide range of "reservoir rocks" spanning from Permo-Carboniferous breccias to veins (vein quartz and calcite veins) in Precambrian granites, gneisses......, indicating that Alum Shale was the most important source rock. Petrographic investigations combined with stable isotope analyses (d13C and d18O) of the cement containing pyrobitumen indicate two phases of hydrocarbon migration. The first phase probably took place in Upper Silurian to Lower Devonian time......, when the Alum Shale entered the oil window. These hydrocarbons are mostly found as pyrobitumen in primary voids and calcite cemented veins in Cambro-Silurian sedimentary deposits. The second phase is probably of Late Carboniferous/Permian age and was due to the increased heat flow during the formation...

  3. The calcareous mires in South-East Poland are home to two rare Anthracoidea species

    Directory of Open Access Journals (Sweden)

    Marcin Piątek

    2013-12-01

    Full Text Available The new collections of Anthracoidea buxbaumii Kukkonen on Carex buxbaumii Wahlenb. and Anthracoidea hostianae B.Lindeb. ex Nannf. on Carex lepidocarpa Tausch recorded in the calcareous mires in South-East Poland are described, illustrated and discussed. The holotype of the latter smut is also re-examined, described and illustrated in detail. Anthracoidea buxbaumii is reported for the second time from Poland on a new host plant. Anthracoidea hostianae is new to Poland. The variability of spore sizes of both species is discussed. The conspecificity of Anthracoidea buxbaumii and A. hostianae suggested in the literature is analyzed.

  4. infant mortality and the Kimberley Board of Health, 1898-1977

    African Journals Online (AJOL)

    Leonard B. Lerer. Annual reports of the Kimberley Board of Health, established in 1883. provide rich insight into public hearth discourse on infant mortality. Commentaries on the determinants of infant mortality, especially prior to 1950, largely focus on poverty and interracial disparities, issues relevant to current heatth policy.

  5. The Ontario Hydro mortality surveillance programme

    International Nuclear Information System (INIS)

    Anderson, T.W.

    1985-01-01

    The Ontario Hydro mortality surveillance programme was the first such study established in any group of radiation workers. Copies of annual reports are available to senior officials of both management and union and to members of the general public. Apart from an elevated Standardized Mortality Ratio in the 15.0 - 19.9 cSv range, there is no suggestion of any rising cancer death rate with increased lifetime radiation dose. It should be noted that employees who had left before pensionable age were not included in the study. Results of the study are presented in tabular form

  6. The Culicoides of Southeast Asia (Diptera: Ceratopogonidae)

    Science.gov (United States)

    1989-01-01

    Type.-Holotype male, Chiang Mai Prov., Thailand, 1933, O.R. Causey (on slide, Type in USNM). Southeast Asia Records.-- INDONESIA: Sulawesi (North...Kapit Dist., Nanga Pelagus (Traub). SINGAPORE: Kg. Chantek Bahru (Colless); Nee Soon (Colless). THAILAND: Chiang Mai (Causey); Chiang Rai (Causey...THAILAND: Chiang Mai (Notonanda, Scanlon). Cholburi, Bangphra,(Scanlon). Khon Kaen Prov., Ban Phai and Chum Phae (Manop R.). Loei Prov., Dan Sal, Ban

  7. Occupational mortality

    DEFF Research Database (Denmark)

    Lynge, Elsebeth

    2011-01-01

    -1975 revealed a considerable social class gradient in male mortality where university teachers and farmers had a 40% lower mortality and waiters and seamen had an about 100% higher mortality than the average for economically active men. The social class gradient was less steep for women. A similar pattern...

  8. Periodontitis in older Swedish individuals fails to predict mortality.

    Science.gov (United States)

    Renvert, Stefan; Wallin-Bengtsson, Viveca; Berglund, Johan; Persson, Rutger G

    2015-03-01

    This study aims to assess mortality risk and its association to health aspects in dentate individuals 60 years of age and older. Medical and periodontal data from 870 dentate individuals (age range 60–96) participating in the Swedish National Study on Aging and Care in Blekinge (SNACBlekinge)with survival statistics over 6 years were studied. During 6 years of follow-up, 42/474 of the individuals(8.9 %), who at baseline were between age 60 and 75, and 134/396 individuals of the individuals (33.9 %), who at baseline were ≥75 years, died. Surviving dentate individuals had more teeth (mean 19.3, S.D.±7.9) than those who died (mean 15.9,S.D.±7.3; mean diff 3,3; S.E. mean diff 0.7; 95 % CI 2.0, 4.6;p=0.001). A self-reported history of high blood pressure (F=15.0, pheart failure (F=24.5, pheart disease, diabetes, any form of cancer,or periodontitis failed to predict mortality. A self-reported history of angina pectoris, chronic heart failure, elevated serum HbA1c, and few remaining teeth were associated with mortality risk. A professional diagnosis of cardiovascular disease, diabetes, cancer, or periodontitis was not predictive of mortality. Self-health reports are important to observe in the assessment of disease and survival in older individual.

  9. Short-term mortality and prognostic factors related to status epilepticus

    Directory of Open Access Journals (Sweden)

    Fernando Gustavo Stelzer

    2015-08-01

    Full Text Available Objective Status epilepticus (SE is associated with significant morbidity and mortality, and there is some controversy concerning predictive indicators of outcome. Our main goal was to determine mortality and to identify factors associated with SE prognosis. Method This prospective study in a tertiary-care university hospital, included 105 patients with epileptic seizures lasting more than 30 minutes. Mortality was defined as death during hospital admission. Results The case-fatality rate was 36.2%, which was higher than in previous studies. In univariate analysis, mortality was associated with age, previous epilepsy, complex focal seizures; etiology, recurrence, and refractoriness of SE; clinical complications, and focal SE. In multivariate analysis, mortality was associated only with presence of clinical complications. Conclusions Mortality associated with SE was higher than reported in previous studies, and was not related to age, specific etiology, or SE duration. In multivariate analysis, mortality was independently related to occurrence of medical complications.

  10. Characteristics, availability and uses of vital registration and other mortality data sources in post-democracy South Africa

    Science.gov (United States)

    Joubert, Jané; Rao, Chalapati; Bradshaw, Debbie; Dorrington, Rob E.; Vos, Theo; Lopez, Alan D.

    2012-01-01

    The value of good-quality mortality data for public health is widely acknowledged. While effective civil registration systems remains the ‘gold standard’ source for continuous mortality measurement, less than 25% of deaths are registered in most African countries. Alternative data collection systems can provide mortality data to complement those from civil registration, given an understanding of data source characteristics and data quality. We aim to document mortality data sources in post-democracy South Africa; to report on availability, limitations, strengths, and possible complementary uses of the data; and to make recommendations for improved data for mortality measurement. Civil registration and alternative mortality data collection systems, data availability, and complementary uses were assessed by reviewing blank questionnaires, death notification forms, death data capture sheets, and patient cards; legislation; electronic data archives and databases; and related information in scientific journals, research reports, statistical releases, government reports and books. Recent transformation has enhanced civil registration and official mortality data availability. Additionally, a range of mortality data items are available in three population censuses, three demographic surveillance systems, and a number of national surveys, mortality audits, and disease notification programmes. Child and adult mortality items were found in all national data sources, and maternal mortality items in most. Detailed cause-of-death data are available from civil registration and demographic surveillance. In a continent often reported as lacking the basic data to infer levels, patterns and trends of mortality, there is evidence of substantial improvement in South Africa in the availability of data for mortality assessment. Mortality data sources are many and varied, providing opportunity for comparing results and improved public health planning. However, more can and must be

  11. The forest ecosystem of southeast Alaska: 8. Water.

    Science.gov (United States)

    Donald C. Schmiege; Austin E. Helmers; Daniel M. Bishop

    1974-01-01

    One of the most striking characteristics of southeast Alaska is the abundance of water. Large glaciers, icefields, and thousands of streams result from heavy precipitation throughout the year. Published and unpublished data on water regimen, temperature, sedimentation, and chemistry are combined. These serve as a basis for understanding how this valuable resource may...

