The economic impact of pig-associated parasitic zoonosis in Northern Lao PDR.

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Choudhury, Adnan Ali Khan; Conlan, James V; Racloz, Vanessa Nadine; Reid, Simon Andrew; Blacksell, Stuart D; Fenwick, Stanley G; Thompson, Andrew R C; Khamlome, Boualam; Vongxay, Khamphouth; Whittaker, Maxine

2013-03-01

The parasitic zoonoses human cysticercosis (Taenia solium), taeniasis (other Taenia species) and trichinellosis (Trichinella species) are endemic in the Lao People's Democratic Republic (Lao PDR). This study was designed to quantify the economic burden pig-associated zoonotic disease pose in Lao PDR. In particular, the analysis included estimation of the losses in the pork industry as well as losses due to human illness and lost productivity. A Markov-probability based decision-tree model was chosen to form the basis of the calculations to estimate the economic and public health impacts of taeniasis, trichinellosis and cysticercosis. Two different decision trees were run simultaneously on the model's human cohort. A third decision tree simulated the potential impacts on pig production. The human capital method was used to estimate productivity loss. The results found varied significantly depending on the rate of hospitalisation due to neurocysticerosis. This study is the first systematic estimate of the economic impact of pig-associated zoonotic diseases in Lao PDR that demonstrates the significance of the diseases in that country.

Enhancing Laos Students' Understanding of Nature of Science in Physics Learning about Atom for Peace

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Sengdala, Phoxay; Yuenyong, Chokchai

2014-01-01

This paper aimed to study of Grade 12 students' understanding of nature of science in learning about atom for peace through science technology and society (STS) approach. Participants were 51 Grade 12 who study in Thongphong high school Vientiane Capital City Lao PDR, 1st semester of 2012 academic year. This research regarded interpretive…

Maternity waiting homes in Southern Lao PDR: the unique 'silk home'.

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Eckermann, Elizabeth; Deodato, Giovanni

2008-10-01

The concept of maternity waiting homes (MWH) has a long history spanning over 100 years. The research reported here was conducted in the Thateng District of Sekong Province in southern Lao People's Democratic Republic (PDR) to establish whether the MWH concept would be affordable, accessible, and most importantly acceptable, as a strategy to improve maternal outcomes in the remote communities of Thateng with a high proportion of the population from ethnic minority groups. The research suggested that there were major barriers to minority ethnic groups using existing maternal health services (reflected in very low usage of trained birth attendants and hospitals and clinics) in Thateng. Unless MWH are adapted to overcome these potential barriers, such initiatives will suffer the same fate as existing maternal facilities. Consequently, the Lao iteration of the concept, as operationalized in the Silk Homes project in southern Lao PDR is unique in combining maternal and infant health services with opportunities for micro credit and income generating activities and allowing non-harmful traditional practices to co-exist alongside modern medical protocols. These innovative approaches to the MWH concept address the major economic, social and cultural barriers to usage of safe birthing options in remote communities of southern Lao PDR.

Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution

Directory of Open Access Journals (Sweden)

Durham J

2018-05-01

Full Text Available Jo Durham,1 Alongkone Phengsavanh,2 Vanphanom Sychareun,2 Isaac Hose,1 Viengnakhone Vongxay,2 Douangphachanh Xaysomphou,2 Keith Rickart3 1Faculty of Medicine, School of Public Health, University of Queensland, Brisbane, Queensland, Australia; 2Faculty of Post-Graduate Studies, University of Health Sciences, Vientiane, Lao PDR; 3Communicable Diseases Branch, Department of Health, Brisbane, Queensland, Australia Purpose: The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People’s Democratic Republic (PDR, by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH. The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR.Methods: This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing. Interviews (n=25 were undertaken with stakeholders at the central, provincial, and district levels and with community members in five rural communities in Oudomxay, a province with high rates of maternal mortality. Focus group discussions (n=5 were undertaken in each community.Results: Respondents agreed that PPH was the major cause of preventable maternal mortality with community distribution of misoprostol an acceptable and feasible interim preventative solution. Strong leadership, training, and community mobilization were identified as critical success factors. While several participants preferred midwives to distribute misoprostol, given the limited availability of midwives, there was a general agreement that village health workers or other lower level workers could safely administer misoprostol. Many key stakeholders, including women themselves, considered that these

Determinants of consistent condom use among female sex workers in Savannakhet, Lao PDR

OpenAIRE

Andrews, Carin Hillerdal; Faxelid, Elisabeth; Sychaerun, Vanphanom; Phrasisombath, Ketkesone

2015-01-01

Background Female sex workers (FSWs) are a high-risk population for HIV. Correct and consistent use of condoms is the most effective measure for reducing transmission of HIV. Lao PDR is a low HIV-prevalence country, but FSWs have a relatively high HIV prevalence. To be able to make recommendations for condom promotion interventions in Lao PDR it is important to know more about the context specific situation. This study looked at reasons for and associated factors of consistent condom use amon...

Revolving drug funds at front-line health facilities in Vientiane, Lao PDR.

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Murakami, H; Phommasack, B; Oula, R; Sinxomphou, S

2001-03-01

Pharmaceutical cost recovery programmes, which have been mainly implemented in Africa, are gradually spreading to Southeast Asian countries that formerly belonged to the socialist bloc. This report describes the economic and operational realities of revolving drug funds (RDFs) at district hospitals and health centres in the capital of the Lao PDR by reviewing research conducted by the implementing department. People in the municipality spent an average of US$11 on drugs in 1996. The RDFs comprised only 3% of the total yearly drug sales in the municipality, whereas private pharmacies accounted for 75%. The RDFs were forced to operate in conjunction with the remaining government drug endowment and the thriving private pharmacies. This scheme has provided a stable supply of essential drugs. The assurance of drug availability at the front-line health facilities has resulted in increased utilization of the facilities despite the introduction of a drug fee. The cost recovery rate was 107% at health centres and 108% at district hospitals in two monitored districts during the 10 months from November 1997. Decentralized financial management was essential for cost recovery, allowing timely adjustment of selling prices as purchase prices rapidly inflated after the Asian economic crisis. The health staff observed that the people perceived drugs as everyday commodities that they should buy and take based on self-diagnosis and personal preference. Adaptation of the public health authorities to market-oriented thinking along with the establishment of pharmaceutical cost recovery occurred with few problems. However, both financial and operational management capacity at the municipal level pose a major challenge to policy clarification and scheme setting, especially in procurement, control of prescribing practices and the integration of drug dispensing with other components of quality clinical care.

Clostridium difficile infection in the Lao People's Democratic Republic: first isolation and review of the literature.

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Cheong, Elaine; Roberts, Tamalee; Rattanavong, Sayaphet; Riley, Thomas V; Newton, Paul N; Dance, David A B

2017-09-21

Current knowledge of the epidemiology of Clostridium difficile infection in Asia, and in particular the Greater Mekong Subregion, is very limited. Only a few studies from Thailand and Vietnam have been reported from the region with variable testing methods and results, and no studies from Lao People's Democratic Republic (PDR). Therefore we investigated the presence of C. difficile in a single centre in the Lao PDR and determined the ribotypes present. Seventy unformed stool samples from hospital inpatients at Mahosot Hospital, Vientiane, were tested for the presence of C. difficile using selective differential agar and confirmed by latex agglutination. C. difficile isolates were further characterised by ribotyping and toxin gene detection. C. difficile was isolated from five of the 70 patients, and five different ribotypes were identified (014, 017, 020, QX 107 and QX 574). This is the first isolation of C. difficile from human stool samples in the Lao PDR. These results will add to the limited amount of data on C. difficile in the region. In addition, we hope this information will alert clinicians to the presence of C. difficile in the country and will help inform future investigations into the epidemiology and diagnosis of C. difficile in Lao PDR.

Diversity of human intestinal helminthiasis in Lao PDR.

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Sayasone, Somphou; Vonghajack, Youthanavane; Vanmany, Monely; Rasphone, Oroth; Tesana, Smarn; Utzinger, Jürg; Akkhavong, Kongsap; Odermatt, Peter

2009-03-01

Food-borne trematodiasis is an emerging public health problem, including in Lao PDR. We investigated the diversity of intestinal helminthes and polyparasitism in patients with hepatobiliary or intestinal symptoms in hospital and community-based surveys. Stool samples from 232 individuals aged >or=15 years were examined by the Kato-Katz method (three samples) and a formalin ethyl-acetate concentration technique (one sample). Opisthorchis viverrini and minute intestinal flukes (MIF) were common, with prevalences of 86.2% and 62.9%, respectively. Hookworm was the predominant soil-transmitted helminth (65.9%). The prevalences of Taenia spp., Strongyloides stercoralis and Trichuris trichiura were 22.8%, 10.3% and 8.6%, respectively. Additionally, 97 individuals were purged; O. viverrini and Haplorchis taichui were found in 95 and 76 participants, respectively. Other trematodes included Phaneropsolus bonnei (22.7%), Prosthodendrium molenkampi (14.4%), Haplorchis pumilio (5.2%), Haplorchis yokogawai (3.1%) and Echinochasmus japonicus (3.1%). Co-infection with O. viverrini and MIFs was rampant (81.4%). Polytrematode infection is highly prevalent in Lao PDR and hence requires urgent attention.

Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR.

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Okello, Anna; Ash, Amanda; Keokhamphet, Chattouphone; Hobbs, Emma; Khamlome, Boualam; Dorny, Pierre; Thomas, Lian; Allen, John

2014-03-28

The Taenia solium cysticercosis-taeniasis complex is a Neglected Tropical Disease of significant public health importance in many impoverished communities worldwide. The parasite is suspected to be endemic in Lao PDR as a result of widespread risk factors including open human defecation, free ranging pigs and weak systems for meat inspection and carcass condemnation. Reported prevalences of human taeniasis throughout the country have ranged from 0-14%, although few of these have definitively diagnosed T. solium, grossly indistinguishable from Taenia saginata (beef tapeworm) and Taenia asiatica. This short communication details the suspicion of a hyper endemic "hotspot" of T. solium in a remote Tai Dam village in northern Lao PDR. Initial antibody serosurveillance of four provinces in Lao PDR in 2011 indicated human taeniasis and cysticercosis prevalences of 46.7% and 66.7% respectively, in the village of Om Phalong in the north of the country. Subsequent copro-antigen ELISA on 92 human faecal samples from this same village, representing a total 27.9% of the target community, indicated a taeniasis prevalence of 26.1% (95% CI?=?18.2-35.9). Subsequent PCR and sequencing of samples (n?=?5) all identified as T. solium; the other human tapeworms T. saginata and T. asiatica were not detected in any of the samples genotyped. This is potentially one of the highest documented prevalences of T. solium taeniasis to date in Lao PDR, if not the Southeast Asia region. This result raises suspicion that other "hotspots" of T. solium hyper endemicity may exist in the region, particularly in communities where the consumption of raw pork is commonplace as a result of cultural practices.

Receptivity to tobacco marketing and susceptibility to smoking among non-smoking male students in an urban setting in Lao PDR.

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Saito, Junko; Yasuoka, Junko; Poudel, Krishna C; Foung, Ly; Vilaysom, Somphone; Jimba, Masamine

2013-11-01

Tobacco marketing is a contributing factor to adolescent smoking, and now targeting adolescents in low- and middle-income countries. Especially, promotional items with tobacco brand logos have a great impact on adolescent smoking. The authors evaluated whether receptivity to tobacco marketing is associated with susceptibility to smoking among non-smoking male students in Lao PDR. The authors conducted a cross-sectional study with self-administered questionnaires among 526 non-smoking male students in grades 8th and 11th (aged 12-19 years) in Vientiane Capital, Lao PDR. The authors investigated receptivity to tobacco marketing by three measurements: awareness of tobacco marketing, recognition of tobacco marketing messages and owning/being willing to use promotional items. The authors then conducted multiple logistic regression analysis to determine whether marketing receptivity had an independent association with smoking susceptibility, which is defined as the absence of a firm decision not to smoke. About 20% of the participants were susceptible to smoking. Recognition of marketing messages was significantly associated with susceptibility to smoking (OR=1.76, 95% CI 1.01 to 3.08), as was any owning/being willing to use promotional items with recognition of marketing messages (OR=2.39, 95% CI 1.34 to 4.24). In contrast, any owning/being willing to use promotional items without any recognition of marketing messages was not significantly associated with susceptibility. A significant association was detected between smoking susceptibility and marketing receptivity, which has been little explored in previous research in low-income countries. Owning/being willing to use promotional items was associated with smoking susceptibility only when there is also recognition of marketing messages.

Evaluation of the Standard Diagnostics Leptospira IgM ELISA for diagnosis of acute leptospirosis in Lao PDR

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Tanganuchitcharnchai, Ampai; Smythe, Lee; Dohnt, Michael; Hartskeerl, Rudy; Vongsouvath, Manivanh; Davong, Viengmone; Lattana, Olay; Newton, Paul N.; Blacksell, Stuart D.

2012-01-01

The diagnostic utility of the Standard Diagnostics Leptospira IgM ELISA for detection of acute leptospirosis was assessed in febrile adults admitted in Vientiane, Laos. Using the cut-off suggested by the manufacturer [optical density (OD) >= 0.75], the assay demonstrated limited diagnostic capacity

Molecular characterization of canine parvovirus in Vientiane, Laos.

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Vannamahaxay, Soulasack; Vongkhamchanh, Souliya; Intanon, Montira; Tangtrongsup, Sahatchai; Tiwananthagorn, Saruda; Pringproa, Kidsadagon; Chuammitri, Phongsakorn

2017-05-01

The global emergence of canine parvovirus type 2c (CPV-2c) has been well documented. In the present study, 139 rectal swab samples collected from diarrheic dogs living in Vientiane, Laos, in 2016 were tested for the presence of the canine parvovirus (CPV) VP2 gene by PCR. The results showed that 82.73% (115/139) of dogs were CPV positive by PCR. The partial VP2 gene was sequenced in 94 of the positive samples; 91 samples belonged to CPV-2c (426Glu) subtype, while 3 samples belonged to the CPV-2a (426Asn) subtype. Notably, phylogenetic analysis of amino acid sequences revealed a close relationship between Laotian isolates and novel Chinese CPV-2c isolates. In Laotian CPV isolates, aligned protein sequences indicated a high rate of residue substitutions at positions 305, 324, 345, 370, 375, and 426 in the GH loop. The mutation at residue 370 (Q370R), a single mutation, was characterized as a unique mutant residue specific to the Laotian CPV-2c variant.

Risk Factors for Mosquito House Entry in the Lao PDR

NARCIS (Netherlands)

Hiscox, A.F.; Khammanithong, P.; Kaul, S.; Sananikhom, P.; Luthi, R.; Hill, N.; Brey, P.T.; Lindsay, S.W.

2013-01-01

Background Construction of the Nam Theun 2 hydroelectric project and flooding of a 450 km2 area of mountain plateau in south-central Lao PDR resulted in the resettlement of 6,300 people to newly built homes. We examined whether new houses would have altered risk of house entry by mosquitoes compared

Human neurocysticercosis case and an endemic focus of Taenia solium in Lao PDR.