  12. 77 FR 27716 - Fishery of the Gulf of Mexico; Southeast Data, Assessment, and Review (SEDAR); Public Meetings

    Science.gov (United States)

    2012-05-11

    [email protected] . SUPPLEMENTARY INFORMATION: The Gulf of Mexico Fishery Management Council, in conjunction... Fishery Management Council, NOAA Fisheries Southeast Regional Office, and NOAA Southeast Fisheries Science..., biologists, and researchers; constituency representatives including fishermen, environmentalists, and NGO's...

  13. 75 FR 53951 - Fisheries of the Gulf of Mexico; Southeast Data, Assessment, and Review (SEDAR) Update; Greater...

    Science.gov (United States)

    2010-09-02

    ... Gulf of Mexico, South Atlantic, and Caribbean Fishery Management Councils, in conjunction with NOAA... Caribbean Fishery Management Councils and NOAA Fisheries Southeast Regional Office and Southeast Fisheries..., biologists, and researchers; constituency representatives including fishermen, environmentalists, and NGO's...

  14. Excess mortality in Italy: Should we care about low influenza vaccine uptake?

    Science.gov (United States)

    Fausto, Francia; Paolo, Pandolfi; Anna, Odone; Carlo, Signorelli

    2018-03-01

    The aims of this study were to explore 2015 mortality data further and to assess excess deaths' determinants. We analysed data from a large metropolitan area in the north of Italy, the city of Bologna. We took advantage of a comprehensive local-level database and merged three different data sources to analitically explore reported 2014-2015 excess mortality and its determinants. Effect estimates were derived from multivariable Poisson regression analysis, according to vaccination status and frailty index. We report 9.8% excess mortality in 2015 compared to 2014, with seasonal and age distribution patterns in line with national figures. All-cause mortality in the elderly population is 36% higher (risk ratio [RR]=1.36, 95% confidence interval [CI] 1.27-1.45) in subjects not vaccinated against seasonal flu compared to vaccinated subjects, with risk of death for influenza or pneumonia being 43% higher (RR=1.43, 95% CI 1.02-2.00) in unvaccinated subjects. Reported excess mortality's determinants in Italy should be further explored. Elderly subjects not vaccinated against the flu appear to have increased risk of all-cause and cause-specific mortality compared to vaccinated subjects after accounting for possible confounders. Our findings raise awareness of the need to promote immunisation against the flu among elder populations and offer insights to plan and implement effective public-health interventions.

  15. Maternal obesity and infant mortality: a meta-analysis.

    Science.gov (United States)

    Meehan, Sean; Beck, Charles R; Mair-Jenkins, John; Leonardi-Bee, Jo; Puleston, Richard

    2014-05-01

    Despite numerous studies reporting an elevated risk of infant mortality among women who are obese, the magnitude of the association is unclear. A systematic review and meta-analysis was undertaken to assess the association between maternal overweight or obesity and infant mortality. Four health care databases and gray literature sources were searched and screened against the protocol eligibility criteria. Observational studies reporting on the relationship between maternal overweight and obesity and infant mortality were included. Data extraction and risk of bias assessments were performed. Twenty-four records were included from 783 screened. Obese mothers (BMI ≥30) had greater odds of having an infant death (odds ratio 1.42; 95% confidence interval, 1.24-1.63; P obese (BMI >35) (odds ratio 2.03; 95% confidence interval, 1.61-2.56; P obese mothers and that this risk may increase with greater maternal BMI or weight; however, residual confounding may explain these findings. Given the rising prevalence of maternal obesity, additional high-quality epidemiologic studies to elucidate the actual influence of elevated maternal mass or weight on infant mortality are needed. If a causal link is determined and the biological basis explained, public health strategies to address the issue of maternal obesity will be needed. Copyright © 2014 by the American Academy of Pediatrics.

  16. Cancer mortality in a Chinese population exposed to hexavalent chromium in drinking water

    Science.gov (United States)

    Beaumont, J.J.; Sedman, R.M.; Reynolds, S.D.; Sherman, C.D.; Li, L.-H.; Howd, R.A.; Sandy, M.S.; Zeise, L.; Alexeeff, G.V.

    2008-01-01

    BACKGROUND: In 1987, investigators in Liaoning Province, China, reported that mortality rates for all cancer, stomach cancer, and lung cancer in 1970-1978 were higher in villages with hexavalent chromium (Cr)-contaminated drinking water than in the general population. The investigators reported rates, but did not report statistical measures of association or precision. METHODS: Using reports and other communications from investigators at the local Jinzhou Health and Anti-Epidemic Station, we obtained data on Cr contamination of groundwater and cancer mortality in 9 study regions near a ferrochromium factory. We estimated:(1) person-years at risk in the study regions, based on census and population growth rate data, (2) mortality counts, based on estimated person-years at risk and previously reported mortality rates, and (3) rate ratios and 95% confidence intervals. RESULTS: The all-cancer mortality rate in the combined 5 study regions with Cr-contaminated water was negligibly elevated in comparison with the rate in the 4 combined study regions without contaminated water (rate ratio = 1.13; 95% confidence interval = 0.86-1.46), but was somewhat more elevated in comparison with the whole province (1.23; 0.97-1.53). Stomach cancer mortality in the regions with contaminated water was more substantially elevated in comparison with the regions without contaminated water (1.82; 1.11-2.91) and the whole province (1.69; 1.12-2.44). Lung cancer mortality was slightly elevated in comparison with the unexposed study regions (1.15; 0.62-2.07), and more strongly elevated in comparison with the whole province (1.78; 1.03-2.87). Mortality from other cancers combined was not elevated in comparison with either the unexposed study regions (0.86; 0.53-1.36) or the whole province (0.92; 0.58-1.38). CONCLUSIONS: While these data are limited, they are consistent with increased stomach cancer risk in a population exposed to Cr in drinking water. ?? 2008 Lippincott Williams & Wilkins, Inc.

  17. Mortality in adults with hypopituitarism: a systematic review and meta-analysis.

    Science.gov (United States)

    Jasim, Sina; Alahdab, Fares; Ahmed, Ahmed T; Tamhane, Shrikant; Prokop, Larry J; Nippoldt, Todd B; Murad, M Hassan

    2017-04-01

    Hypopituitarism is a rare disorder with significant morbidity. To study the evidence on the association of premature mortality and hypopituitarism. A comprehensive search of multiple databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus was conducted through August, 2015. Eligible studies that evaluated patients with hypopituitarism and reported mortality estimates were selected following a predefined protocol. Reviewers, independently and in duplicate, extracted data and assessed the risk of bias. We included 12 studies (published 1996-2015) that reported on 23,515 patients. Compared to the general population, hypopituitarism was associated with an overall excess mortality (weighted SMR of 1.55; 95 % CI 1.14-2.11), I 2  = 97.8 %, P = 0.000. Risk factors for increased mortality included younger age at diagnosis, female gender, diagnosis of craniopharyngioma, radiation therapy, transcranial surgery, diabetes insipidus and hypogonadism. Hypopituitarism may be associated with premature mortality in adults. Risk is particularly higher in women and those diagnosed at a younger age.

  18. Palaeomagnetic evidence for post-thrusting tectonic rotation in the Southeast Pyrenees, Spain

    Science.gov (United States)

    Keller, P.; Lowrie, W.; Gehring, A. U.