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Jeon, Hyeong-Kyu; Yong, Tai-Soon; Sohn, Woon-Mok; Chai, Jong-Yil; Min, Duk-Young; Rim, Han-Jong; Insisiengmay, Bounnaloth; Eom, Keeseon S

2013-10-01

A male patient with neurocysticercosis was identified in Montai Village, Xay District, Oudomxay Province, Lao PDR in February 2004. He had a history of diagnosis for neurocysticercosis by a CT scan in Thailand after an onset of epileptic seizure in 1993. A pig in the same district was found to contain Taenia solium metacestodes (=cysticerci); the slaughtered pig body contained more than 2,000 cysticerci. In addition to morphological identification, molecular identification was also performed on the cysticerci by DNA sequencing analysis of the mitochondrial cox1 gene; they were confirmed as T. solium metacestodes. The patient is regarded as an indigenous case of neurocysticercosis infected in an endemic focus of T. solium taeniasis/cysticercosis in Oudomxay Province, Lao PDR.

Student motorcyclists' mobile phone use while driving in Vientiane, Laos.

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Phommachanh, Sysavanh; Ichikawa, Masao; Nakahara, Shinji; Mayxay, Mayfong; Kimura, Akio

2017-06-01

To investigate mobile phone use while driving among student motorcyclists in Laos, we conducted a school-based questionnaire survey in central Vientiane in May 2014. Of the 883 high school students who reported to drive motorcycles at least once a week, 40% have ever used phones while driving motorcycles in both sexes. Those phone users had longer driving exposures than non-users, with about half engaging in phone use while driving at least 2 days a week and 70% engaging for 1 min or longer on an average day. They reported not just talking on the phone while driving but operating the phone such as dialling and text-messaging. In some instances, phone use was reportedly involved in their past crash experiences. To formulate a sound policy on this emerging distracting behaviour among motorcyclists, its contribution to the occurrence of overall crashes among motorcyclists should be investigated.

Partnership in civil society : a case of building trust between non-profit associations and international NGOs in Lao PDR

OpenAIRE

Purdin, Sky

2015-01-01

The purpose of this Master's thesis is to develop a context-specific substantive theory of trust building based on the experiences of development workers in Laos, as well as the methods they identify as keys to a better partnership. The research material is based on eleven interviews with civil society development workers in Vientiane, Laos. The study context is partnerships between in-country International Non-Governmental Organizations and local Non-Profit Associations. ...

A light left in the dark: The practice and politics of pico-hydropower in the Lao PDR

NARCIS (Netherlands)

Smits, M.; Bush, S.R.

2010-01-01

The article describes the widespread use of an estimated 60,000 low-head pico-hydropower turbines and well-developed networks of supply and support in the Northern part of the Lao People's Democratic Republic (Lao PDR). This apparent widespread use is contrasted with the policy narratives of key

Competition and Management Issues of SME Entrepreneurs in Laos: Evidence from Empirical Studies in Vientiane Municipality, Savannakhet and Luang Prabang

OpenAIRE

John Walsh; Nittana Southiseng

2010-01-01

This study analyses competition and management issues of Small and Medium Enterprise (SME) entrepreneurs in three provinces of Laos: Vientiane Municipality (the capital city), Savannakhet (an important economic development zone) and Luang Prabang province (a famous historical site and tourist destination). Competition and management have changed dramatically after the introduction of the New Economic Mechanism in 1986, which moved the economy from central planning to market-based economic man...

Current status of human taeniasis in Lao People's Democratic Republic.

Science.gov (United States)

Jeon, Hyeong-Kyu; Yong, Tai-Soon; Sohn, Woon-Mok; Chai, Jong-Yil; Min, Duk-Young; Yun, Cheong-Ha; Rim, Han-Jong; Pongvongsa, Tiengkham; Banouvong, Virasack; Insisiengmay, Bounnaloth; Phommasack, Bounlay; Eom, Keeseon S

2013-04-01

Human taeniasis was investigated in Lao People's Democratic Republic (Lao PDR) between 2000 and 2011 as part of the nation's helminthiasis survey. A total of 55,038 inhabitants, including 29,846 school children, were examined using the Kato-Katz and scotch-tape anal swab method, and morphological observation of adult worms. Molecular identification of Taenia tapeworms was performed by multiplex PCR or DNA sequence analysis of the mitochondrial cox1 gene. Taenia eggs were present at a rate of 1.5% (845/55,038) in the subject population. Adult tapeworms were identified as T. solium or T. saginata by analyzing the collectable stool specimens (n=126). Three specimens identified as T. solium were found in Luang Prabang, while the remaining 123 specimens, which were T. saginata, were found in Bokeo, Bolikhamxay, Champasak, Houaphan, Khammouane, Luang Namta, Luang Prabang, Oudomxay, Phongsaly, Saysomboune, Saravane, Savannakhet, Xayaboury, Xekong, Xieng Khouang Province, and Vientiane Municipality.

The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos

Science.gov (United States)

Syhavong, Bounkong; Rasachack, Bouachanh; Smythe, Lee; Rolain, Jean-Marc; Roque-Afonso, Anne-Marie; Jenjaroen, Kemajittra; Soukkhaserm, Vimone; Phongmany, Simmaly; Phetsouvanh, Rattanaphone; Soukkhaserm, Sune; Thammavong, Te; Mayxay, Mayfong; Blacksell, Stuart D.; Barnes, Eleanor; Parola, Philippe; Dussaix, Elisabeth; Raoult, Didier; Humphreys, Isla; Klenerman, Paul; White, Nicholas J.; Newton, Paul N.

2010-01-01

Summary There is little information on the diverse infectious causes of jaundice and hepatitis in the Asiatic tropics. Serology (hepatitis A, B, C and E, leptospirosis, dengue, rickettsia), antigen tests (dengue), PCR assays (hepatitis A, C and E) and blood cultures (septicaemia) were performed on samples from 392 patients admitted with jaundice or raised transaminases (≥ × 3) to Mahosot Hospital, Vientiane, Laos over 3 years. Conservative definitions suggested diagnoses of dengue (8.4%), rickettsioses (7.3%), leptospirosis (6.8%), hepatitis B (4.9%), hepatitis C (4.9%), community-acquired septicaemia (3.3%) and hepatitis E (1.6%). Although anti-hepatitis A virus (HAV) IgM antibody results suggested that 35.8% of patients had acute HAV infections, anti-HAV IgG antibody avidity and HAV PCR suggested that 82% had polyclonal activation and not acute HAV infections. Scrub typhus, murine typhus or leptospirosis were present in 12.8% of patients and were associated with meningism and relatively low AST and ALT elevation. These patients would be expected to respond to empirical doxycycline therapy which, in the absence of virological diagnosis and treatment, may be an appropriate cost-effective intervention in Lao patients with jaundice/hepatitis. PMID:20378138

Wildlife Trade and Human Health in Lao PDR: An Assessment of the Zoonotic Disease Risk in Markets.

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Zoe F Greatorex

Full Text Available Although the majority of emerging infectious diseases can be linked to wildlife sources, most pathogen spillover events to people could likely be avoided if transmission was better understood and practices adjusted to mitigate risk. Wildlife trade can facilitate zoonotic disease transmission and represents a threat to human health and economies in Asia, highlighted by the 2003 SARS coronavirus outbreak, where a Chinese wildlife market facilitated pathogen transmission. Additionally, wildlife trade poses a serious threat to biodiversity. Therefore, the combined impacts of Asian wildlife trade, sometimes termed bush meat trade, on public health and biodiversity need assessing. From 2010 to 2013, observational data were collected in Lao PDR from markets selling wildlife, including information on volume, form, species and price of wildlife; market biosafety and visitor origin. The potential for traded wildlife to host zoonotic diseases that pose a serious threat to human health was then evaluated at seven markets identified as having high volumes of trade. At the seven markets, during 21 observational surveys, 1,937 alive or fresh dead mammals (approximately 1,009 kg were observed for sale, including mammals from 12 taxonomic families previously documented to be capable of hosting 36 zoonotic pathogens. In these seven markets, the combination of high wildlife volumes, high risk taxa for zoonoses and poor biosafety increases the potential for pathogen presence and transmission. To examine the potential conservation impact of trade in markets, we assessed the status of 33,752 animals observed during 375 visits to 93 markets, under the Lao PDR Wildlife and Aquatic Law. We observed 6,452 animals listed by Lao PDR as near extinct or threatened with extinction. The combined risks of wildlife trade in Lao PDR to human health and biodiversity highlight the need for a multi-sector approach to effectively protect public health, economic interests and

Wildlife Trade and Human Health in Lao PDR: An Assessment of the Zoonotic Disease Risk in Markets

Science.gov (United States)

Singhalath, Sinpakone; Silithammavong, Soubanh; Khammavong, Kongsy; Fine, Amanda E.; Weisman, Wendy; Douangngeun, Bounlom; Theppangna, Watthana; Keatts, Lucy; Gilbert, Martin; Karesh, William B.; Hansel, Troy; Zimicki, Susan; O’Rourke, Kathleen; Joly, Damien O.; Mazet, Jonna A. K.

2016-01-01

Although the majority of emerging infectious diseases can be linked to wildlife sources, most pathogen spillover events to people could likely be avoided if transmission was better understood and practices adjusted to mitigate risk. Wildlife trade can facilitate zoonotic disease transmission and represents a threat to human health and economies in Asia, highlighted by the 2003 SARS coronavirus outbreak, where a Chinese wildlife market facilitated pathogen transmission. Additionally, wildlife trade poses a serious threat to biodiversity. Therefore, the combined impacts of Asian wildlife trade, sometimes termed bush meat trade, on public health and biodiversity need assessing. From 2010 to 2013, observational data were collected in Lao PDR from markets selling wildlife, including information on volume, form, species and price of wildlife; market biosafety and visitor origin. The potential for traded wildlife to host zoonotic diseases that pose a serious threat to human health was then evaluated at seven markets identified as having high volumes of trade. At the seven markets, during 21 observational surveys, 1,937 alive or fresh dead mammals (approximately 1,009 kg) were observed for sale, including mammals from 12 taxonomic families previously documented to be capable of hosting 36 zoonotic pathogens. In these seven markets, the combination of high wildlife volumes, high risk taxa for zoonoses and poor biosafety increases the potential for pathogen presence and transmission. To examine the potential conservation impact of trade in markets, we assessed the status of 33,752 animals observed during 375 visits to 93 markets, under the Lao PDR Wildlife and Aquatic Law. We observed 6,452 animals listed by Lao PDR as near extinct or threatened with extinction. The combined risks of wildlife trade in Lao PDR to human health and biodiversity highlight the need for a multi-sector approach to effectively protect public health, economic interests and biodiversity. PMID:27008628

Hunting, Food Preparation, and Consumption of Rodents in Lao PDR.

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Kanokwan Suwannarong

Full Text Available A cross-sectional study was conducted in 29 villages of Khamkeuth District in Bolikhamxay Province in the Lao PDR during March to May 2013. The study aimed to determine the characteristics associated with rodent consumption and related behaviors among different ethnic groups, ages, and genders. Five-hundred-eighty-four (584 males and females from 18-50 years of age participated in this study. Half of them were Hmong (292, 50% while 152 respondents were Lao-Tai (26% or other ethnic groups (140, 24%. Most of the respondents (79.5% had farming as their main occupation. Prevalences of the studied outcomes were high: 39.9 for hunting or capturing rodents in the previous year, 77.7% for preparing rodents as food, and 86.3% for rodent consumption. Multivariable logistic regression analysis showed that likelihood of these types of rodent contact was more consistently associated with behavioral factors (gathering things from the forest and elsewhere, cultivation-related activities, and taking measures to prevent rodent-borne disease than with socio-demographic, environmental, or cultural factors. The strongest associations were observed for gathering things; these associations were consistently positive and statistically significant. Although this study did not directly assess rodent-borne zoonosis risk, we believe that study findings raise concern that such risk may be substantial in the study area and other similar areas. Further epidemiological studies on the association between rodent-borne disease infection and rodent hunting, preparation for food, and consumption are recommended. Moreover, further studies are needed on the association between these potential exposure factors (i.e., rodent hunting, preparation for food, and consumption and rodent-borne infections, especially among ethnic groups like the Hmong in Lao PDR and those in neighboring countries with similar socio-demographic, environmental, behavioral and cultural contexts.

HIV prevalence and risk behaviour among men who have sex with men in Vientiane Capital, Lao People's Democratic Republic, 2007.

Science.gov (United States)

Sheridan, Sarah; Phimphachanh, Chansy; Chanlivong, Niramonh; Manivong, Sisavath; Khamsyvolsvong, Sod; Lattanavong, Phonesay; Sisouk, Thongchanh; Toledo, Carlos; Scherzer, Martha; Toole, Mike; van Griensven, Frits

2009-01-28

Men who have sex with men are at high risk for HIV infection. Here we report the results of the first assessment of HIV prevalence and risk behaviour in this group in Vientiane, Lao People's Democratic Republic. Between August and September 2007, 540 men were enrolled from venues around Vientiane, using venue-day-time sampling. Men of Lao nationality, 15 years and over, reporting oral or anal sex with a man in the previous 6 months were eligible for participation. Demographic and socio-behavioural information was self-collected using hand-held computers. Oral fluid was tested for HIV infection. Logistic regression was used to evaluate risk factors for prevalent HIV infection. The median age of participants was 21 years; the HIV prevalence was 5.6%. Of participants, 39.6% reported exclusive attraction to men and 57.6% reported sex with women. Of those who reported having regular and nonregular sexual partner(s) in the past 3 months, consistent condom use with these partners was 14.4 and 24.2%, respectively. A total of 42.2% self-reported any sexually transmitted infection symptoms and 6.3% had previously been tested for HIV. Suicidal ideation was reported by 17.0%, which was the only variable significantly and independently associated with HIV infection in multivariate analysis. Although the HIV prevalence is low compared with neighbouring countries in the region, men who have sex with men in Lao People's Democratic Republic are at high behavioural risk for HIV infection. To prevent a larger HIV epidemic occurrence and transmission into the broader community, higher coverage of HIV prevention interventions is required.

Health care expenditure for hospital-based delivery care in Lao PDR

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Douangvichit Daovieng

2012-01-01

Full Text Available Abstract Background Delivery by a skilled birth attendant (SBA in a hospital is advocated to improve maternal health; however, hospital expenses for delivery care services are a concern for women and their families, particularly for women who pay out-of-pocket. Although health insurance is now implemented in Lao PDR, it is not universal throughout the country. The objectives of this study are to estimate the total health care expenses for vaginal delivery and caesarean section, to determine the association between health insurance and family income with health care expenditure and assess the effect of health insurance from the perspectives of the women and the skilled birth attendants (SBAs in Lao PDR. Methods A cross-sectional study was carried out in two provincial hospitals in Lao PDR, from June to October 2010. Face to face interviews of 581 women who gave birth in hospital and 27 SBAs was carried out. Both medical and non-medical expenses were considered. A linear regression model was used to assess influencing factors on health care expenditure and trends of medical and non-medical expenditure by monthly family income stratified by mode of delivery were assessed. Results Of 581 women, 25% had health care insurance. Health care expenses for delivery care services were significantly higher for caesarean section (270 USD than for vaginal delivery (59 USD. After adjusting for the effect of hospital, family income was significantly associated with all types of expenditure in caesarean section, while it was associated with non-medical and total expenditures in vaginal delivery. Both delivering women and health providers thought that health insurance increased the utilisation of delivery care. Conclusions Substantially higher delivery care expenses were incurred for caesarean section compared to vaginal delivery. Three-fourths of the women who were not insured needed to be responsible for their own health care payment. Women who had higher family

The Diversity and Geographical Structure of Orientia tsutsugamushi Strains from Scrub Typhus Patients in Laos.