    1994-12-01

    The structural framework of the Southeast Pyrenees led to two conflicting interpretations—thrust tectonics vs. wrench tectonics—to explain the geometry of this mountain range. In the present study palaeomagnetic data are presented in an attempt to resolve this conflict. The data reveal different magnetisation directions that indicate tectonic rotations about vertical axes. By means of a regionally homogeneous pattern of rotation, three tectonic units could be distinguished in the Southeast Pyrenees. The Internal Unit in the north reveals no rotation since the Permian. The External Unit to the south shows anticlockwise rotation of 25°, younger than the Early Oligocene. The Pedraforca Unit, placed on the External Unit, shows 57° clockwise rotation which can be assigned to the Neogene. The anticlockwise rotation of the External Unit can be explained by differential compression during the last phase of Pyrenean thrusting, whereas the clockwise rotation of the Pedraforca Unit can be interpreted by post-thrusting tectonics. The rotation pattern of the Southeast Pyrenees provides evidence for both Cretaceous to Paleogene N-S compression and Neogene right-lateral wrench tectonics.

  19. When Indian crabs were not yet Asian - biogeographic evidence for Eocene proximity of India and Southeast Asia

    Directory of Open Access Journals (Sweden)

    Klaus Sebastian

    2010-09-01

    Full Text Available Abstract Background The faunal and floral relationship of northward-drifting India with its neighboring continents is of general biogeographic interest as an important driver of regional biodiversity. However, direct biogeographic connectivity of India and Southeast Asia during the Cenozoic remains largely unexplored. We investigate timing, direction and mechanisms of faunal exchange between India and Southeast Asia, based on a molecular phylogeny, molecular clock-derived time estimates and biogeographic reconstructions of the Asian freshwater crab family Gecarcinucidae. Results Although the Gecarcinucidae are not an element of an ancient Gondwana fauna, their subfamily Gecarcinucinae, and probably also the Liotelphusinae, evolved on the Indian Subcontinent and subsequently dispersed to Southeast Asia. Estimated by a model testing approach, this dispersal event took place during the Middle Eocene, and thus before the final collision of India and the Tibet-part of Eurasia. Conclusions We postulate that the India and Southeast Asia were close enough for exchange of freshwater organisms during the Middle Eocene, before the final Indian-Eurasian collision. Our data support geological models that assume the Indian plate having tracked along Southeast Asia during its move northwards.

  20. SUDEP and other causes of mortality in childhood-onset epilepsy.

    Science.gov (United States)

    Sillanpää, Matti; Shinnar, Shlomo

    2013-08-01

    There are few prospective studies on the causes of mortality in well-characterized cohorts with epilepsy and even fewer that have autopsy data that allow for reliable determination of SUDEP. We report causes of mortality and mortality rates in the Finnish cohort with childhood-onset epilepsy. A population-based cohort of 245 children with epilepsy in 1964 has been prospectively followed for almost 40 years. Seizure outcomes and mortality were assessed. Autopsy data were available in 70% of the cases. Sudden unexpected death in epilepsy (SUDEP) rates were assessed, and SUDEP was confirmed by autopsy. During the follow-up, 60 subjects died. The major risk factor for mortality was lack of terminal remission (p epilepsy-related including SUDEP in 23/60 (38%) using the Nashef criteria, status epilepticus in 4/60 (7%), and accidental drowning in 6/60 (10%). The nonepilepsy-related deaths occurred primarily in the remote symptomatic group and were often related to the underlying disorder or to medical comorbidities that developed after the onset of the epilepsy. Risk factors for SUDEP on multivariable analysis included lack of 5-year terminal remission and not having a localization-related epilepsy. In cryptogenic/idiopathic cases, SUDEP did not occur in childhood but begins only in adolescence. Childhood-onset epilepsy is associated with a substantial risk of epilepsy-related mortality, primarily SUDEP. In otherwise neurologically normal individuals, the increased SUDEP risk begins in adolescence. The higher mortality rates reported in this cohort are related to duration of follow-up as most of the mortality occurs many years after the onset of the epilepsy. Copyright © 2013 Elsevier Inc. All rights reserved.

  1. Nonstructural leaf carbohydrate dynamics of Pinus edulis during drought-induced tree mortality reveal role for carbon metabolism in mortality mechanism.

    Science.gov (United States)

    Adams, Henry D; Germino, Matthew J; Breshears, David D; Barron-Gafford, Greg A; Guardiola-Claramonte, Maite; Zou, Chris B; Huxman, Travis E

    2013-03-01

    Vegetation change is expected with global climate change, potentially altering ecosystem function and climate feedbacks. However, causes of plant mortality, which are central to vegetation change, are understudied, and physiological mechanisms remain unclear, particularly the roles of carbon metabolism and xylem function. We report analysis of foliar nonstructural carbohydrates (NSCs) and associated physiology from a previous experiment where earlier drought-induced mortality of Pinus edulis at elevated temperatures was associated with greater cumulative respiration. Here, we predicted faster NSC decline for warmed trees than for ambient-temperature trees. Foliar NSC in droughted trees declined by 30% through mortality and was lower than in watered controls. NSC decline resulted primarily from decreased sugar concentrations. Starch initially declined, and then increased above pre-drought concentrations before mortality. Although temperature did not affect NSC and sugar, starch concentrations ceased declining and increased earlier with higher temperatures. Reduced foliar NSC during lethal drought indicates a carbon metabolism role in mortality mechanism. Although carbohydrates were not completely exhausted at mortality, temperature differences in starch accumulation timing suggest that carbon metabolism changes are associated with time to death. Drought mortality appears to be related to temperature-dependent carbon dynamics concurrent with increasing hydraulic stress in P. edulis and potentially other similar species. © 2013 The Authors. New Phytologist © 2013 New Phytologist Trust.

  2. Closing ceremonies of the FIRST Southeast Regional robotics competition

    Science.gov (United States)

    2000-01-01

    At the conclusion of the FIRST (For Inspiration and Recognition of Science and Technology) Southeast Regional competition held at the KSC Visitor Complex, KSC Deputy Director for Business Operations Jim Jennings speaks to the teams and other attendees. At left is Gregg Gale, with Walt Disney World, which is the site of the national competition (at EPCOT) April 6-8. Teams of high school students from all over the country tested the limits of their imagination using robots they designed, with the support of business and engineering professionals and corporate sponsors, to compete in a technological battle against other schools' robots. Of the 30 high school teams competing at the Southeast Regional event, 16 were Florida teams co-sponsored by NASA and KSC contractors. Local high schools participating are Astronaut, Bayside, Cocoa Beach, Eau Gallie, Melbourne, Melbourne Central Catholic, Palm Bay, Rockledge, Satellite, and Titusville.

  3. Hyperprolactinemia and the Association with All-Cause Mortality and Cardiovascular Mortality

    DEFF Research Database (Denmark)

    Krogh, Jesper; Selmer, Christian; Torp-Pedersen, Christian

    2017-01-01

    Hyperprolactinemia has been suspected to increase mortality risk, but the available data are conflicting. The objective of this study was to estimate the association between hyperprolactinemia and all-cause and cardiovascular mortality among patients referred for assessment of prolactin......-cause mortality (95% CI 1.22-2.82) and 2.55 (95% CI 1.43-4.55) for cardiovascular mortality. The IRR for all-cause mortality was reduced to 1.37 (0.90-2.08) when adjusted for the use of antipsychotic medication. The association between hyperprolactinemia and cardiovascular mortality remained after adjusting...... for confounders, for example, chronic renal failure, diabetes, and antipsychotic medication. In females, hyperprolactinemia was not associated with all-cause mortality (IRR 1.45; CI 0.86-2.47) or cardiovascular mortality (IRR 0.58; CI 0.14-2.39). In conclusion, hyperprolactinemia was associated with increased...

  4. Confronting the HIV, Tuberculosis, Addiction, and Incarceration Syndemic in Southeast Asia: Lessons Learned from Malaysia

    Science.gov (United States)

    Culbert, Gabriel J.; Pillai, Veena; Bick, Joseph; Al-Darraji, Haider A.; Wickersham, Jeffrey A.; Wegman, Martin P.; Bazazi, Alexander R.; Ferro, Enrico; Copenhaver, Michael; Kamarulzaman, Adeeba; Altice, Frederick L.

    2016-01-01

    Throughout Southeast Asia, repressive drug laws have resulted in high rates of imprisonment in people who inject drugs and people living with HIV (PLH), greatly magnifying the harm associated with HIV, tuberculosis, and addiction. We review findings from Malaysia's largest prison to describe the synergistic effects of HIV, tuberculosis, addiction, and incarceration that contribute to a‘perfect storm’of events challenging public and personal health and offer insights into innovative strategies to control these converging epidemics. The majority of PLH who are imprisoned in Malaysia are opioid dependent. Although promoted by official policy, evidence-based drug treatment is largely unavailable, contributing to rapid relapse and/or overdose after release. Similarly, HIV treatment in prisons and compulsory drug treatment centers is sometimes inadequate or absent. The prevalence of active tuberculosis is high, particularly in PLH, and over 80% of prisoners and prison personnel are latently infected. Mandatory HIV testing and subsequent segregation of HIV-infected prisoners increases the likelihood of tuberculosis acquisition and progression to active disease, enlarging the reservoir of infection for other prisoners. We discuss strategies to control these intersecting epidemics including screening linked to standardized treatment protocols for all three conditions, and effective transitional programs for released prisoners. For example, recently introduced evidence-based interventions in prisons like antiretroviral therapy (ART) to treat HIV, isoniazid preventive therapy to treat latent tuberculosis infection, and methadone maintenance to treat opioid dependence, have markedly improved clinical care and reduced mortality. Since introduction of these interventions in September 2012, all-cause and HIV-related mortality have decreased by 50.0% and 75.7% respectively. We discuss the further deployment of these interventions in Malaysian prisons. PMID:27216260

  5. 33 CFR 334.680 - Gulf of Mexico, southeast of St. Andrew Bay East Entrance, small-arms firing range, Tyndall Air...

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Gulf of Mexico, southeast of St... AND RESTRICTED AREA REGULATIONS § 334.680 Gulf of Mexico, southeast of St. Andrew Bay East Entrance... the Gulf of Mexico, southeast of St. Andrew Bay East Entrance within a rectangular area beginning at a...

  6. Morbidity and mortality after minor bile duct injury following laparoscopic cholecystectomy

    NARCIS (Netherlands)

    Booij, Klaske A. C.; de Reuver, Philip R.; Yap, Kenneth; van Dieren, Susan; van Delden, Otto M.; Rauws, Erik A.; Gouma, Dirk J.

    2015-01-01

    Cystic duct and Luschka duct leakage after laparoscopic cholecystectomy are often classified as minor injuries because the outcome of endoscopic stenting and percutaneous drainage is generally reported to be good. However, the potential associated early mortality and risk factors for mortality are

  7. The Association between Oral Hygiene and Gastric Pathology in Patients with Dyspepsia: a Cross-Sectional Study in Southeast Iran

    OpenAIRE

    Zahedi, Leili; Jafari, Elham; Torabi Parizi, Molook; Shafieipour, Sara; Hayat Bakhsh Abbasi, Mehdi; Darvish Moghadam, Sodaif; Zahedi, Mohammad Javad

    2017-01-01

    BACKGROUND Many studies have reported an association between periodontal infections and some systemic diseases such as respiratory and cardiovascular diseases. Some studies found a direct association between chronic gastritis caused by Helicobacter pylori (HP) infection and poor periodontal health. METHODS In a cross-sectional study from November 2014 to December 2015 in Kerman, the largest province in southeast Iran, patients with dyspepsia who were candidate for diagnostic upper gastrointes...

  8. Mortality among white, black, and Hispanic male and female state prisoners, 2001–2009

    Directory of Open Access Journals (Sweden)

    Christopher Wildeman

    2016-12-01

    Full Text Available Although much research considers the relationship between imprisonment and mortality, little existing research has tested whether the short-term mortality advantage enjoyed by prisoners extends to Hispanics. We compared the mortality rates of non-Hispanic white, non-Hispanic black, and Hispanic male and female state prisoners to mortality rates in the general population using data from the Deaths in Custody Reporting Program, the National Prisoner Statistics, the National Corrections Reporting Program, and the Centers for Disease Control and Prevention. The results indicate that the mortality advantage for prisoners was greatest for black males, followed by black females, Hispanic males, white females, and white males. Hispanic female prisoners were the only group not at a mortality advantage relative to the general population, with an SMR of 1.18 [95% CI: 0.93–1.43]. Taken together, the results suggest that future research should seek to better understand the curious imprisonment–mortality relationship among Hispanic females, although given the small number of inmate deaths that happen to this group (~0.6%, this research should not detract from broader research on imprisonment and mortality. Keywords: Imprisonment, Mortality, Population health, Racial disparities

  9. Suicide and other causes of mortality in bipolar disorder: a longitudinal study.

    Science.gov (United States)

    Dutta, Rina; Boydell, Jane; Kennedy, Noel; VAN Os, Jim; Fearon, Paul; Murray, Robin M

    2007-06-01

    The high risk of suicide in bipolar disorder is well recognized, but may have been overestimated. There is conflicting evidence about deaths from other causes and little known about risk factors for suicide. We aimed to estimate suicide and mortality rates in a cohort of bipolar patients and to identify risk factors for suicide. All patients who presented for the first time with a DSM-IV diagnosis of bipolar I disorder in a defined area of southeast London over a 35-year period (1965-1999) were identified. Mortality rates were compared with those of the 1991 England and Wales population, indirectly standardized for age and gender. Univariate and multivariate analyses were used to test potential risk factors for suicide. Of the 239 patients in the cohort, 235 (98.3%) were traced. Forty-two died during the 4422 person-years of follow-up, eight from suicide. The standardized mortality ratio (SMR) for suicide was 9.77 [95% confidence interval (CI) 4.22-19.24], which, although significantly elevated compared to the general population, represented a lower case fatality than expected from previous literature. Deaths from all other causes were not excessive for the age groups studied in this cohort. Alcohol abuse [hazard ratio (HR) 6.81, 95% CI 1.69-27.36, p=0.007] and deterioration from pre-morbid level of functioning up to a year after onset (HR 5.20, 95% CI 1.24-21.89, p=0.024) were associated with increased risk of suicide. Suicide is significantly increased in unselected bipolar patients but actual case fatality is not as high as previously claimed. A history of alcohol abuse and deterioration in function predict suicide in bipolar disorder.