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Rattanaphone Phetsouvanh

Full Text Available Orientia tsutsugamushi is the causative agent of scrub typhus, a disease transmitted by Leptotrombidium mites which is responsible for a severe and under-reported public health burden throughout Southeast Asia. Here we use multilocus sequence typing (MLST to characterize 74 clinical isolates from three geographic locations in the Lao PDR (Laos, and compare them with isolates described from Udon Thani, northeast Thailand. The data confirm high levels of diversity and recombination within the natural O. tsutsugamushi population, and a rate of mixed infection of ~8%. We compared the relationships and geographical structuring of the strains and populations using allele based approaches (eBURST, phylogenetic approaches, and by calculating F-statistics (FST. These analyses all point towards low levels of population differentiation between isolates from Vientiane and Udon Thani, cities which straddle the Mekong River which defines the Lao/Thai border, but with a very distinct population in Salavan, southern Laos. These data highlight how land use, as well as the movement of hosts and vectors, may impact on the epidemiology of zoonotic infections.

Land Use and Water Quality Along a Mekong Tributary in Northern Lao P.D.R.

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Ribolzi, Olivier; Cuny, Juliette; Sengsoulichanh, Phonexay; Mousquès, Claire; Soulileuth, Bounsamai; Pierret, Alain; Huon, Sylvain; Sengtaheuanghoung, Oloth

2011-02-01

Improving access to clean water has the potential to make a major contribution toward poverty reduction in rural communities of Lao P.D.R. This study focuses on stream water quality along a Mekong basin tributary, the Houay Xon that flows within a mountainous, mosaic land-use catchment of northern Lao P.D.R. To compare direct water quality measurements to the perception of water quality within the riparian population, our survey included interviews of villagers. Water quality was found to vary greatly depending on the location along the stream. Overall, it reflected the balance between the stream self-cleaning potential and human pressure on the riparian zone: (i) high bacteria and suspended load levels occurred where livestock are left to free-range within the riparian zone; (ii) very low oxygen content and high bacteriological contamination prevailed downstream from villages; (iii) high concentrations of bacteria were consistently observed along urbanized banks; (iv) low oxygen content were associated with the discharge of organic-rich wastewater from a small industrial plant; (v) very high suspended load and bacteria levels occurred during flood events due to soil erosion from steep cultivated hill slopes. Besides these human induced pollutions we also noted spontaneous enrichments in metals in wetland areas fed by dysoxic groundwater. These biophysical measurements were in agreement with the opinions expressed by the majority of the interviewees who reported poor and decreasing water quality in the Houay Xon catchment. Based on our survey, we propose recommendations to improve or maintain stream water quality in the uplands of northern Lao P.D.R.

Stakeholder learning for health sector reform in Lao PDR.

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Phillips, Simone; Pholsena, Soulivanh; Gao, Jun; Oliveira Cruz, Valeria

2016-09-01

Development organizations and academic institutions have expressed the need for increased research to guide the development and implementation of policies to strengthen health systems in low- and middle-income countries. The extent to which evidence-based policies alone can produce changes in health systems remains a point of debate; other factors, such as a country's political climate and the level of actor engagement, have been identified as influential variables in effective policy development and implementation. In response to this debate, this article contends that the success of health sector reform depends largely on policy learning-the degree to which research recommendations saturate a given political environment in order to successfully inform the ideas, opinions and perceived interests of relevant actors. Using a stakeholder analysis approach to analyze the case of health sector reform in Lao PDR, we examine the ways that actors' understanding and interests affect the success of reform-and how attitudes towards reform can be shaped by exposure to policy research and international health policy priorities. The stakeholder analysis was conducted by the WHO during the early stages of health sector reform in Lao PDR, with the purpose of providing the Ministry of Health with concrete recommendations for increasing actor involvement and strengthening stakeholder support. We found that dissemination of research findings to a broad array of actors and the inclusion of diverse stakeholder groups in policy design and implementation increases the probability of a sustainable and successful health sector reform. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

A Qualitative Study of Provider Perceptions of Influences on Uptake of Pediatric Hospital Guidelines in Lao PDR.

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Gray, Amy Z; Soukaloun, Douangdao; Soumphonphakdy, Bandith

2017-08-01

Strategies to improve the quality of hospital care are needed if ongoing gains in child health and survival are to be made. We previously reported on improvements in the quality of case management in hospitals following a guideline-based intervention in Lao PDR, with variation in the degree of change achieved between clinical conditions. This study aims to understand the factors that influenced the uptake of the guideline-based intervention, and its impact on care. This qualitative study was embedded in a mixed-methods evaluation of guideline implementation in nine hospitals in Lao PDR. Focus groups and individual interviews were conducted with 70 health staff from central, provincial, and district hospitals. The interview guide was based on the Theoretical Domains Framework. Inductive content analysis was performed on interview transcripts to identify themes, supported by field notes from the intervention. Findings were triangulated against previously reported quantitative outcomes using driver diagrams. Key influences on guidelines uptake related to the guideline and intervention (filling a void, physical accessibility, comprehensibility, training in guideline use), health staff (behavior regulation, trust in guidelines, and beliefs about consequences), and the environment (social influences particularly consensus and incorporation into clinical norms). The major barrier was family preference for treatments in conflict with guideline recommendations. This study identifies contextual factors that explain, as well as validate previously identified improvements in care following guideline implementation in Lao PDR. It provides novel understanding of why the same intervention may have a differential impact on different clinical conditions.

Developing and Implementing a Mobile Conservation Education Unit for Rural Primary School Children in Lao PDR

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Hansel, Troy; Phimmavong, Somvang; Phengsopha, Kaisone; Phompila, Chitana; Homduangpachan, Khiaosaphan

2010-01-01

In this article, the authors examine the implementation and success of a mobile conservation education unit targeting primary schools in central Lao PDR (People's Democratic Republic). The mobile unit conducted 3-hour interactive programs for school children focused on the importance of wildlife and biodiversity around the primary schools in rural…

"We Might Get Some Free Beers": Experience and Motivation for Transactional Sex Among Behaviorally Bisexual Men in Vientiane, Laos.

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Bowring, Anna L; Pasomsouk, Nakhornphet; Hughes, Chad; van Gemert, Caroline; Higgs, Peter; Sychareun, Vanphanom; Hellard, Margaret; Power, Robert

2017-05-01

People engaging in transactional sex are considered a key population for HIV prevention. Prior quantitative surveys demonstrated that behaviorally bisexual men in Vientiane, Laos commonly transact sex. In 2013, we conducted a qualitative study to explore behaviorally bisexual men's experience, motivations, and perceptions related to transactional sex in Vientiane. Behaviorally bisexual men were recruited from bars, nightclubs, and dormitories for five focus group discussions (FGDs) and 11 in-depth interviews (n = 31). Additionally, young women were recruited from a university, garment factory, and nightclub for four FGDs (n = 22). Transcripts were translated and thematically coded. Bisexual male participants most commonly described being paid for sex by male-to-female transgender people and buying sex from women. Both male and female participants reported that older, single women pay younger men for sex. Negotiation and direction of sexual transactions are influenced by age, attraction, and wealth. Common motivations for selling sex included the need for money to support family or fund school fees, material gain, or physical pleasure. Transactional sex was often opportunistic. Some behaviorally bisexual men reported selling sex in order to pay another more desirable sex partner or to buy gifts for their regular sex partner. Participants perceived high risk associated with intercourse with female sex workers but not with other transactional sex partners. Health interventions are needed to improve knowledge, risk perception, and health behaviors, but must recognize the diversity of transactional sex in Vientiane. Both physical and virtual settings may be appropriate for reaching behaviorally bisexual men and their partners.

Multilingual Effects on EFL Learning: A Comparison of Foreign Language Anxiety Experienced by Monolingual and Bilingual Tertiary Students in the Lao PDR

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Phongsa, Manivone; Mohamed Ismail, Shaik Abdul Malik; Low, Hui Min

2018-01-01

Foreign language anxiety is common among adult learners, especially those who lack exposure to the language that they are learning. In this study, we compared the foreign language anxiety experienced by monolingual and bilingual tertiary students in the Lao People's Democratic Republic (Lao PDR) who were learning English as a Foreign Language. The…

Mothers' autonomy and childhood stunting: evidence from semi-urban communities in Lao PDR.

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Kamiya, Yusuke; Nomura, Marika; Ogino, Hina; Yoshikawa, Kanako; Siengsounthone, Latsamy; Xangsayarath, Phonepadith

2018-05-22

Childhood stunting (height-for-age z-scores below - 2), a form of chronic undernutrition, remains a global health burden. Although a growing literature has examined the association between mothers' autonomy and childhood stunting, these studies have been limited to countries in South Asia or Sub-Saharan Africa where women have relatively lower social status than do men. Little research has analyzed the effect of mothers' autonomy on childhood stunting in Lao PDR, where women's social status is relatively high compared to that in other countries. We conducted a cross-sectional questionnaire and body scale measurement targeting 100 mothers and their 115 children (autonomy, we measured self-esteem, self-efficacy, decision-making power, freedom of mobility, and control of money. We then analyzed how each dimension was associated with the likelihood of childhood stunting. The likelihood of childhood stunting was significantly lower if mothers had higher self-efficacy for health care (OR = 0.15, p = 0.007), self-esteem (OR = 0.11, p = 0.025), or control of money (OR = 0.11, p = 0.041). In contrast, mothers' decision-making power and freedom of mobility were not significantly associated with childhood stunting. We clarified which dimensions of women's autonomy were associated with childhood stunting in Lao PDR. A closer examination of mothers' autonomy will aid proper understanding of the determinants of childhood stunting.

Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR

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Bochaton Audrey

2007-06-01

Full Text Available Abstract Background Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. Methods We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. Application We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. Conclusion This paper describes the conceptual reasoning behind

Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR).

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Vallée, Julie; Souris, Marc; Fournet, Florence; Bochaton, Audrey; Mobillion, Virginie; Peyronnie, Karine; Salem, Gérard

2007-06-01

Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. This paper describes the conceptual reasoning behind the construction of the survey sample and shows that it can be

Adherence to antiretroviral therapy (ART) among people living with HIV (PLHIV): a cross-sectional survey to measure in Lao PDR.

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Hansana, Visanou; Sanchaisuriya, Pattara; Durham, Jo; Sychareun, Vanphanom; Chaleunvong, Kongmany; Boonyaleepun, Suwanna; Schelp, Frank Peter

2013-06-28

Since 2001, antiretroviral therapy (ART) for people living with HIV (PLHIV) has been available in the Lao People's Democratic Republic (PDR). A key factor in the effectiveness of ART is good adherence to the prescribed regimen for both individual well-being and public health. Poor adherence can contribute to the emergence of drug resistant strains of the virus and transmission during risky behaviors. Increased access to ART in low-income country settings has contributed to an interest in treatment adherence in resource-poor contexts. This study aims to investigate the proportion of adherence to ART and identify possible factors related to non-adherence to ART among people living with HIV (PLHIV) in Lao PDR. A cross-sectional study was conducted with adults living with HIV receiving free ART at Setthathirath hospital in the capital Vientiane and Savannakhet provincial hospitals from June to November 2011. Three hundred and forty six PLHIV were interviewed using an anonymous questionnaire. The estimation of the adherence rate was based on the information provided by the PLHIV about the intake of medicine during the previous three days. The statistical software Epidata 3.1 and Stata 10.1 were used for data analysis. Frequencies and distribution of each variable were calculated by conventional statistical methods. The chi square test, Mann-Whitney test and logistic regression were used for bivariate analyses. Multiple logistic regression analysis was conducted to determine the predictors of non-adherence to ART. A p-value ART. Reasons for not taking medicine as required were being busy (97.0%), and being forgetful (62.2%). In the multivariate analysis, educational level at secondary school (OR=3.7, 95% CI:1.3-10.1, p=0.012); illicit drug use (OR=16.1, 95% CI:1.9-128.3, p=0.011); dislike exercise (OR=0.6, 95% CI:0.4-0.9, p=0.028), and forgetting to take ARV medicine during the last month (OR=2.3, 95% CI:1.4-3.7, p=0.001) were independently associated with non

Integrating market chain assessments with zoonoses risk analysis in two cross-border pig value chains in Lao PDR.

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Okello, Anna L; Tiemann, Tassilo T; Inthavong, Phouth; Khamlome, Boualam; Phengvilaysouk, Ammaly; Keonouchanh, Soukanh; Keokhamphet, Chattouphone; Somoulay, Virasack; Blaszak, Kate; Blacksell, Stuart D; Okello, Walter O; Allen, John

2017-11-01

Lao PDR's recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses-including hepatitis E virus (HEV), Taenia solium (T. solium) and trichinella-to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector.

Private sector opportunities and threats to achieving malaria elimination in the Greater Mekong Subregion: results from malaria outlet surveys in Cambodia, the Lao PDR, Myanmar, and Thailand.

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Phok, Sochea; Phanalasy, Saysana; Thein, Si Thu; Likhitsup, Asawin

2017-05-02

The aim of this paper is to review multi-country evidence of private sector adherence to national regulations, guidelines, and quality-assurance standards for malaria case management and to document current coverage of private sector engagement and support through ACTwatch outlet surveys implemented in 2015 and 2016. Over 76,168 outlets were screened, and approximately 6500 interviews were conducted (Cambodia, N = 1303; the Lao People's Democratic Republic (PDR), N = 724; Myanmar, N = 4395; and Thailand, N = 74). There was diversity in the types of private sector outlets providing malaria treatment across countries, and the extent to which they were authorized to test and treat for malaria differed. Among outlets stocking at least one anti-malarial, public sector availability of the first-line treatment for uncomplicated Plasmodium falciparum or Plasmodium vivax malaria was >75%. In the anti-malarial stocking private sector, first-line treatment availability was variable (Cambodia, 70.9%; the Lao PDR, 40.8%; Myanmar P. falciparum = 42.7%, P. vivax = 19.6%; Thailand P. falciparum = 19.6%, P. vivax = 73.3%), as was availability of second-line treatment (the Lao PDR, 74.9%; Thailand, 39.1%; Myanmar, 19.8%; and Cambodia, 0.7%). Treatment not in the National Treatment Guidelines (NTGs) was most common in Myanmar (35.8%) and Cambodia (34.0%), and was typically stocked by the informal sector. The majority of anti-malarials distributed in Cambodia and Myanmar were first-line P. falciparum or P. vivax treatments (90.3% and 77.1%, respectively), however, 8.8% of the market share in Cambodia was treatment not in the NTGs (namely chloroquine) and 17.6% in Myanmar (namely oral artemisinin monotherapy). In the Lao PDR, approximately 9 in 10 anti-malarials distributed in the private sector were second-line treatments-typically locally manufactured chloroquine. In Cambodia, 90% of anti-malarials were distributed through outlets that had confirmatory testing

Understanding School Health Environment through Interviews with Key Stakeholders in Lao PDR, Mongolia, Nepal and Sri Lanka

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Park, Sohyun; Lee, Eun Young; Gittelsohn, Joel; Nkala, Denis; Choi, Bo Youl

2015-01-01

Studies on health promoting schools (HPS) in low- and middle-income countries (LMICs) are scarce. To contribute to the development of HPS in these countries, we conducted formative research to understand the school environment in Lao PDR, Mongolia, Nepal, and Sri Lanka. Forty-three teachers, 10 government workers and 5 parents participated in…

Helminth parasites of cats from the Vientiane Province, Laos, as indicators of the occurrence of causative agents of human parasitoses

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Scholz T.

2003-12-01

Full Text Available A total of 55 domestic cats (Felis calus f. domestico and one wild (Bengal cat (Prionailurus bengalensis from the Vientiane Province, central Laos, were examined for helminth parasites with emphasis given to potential human parasites. The following species were found (parasites infective to man marked with an asterisk: Opisthorchis viverrini*, Haplorchis pumilio*,H. laichui*,H. yokogawai*, Stellantchasmus falcatus* (Digenea; Spirometra sp.*, Dipylidium caninum*, Taenia taeniaeformis (Cestoda; Capillariidae gen. sp., Toxocara canis*, T. cati*, Ancylostoma ceylanicum*, A. tubaeforme, Gnathostoma spinigerum*, Physaloptera preputials (Nematoda; and Oncicola sp. (Acanthocephala. This study demonstrated that examination of cats may provide useful data on the occurrence of helminths which are potential causative agents of human diseases.

Limits of grid extension in the Lao PDR: A financial perspective

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Julius Susanto

2013-02-01

Full Text Available This paper articulates a financial model for estimating the limits of grid extensionin the Lao PDR versus three decentralised renewable energy (DRE options: micro-hydropower,pico-hydropower and solar photovoltaic. The model is based on a like-for-like comparison of thedifferent DRE options against grid extension, such that each option supplies the same amount ofelectricity (in kWh over the project timeframe. The amount of electricity supplied is estimatedbased on the forecast electricity demand of a typical rural Lao household. Therefore, if a householdconsumes 7 kWh per day, then the micro-hydro, pico-hydro, solar PV and grid extension systems areall sized in the model to supply 7 kWh per day. This is in contrast to more conventional approaches,where grid extension is compared to DRE systems of typically lower capacities (e.g. grid extensioncompared against 50 W solar home systems. The limits of grid extension are expressed in termsof a breakeven distance, which is the maximum distance from a village at which grid extension isthe more cost-effective option. Beyond this breakeven distance, DRE technologies can be installedat a lower cost, while providing the same amount of electricity to the end-user.

Cost-Effectiveness of Rural Incentive Packages for Graduating Medical Students in Lao PDR.

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Keuffell, Eric; Jaskiewicz, Wanda; Theppanya, Khampasong; Tulenko, Kate

2016-10-29

The dearth of health workers in rural settings in Lao People's Democratic Republic (PDR) and other developing countries limits healthcare access and outcomes. In evaluating non-wage financial incentive packages as a potential policy option to attract health workers to rural settings, understanding the expected costs and effects of the various programs ex ante can assist policy-makers in selecting the optimal incentive package. We use discrete choice experiments (DCEs), costing analyses and recent empirical results linking health worker density and health outcomes to estimate the future location decisions of physicians and determine the cost-effectiveness of 15 voluntary incentives packages for new physicians in Lao PDR. Our data sources include a DCE survey completed by medical students (n = 329) in May 2011 and secondary cost, economic and health data. Mixed logit regressions provide the basis for estimating how each incentive package influences rural versus urban location choice over time. We estimate the expected rural density of physicians and the cost-effectiveness of 15 separate incentive packages from a societal perspective. In order to generate the cost-effectiveness ratios we relied on the rural uptake probabilities inferred from the DCEs, the costing data and prior World Health Organization (WHO) estimates that relate health outcomes to health worker density. Relative to no program, the optimal voluntary incentive package would increase rural physician density by 15% by 2016 and 65% by 2041. After incorporating anticipated health effects, seven (three) of the 15 incentive packages have anticipated average cost-effectiveness ratio less than the WHO threshold (three times gross domestic product [GDP] per capita) over a 5-year (30 year) period. The optimal package's incremental cost-effectiveness ratio is $1454/QALY (quality-adjusted life year) over 5 years and $2380/QALY over 30 years. Capital intensive components, such as housing or facility improvement

Foot-and-mouth disease in Lao PDR: Establishment of laboratory facilities, outbreak diagnosis and serological surveillance

International Nuclear Information System (INIS)

Vongthilath, S.; Khounsy, S.; Blacksell, S.D.

2000-01-01

In 1997, a new foot-and-mouth disease (FMD) diagnostic laboratory was established as part of a project supported by the Australian Center for International Agricultural Research (ACIAR) in collaboration with the Department of Livestock and Fisheries (DLF), Lao PDR. The ACIAR project laboratory houses equipment and reagent supplied by the FAO/IAEA Co-ordinated Research Project (CRP) on FMD in Southeast Asia. Training has also been provided in performing FMD ELISA techniques. A serological survey to determine the sero-prevalence of FMD antibodies was conducted in Luang Prabang, Champassak and Savannakhet Provinces where a total of 1204 cattle and buffalo sera were collected from 58 villages in 13 districts. Results from the samples collected indicated that the dominant sero-type was O with a range of 16.4% in Luang Prabang to 23.4% in Champassak Province. Antibodies against sero-types A and Asia I were also detected but to a much lower level. From FMD suspected outbreaks, a total of twenty-six samples were submitted for FMD diagnosis between December 1997 and December 1998 of which ten where typed as O, three were typed as Asia I and thirteen were negative. The economic impact of FMD in Lao PDR is also discussed. (author)

Transmission and Preservation of music of the Laos Vieng Ethnics Group at Tumbol Don kha, U-thong Distric SuphanBuri province

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Nuttapot Pocharoen

2016-10-01

Full Text Available Music Vieng, Laos, Vientiane, Lao ethnic group identity. And this is something that represents the cultural and traditional beliefs from the past, which is very important and plays a role in Vientiane, Lao ethnic group. Today This research aims to 1. To study the music of ethnic Lao Wiang Thong, Suphan Buri Province Don Kha 2. To study the musical heritage and preservation of ethnic groups in Laos Vieng Thong, Suphan Buri Province Don Kha. The results showed that the music of ethnic Lao Wiang Thong, Suphan Buri Province Don Kha. Originally a folk music as well as the East. Originally, Canada is the main instrument. Vientiane, Laos ethnic group influenced society. And culture outside to inside. The group of friends and was popular with the younger generation. Lack of support from local organizations People who know less. Make music, ethnic Vieng, Laos began to fade with time. ceremony, a ritual is believed the disease. Similar to the medium by a worship of ancestors. Conservation and musical heritage of ethnic groups in Laos Don Kha Vieng Thong, Suphan Buri. Are passed down from generation to generation through teaching, saying to each other in kinship. There are performances at various events Playing music in various applications And shows for visitors to watch.

Genetic diversity of coronaviruses in bats in Lao PDR and Cambodia.

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Lacroix, Audrey; Duong, Veasna; Hul, Vibol; San, Sorn; Davun, Hull; Omaliss, Keo; Chea, Sokha; Hassanin, Alexandre; Theppangna, Watthana; Silithammavong, Soubanh; Khammavong, Kongsy; Singhalath, Sinpakone; Greatorex, Zoe; Fine, Amanda E; Goldstein, Tracey; Olson, Sarah; Joly, Damien O; Keatts, Lucy; Dussart, Philippe; Afelt, Aneta; Frutos, Roger; Buchy, Philippe

2017-03-01

South-East Asia is a hot spot for emerging zoonotic diseases, and bats have been recognized as hosts for a large number of zoonotic viruses such as Severe Acute Respiratory Syndrome (SARS), responsible for acute respiratory syndrome outbreaks. Thus, it is important to expand our knowledge of the presence of viruses in bats which could represent a risk to humans. Coronaviruses (CoVs) have been reported in bat species from Thailand, China, Indonesia, Taiwan and the Philippines. However no such work was conducted in Cambodia or Lao PDR. Between 2010 and 2013, 1965 bats were therefore sampled at interfaces with human populations in these two countries. They were tested for the presence of coronavirus by consensus reverse transcription-PCR assay. A total of 93 samples (4.7%) from 17 genera of bats tested positive. Sequence analysis revealed the presence of potentially 37 and 56 coronavirus belonging to alpha-coronavirus (αCoV) and beta-CoV (βCoV), respectively. The βCoVs group is known to include some coronaviruses highly pathogenic to human, such as SARS-CoV and MERS-CoV. All coronavirus sequences generated from frugivorous bats (family Pteropodidae) (n=55) clustered with other bat βCoVs of lineage D, whereas one coronavirus from Pipistrellus coromandra fell in the lineage C of βCoVs which also includes the MERS-CoV. αCoVs were all detected in various genera of insectivorous bats and clustered with diverse bat αCoV sequences previously published. A closely related strain of PEDV, responsible for severe diarrhea in pigs (PEDV-CoV), was detected in 2 Myotis bats. We highlighted the presence and the high diversity of coronaviruses circulating in bats from Cambodia and Lao PDR. Three new bat genera and species were newly identified as host of coronaviruses, namely Macroglossus sp., Megaerops niphanae and Myotis horsfieldii. Copyright © 2016 Elsevier B.V. All rights reserved.

Future energy demand in Laos. Scenario alternatives for development

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Luukkanen, J.; Kouphokham, K.; Panula-Ontto, J. [and others

2012-07-01

Energy production in Laos is still dominated by traditional fuels. Fuelwood in the main source of energy and most of the energy is consumed at households for cooking. Increase in the number of cars and motorbikes is rapidly increasing the use of imported petroleum products. Electrification is one of the central targets of the Lao government. The electrification rate has increased fast in Laos and in the year 2010 over 70 % households had electricity supply. The target is to have 90 % access to electricity by the year 2020. The World Bank regards the electrification of Lao PDR to be a success story. This paper deals with the present and future energy consumption in Laos. First the historical trends of energy use in different sectors are analysed. The future scenarios are constructed using LaoLinda model. Four different future alternative development paths are analysed using the model results. The energy use data source for the analysis is from the Ministry of Energy and Mines (MEM) of Lao PDR. Economic and other data is from the Department of Statistics of Lao PDR.

Spatial distribution of, and risk factors for, Opisthorchis viverrini infection in southern Lao PDR.

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Armelle Forrer

Full Text Available BACKGROUND: Opisthorchis viverrini is a food-borne trematode species that might give rise to biliary diseases and the fatal cholangiocarcinoma. In Lao PDR, an estimated 2.5 million individuals are infected with O. viverrini, but epidemiological studies are scarce and the spatial distribution of infection remains to be determined. Our aim was to map the distribution of O. viverrini in southern Lao PDR, identify underlying risk factors, and predict the prevalence of O. viverrini at non-surveyed locations. METHODOLOGY: A cross-sectional parasitological and questionnaire survey was carried out in 51 villages in Champasack province in the first half of 2007. Data on demography, socioeconomic status, water supply, sanitation, and behavior were combined with remotely sensed environmental data and fed into a geographical information system. Bayesian geostatistical models were employed to identify risk factors and to investigate the spatial pattern of O. viverrini infection. Bayesian kriging was utilized to predict infection risk at non-surveyed locations. PRINCIPAL FINDINGS: The prevalence of O. viverrini among 3,371 study participants with complete data records was 61.1%. Geostatistical models identified age, Lao Loum ethnic group, educational attainment, occupation (i.e., rice farmer, fisherman, and animal breeder, and unsafe drinking water source as risk factors for infection. History of praziquantel treatment, access to sanitation, and distance to freshwater bodies were found to be protective factors. Spatial patterns of O. viverrini were mainly governed by environmental factors with predictive modeling identifying two different risk profiles: low risk of O. viverrini in the mountains and high risk in the Mekong corridor. CONCLUSIONS/SIGNIFICANCE: We present the first risk map of O. viverrini infection in Champasack province, which is important for spatial targeting of control efforts. Infection with O. viverrini appears to be strongly associated

Endemic malaria in four villages in Attapeu Province, Lao PDR.

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Phetsouvanh, R; Vythilingam, I; Sivadong, B; Hakim, S Lokman; Chan, S T; Phompida, S

2004-09-01

A study was conducted in four villages in Attapeu Province, Lao PDR in 2002 to determine malaria endemicity. The study villages were Mixay, Beng Phoukham, Phou Vong and Pier Geo. Mass blood surveys were conducted in May, August, and October. Finger prick blood was collected for thick and thin blood film as well as for dipstick. The slide positivity rate was highest in Phou Hom in October (41.7%). Plasmodium falciparum was the dominant species comprising more than 80% of the cases. As a whole, the distribution of malaria was similar among males and females. Children below 15 years accounted for a large percentage of the cases. The sensitivity of the optimal dipstick was 62.36 and the specificity was 61.7. Microscopy was taken as the gold standard. Anopheles dirus was found to be the main vector and the vectorial capacity correlated well with the cases.

A CASE STUDY OF A FOREST CARBON STOCK MONITORING SYSTEM FOR REDD+ IN LAO P.D.R.

OpenAIRE

M. Nasu; T. Sano; K. Oono; Y. Wada; R. Nakada; T. Yamase; S. Tomimura; T. Furuya; G. Matteo; C. Kamusoko; Y. Gomi; T. Isobe; A. Iwata; H. Moriike; S. Hironaga

2012-01-01

Various technical studies for building forest monitoring system for MRV system of REDD+ has been implemented utilizing satellite remote sensing technology and ground survey upon configuring two pilot study areas, at whole Louangphabang (LPB) province (approximately 20,000 km2) and in Bolikhmxai(BLK) province (approximately 4,400 km2) in Lao PDR. Multi-temporal land use/cover data were prepared for making analyses of deforestation and forest degradation caused by various driving facto...

ラオスにおけるデング熱及びデング出血熱の流行状況と対策 : デング感染症サーベイランスの試み

OpenAIRE

斉藤, 美加; Saito, Mika; 琉球大学医学部ウイルス学講座

1999-01-01

Since November 1992, control programs of viral infection, especially dengue fever (DF)/dengue hemorrhagic fever (DHF) were started in Vientiane municipality and Khammouane province in Lao PDR under the Japan International Cooperation Agency-Laos primary health care project. Programs for strengthening of the dengue surveillance were conducted in points of (1) sensitivity, (2) specificity, (3) appropriate size and (4) availability. Through these programs, new surveillance system and dengue netw...

Integrating market chain assessments with zoonoses risk analysis in two cross-border pig value chains in Lao PDR

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Anna L Okello

2017-11-01

Full Text Available Objective Lao PDR’s recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Methods Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses—including hepatitis E virus (HEV, Taenia solium (T. solium and trichinella—to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Results Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. Conclusion The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector.

Integrating market chain assessments with zoonoses risk analysis in two cross-border pig value chains in Lao PDR

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Okello, Anna L; Tiemann, Tassilo T; Inthavong, Phouth; Khamlome, Boualam; Phengvilaysouk, Ammaly; Keonouchanh, Soukanh; Keokhamphet, Chattouphone; Somoulay, Virasack; Blaszak, Kate; Blacksell, Stuart D; Okello, Walter O; Allen, John

2017-01-01

Objective Lao PDR’s recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Methods Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses—including hepatitis E virus (HEV), Taenia solium (T. solium) and trichinella—to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Results Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. Conclusion The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector. PMID:28423884

Perceptions and acceptability of pictorial health warning labels vs text only--a cross-sectional study in Lao PDR.