  10. The Nature of Values Education in Southeast Asia.

    Science.gov (United States)

    Thomas, R. Murray

    In recent years, concern in several Southeast Asian nations about the deterioration of values within their societies has resulted in renewed efforts to teach values by means of special courses in the schools. This paper compares the current programs of values education in four of the nations: Indonesia, Malaysia, the Phillipines, and Singapore.…

  11. Use of Sleep Medications and Mortality: The Hordaland Health Study.

    Science.gov (United States)

    Sivertsen, Børge; Madsen, Ida E H; Salo, Paula; Tell, Grethe S; Øverland, Simon

    2015-06-01

    Previous research suggests a possible link between the use of sleep medications and mortality, but findings are mixed and well-controlled community-based studies are lacking. The aim of the current study was to examine the prospective association between sleep medications and all-cause mortality. Using a cohort design with 13-15 years of follow-up, we linked self-reported medication use and data on possible confounders from the Hordaland Health Study (HUSK N = 21,826) obtained over the period 1997-1999 to mortality data from the Norwegian Cause of Death Registry. Users of sleep medications (n = 159) were defined as those reporting intake of any prescribed sleep medication (coded according to the Anatomical Therapeutic Chemical [ATC] classification system) on the day before participation in HUSK. Users of sleep medications were also asked if their intake was on a daily or a non-daily basis. Analyses presented are adjusted for sociodemographic and lifestyle factors, mental and physical health, and other medication use. We found that both type and frequency of sleep medication use were associated with increased general mortality risk. Compared with participants not using sleep medications, those who reported any use had a twofold risk for mortality (95 % confidence interval [CI] 1.1-3.7); the hazard ratio (HR) was 2.9 (95 % CI 1.4-5.9) for daily and 1.1 (95 % CI 0.3-3.4) for non-daily users. Mortality risk was higher for benzodiazepines (HR 3.1; 95 % CI 1.3-7.6), but not significant for short-acting benzodiazepine agonists (HR 1.5; 95 % CI 0.7-3.5). Community dwellers who use sleep medications, particularly benzodiazepines, had a significantly increased risk of dying during the 13-15 years of follow-up. The low numbers of individuals reporting chronic usage indicate that the data should be interpreted with great caution, and more well-controlled studies with registry-based information on sleep medication use are needed to further examine the potential

  12. Bentall procedure in ascending aortic aneurysm: hospital mortality.

    Science.gov (United States)

    Galicia-Tornell, Matilde Myriam; Marín-Solís, Bertha; Fuentes-Orozco, Clotilde; Martínez-Martínez, Manuel; Villalpando-Mendoza, Esteban; Ramírez-Orozco, Fermín

    2010-01-01

    Ascending aortic aneurysm disease (AAAD) shows a low frequency, heterogeneous behavior, high risk of rupture, dissection and mortality, making elective surgery necessary. Several procedures have been developed, and the Bentall technique is considered as the reference standard. The objective was to describe the hospital mortality of AAAD surgically treated using the Bentall procedure. We carried out a descriptive study. Included were 23 patients with AAAD who were operated on between March 1, 2005 and September 30, 2008 at our hospital. Data were obtained from clinical files, and descriptive statistics were selected for analysis. The study population was comprised of 23 patients with an average age of 46 years; 83% were males. Etiology was nonspecific degeneration of the middle layer with valve implication in 43%, bivalve aorta in 22%, Marfan syndrome, Turner's syndrome and poststenotic aneurysms each represented 9%, and Takayasu disease and ankylosing spondylitis 4% each. Associated heart disease was reported in six (26%) patients as follows: aortic coarctation (2), ischemic cardiopathy (1), atrial septal defect (1), severe mitral insufficiency (1) and subaortic membrane (1). Procedures carried out were Bentall surgery in 20 (87%) patients and aortoplasty with valve prosthesis in three (13%) patients. Complications reported were abnormal bleeding with mediastinal exploration (17%), nosocomial pneumonia (13%), arrhythmia (13%), and septic shock (9%). Mortality was reported in three (13%) patients due to septic shock and ventricular fibrillation. Surgical mortality with the Bentall procedure is similar to published results by other specialized centers. Events related to the basic aortic pathology, surgical technique, aortic valve prosthesis and left ventricular dysfunction encourage longterm studies with follow-up.

  13. First record of the silver-cheeked toad fish Lagocephalus scleratus (Gmelin, 1789 (Actinopterygii: Tetraodontidae from Chennai coastal waters, Southeast India

    Directory of Open Access Journals (Sweden)

    Krishnan Silambarasan

    2017-04-01

    Full Text Available The silver-cheeked toad fish, Lagocephalus scleratus, was recorded for the first time on 25 September 2014. Two specimens of this fish species were collected from the by-catch landed by a commercial deep-sea trawler at Kasimedu Fishing Harbour, Chennai coast, Southeast India. The morphometric and meristic characters of the recorded specimens are described and discussed. The specimen was compared with earlier reports.

  14. Infant Mortality Statistics From the 2013 Period Linked Birth/Infant Death Data Set.

    Science.gov (United States)

    Matthews, T J; MacDorman, Marian F; Thoma, Marie E

    2015-08-06

    This report presents 2013 period infant mortality statistics from the linked birth/infant death data set (linked file) by maternal and infant characteristics. The linked file differs from the mortality file, which is based entirely on death certificate data. Descriptive tabulations of data are presented and interpreted. The U.S. infant mortality rate was 5.96 infant deaths per 1,000 live births in 2013, similar to the rate of 5.98 in 2012. The number of infant deaths was 23,446 in 2013, a decline of 208 infant deaths from 2012. From 2012 to 2013, infant mortality rates were stable for most race and Hispanic origin groups; declines were reported for two Hispanic subgroups: Cuban and Puerto Rican. Since 2005, the most recent high, the U.S. infant mortality rate has declined 13% (from 6.86), with declines in both neonatal and postneonatal mortality overall and for most groups. In 2013, infants born at 37–38 weeks of gestation (early term) had mortality rates that were 63% higher than for full-term (39–40 week) infants. For multiple births, the infant mortality rate was 25.84, 5 times the rate of 5.25 for singleton births. In 2013, 36% of infant deaths were due to preterm-related causes of death, and an additional 15% were due to causes grouped into the sudden unexpected infant death category. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  15. Educational inequalities in tuberculosis mortality in sixteen European populations

    Science.gov (United States)

    Álvarez, J. L.; Kunst, A. E.; Leinsalu, M.; Bopp, M.; Strand, B. H.; Menvielle, Gwenn; Lundberg, O.; Martikainen, P.; Deboosere, P.; Kalediene, R.; Artnik, B.; Mackenbach, J. P.; Richardus, J. H.

    2011-01-01

    Objective We aim to describe the magnitude of socioeconomic inequalities in tuberculosis (TB) mortality by level of education in male, female, urban, and rural populations in several European countries. Design Data were obtained from the Eurothine project covering 16 populations between 1990 and 2003. Age- and sex-standardized mortality rates, the Relative Index of Inequality, and the slope index of inequality were used to assess educational inequalities. Results The number of TB deaths reported was 8530, with a death rate of 3 per 100 000 per year, of which 73% were males. Educational inequalities in TB mortality were present in all European populations. Inequalities in TB mortality were larger than in total mortality. Relative and absolute inequalities were large in Eastern Europe, and Baltic countries but relatively small in Southern countries and in Norway, Finland, and Sweden. Mortality inequalities were observed among both men and women, and in both rural and urban populations. Conclusions Socioeconomic inequalities in TB mortality exist in all European countries. Firm political commitment is required to reduce inequalities in the social determinants of TB incidence. Targeted public health measures are called for to improve vulnerable groups’ access to treatment and thereby reduce TB mortality. PMID:22008757

  16. Challenges of Green Logistics in Southeast Europe

    OpenAIRE

    Beškovnik, Bojan; Jakomin, Livio

    2010-01-01

    This paper describes the trends towards green logistics in global aspect and challenges of adopting green logistics in the region of Southeast Europe. Modern logistics with supply chain management is experiencing a period of important evolution. From reversible logistics, we came to green logistics, which is a wider concept of environmentally friendly thinking. Reverse logistics includes processes of movements and transportation of waste from users to recycling plants; meanwhile, green logist...