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Sychareun, Vanphanom; Hansana, Visanou; Phengsavanh, Alongkone; Chaleunvong, Kongmany; Tomson, Tanja

2015-10-28

In Lao PDR, health warnings were first introduced with printed warning messages on the side of the cigarette package in 1993 and again in 2004. Lao PDR same year ratified the Framework Convention on Tobacco Control (WHO FCTC) but has not yet implemented pictorial health warnings. This paper aims to examine the perception and opinion of policymakers on "text-only" and "pictorial" health warnings and to understand lay people's perceptions on current health warnings and their opinions on the recommended types of health warnings. A combination of quantitative and qualitative methods were used in this cross-sectional study conducted in 2008. A purposive sample of 15 policymakers, and a representative sample of 1360 smokers and non-smokers were recruited. A range of different areas were covered including consumer attitudes towards current and proposed cigarette package design, views on health warning messages on the flip/slide and inserts, and views on the relative importance of the size, content and pictures of health warning messages. Descriptive statistics and content analysis were used. Policy makers and survey respondents said that the current health warning messages were inappropriate, ineffective, and too small in size. All respondents perceived pictorial health warnings as a potentially powerful element that could be added to the messages that can communicate quickly, and dramatically. The majority of policymakers and survey respondents strongly supported the implementation of pictorial health warnings. The non-smokers agreed that the graphic pictorial health warnings were generally more likely than written health warnings to stimulate thinking about the health risks of smoking, by conveying potential health effects, increasing and reinforcing awareness of the negative health effect of smoking, aiding memorability of the health effects and arousing fear of smoking among smokers. The study suggested that current warnings are too small and that content is

Bartonella henselae endocarditis in Laos - 'the unsought will go undetected'.

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Sayaphet Rattanavong

2014-12-01

Full Text Available Both endocarditis and Bartonella infections are neglected public health problems, especially in rural Asia. Bartonella endocarditis has been described from wealthier countries in Asia, Japan, Korea, Thailand and India but there are no reports from poorer countries, such as the Lao PDR (Laos, probably because people have neglected to look.We conducted a retrospective (2006-2012, and subsequent prospective study (2012-2013, at Mahosot Hospital, Vientiane, Laos, through liaison between the microbiology laboratory and the wards. Patients aged >1 year admitted with definite or possible endocarditis according to modified Duke criteria were included. In view of the strong suspicion of infective endocarditis, acute and convalescent sera from 30 patients with culture negative endocarditis were tested for antibodies to Brucella melitensis, Mycoplasma pneumoniae, Bartonella quintana, B. henselae, Coxiella burnetii and Legionella pneumophila. Western blot analysis using Bartonella species antigens enabled us to describe the first two Lao patients with known Bartonella henselae endocarditis.We argue that it is likely that Bartonella endocarditis is neglected and more widespread than appreciated, as there are few laboratories in Asia able to make the diagnosis. Considering the high prevalence of rheumatic heart disease in Asia, there is remarkably little evidence on the bacterial etiology of endocarditis. Most evidence is derived from wealthy countries and investigation of the aetiology and optimal management of endocarditis in low income countries has been neglected. Interest in Bartonella as neglected pathogens is emerging, and improved methods for the rapid diagnosis of Bartonella endocarditis are needed, as it is likely that proven Bartonella endocarditis can be treated with simpler and less expensive regimens than "conventional" endocarditis and multicenter trials to optimize treatment are required. More understanding is needed on the risk factors for

Determinants of consistent condom use among female sex workers in Savannakhet, Lao PDR.

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Andrews, Carin Hillerdal; Faxelid, Elisabeth; Sychaerun, Vanphanom; Phrasisombath, Ketkesone

2015-08-19

Female sex workers (FSWs) are a high-risk population for HIV. Correct and consistent use of condoms is the most effective measure for reducing transmission of HIV. Lao PDR is a low HIV-prevalence country, but FSWs have a relatively high HIV prevalence. To be able to make recommendations for condom promotion interventions in Lao PDR it is important to know more about the context specific situation. This study looked at reasons for and associated factors of consistent condom use among FSWs. A cross-sectional survey among 258 FSWs in Kaysone Phomvihan district in Savannakhet province was performed. Almost all FSWs had enough condoms (94%), condoms always available (100%) and could always afford condoms (92%). Consistent condom use was 97% with non-regular partners and 60% with regular partners. Almost all respondents (95%) had received information about condoms from the drop-in centre. Stated reasons for consistent condom use were prevention of HIV (94%), STIs (88%) and pregnancy (87%). Most reasons for inconsistent condom use were related to partners not wanting to use condoms because of reduced sexual pleasure. Some FSWs reported that they were physically abused and forced not to use condoms. Shorter time in sex work, higher education and FSW not having regular partners were significantly associated with consistent condom use. Consistent condom use was very high with non-regular partners, but less frequent with regular partners. The main reason for inconsistent condom use was that the partner did not want to use a condom. Associated factors for consistent condom use were not having regular partners, higher education and shorter time in sex work. Condom promotion programs should include both FSWs and their partners and female condoms should be included in condom intervention efforts. Future studies should investigate the validity of self-reported sexual practices, partners' reasons for inconsistent condom use, risk of violence in sex work and why shorter time in sex

Taenia solium, Taenia saginata, Taenia asiatica, their hybrids and other helminthic infections occurring in a neglected tropical diseases' highly endemic area in Lao PDR

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Sato, Megumi; Yanagida, Tetsuya; Waikagul, Jitra; Pongvongsa, Tiengkham; Sako, Yasuhito; Sanguankiat, Surapol; Yoonuan, Tipparayat; Kounnavang, Sengchanh; Kawai, Satoru; Ito, Akira; Okamoto, Munehiro; Moji, Kazuhiko

2018-01-01

Most part of Southeast Asia is considered endemic for human-infecting Taenia tapeworms; Taenia solium, T. saginata, and T. asiatica. However, until now there was no report of the occurrence of human cases of T. asiatica in Lao PDR. This study, conducted in Savannakhet Province, Lao PDR, microscopically examined a total of 470 fecal samples by Kato Katz method and found 86% of people harboring at least one helminth. Hookworms were detected in 56% of the samples besides Opisthorchis like eggs (42%), Trichuris trichiura (27%), Ascaris spp. (14%), and Taenia spp. (4%) eggs. Serology for cysticercosis showed 6.8% positives with results varying from 3% to 14.3% in Ethnic School students and Kalouk Kao village respectively. Species-specific PCR targeting mitochondrial DNA (mtDNA) of 28 tapeworms, recovered from 16 patients, revealed T. solium (n = 2), T. saginata (n = 21), and T. asiatica (n = 5). Two patients were confirmed to be coinfected with T. saginata and T. asiatica, indicating the endemicity of the 3 human Taenia in Lao PDR. However, nucleotide sequencing of a nuclear DNA gene, DNA polymerase delta (pold) revealed that all the tapeworms identified as T. asiatica using mtDNA had T. saginata type allele at pold locus, demonstrating that they are not “pure T. asiatica” but the hybrid descendants between the two species, confirming the wide distribution of hybrids of T. saginata/ T. asiatica in Southeast Asia. The high prevalence of several helminthic NTDs in east Savannakhet area even with conventional control measures indicates the importance to establish wide and multifaceted health programs to sustainably improve the quality of life of the populations living in these communities. PMID:29420601

Taenia solium, Taenia saginata, Taenia asiatica, their hybrids and other helminthic infections occurring in a neglected tropical diseases' highly endemic area in Lao PDR.

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Marcello Otake Sato

2018-02-01

Full Text Available Most part of Southeast Asia is considered endemic for human-infecting Taenia tapeworms; Taenia solium, T. saginata, and T. asiatica. However, until now there was no report of the occurrence of human cases of T. asiatica in Lao PDR. This study, conducted in Savannakhet Province, Lao PDR, microscopically examined a total of 470 fecal samples by Kato Katz method and found 86% of people harboring at least one helminth. Hookworms were detected in 56% of the samples besides Opisthorchis like eggs (42%, Trichuris trichiura (27%, Ascaris spp. (14%, and Taenia spp. (4% eggs. Serology for cysticercosis showed 6.8% positives with results varying from 3% to 14.3% in Ethnic School students and Kalouk Kao village respectively. Species-specific PCR targeting mitochondrial DNA (mtDNA of 28 tapeworms, recovered from 16 patients, revealed T. solium (n = 2, T. saginata (n = 21, and T. asiatica (n = 5. Two patients were confirmed to be coinfected with T. saginata and T. asiatica, indicating the endemicity of the 3 human Taenia in Lao PDR. However, nucleotide sequencing of a nuclear DNA gene, DNA polymerase delta (pold revealed that all the tapeworms identified as T. asiatica using mtDNA had T. saginata type allele at pold locus, demonstrating that they are not "pure T. asiatica" but the hybrid descendants between the two species, confirming the wide distribution of hybrids of T. saginata/ T. asiatica in Southeast Asia. The high prevalence of several helminthic NTDs in east Savannakhet area even with conventional control measures indicates the importance to establish wide and multifaceted health programs to sustainably improve the quality of life of the populations living in these communities.

Climate Risk Management and Decision Support Tools for the Agriculture Sector in Lao PDR, Bangladesh, and Indonesia

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Allis, E. C.; Greene, A. M.; Cousin, R.

2014-12-01

We describe a comprehensive project for developing climate information and decision support / climate risk management tools in Lao PDR, Bangladesh and Indonesia. Mechanisms are developed for bringing the benefits of these tools to both policy makers and poor rural farmers, with the goal of enabling better management, at the farm level, of the risks associated with climate variability and change. The project comprises several interwoven threads, differentially applied in the different study regions. These include data management and quality control, development of seasonal forecast capabilities, use of dynamic cropping calendars and climate advisories, the development of longer-term climate information for both past and future and a weather index insurance component. Stakeholder engagement and capacity building served as reinforcing and complementary elements to all components. In this talk we will provide a project overview, show how the various components fit together and describe some lessons learned in this attempt to promote the uptake of actionable climate information from farmer to policy level. The applied research project was led by the International Research Institute for Climate and Society (IRI) at Columbia University with funding from the International Fund for Agriculture Development (IFAD) and in close collaboration with our regional partners at the Centre for Climate Risk and Opportunity Management in Southeast Asia Pacific (at Bogor Agricultural University in Indonesia), Indonesia's National Agency for Meteorology, Climatology and Geophysics (BMKG), Lao PDR's National Agriculture and Forestry Research Institute (NAFRI), Laotian Department of Meteorology and Hydrology (DMH), WorldFish Center, Bangladesh Meteorology Department (BMD), and CGIAR Research Program on Climate Change, Agriculture and Food Security (CCAFS).

Snakebites in Two Rural Districts in Lao PDR: Community-Based Surveys Disclose High Incidence of an Invisible Public Health Problem.

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Inthanomchanh Vongphoumy

Full Text Available The Lao PDR (Laos is one of the least developed countries in Asia with an estimated 25% of the population living in poverty. It is the habitat of some highly venomous snakes and the majority of the population earns their living from agricultural activities. Under these circumstances the incidence of snakebites is expected to be high.Two cross-sectional, community-based surveys were performed in Champone and Phin district, Savannakhet province, Lao PDR to estimate snakebite incidence. Multistage random sampling was used. In the first stage approximately 40% of all villages in each district were randomly selected. In the second stage 33% of all households in each village were randomly chosen. Members of the selected households were interviewed about snakebites during the previous 12 months.Thirty-five of 9856 interviewees reported a snakebite in a 12 month period in Champone district and 79 of 7150 interviewees in Phin district. The estimated incidence is 355 snakebites per 100,000 persons per year and 1105 per 100,000 in Champone and Phin district respectively. All snakebite victims received treatment by traditional healers or self-treatment at home and nobody went to a hospital. Incidence of snakebites, calculated on the basis of hospital records of 14 district hospitals and Savannakhet provincial hospital, ranged from 3 to 14 cases per 100,000 persons per year between 2012 and 2014.Incidence of snakebites is high in rural communities in Laos with significant regional differences. Poverty most likely contributes significantly to the higher number of snakebites in Phin district. Hospital statistics profoundly underestimates snakebite incidence, because the majority of snakebite victims receive only treatment by traditional healers or self-treatment in their village. There is an urgent need to train medical staff and students in management of snakebite patients and make snake antivenom available to cope effectively with this important public

Snakebites in Two Rural Districts in Lao PDR: Community-Based Surveys Disclose High Incidence of an Invisible Public Health Problem.

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Vongphoumy, Inthanomchanh; Phongmany, Panom; Sydala, Sengdao; Prasith, Nouda; Reintjes, Ralf; Blessmann, Joerg

2015-01-01

The Lao PDR (Laos) is one of the least developed countries in Asia with an estimated 25% of the population living in poverty. It is the habitat of some highly venomous snakes and the majority of the population earns their living from agricultural activities. Under these circumstances the incidence of snakebites is expected to be high. Two cross-sectional, community-based surveys were performed in Champone and Phin district, Savannakhet province, Lao PDR to estimate snakebite incidence. Multistage random sampling was used. In the first stage approximately 40% of all villages in each district were randomly selected. In the second stage 33% of all households in each village were randomly chosen. Members of the selected households were interviewed about snakebites during the previous 12 months. Thirty-five of 9856 interviewees reported a snakebite in a 12 month period in Champone district and 79 of 7150 interviewees in Phin district. The estimated incidence is 355 snakebites per 100,000 persons per year and 1105 per 100,000 in Champone and Phin district respectively. All snakebite victims received treatment by traditional healers or self-treatment at home and nobody went to a hospital. Incidence of snakebites, calculated on the basis of hospital records of 14 district hospitals and Savannakhet provincial hospital, ranged from 3 to 14 cases per 100,000 persons per year between 2012 and 2014. Incidence of snakebites is high in rural communities in Laos with significant regional differences. Poverty most likely contributes significantly to the higher number of snakebites in Phin district. Hospital statistics profoundly underestimates snakebite incidence, because the majority of snakebite victims receive only treatment by traditional healers or self-treatment in their village. There is an urgent need to train medical staff and students in management of snakebite patients and make snake antivenom available to cope effectively with this important public health problem in

Exceptionally low prevalence of refractive error and visual impairment in schoolchildren from Lao People's Democratic Republic.

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Casson, Robert J; Kahawita, Shyalle; Kong, Aimee; Muecke, James; Sisaleumsak, Siphetthavong; Visonnavong, Vithoune

2012-10-01

Vientiane Province is an urbanizing region in Southeast Asia. We aimed to determine the prevalence of refractive error and visual impairment in primary school-aged children in this region. Prospective, cross-sectional survey. A total of 2899 schoolchildren from Vientiane Province, Lao People's Democratic Republic (Lao PDR). Ten districts from Vientiane were randomly selected and 2 primary schools were randomly selected from each district. All children aged 6 to 11 years at selected schools were eligible to participate. The examination included visual acuity (VA) testing, cycloplegic retinoscopy with subjective refinement if indicated, ocular motility testing, and anterior segment and fundus examinations in visually impaired children. Cycloplegic refraction and VA. There was an estimated total of 3330 children who were eligible to participate, and data were recorded from 2899 (87%) of these children. Complete refractive data were available on 2842 children (85% of eligible population). The mean spherical equivalent (SE) in the right eyes was +0.60 diopter (D) (95% confidence interval [CI], 0.49-0.72), and the mean SE in the left eyes was +0.59 (95% CI, 0.50-0.68). The prevalence of hyperopia was 2.8% (95% CI, 1.9-3.7; 88 subjects), and the prevalence of myopia was 0.8% (95% CI, 0.3-1.4; 24 subjects). The majority of children (98%; 95% CI, 97.0-99.0) had normal unaided binocular VA (at least 20/32 in their better eye). The overall prevalence of any visual impairment (presenting VA <20/32 in the better eye) was 1.9% (95% CI, 1.0-2.9; 55 subjects). In multivariate logistic regression analysis, age (P = 0.001) was a significant predictor, and female gender (P = 0.08) and Yao ethnicity (P = 0.09) were borderline significant predictors of the presence of any visual impairment. Visual impairment is not a public health concern in this primary school-aged population; however, visually impaired children in the community were not studied. From this baseline, future surveys

Possibility to Use Mobile Learning to Promote World Heritage Site Preservation Awareness in Luang Prabang, Lao Pdr: a Readiness Study

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Poong, Y. S.; Yamaguchi, S.; Takada, J.

2013-07-01

This paper elucidates the current state of mobile technology readiness among young adults in higher education institution based on surveys and interviews. Although Lao PDR is ranked as low category in the ICT Index by International Telecommunication Union (ITU), findings show that there exists high level of readiness among the young adults. Recommendations for future research are developed to guide the development of mobile learning application with the aim to promote World Heritage Site preservation awareness.

Integrated water resources management (IWRM) approach in water governance in Lao PDR. Cases of hydropower and irrigation

Energy Technology Data Exchange (ETDEWEB)

Jusi, S.

2013-06-01

Water resources are essential for socio-economic development, enabling, for example, hydropower and irrigation. Water resources management and development are expected to become more complex and challenging and to involve new uncertainties as water development increases and accelerates in different water use sectors and is coupled with increasing population, urbanisation, and climate change. Hence, water resources need to be managed in more integrated and sustainable way, both in Lao PDR and in the whole Mekong Basin area. Integrated Water Resources Management (IWRM) has become a universal paradigm of enhancing and promoting sustainable and equal water resources management and use. However, integrating water functions is a very complex task as it involves many actors with different interests. This research analyses the application of the IWRM approach and the related principles of integration, decentralisation, and participation in the development and management of water resources in Laotian water regime at the water use sectors of hydropower and irrigation. A case study approach was used for the research and for the four appended articles in order to examine hydropower and irrigation sectors, institutional structures, and processes of institutional change - Integrated Water Resources Management (IWRM) at constitutional, organisational, and operational levels. The constitutional level refers to water policy and law, organisational to water resource management, and operational to water use. The Management and Transition Framework (MTF) and one of its components, Institutional Analysis and Development (IAD) framework, have been used for the research to explore processes, institutions, and actors related to water governance reforms including the adoption of the IWRM paradigm, and to increase understanding of the strengths and weaknesses related to different institutional contexts and levels in Laotian water management. Through Action Situations, IAD and MTF have

Learning the Scripts: An exploration of the shared ways in which young Lao volunteers in Vientiane understand happiness.

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C. McMellon

2013-11-01

Full Text Available The idea that development policies need to take account of factors broader than economic growth is increasingly commonplace. A focus upon happiness provides an alternative way of looking at development, but the concept of happiness is far from straightforward. This paper argues that any consideration of happiness in policy must be grounded in nuanced qualitative research that provides a rich understanding of the realities of people's lives and their multiple and often conflicting understandings of what happiness means. This paper draws on ethnographic research with young Lao volunteers with community-based organisations in Vientiane, Laos, that took place between 2010 and 2012. Drawing on Wierzbicka's (2004 concept of cultural scripts, it identifies, describes and explores three collective scripts that this specific group of young people believe about the things that make them happy: •         The way to be happy is to be a good Lao person •         I will be happy if I have the things that I need to be  comfortable and have an easy life •         I am happy when I follow my heart Despite illustrating very different understandings of happiness, these stories are woven from a common set of themes about the things that young people think make them happy. Consideration is given to the possible origins of these shared scripts. The discussion section of the paper looks at the implications of these shared scripts for understanding happiness and for the inclusion of a consideration of the concept of happiness in public policy. The paper ends with three conclusions. Firstly it suggests the importance of rich qualitative research in order to make choices about the meaningful use of well-being indicators. Secondly, in making explicit the socially constructed ways that people understand happiness, such research can also remind us of the need to interrogate the ways that happiness is considered in public policy. Thirdly, the

Recovering disrupted social capital: insights from Lao PDR rural villagers’ perceptions of local leadership

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Jinho Kim

2016-11-01

Full Text Available Abstract Background Social capital is often believed to be one of the key prerequisites for successful implementation of community-based health programs. In less-developed countries, local leaders are positioned as major players in broad community health strategies and interventions, and their capacities and roles are expected to increase in prominence in future community-health-care promotions. In this study, we examined how local leaders’ capacities could be related to social capital in rural villages in Lao PDR, and thus to villagers’ willingness to participate in community-based health efforts. Methods We adopted a qualitative approach, conducting semi-structured interviews for both individuals and focus groups. In 2012, 103 people from six villages in the Khoun and Phoukoud districts participated in the interviews. For the individual interviews, we interviewed 22 mothers who had given birth in the past 5 years. For the focus groups, we interviewed 30 women (six groups, 30 men (six groups, and 21 senior villagers (five groups. Results First, we noted large variations in the levels of community social capital across villages: four out of six study villages showed a high level of social capital, while two villages suffered greatly from a low level of social capital. In search of the reasons for the disrupted social capital in the latter two villages, interviews revealed that failed leadership, especially in regard to local resource allocations—lack of transparency and corrupt practices—were commonly cited reasons for disrupted social capital. The data also showed that the villagers’ mistrust of these failed local leaders critically reduced their willingness to participate in community-based health efforts, and especially in those that involved resource mobilization and risk-sharing for healthcare. Finally, we found that good communication skills and participatory decision-making styles were attributes that rural villagers in Lao PDR

New health risks and sociocultural contexts: bird flu impacts on consumers and poultry businesses in Lao PDR.

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Suder, Gabriele; Inthavong, Saynakhone

2008-02-01

Avian flu has been identified as one of the most challenging new risks, global in impact due to the "highly interconnected and integrated world economy along with other unpredictable events such as the Asian financial crisis and global terrorism." We have chosen the case of Lao PDR to shed light on an area in which local people consume chicken as one of their staple foods. Our research analyzes consumer behavior, poultry business modification patterns in a high-risk country, and government reaction for business resilience. The geographic choice is motivated by the 2006 EIU report on Catastrophe Risk Management that indicated that Asian-Pacific companies are better prepared for such risks as bird flu than European business is, despite the many cases found in both regions.

Limited diagnostic capacities of two commercial assays for the detection of Leptospira immunoglobulin M antibodies in Laos

NARCIS (Netherlands)

Blacksell, Stuart D.; Smythe, Lee; Phetsouvanh, Rattanaphone; Dohnt, Michael; Hartskeerl, Rudy; SymondS, Meegan; Slack, Andrew; Vongsouvath, Manivanh; Davong, Viengmone; Lattana, Olay; Phongmany, Simmaly; Keolouangkot, Valy; White, Nicholas J.; Day, Nicholas P. J.; Newton, Paul N.

2006-01-01

The diagnostic utility of immunochromatographic (Leptotek) and enzyme-linked immunosorbent assay (ELISA; Panbio) tests for the detection of Leptospira immunoglobulin M antibodies was assessed in febrile adults admitted in Vientiane, Laos. Both tests demonstrated poor diagnostic accuracy using

Genetic diversity of Taenia saginata (Cestoda: Cyclophyllidea) from Lao People's Democratic Republic and northeastern Thailand based on mitochondrial DNA.

Science.gov (United States)

Sanpool, Oranuch; Rodpai, Rutchanee; Intapan, Pewpan M; Sadaow, Lakkhana; Thanchomnang, Tongjit; Laymanivong, Sakhone; Maleewong, Wanchai; Yamasaki, Hiroshi

2017-03-11

Taenia saginata is a tapeworm found in cattle worldwide. Analysis of genetic diversity in different geographical populations of T. saginata not only helps to understand the origin, transmission and spread of this organism, but also to evaluate the selection pressures acting on T. saginata and how it is responding to them. However, there are few reports of the genetic variability of T. saginata populations in different regions of the world, including Lao PDR and Thailand. We report the genetic diversity of T. saginata populations in Lao PDR and northeastern Thailand together with sequences of T. saginata from other countries deposited in GenBank. Mitochondrial cox1 sequence analysis revealed that 15 and 8 haplotypes were identified in 30 and 21 T. saginata isolates from Lao PDR and northeastern Thailand, respectively. Fifty-three haplotypes were identified from 98 sequences. Phylogenetic tree and haplotype network analyses revealed that global isolates of T. saginata were genetically divided into five groups (A, B, C1, C2 and D). Taenia saginata isolates from Lao PDR and northeastern Thailand belonged to either Group A or B. Taenia saginata from western Thailand clustered in groups C1, C2 and D, and populations from the northeast and western Thailand were found to be genetically distinct. Taenia saginata isolates in Lao PDR and Thailand were also found to be genetically diverse but the degree of genetic differentiation was low. Taenia saginata populations from Lao PDR and northeastern Thailand are genetically distinct from the population in western Thailand and it is proposed that T. saginata has been dispersed by different transmission routes in Southeast Asia.

Mentoring Cambodian and Lao health professionals in tobacco control leadership and research skills.

Science.gov (United States)

Ferry, L Hyder; Job, J; Knutsen, S; Montgomery, S; Petersen, F; Rudatsikira, E; Singh, P

2006-06-01

The aim of the programme was to ultimately affect public health practice and policy in the Kingdom of Cambodia and Lao People's Democratic Republic (Lao PDR) by training key health professionals to conduct tobacco control research. Encouraged by the World Health Organization's Framework Convention on Tobacco Control, a global partnership formed to build effective leadership to develop and guide national tobacco control agendas. The partners were the Ministries of Health (Cambodia and Lao PDR), non-government organisations (Adventist Development and Relief Agency in Cambodia and Laos) and an academic institution (Loma Linda University, Loma Linda, California, USA). 16 health professionals, 10 from Cambodia and 6 from Lao PDR, were selected by local advisory committees to enter a two-year, intensive tobacco research graduate certificate and research training programme. We developed a "Global Tobacco Control Methods" (GTCM) 28 unit certificate programme that was offered in five sessions from September 2003 to September 2005 at the National Institute of Public Health, Phnom Penh, Cambodia. As part of their coursework, the 16 trainees actively participated in the development and implementation of two research projects. In the first project, "Healthy Doc Healthy Patient" (HDHP), trainees adapted an existing, self-administered questionnaire designed to assess health practices and beliefs of medical students in Cambodia and Lao PDR. The second project involved the design of a national prevalence of tobacco use and health beliefs study in Cambodia using a multi-stage, cluster sample method. Trainees were sponsored to attend and present at international tobacco control conferences to enhance their awareness of the tobacco epidemic. As of September 2005, 14 trainees (8 from Cambodia and 6 from Lao PDR) completed the courses in the GTCM certificate programme. The HDHP study sampled four medical school classes (years 3, 4, 5 and 6) in both Cambodia (n = 330, 71.1% response rate

The use of dried cerebrospinal fluid filter paper spots as a substrate for PCR diagnosis of the aetiology of bacterial meningitis in the Lao PDR

OpenAIRE

Elliott, I.; Dittrich, S.; Paris, D.; Sengduanphachanh, A.; Phoumin, P.; Newton, P.N.

2013-01-01

We investigated whether dried cerebrospinal fluid (CSF) conserved on filter paper can be used as a substrate for accurate PCR diagnosis of important causes of bacterial meningitis in the Lao PDR. Using mock CSF, we investigated and optimized filter paper varieties, paper punch sizes, elution volumes and quantities of DNA template to achieve sensitive and reliable detection of bacterial DNA from filter paper specimens. FTA Elute Micro Card? (Whatman, Maidstone, UK) was the most sensitive, cons...

Variation in Grain Quality of Upland Rice from Luang Prabang Province, Lao PDR

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Vua Xiongsiyee

2018-03-01

Full Text Available Luang Prabang Province is located within the area recognized as the center of rice (Oryza sativa L. diversity in Lao PDR. This study reported on grain quality characteristics of 60 upland rice seed samples sharing 49 variety names collected from 6 villages in Luang Prabang in 2015. Most of the samples has non-pigmented pericarp, while red pericarp was found in four samples and purple in five samples. Almost all of the samples were of large grain type, with glutinous endosperm in 70% and non-glutinous endosperm in 30%. The brown (unpolished rice was found with a wide range of grain nutritional quality, including protein (9.2% ± 0.9%, Fe (15.9 ± 6.9 mg/kg, Zn (19.6 ± 2.1 mg/kg, anthocyanin (0.774 ± 0.880 mg/g, and anti-oxidative capacity (2.071 ± 1.373 mg/g. The varieties sharing similar names had similar morphological characteristics but varied in nutritional concentration, with required confirmation in genetic variation analysis. This study found that some rice varieties with high grain quality may benefit the farmers directly or could be used in varietal improvement programs.

Economic Assessment of Sanitation Interventions in Lao People's Democratic Republic

OpenAIRE

World Bank

2013-01-01

Access to improved sanitation is a major concern in the Lao People s Democratic Republic. Only 63 percent of the population of the country had access to improved sanitation facilities in 2010. Sanitation conditions are worse in rural areas. This study aims to generate evidence on the costs and benefits of sanitation improvements Lao PDR.

Serosurveillance of Coxiellosis (Q-fever) and Brucellosis in goats in selected provinces of Lao People’s Democratic Republic

Science.gov (United States)

Burns, Rebekah J. L.; Douangngeun, Bounlom; Theppangna, Watthana; Khounsy, Syseng; Mukaka, Mavuto; Selleck, Paul W.; Hansson, Eric; Wegner, Matthew D.; Windsor, Peter A.

2018-01-01

Goat raising is a growing industry in Lao People’s Democratic Republic, with minimal disease investigation to date, especially zoonoses. This study determined the proportional seropositivity of two zoonotic diseases: Q fever (causative agent Coxiella burnetii) and Brucellosis (Brucella species) in goats across five provinces (Vientiane Capital, Xayaboury, Xiengkhuang, Savannakhet and Attapeu). A total of 1458 goat serum samples were tested using commercial indirect ELISA for both pathogens, plus Rose Bengal agglutination test for Brucellosis. Overall individual seropositivity of C. burnetii was 4.1% and Brucella spp. was 1.4%. A multiple logistic regression model identified that province (Vientiane Capital, p = 0.05), breed (introduced Boer mixed breed, p = 0.006) and age (goats ≥3 years old, p = 0.014) were significant risk factors for C. burnetii seropositivity. The results of the survey indicated that province (Vientiane Capital, pfarm size (large, 0.001) were all significant risk factors seropositivity for Brucella spp. It was concluded that Lao goats have been exposed to both C. burnetii and Brucella spp. however the risk of clinical disease has not yet been determined and there is an urgent need to determine human health risks and economic losses caused by Q fever and Brucellosis. PMID:29649313

Case report: Actinomycetoma caused by Nocardia aobensis from Lao PDR with favourable outcome after short-term antibiotic treatment.