  17. Global trends in testicular cancer incidence and mortality.

    Science.gov (United States)

    Rosen, Alexandre; Jayram, Gautam; Drazer, Michael; Eggener, Scott E

    2011-08-01

    Epidemiologic studies on testicular cancer have focused primarily on European countries. Global incidence and mortality have been less thoroughly evaluated. Our goal was to gain a better understanding of the most recent global age-standardized incidence and mortality rates for testicular cancer and to use these values to estimate a region's health care quality. Age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) for testicular cancer were obtained for men of all ages in 172 countries by using the GLOBOCAN 2008 database, reflecting the annual rate of cancer incidence and mortality per 100,000 men. These data were evaluated on a regional level to compare incidence and mortality rates. Global plots of these values were constructed to better visualize geographic distributions. Finally, the ratio of ASIR to ASMR was calculated as a method to assess each region's proficiency in diagnosing and effectively treating testicular cancer. ASIR and ASMR were analyzed by region, and each region's ratio of ASIR to ASMR was calculated. Testicular cancer ASIR is highest in Western Europe (7.8%), Northern Europe (6.7%), and Australia (6.5%). Asia and Africa had the lowest incidence (ASMR was highest in Central America (0.7%), western Asia (0.6%), and Central and Eastern Europe (0.6%). Mortality was lowest in North America, Northern Europe, and Australia (0.1-0.2%). The ASIR-ASMR ratio was highest in Australia (65.0%) and lowest in western Africa (1.0%). National reporting systems varied by country, and data quality may have fluctuated between regions. Testicular cancer incidence remains highest in developed nations with primarily Caucasian populations. Variable ASIR-ASMR ratios suggest markedly different geographic-specific reporting mechanisms, access to care, and treatment capabilities. Copyright © 2011 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  18. All-Cause and Cause-Specific Mortality Associated with Bariatric Surgery: A Review.

    Science.gov (United States)

    Adams, Ted D; Mehta, Tapan S; Davidson, Lance E; Hunt, Steven C

    2015-12-01

    The question of whether or not nonsurgical intentional or voluntary weight loss results in reduced mortality has been equivocal, with long-term mortality following weight loss being reported as increased, decreased, and not changed. In part, inconsistent results have been attributed to the uncertainty of whether the intentionality of weight loss is accurately reported in large population studies and also that achieving significant and sustained voluntary weight loss in large intervention trials is extremely difficult. Bariatric surgery has generally been free of these conflicts. Patients voluntarily undergo surgery and the resulting weight is typically significant and sustained. These elements, combined with possible non-weight loss-related mechanisms, have resulted in improved comorbidities, which likely contribute to a reduction in long-term mortality. This paper reviews the association between bariatric surgery and long-term mortality. From these studies, the general consensus is that bariatric surgical patients have: 1) significantly reduced long-term all-cause mortality when compared to severely obese non-bariatric surgical control groups; 2) greater mortality when compared to the general population, with the exception of one study; 3) reduced cardiovascular-, stroke-, and cancer-caused mortality when compared to severely obese non-operated controls; and 4) increased risk for externally caused death such as suicide.

  19. Design and methods of the Southeast Stream Quality Assessment (SESQA), 2014

    Science.gov (United States)

    Journey, Celeste A.; Van Metre, Peter C.; Bell, Amanda H.; Button, Daniel T.; Garrett, Jessica D.; Nakagaki, Naomi; Qi, Sharon L.; Bradley, Paul M.

    2015-07-15

    During 2014, the U.S. Geological Survey (USGS) National Water-Quality Assessment Program (NAWQA) assessed stream quality across the Piedmont and southern Appalachian Mountain regions of the southeastern United States. This Southeast Stream Quality Assessment (SESQA) simultaneously characterized watershed and stream-reach water-quality stressors along with instream biological conditions, in order to better understand regional stressor-effects relations. The goal of SESQA is to provide communities and policymakers with information about those human and environmental factors that have the greatest impact on stream quality across the region. The SESQA design focused on hydrologic alteration and urbanization because of their importance as ecological stressors of particular concern to Southeast region resource managers.

  20. Association of interleukin-1 receptor antagonist VNTR polymorphism and risk of pre-eclampsia in southeast Iranian population.

    Science.gov (United States)

    Salimi, Saeedeh; Mohammadoo-Khorasani, Milad; Mousavi, Mahdieh; Yaghmaei, Minoo; Mokhtari, Mojgan; Farajian-Mashhadi, Farzaneh

    2016-02-01

    Pre-eclampsia (PE) is an obstetric disorder that may result in maternal and neonatal mortality and morbidity. Growing evidence indicates that cytokines, such as interleukins, are involved in the pathogenesis of this complication. Hence the current study aimed to assess the possible association between interleukin-1 receptor antagonist (IL-1Ra) VNTR polymorphism, and PE susceptibility in southeast Iranian women. The IL-Ra VNTR polymorphism was evaluated in 192 PE women and 186 age-matched normotensive pregnant women by the polymerase chain reaction method. The frequency of the A2 allele and the A2A2 genotype of IL-Ra VNTR polymorphism was significantly lower in PE patients compared to controls: therefore, A2 allele may play a protective role in PE development (odds ratio = 0.13 95% CI, [0.04-0.03]; P VNTR polymorphism and severity of the disease. The A2 allele of the IL-Ra VNTR polymorphism could be a protective factor for PE susceptibility. © 2015 Japan Society of Obstetrics and Gynecology.

  1. The Integration of Climate Science and Collaborative Processes in Building Regional Climate Resiliency in Southeast Florida

    Science.gov (United States)

    Jurado, J.

    2016-12-01

    Southeast Florida is widely recognized as one of the most vulnerable regions in the United States to the impacts of climate change, especially sea level rise. Dense urban populations, low land elevations, flat topography, complex shorelines and a porous geology all contribute to the region's challenges. Regional and local governments have been working collaboratively to address shared climate mitigation and adaptation concerns as part of the four-county Southeast Florida Regional Climate Change Compact (Compact). This partnership has emphasized, in part, the use of climate data and the development of advanced technical tools and visualizations to help inform decision-making, improve communications, and guide investments. Prominent work products have included regional vulnerability maps and assessments, a unified sea level rise projection for southeast Florida, the development and application of hydrologic models in scenario planning, interdisciplinary resilient redesign planning workshops, and the development of regional climate indicators. Key to the Compact's efforts has been the engagement and expertise of academic and agency partners, including a formal collaboration between the Florida Climate Institute and the Compact to improve research and project collaborations focused on southeast Florida. This presentation will focus on the collaborative processes and work products that have served to accelerate resiliency planning and investments in southeast Florida, with specific examples of how local governments are using these work products to modernize agency processes, and build support among residents and business leaders.

  2. New trends in the anthropology of Southeast Asia

    NARCIS (Netherlands)

    Kleinen, J.

    2013-01-01

    This article addresses the question, is there such an entity as a separate field of the anthropology of Southeast Asia? Has the crisis in anthropology in the 1970s and ‘the literary turn’ of the 1980s led to a renewed interest in area studies? A number of topics that originally belonged to the field

  3. The Prosea Programme (Plant Resources of Southeast Asia)

    NARCIS (Netherlands)

    Jansen, P.C.M.

    1995-01-01

    Dr. A.J.G.H. Kostermans (BO) died on 10 July 1994. He became 88 years old and was buried in the Bogor Botanical Garden, close to the plants and the herbarium to which he devoted most of his life. The life and work of ‘Dok’ are well known to Southeast Asian botanists and various obituaries appeared

  4. Downed woody material in southeast Alaska forest stands.

    Science.gov (United States)

    Frederic R. Larson

    1992-01-01

    Data collected in conjunction with the multiresource inventory of southeast Alaska in 1985-86 included downed wood along 234 transects at 60 locations. Transects occurred in 11 forest types and 19 plant associations within the entire southeastern Alaska archipelago. Downed wood weights in forest types ranged from 1232 kilograms per hectare (0.6 ton per acre) in muskeg...

  5. Southeast Asian oil markets and refining

    Energy Technology Data Exchange (ETDEWEB)

    Yamaguchi, N.D. [FACTS, Inc., Honolulu, Hawaii (United States)

    1999-09-01

    An overview of the Southeast Asian oil markets and refining is presented concentrating on Brunei, Malaysia, the Philippines, Singapore and Thailand refiners. Key statistics of the refiners in this region are tabulated. The demand and the quality of Indonesian, Malaysian, Philippine, Singapore and Thai petroleum products are analysed. Crude distillation unit capacity trends in the Southeastern Asian refining industry are discussed along with cracking to distillation ratios, refining in these countries, and the impact of changes in demand and refining on the product trade.