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Inthanomchanh Vongphoumy

2015-04-01

Full Text Available Mycetoma is a neglected, chronic, localized, progressively destructive, granulomatous infection caused either by fungi (eumycetoma or by aerobic actinomycetes (actinomycetoma. It is characterized by a triad of painless subcutaneous mass, multiple sinuses and discharge containing grains. Mycetoma commonly affects young men aged between 20 and 40 years with low socioeconomic status, particularly farmers and herdsmen.A 30 year-old male farmer from an ethnic minority in Phin District, Savannakhet Province, Lao PDR (Laos developed a painless swelling with multiple draining sinuses of his right foot over a period of approximately 3 years. X-ray of the right foot showed osteolysis of tarsals and metatarsals. Aerobic culture of sinus discharge yielded large numbers of Staphylococcus aureus and a slow growing Gram-positive rod. The organism was subsequently identified as Nocardia aobensis by 16S ribosomal RNA gene sequencing. The patient received antimicrobial treatment with amikacin and trimethoprim-sulfamethoxazole according to consensus treatment guidelines. Although slight improvement was noted the patient left the hospital after 14 days and did not take any more antibiotics. Over the following 22 weeks the swelling of his foot subsequently diminished together with healing of discharging sinuses.This is the first published case of Actinomycetoma caused by Nocardia aobensis and the second case of Actinomycetoma from Laos. A treatment course of only 14 days with amikacin and trimethoprim-sulfamethoxazole was apparently sufficient to cure the infection, although long-term treatment up to one year is currently recommended. Treatment trials or prospective descriptions of outcome for actinomycetoma should investigate treatment efficacy for the different members of Actinomycetales, particularly Nocardia spp., with short-term and long-term treatment courses.

A review of bear farming and bear trade in Lao People's Democratic Republic

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E. Livingstone

2018-01-01

Full Text Available This study reviews the bear farming industry in Lao PDR with the objective of documenting the current number of commercial bear facilities (i.e. captive bear facilities judged to be trading in bear bile and/or bears and bear parts and the number of bears contained within these facilities, noting changes since it was last examined between 2000 and 2012 by Livingstone and Shepherd (2014. We surveyed all known commercial bear facilities and searched for previously unrecorded facilities. We compared our records with Livingstone and Shepherd (2014 and corrected some duplicate records from their study. In 2017, we recorded seven commercial facilities; four dedicated bear farms, and three tiger farms that were reportedly also keeping bears. We found that between 2012 and 2017 the recorded number of dedicated bear farms reduced by two, and the recorded number of tiger farms also keeping bears increased by one. Within the same period, the total number of captive bears among all facilities in Lao PDR hardly changed (+one, but the number of bears within each facility did. The northern facilities, owned by ethnic Chinese, have expanded since 2012, and central and southern facilities have downsized or closed. While bear farming appears to be downsizing in Lao PDR overall, efforts to phase it out are undermined by the expansion of foreign owned facilities in the north, within Special and Specific Economic Zones that largely cater to a Chinese market, and where the Lao government's efforts to enforce laws and protect wildlife appear to be lacking. Closing the facilities in the north will require political will and decisive law enforcement. Keywords: Bear farms, Bear bile, Gall bladder, Urso-deoxycholic acid, Bear bile extraction facilities, Lao PDR, Ursus thibetanus

Impact of Tourism Growth on the Changing Landscape of a World Heritage Site: Case of Luang Prabang, Lao PDR

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Ceelia Leong

2017-11-01

Full Text Available Rapid tourism development adversely impacts and negatively transforms World Heritage Sites. This study aimed at examining how tourism growth has impacted the built environment of Luang Prabang, Lao PDR through an empirical approach. Luang Prabang has received a critical warning from World Heritage Committee for the escalating development pressure on its vulnerable landscape. Hence, this study examined two aspects: (1 the spatial pattern of the increase of touristic usage; and (2 the relation between the increase of touristic usage and the significant changes in the built environment. For this, geographical information systems (GIS are combined with statistical methods such as logistic regression and chi-square test of independence. The results affirmed that the change from other types of usage to touristic usage in existing buildings has a higher chance to occur along riverbank areas than in the middle of the peninsula in the core heritage area. Change to touristic usage is also related with three significant changes in the built environment, namely: (1 change from other types of architecture to Lao traditional architecture; (2 change from modern to traditional roof materials; and (3 change from traditional to modern building materials. This indicates that the increase in touristic usage has contributed to strengthening the heritage elements of the landscape.

Smoking prevalence, determinants, knowledge, attitudes and habits among Buddhist monks in Lao PDR.

Science.gov (United States)

Vanphanom, Sychareun; Phengsavanh, Alongkon; Hansana, Visanou; Menorath, Sing; Tomson, Tanja

2009-06-08

This cross-sectional study, the first of its kind, uses baseline data on smoking prevalence among Buddhist monks in Northern and Central provinces of Lao PDR. Between March and September 2006, 390 monks were interviewed, using questionnaires, to assess smoking prevalence including determinants, knowledge and attitudes. Data entry was performed with Epi-Info (version 6.04) and data analysis with SPSS version 11. Descriptive analysis was employed for all independent and dependent variables. Chi-square or Fisher's exact test were used for categorical variables to compare smoking status, knowledge, attitudes and province. Logistic regression was applied to identify determinants of smoking. Daily current smoking was 11.8%. Controlling for confounding variables, age at start of monkhood and the length of religious education were significant determinants of smoking. The majority of the monks 67.9% were in favor of the idea that offerings of cigarettes should be prohibited and that they should refuse the cigarettes offered to them (30.3%) but, in fact, 34.8% of the monks who were current smokers accepted cigarettes from the public. Some monks were smokers, whilst they, in fact, should be used as non-smoking role models. There was no anti-smoking policy in temples. This needs to be addressed when setting up smoke-free policies at temples.

Misoprostol for the prevention of postpartum hemorrhage during home births in rural Lao PDR: establishing a pilot program for community distribution.

Science.gov (United States)

Durham, Jo; Phengsavanh, Alongkone; Sychareun, Vanphanom; Hose, Isaac; Vongxay, Viengnakhone; Xaysomphou, Douangphachanh; Rickart, Keith

2018-01-01

The purpose of this study was to gather the necessary data to support the design and implementation of a pilot program for women who are unable to deliver in a healthcare facility in the Lao People's Democratic Republic (PDR), by using community distribution of misoprostol to prevent postpartum hemorrhage (PPH). The study builds on an earlier research that demonstrated both support and need for community-based distribution of misoprostol in Lao PDR. This qualitative study identified acceptability of misoprostol and healthcare system needs at varying levels to effectively distribute misoprostol to women with limited access to facility-based birthing. Interviews (n=25) were undertaken with stakeholders at the central, provincial, and district levels and with community members in five rural communities in Oudomxay, a province with high rates of maternal mortality. Focus group discussions (n=5) were undertaken in each community. Respondents agreed that PPH was the major cause of preventable maternal mortality with community distribution of misoprostol an acceptable and feasible interim preventative solution. Strong leadership, training, and community mobilization were identified as critical success factors. While several participants preferred midwives to distribute misoprostol, given the limited availability of midwives, there was a general agreement that village health workers or other lower level workers could safely administer misoprostol. Many key stakeholders, including women themselves, considered that these community-level staff may be able to provide misoprostol to women for self-administration, as long as appropriate education on its use was included. The collected data also helped identify appropriate educational messages and key indicators for monitoring and evaluation for a pilot program. The findings strengthen the case for a pilot program of community distribution of misoprostol to prevent PPH in remote communities where women have limited access to a

Serosurveillance of Coxiellosis (Q-fever and Brucellosis in goats in selected provinces of Lao People's Democratic Republic.

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Rebekah J L Burns

2018-04-01

Full Text Available Goat raising is a growing industry in Lao People's Democratic Republic, with minimal disease investigation to date, especially zoonoses. This study determined the proportional seropositivity of two zoonotic diseases: Q fever (causative agent Coxiella burnetii and Brucellosis (Brucella species in goats across five provinces (Vientiane Capital, Xayaboury, Xiengkhuang, Savannakhet and Attapeu. A total of 1458 goat serum samples were tested using commercial indirect ELISA for both pathogens, plus Rose Bengal agglutination test for Brucellosis. Overall individual seropositivity of C. burnetii was 4.1% and Brucella spp. was 1.4%. A multiple logistic regression model identified that province (Vientiane Capital, p = 0.05, breed (introduced Boer mixed breed, p = 0.006 and age (goats ≥3 years old, p = 0.014 were significant risk factors for C. burnetii seropositivity. The results of the survey indicated that province (Vientiane Capital, p<0.001, breed (introduced Boer mixed breed, p<0.001, production system (commercial, p<0.001, age (adult, p = 0.004, and farm size (large, 0.001 were all significant risk factors seropositivity for Brucella spp. It was concluded that Lao goats have been exposed to both C. burnetii and Brucella spp. however the risk of clinical disease has not yet been determined and there is an urgent need to determine human health risks and economic losses caused by Q fever and Brucellosis.

Valuing Attributes of Fluid Milk in Laos

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Jae Won Lee

2017-09-01

Full Text Available This study estimates the random utility function of fluid milk using 1,165 survey responses in Laos. It finds that both products’ attributes and individual characteristics affect consumers’ preference for the milk and the hypothetical brand of Laos-Korea has a potential compared to four real dairy products. Results also show that calories have a positive relationship with consumer’s preference while the price and fat content have a negative one. The decision for choosing each brand is significantly affected by individual characteristics such as gender, age, whether or not respondents live with their children, the level of education, income, the frequency of purchasing milk per week, and the region where they live. The preference for five brands appears in the order of Foremost, Nabong, Thai-Danish, Meiji, and Lao-Korea, and probabilities of purchasing each brand at the mean level are 30.9%, 17.48%, 21.48%, 15.0% and 10.39%, respectively. Nabong that was Lao national milk brand still has a significant market power even though it was closed in 2008. The policies to promote milk industry by implementing its national milk brand again would be more effective if it focuses on the young generation, female consumers, families with children, quality of dairy products, and Vientiane capital areas.

Expanding malaria diagnosis and treatment in Lao PDR: lessons learned from a public-private mix initiative.

Science.gov (United States)

Simmalavong, Nouannipha; Phommixay, Sengkham; Kongmanivong, Phoudaliphone; Sichanthongthip, Odai; Hongvangthong, Bouasy; Gopinath, Deyer; Sintasath, David M

2017-11-13

As in other countries of the Greater Mekong Sub-region (GMS), the private health sector constitutes a significant avenue where malaria services are provided and presents a unique opportunity for public-private collaboration. In September 2008, a public-private mix (PPM) strategy was launched initially in four northern and southern provinces in Lao PDR to increase access to rapid diagnostic tests (RDTs) and artemisinin-based combination therapy (ACT), improve quality of care, and collect routine malaria data from the private sector. Throughout the process, key stakeholders were involved in the planning, monitoring and supervision of project sites. Following an initial assessment in 2009, the PPM initiative expanded to an additional 14 district sites to a total of 245 private pharmacies and 16 clinics covering 8 provinces and 22 districts. By June 2016, a total of 317 pharmacies, 30 clinics in 32 districts of the 8 provinces were participating in the PPM network and reported monthly malaria case data. This descriptive study documented the process of initiating and maintaining the PPM network in Lao PDR. Epidemiological data reported through the routine surveillance system from January 2009 to June 2016 were analyzed to illustrate the contribution of case reporting from the private sector. A total of 2,301,676 malaria tests were performed in the PPM districts, which included all the PPM pharmacies and clinics (176,224, 7.7%), proportion of patients tested from 14,102 (4.6%) in 2009 to 29,554 (10.4%) in 2015. Over the same period of 90 months, a total of 246,091 positive cases (10.7%) were detected in PPM pharmacies and clinics (33,565; 13.6%), in the same districts as the PPM sites. The results suggest that the PPM sites contributed to a significant increasing proportion of patients positive for malaria from 1687 (7.4%) in 2009 to 5697 (15.8%) in 2015. Ensuring adequate and timely supplies of RDTs and ACT to PPM sites is critical. Frequent refresher training is

2009 A(H1N1 seroconversion rates and risk factors among the general population in Vientiane Capital, Laos.

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Alexia Kieffer

Full Text Available To assess 2009 A(H1N1 seroconversion rates and their determinants within an unvaccinated population in Vientiane Capital, Laos.CoPanFlu Laos, a general population cohort of 807 households and 4,072 participants was established in March 2010. Sociodemographic data, epidemiological data, and capillary blood samples were collected from all the household members in March, and again in October 2010, in order to assess the level of antibodies to 2009 A(H1N1 with the haemagglutination inhibition assay. 2009 A(H1N1 seroconversion was defined as a fourfold or greater increase in titre between inclusion and follow-up. Determinants for pandemic influenza infection were studied using the generalized estimating equations model, taking household clustering into account.Between March and November 2010, 3,524 paired sera were tested. Prior to the pandemic, our cohort was almost completely vaccine-naive for seasonal influenza. The overall seroconversion rate among nonvaccinated individuals (n = 2,810 was 14.3% (95%CI [13.0, 15.6], with the highest rate for participants under 20 yo (19.8%, 95%CI [17.4, 22.4] and the lowest rate for participants over 60 yo (6.5%, 95%CI [3.7, 10.4]. Participants with lower baseline titres had significantly higher infection rates, with a dose-effect relationship. Odds ratios (ORs ranged from 76.5 (95%CI [27.1, 215.8], for those with a titre at inclusion of 1∶10, to 8.1 (95%CI [3.3, 20.4], for those with a titre of 1∶40. Having another household member with a titre ≥1∶80 was associated with a higher likelihood of immunity (OR = 3.3, 95%CI [2.8, 3.9].The determinants and age distribution for seroconversion within a vaccine-naive population were similar to those found in developed countries. This pandemic was characterized by strong epidemiological determinants, regardless of geographical zone and level of development. Moreover, we detected pre-existing cross-reacting antibodies in participants over 60 yo, which could

Smoking prevalence, determinants, knowledge, attitudes and habits among Buddhist monks in Lao PDR

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Menorath Sing

2009-06-01

Full Text Available Abstract Background This cross-sectional study, the first of its kind, uses baseline data on smoking prevalence among Buddhist monks in Northern and Central provinces of Lao PDR. Findings Between March and September 2006, 390 monks were interviewed, using questionnaires, to assess smoking prevalence including determinants, knowledge and attitudes. Data entry was performed with Epi-Info (version 6.04 and data analysis with SPSS version 11. Descriptive analysis was employed for all independent and dependent variables. Chi-square or Fisher's exact test were used for categorical variables to compare smoking status, knowledge, attitudes and province. Logistic regression was applied to identify determinants of smoking. Daily current smoking was 11.8%. Controlling for confounding variables, age at start of monkhood and the length of religious education were significant determinants of smoking. The majority of the monks 67.9% were in favor of the idea that offerings of cigarettes should be prohibited and that they should refuse the cigarettes offered to them (30.3% but, in fact, 34.8% of the monks who were current smokers accepted cigarettes from the public. Conclusion Some monks were smokers, whilst they, in fact, should be used as non-smoking role models. There was no anti-smoking policy in temples. This needs to be addressed when setting up smoke-free policies at temples.