  6. Southeast Asian oil markets and refining

    International Nuclear Information System (INIS)

    Yamaguchi, N.D.

    1999-01-01

    An overview of the Southeast Asian oil markets and refining is presented concentrating on Brunei, Malaysia, the Philippines, Singapore and Thailand refiners. Key statistics of the refiners in this region are tabulated. The demand and the quality of Indonesian, Malaysian, Philippine, Singapore and Thai petroleum products are analysed. Crude distillation unit capacity trends in the Southeastern Asian refining industry are discussed along with cracking to distillation ratios, refining in these countries, and the impact of changes in demand and refining on the product trade

  7. Manatee mortality in Puerto Rico

    Science.gov (United States)

    Mignucci-Giannoni, A. A.; Montoya-Ospina, R. A.; Jimenez-Marrero, N. M.; Rodriguez-Lopez, M.; Williams, E.H.; Bonde, R.K.

    2000-01-01

    The most pressing problem in the effective management of the West Indian manatee (Trichechus manatus) in Puerto Rico is mortality due to human activities. We assessed 90 cases of manatee strandings in Puerto Rico based on historical data and a coordinated carcass salvage effort from 1990 through 1995. We determined patterns of mortality, including type of event, condition of carcasses, spatial and temporal distribution, gender, size/age class, and the cause of death. The spatial distribution of stranding events was not uniform, with the north, northeast, and south coasts having the highest numbers. Six clusters representing the highest incidence included the areas of Fajardo and Ceiba, Bahia de Jobos, Toa Baja, Guayanilla, Cabo Rojo, and Rio Grande to Luquillo. The number of reported cases has increased at an average rate of 9.6%/yr since 1990. The seasonality of stranding events showed a bimodal pattern, from February through April and in August and September. Most identified causes of death were due to human interaction, especially captures and watercraft collisions. Natural causes usually involved dependent calves. From 1990 through 1995, most deaths were attributed to watercraft collisions. A reduction in anthropogenic mortality of this endangered species can be accomplished only through education and a proactive management and conservation plan that includes law enforcement, mortality assessment, scientific research, rescue and rehabilitation, and inter- and intraagency cooperation.

  8. Carbon Sequestration and Carbon Capture and Storage (CCS) in Southeast Asia

    Science.gov (United States)

    Hisyamudin Muhd Nor, Nik; Norhana Selamat, Siti; Hanif Abd Rashid, Muhammad; Fauzi Ahmad, Mohd; Jamian, Saifulnizan; Chee Kiong, Sia; Fahrul Hassan, Mohd; Mohamad, Fariza; Yokoyama, Seiji

    2016-06-01

    Southeast Asia is a standout amongst the most presented districts to unnatural weather change dangers even they are not principle worldwide carbon dioxide (CO2) maker, its discharge will get to be significant if there is no move made. CO2 wellsprings of Southeast Asia are mainly by fossil fuel through era of power and warmth generation, and also transportation part. The endeavors taken by these nations can be ordered into administrative and local level. This paper review the potential for carbon catch and capacity (CCS) as a part of the environmental change moderation system for the Malaysian power area utilizing an innovation appraisal structure. The country's recorded pattern of high dependence on fossil fuel for its power segment makes it a prime possibility for CCS reception. This issue leads to gradual increment of CO2 emission. It is evident from this evaluation that CCS can possibly assume a vital part in Malaysia's environmental change moderation methodology gave that key criteria are fulfilled. With the reason to pick up considerations from all gatherings into the earnestness of an Earth-wide temperature boost issue in Southeast Asia, assume that more efficient measures can be taken to effectively accomplish CO2 diminishment target.

  9. Carbon Sequestration and Carbon Capture and Storage (CCS) in Southeast Asia

    International Nuclear Information System (INIS)

    Muhd Nor, Nik Hisyamudin; Selamat, Siti Norhana; Abd Rashid, Muhammad Hanif; Ahmad, Mohd Fauzi; Jamian, Saifulnizan; Kiong, Sia Chee; Hassan, Mohd Fahrul; Mohamad, Fariza; Yokoyama, Seiji

    2016-01-01

    Southeast Asia is a standout amongst the most presented districts to unnatural weather change dangers even they are not principle worldwide carbon dioxide (CO_2) maker, its discharge will get to be significant if there is no move made. CO_2 wellsprings of Southeast Asia are mainly by fossil fuel through era of power and warmth generation, and also transportation part. The endeavors taken by these nations can be ordered into administrative and local level. This paper review the potential for carbon catch and capacity (CCS) as a part of the environmental change moderation system for the Malaysian power area utilizing an innovation appraisal structure. The country's recorded pattern of high dependence on fossil fuel for its power segment makes it a prime possibility for CCS reception. This issue leads to gradual increment of CO2 emission. It is evident from this evaluation that CCS can possibly assume a vital part in Malaysia's environmental change moderation methodology gave that key criteria are fulfilled. With the reason to pick up considerations from all gatherings into the earnestness of an Earth-wide temperature boost issue in Southeast Asia, assume that more efficient measures can be taken to effectively accomplish CO2 diminishment target. (paper)

  10. Carbapenem-Resistant Acinetobacter baumannii and Enterobacteriaceae in South and Southeast Asia

    Science.gov (United States)

    Apisarnthanarak, Anucha; Khan, Erum; Ghafur, Abdul

    2016-01-01

    SUMMARY Carbapenem-resistant Gram-negative bacteria, in particular the Acinetobacter baumannii-calcoaceticus complex and Enterobacteriaceae, are escalating global public health threats. We review the epidemiology and prevalence of these carbapenem-resistant Gram-negative bacteria among countries in South and Southeast Asia, where the rates of resistance are some of the highest in the world. These countries house more than a third of the world's population, and several are also major medical tourism destinations. There are significant data gaps, and the almost universal lack of comprehensive surveillance programs that include molecular epidemiologic testing has made it difficult to understand the origins and extent of the problem in depth. A complex combination of factors such as inappropriate prescription of antibiotics, overstretched health systems, and international travel (including the phenomenon of medical tourism) probably led to the rapid rise and spread of these bacteria in hospitals in South and Southeast Asia. In India, Pakistan, and Vietnam, carbapenem-resistant Enterobacteriaceae have also been found in the environment and community, likely as a consequence of poor environmental hygiene and sanitation. Considerable political will and effort, including from countries outside these regions, are vital in order to reduce the prevalence of such bacteria in South and Southeast Asia and prevent their global spread. PMID:27795305

  11. The Rescue and Rehabilitation of Koalas (Phascolarctos cinereus in Southeast Queensland

    Directory of Open Access Journals (Sweden)

    Emily Burton

    2016-09-01

    Full Text Available Koala populations in southeast Queensland are under threat from many factors, particularly habitat loss, dog attack, vehicle trauma and disease. Animals not killed from these impacts are often rescued and taken into care for rehabilitation, and eventual release back to the wild if deemed to be healthy. This study investigated current rescue, rehabilitation and release data for koalas admitted to the four major wildlife hospitals in southeast Queensland (Australia Zoo Wildlife Hospital (AZWH, Currumbin Wildlife Sanctuary Hospital (CWH, Moggill Koala Hospital (MKH and the Royal Society for the Prevention Against Cruelty to Animals Wildlife Hospital at Wacol (RSPCA, and suggests aspects of the practice that may be changed to improve its contribution to the preservation of the species. It concluded that: (a the main threats to koalas across southeast Queensland were related to urbanization (vehicle collisions, domestic animal attacks and the disease chlamydiosis; (b case outcomes varied amongst hospitals, including time spent in care, euthanasia and release rates; and (c the majority (66.5% of rescued koalas were either euthanized or died in care with only 27% released back to the wild. The results from this study have important implications for further research into koala rescue and rehabilitation to gain a better understanding of its effectiveness as a conservation strategy.

  12. Carbapenem-Resistant Acinetobacter baumannii and Enterobacteriaceae in South and Southeast Asia.

    Science.gov (United States)

    Hsu, Li-Yang; Apisarnthanarak, Anucha; Khan, Erum; Suwantarat, Nuntra; Ghafur, Abdul; Tambyah, Paul Anantharajah

    2017-01-01

    Carbapenem-resistant Gram-negative bacteria, in particular the Acinetobacter baumannii-calcoaceticus complex and Enterobacteriaceae, are escalating global public health threats. We review the epidemiology and prevalence of these carbapenem-resistant Gram-negative bacteria among countries in South and Southeast Asia, where the rates of resistance are some of the highest in the world. These countries house more than a third of the world's population, and several are also major medical tourism destinations. There are significant data gaps, and the almost universal lack of comprehensive surveillance programs that include molecular epidemiologic testing has made it difficult to understand the origins and extent of the problem in depth. A complex combination of factors such as inappropriate prescription of antibiotics, overstretched health systems, and international travel (including the phenomenon of medical tourism) probably led to the rapid rise and spread of these bacteria in hospitals in South and Southeast Asia. In India, Pakistan, and Vietnam, carbapenem-resistant Enterobacteriaceae have also been found in the environment and community, likely as a consequence of poor environmental hygiene and sanitation. Considerable political will and effort, including from countries outside these regions, are vital in order to reduce the prevalence of such bacteria in South and Southeast Asia and prevent their global spread. Copyright © 2016 American Society for Microbiology.

  13. The Rescue and Rehabilitation of Koalas (Phascolarctos cinereus) in Southeast Queensland.

    Science.gov (United States)

    Burton, Emily; Tribe, Andrew

    2016-09-15

    Koala populations in southeast Queensland are under threat from many factors, particularly habitat loss, dog attack, vehicle trauma and disease. Animals not killed from these impacts are often rescued and taken into care for rehabilitation, and eventual release back to the wild if deemed to be healthy. This study investigated current rescue, rehabilitation and release data for koalas admitted to the four major wildlife hospitals in southeast Queensland (Australia Zoo Wildlife Hospital (AZWH), Currumbin Wildlife Sanctuary Hospital (CWH), Moggill Koala Hospital (MKH) and the Royal Society for the Prevention Against Cruelty to Animals Wildlife Hospital at Wacol (RSPCA)), and suggests aspects of the practice that may be changed to improve its contribution to the preservation of the species. It concluded that: (a) the main threats to koalas across southeast Queensland were related to urbanization (vehicle collisions, domestic animal attacks and the disease chlamydiosis); (b) case outcomes varied amongst hospitals, including time spent in care, euthanasia and release rates; and (c) the majority (66.5%) of rescued koalas were either euthanized or died in care with only 27% released back to the wild. The results from this study have important implications for further research into koala rescue and rehabilitation to gain a better understanding of its effectiveness as a conservation strategy.

  14. Improving suicide mortality statistics in Tarragona (Catalonia, Spain) between 2004-2012.

    Science.gov (United States)

    Barbería, Eneko; Gispert, Rosa; Gallo, Belén; Ribas, Gloria; Puigdefàbregas, Anna; Freitas, Adriana; Segú, Elena; Torralba, Pilar; García-Sayago, Francisco; Estarellas, Aina

    2016-07-20

    Monitoring and preventing suicidal behaviour requires, among other data, knowing suicide deaths precisely. They often appear under-reported or misclassified in the official mortality statistics. The aim of this study is to analyse the under-reporting found in the suicide mortality statistics of Tarragona (a province of Catalonia, Spain). The analysis takes into account all suicide deaths that occurred in the Tarragona Area of the Catalan Institute of Legal Medicine and Forensic Sciences (TA-CILMFS) between 2004 and 2012. The sources of information were the death data files of the Catalan Mortality Register, as well as the Autopsies Files of the TA-CILMFS. Suicide rates and socio-demographic profiles were statistically compared between the suicide initially reported and the final one. The mean percentage of non-reported cases in the period was 16.2%, with a minimum percentage of 2.2% in 2005 and a maximum of 26.8% in 2009. The crude mortality rate by suicide rose from 6.6 to 7.9 per 100,000 inhabitants once forensic data were incorporated. Small differences were detected between the socio-demographic profile of the suicide initially reported and the final one. Supplementary information was obtained on the suicide method, which revealed a significant increase in poisoning and suicides involving trains. An exhaustive review of suicide deaths data from forensic sources has led to an improvement in the under-reported statistical information. It also improves the knowledge of the method of suicide and personal characteristics. Copyright © 2016 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. Development of silvicultural systems for maintaining old-growth conditions in the temperate rainforest of southeast Alaska.

    Science.gov (United States)

    Michael H. McClellan

    2004-01-01

    In the old-growth temperate rainforests of southeast Alaska, concerns over clearcutting effects on habitat, visual quality, slope stability, and biodiversity have created a demand for the use of other silvicultural systems. The forest vegetation and animal taxa of southeast Alaska appear to be well adapted to frequent, widespread, small-scale disturbance, suggesting...

  16. Corruption in the Balkans: An Examination of the Ties Between Government and Crime in Several Southeast European Countries

    Science.gov (United States)

    2013-12-01

    into a haven for organized crime and became one of the most corrupt regions on the planet since many countries within Southeast Europe endured both of...Hodak, 26 years of age, had seemingly been shot to death as a message to her father. Astonishingly, police pinned the murder on a lone homeless man...Asian—the two most corrupt regions on the planet — averages. The corruption problem is also all encompassing, with the UNODC reporting in 2006 that an

  17. 75 FR 39918 - Fisheries of the South Atlantic and Gulf of Mexico; Southeast Data, Assessment, and Review (SEDAR...

    Science.gov (United States)

    2010-07-13

    ...-4366. SUPPLEMENTARY INFORMATION: The Gulf of Mexico, South Atlantic, and Caribbean Fishery Management... Management Councils and NOAA Fisheries Southeast Regional Office and Southeast Fisheries Science Center... researchers; constituency representatives including fishermen, environmentalists, and NGO's; International...

  18. Doctor-patient communication in Southeast Asia: a different culture?

    NARCIS (Netherlands)

    Claramita, M.; Nugraheni, M.D.; Dalen, J. Van; Vleuten, C.P.M. van der

    2013-01-01

    Studies of doctor-patient communication generally advocate a partnership communication style. However, in Southeast Asian settings, we often see a more one-way style with little input from the patient. We investigated factors underlying the use of a one-way consultation style by doctors in a

  19. Cultural Patterns of South Asian and Southeast Asian Americans.

    Science.gov (United States)

    Mathews, Rachel

    2000-01-01

    An overview of South Asian and Southeast Asian Americans is discussed to aid teachers in understanding behaviors exhibited by Asian students. Culture influences in the following areas are explored: family relationships, respect for age, social interaction, communication style, family expectations, humility, school situations, decision making, and…

  20. Promising Practices in Drug Treatment: Findings from Southeast Asia

    Science.gov (United States)

    Libretto, Salvatore; Nemes, Susanna; Namur, Jenny; Garrett, Gerald; Hess, Lauren; Kaplan, Linda

    2005-01-01

    In a study to evaluate the drug treatment and aftercare efforts sponsored by the State Department's International Narcotics and Law Enforcement Affairs Bureau, residential Therapeutic Community (TC) treatment programs in three countries in Southeast Asia--Malaysia, Singapore, and Thailand--were examined to identify promising practices and to…