Policy maker and provider knowledge and attitudes regarding the provision of emergency contraceptive pills within Lao PDR

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Hansana Visanou

2010-07-01

Full Text Available Abstract Background The Ministry of Health (MOH launched the National Reproductive Health Policy in 2005, which included recommendations regarding the use of emergency contraceptive pills (ECP. However, ECP have not yet been introduced officially in the public sector of the Lao PDR. Thus, their availability is limited. Understanding the knowledge of ECP and attitudes about their provision, barriers to use, and availability among health providers and policy makers is essential to successfully incorporate ECP into reproductive health services. Methods Qualitative research methods using in-depth interviews were employed to collect data from policy makers and health providers (auxiliary medical staff, nurses, and medical doctors. Altogether, 10 policy makers, 22 public providers, and 10 providers at private clinics were interviewed. Content analysis was applied to analyze the transcribed data. Results The majority of policy makers and health care providers had heard about ECP and supported their introduction in the public sector. However, their knowledge was poor, many expressed inconsistent attitudes, and their ability to meet the demand of potential users is limited. Conclusions There is a need to train health providers and policy makers on emergency contraception and improve their knowledge about ECP, especially regarding the correct timing of use and the availability of methods. In addition, the general public must be informed of the attributes, side effects, and availability of ECP, and policy makers must facilitate the approval of ECP by the Lao Food and Drug Administration. These interventions could lead to increased access to and demand for ECP.

Economic Valuation of Land Uses in Oudomxay Province, Lao PDR: Can REDD+ be Effective in Maintaining Forests?

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Grace Y. Wong

2014-09-01

Full Text Available The rapid economic growth in Lao PDR over the last two decades has been driven by the natural resource sectors and commercialization in the agriculture sector. Rural landscapes are being transformed over the past decade from land use mosaics of subsistence and smallholder farms to large-scale plantations dominated by a few commercial crops. The capacity of these commercial agriculture plantations to alleviate rural poverty, part of the Government of Lao PDR’s national development policy, is increasingly weighed against its long-term impacts on ecosystem services and sustainability of land and forest resources. We used an extended cost-benefit approach (CBA to integrate certain environmental elements to traditional financial analysis for a comparative look at four land use systems in the northern part of the country. The CBA results demonstrate that commercial agriculture (maize and rubber plantations does have the potential to support poverty alleviation in the short-run. It, however, exposes the land to serious environmental risks. By comparison, the traditional land uses studied (upland rice farming and non-timber forest products collecting are largely subsistence activities that are still considered as sustainable, though this is increasingly affected by changing market and population dynamics. The results suggest that longer-term environmental costs can potentially cancel out short-term gains from the commercialization to mono-crop agriculture. Incentives for conserving ecosystem services (such as the Reducing Emissions from Deforestation and forest Degradation (REDD+ mechanism may have a potential role in supporting diversification of traditional livelihoods and increasing the competitiveness of maintaining forests.

Laos: development against all the odds.

Science.gov (United States)

1979-10-01

Laos, with a $90 per capita income, is one of the world's poorest 15 countries. In Asia, only Bhutan is poorer. The French, when they departed, left no infrastructure for development, and the Americans, during the Vietnam war, desolated most of the area known as the Plain of Jars by bombing. At present, 750,000 persons out of a total population of 3.3 million are officially termed "displaced." Nevertheless, the Pathet Lao government, with financial aid from the World Bank and from Sweden, has initiated development policies which are beginning to have some effect. Rice production is the first priority because last year the government had to buy 120,000 tons on the open market with precious foreign currency. Irrigation schemes are being vigorously promoted, and one of them is maintained by the American Friends Service. Literacy is another priority; Lao is the official language. The absence of good roads, however, continues to hamper communications, there is a shortage of transport, no railways, and large areas of arable land still remain unusable. The country is rich in mineral resources and forest products, especially teak, but much of the present development is confined to the area immediately around the capital, Vientiane.

Lao PDR Market Access Guide: Trading with ASEAN Dialogue Partners – Republic of Korea

OpenAIRE

Lord, Montague

2013-01-01

Laos benefits from the comprehensive ASEAN-Korea Free Trade Agreement (AKFTA), which in large part has supported the fast growing exports of Laos to Korea. Since Laos became a member of ASEAN in 1997, its exports destined for Korea have increased 10-fold. That expansion is nearly twice as large as Lao exports to all destination and has contributed to Korea being one of its top 10 export destinations. How Lao Producers and Exporters Benefit from AKFTA - The AKFTA allows 90% of all prod...

Comparison of novel and standard diagnostic tools for the detection of Schistosoma mekongi infection in Lao People's Democratic Republic and Cambodia.

Science.gov (United States)

Vonghachack, Youthanavanh; Sayasone, Somphou; Khieu, Virak; Bergquist, Robert; van Dam, Govert J; Hoekstra, Pytsje T; Corstjens, Paul L A M; Nickel, Beatrice; Marti, Hanspeter; Utzinger, Jürg; Muth, Sinuon; Odermatt, Peter

2017-08-10

Given the restricted distribution of Schistosoma mekongi in one province in Lao People's Democratic Republic (Lao PDR) and two provinces in Cambodia, together with progress of the national control programmes aimed at reducing morbidity and infection prevalence, the elimination of schistosomiasis mekongi seems feasible. However, sensitive diagnostic tools will be required to determine whether elimination has been achieved. We compared several standard and novel diagnostic tools in S. mekongi-endemic areas. The prevalence and infection intensity of S. mekongi were evaluated in 377 study participants from four villages in the endemic areas in Lao PDR and Cambodia using Kato-Katz stool examination, antibody detection based on an enzyme-linked immunosorbent assay (ELISA) and schistosome circulating antigen detection by lateral-flow tests. Two highly sensitive test systems for the detection of cathodic and anodic circulating antigens (CCA, CAA) in urine and serum were utilized. Stool microscopy revealed an overall prevalence of S. mekongi of 6.4% (one case in Cambodia and 23 cases in Lao PDR), while that of Opisthorchis viverrini, hookworm, Trichuris trichiura, Ascaris lumbricoides and Taenia spp. were 50.4%, 28.1%, 3.5%, 0.3% and 1.9%, respectively. In the urine samples, the tests for CCA and CAA detected S. mekongi infections in 21.0% and 38.7% of the study participants, respectively. In the serum samples, the CAA assay revealed a prevalence of 32.4%, while a combination of the CAA assay in serum and in urine revealed a prevalence of 43.2%. There was a difference between the two study locations with a higher prevalence reached in the samples from Lao PDR. The CCA, CAA and ELISA results showed substantially higher prevalence estimates for S. mekongi compared to Kato-Katz thick smears. Active schistosomiasis mekongi in Lao PDR and Cambodia might thus have been considerably underestimated previously. Hence, sustained control efforts are still needed to break transmission

Design, monitoring and evaluation of a direct payments approach for an ecotourism strategy to reduce illegal hunting and trade of wildlife in Lao PDR

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Johnson, Arlyne; Duangdala, Sivilay; Hansel, Troy

2018-01-01

Ecotourism as a strategy for achieving biodiversity conservation often results in limited conservation impact relative to its investment and revenue return. In cases where an ecotourism strategy has been used, projects are frequently criticized for not providing sufficient evidence on how the strategy has reduced threats or improved the status of the biodiversity it purports to protect. In Lao PDR, revenue from ecotourism has not been directly linked to or dependent on improvements in biodiversity and there is no evidence that ecotourism enterprises have contributed to conservation. In other developing countries, direct payments through explicit contracts in return for ecosystem services have been proposed as a more cost-effective means for achieving conservation, although further research is needed to evaluate the impact of this approach. To address this need, a new model was tested in the Nam Et-Phou Louey National Protected Area (NPA) in Lao PDR using a direct payments approach to create ecotourism incentives for villagers to increase wildlife populations. Over a four-year period, we monitored along a theory of change to evaluate assumptions about the linkages between intermediate results and biological outcomes. Preliminary results show a negative correlation between ecotourism benefits and hunting infractions in target villages; no increase in hunting sign in the ecotourism sector of the NPA relative to a three-fold increase in hunting sign across the NPA’s non-tourism sectors; and an overall increase in wildlife sightings. This case provides key lessons on the design of a direct payments approach for an ecotourism strategy, including how to combine threat monitoring and data on wildlife sightings to evaluate strategy effectiveness, on setting rates for wildlife sightings and village fees, and the utility of the approach for protecting very rare species. PMID:29489821

Design, monitoring and evaluation of a direct payments approach for an ecotourism strategy to reduce illegal hunting and trade of wildlife in Lao PDR.

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Eshoo, Paul Frederick; Johnson, Arlyne; Duangdala, Sivilay; Hansel, Troy

2018-01-01

Ecotourism as a strategy for achieving biodiversity conservation often results in limited conservation impact relative to its investment and revenue return. In cases where an ecotourism strategy has been used, projects are frequently criticized for not providing sufficient evidence on how the strategy has reduced threats or improved the status of the biodiversity it purports to protect. In Lao PDR, revenue from ecotourism has not been directly linked to or dependent on improvements in biodiversity and there is no evidence that ecotourism enterprises have contributed to conservation. In other developing countries, direct payments through explicit contracts in return for ecosystem services have been proposed as a more cost-effective means for achieving conservation, although further research is needed to evaluate the impact of this approach. To address this need, a new model was tested in the Nam Et-Phou Louey National Protected Area (NPA) in Lao PDR using a direct payments approach to create ecotourism incentives for villagers to increase wildlife populations. Over a four-year period, we monitored along a theory of change to evaluate assumptions about the linkages between intermediate results and biological outcomes. Preliminary results show a negative correlation between ecotourism benefits and hunting infractions in target villages; no increase in hunting sign in the ecotourism sector of the NPA relative to a three-fold increase in hunting sign across the NPA's non-tourism sectors; and an overall increase in wildlife sightings. This case provides key lessons on the design of a direct payments approach for an ecotourism strategy, including how to combine threat monitoring and data on wildlife sightings to evaluate strategy effectiveness, on setting rates for wildlife sightings and village fees, and the utility of the approach for protecting very rare species.

A review of taeniasis and cysticercosis in the Lao People's Democratic Republic.

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Conlan, James; Khounsy, Syseng; Inthavong, Phouth; Fenwick, Stanley; Blacksell, Stuart; Thompson, R C Andrew

2008-09-01

Taeniasis and cysticercosis are important but underreported parasitic zoonoses in the Lao People's Democratic Republic (Lao PDR). Reports of human and pig cysticercosis are rather limited and based largely on anecdotal evidence. To date, no structured surveys of disease prevalence or incidence have been reported. However, one unpublished pilot survey of pig cysticercosis in a slaughterhouse in northern Laos estimated prevalence to be 1.7%, without speciation of parasite cysts. Over the past 20 years, nine surveys of intestinal helminthic infection have been conducted; the prevalence of human taeniasis ranged from 0 to 14.0%. The study designs and sample sizes varied greatly, however a high degree of spatial and age variation in taeniasis prevalence was evident. These results are however inconclusive as the species of tapeworm infecting the people was not determined. To further our knowledge of taeniasis and cysticercosis in Lao PDR, structured community-based surveys in high-risk areas are required in combination with the use of sensitive and specific diagnostic tests capable of identifying the pork tapeworm, Taenia solium. This will enable the development and implementation of control measures that are both appropriate and sustainable if T. solium is shown to be a public health threat.

A stratified random survey of the proportion of poor quality oral artesunate sold at medicine outlets in the Lao PDR – implications for therapeutic failure and drug resistance

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Vongsack Latsamy

2009-07-01

Full Text Available Abstract Background Counterfeit oral artesunate has been a major public health problem in mainland SE Asia, impeding malaria control. A countrywide stratified random survey was performed to determine the availability and quality of oral artesunate in pharmacies and outlets (shops selling medicines in the Lao PDR (Laos. Methods In 2003, 'mystery' shoppers were asked to buy artesunate tablets from 180 outlets in 12 of the 18 Lao provinces. Outlets were selected using stratified random sampling by investigators not involved in sampling. Samples were analysed for packaging characteristics, by the Fast Red Dye test, high-performance liquid chromatography (HPLC, mass spectrometry (MS, X-ray diffractometry and pollen analysis. Results Of 180 outlets sampled, 25 (13.9% sold oral artesunate. Outlets selling artesunate were more commonly found in the more malarious southern Laos. Of the 25 outlets, 22 (88%; 95%CI 68–97% sold counterfeit artesunate, as defined by packaging and chemistry. No artesunate was detected in the counterfeits by any of the chemical analysis techniques and analysis of the packaging demonstrated seven different counterfeit types. There was complete agreement between the Fast Red dye test, HPLC and MS analysis. A wide variety of wrong active ingredients were found by MS. Of great concern, 4/27 (14.8% fakes contained detectable amounts of artemisinin (0.26–115.7 mg/tablet. Conclusion This random survey confirms results from previous convenience surveys that counterfeit artesunate is a severe public health problem. The presence of artemisinin in counterfeits may encourage malaria resistance to artemisinin derivatives. With increasing accessibility of artemisinin-derivative combination therapy (ACT in Laos, the removal of artesunate monotherapy from pharmacies may be an effective intervention.

Factors associated with routine immunization coverage of children under one year old in Lao People's Democratic Republic.

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Phoummalaysith, Bounfeng; Yamamoto, Eiko; Xeuatvongsa, Anonh; Louangpradith, Viengsakhone; Keohavong, Bounxou; Saw, Yu Mon; Hamajima, Nobuyuki

2018-05-03

Routine vaccination is administered free of charge to all children under one year old in Lao People's Democratic Republic (Lao PDR) and the national goal is to achieve at least 95% coverage with all vaccines included in the national immunization program by 2025. In this study, factors related to the immunization system and characteristics of provinces and districts in Lao PDR were examined to evaluate the association with routine immunization coverage. Coverage rates for Bacillus Calmette-Guerin (BCG), Diphtheria-Tetanus-Pertussis-Hepatitis B (DTP-HepB), DTP-HepB-Hib (Haemophilus influenzae type B), polio (OPV), and measles (MCV1) vaccines from 2002 to 2014 collected through regular reporting system, were used to identify the immunization coverage trends in Lao PDR. Correlation analysis was performed using immunization coverage, characteristics of provinces or districts (population, population density, and proportion of poor villages and high-risk villages), and factors related to immunization service (including the proportions of the following: villages served by health facility levels, vaccine session types, and presence of well-functioning cold chain equipment). To determine factors associated with low coverage, provinces were categorized based on 80% of DTP-HepB-Hib3 coverage (<80% = low group; ≥80% = high group). Coverages of BCG, DTP-HepB3, OPV3 and MCV1 increased gradually from 2007 to 2014 (82.2-88.3% in 2014). However, BCG coverage showed the least improvement from 2002 to 2014. The coverage of each vaccine correlated with the coverage of the other vaccines and DTP-HepB-Hib dropout rate in provinces as well as districts. The provinces with low immunization coverage were correlated with higher proportions of poor villages. Routine immunization coverage has been improving in the last 13 years, but the national goal is not yet reached in Lao PDR. The results of this study suggest that BCG coverage and poor villages should be targeted to improve

Using local ecological knowledge to monitor threatened Mekong megafauna in Lao PDR.

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Thomas N E Gray

Full Text Available Pressures on freshwater biodiversity in Southeast Asia are accelerating yet the status and conservation needs of many of the region's threatened fish species are unclear. This impacts the ability to implement conservation activities and to understand the effects of infrastructure developments and other hydrological changes. We used Local Ecological Knowledge from fishing communities on the Mekong River in the Siphandone waterscape, Lao PDR to estimate mean and mode last capture dates of eight rare or culturally significant fish species in order to provide conservation monitoring baselines. One hundred and twenty fishermen, from six villages, were interviewed. All eight species had been captured, by at least one of the interviewees, within the waterscape within the past year. However the mean and mode last capture dates varied between the species. Larger species, and those with higher Red List threat status, were caught less recently than smaller species of less conservation concern. The status of the Critically Endangered Pangasius sanitwongsei (mean last capture date 116.4 months is particularly worrying suggesting severe population decline although cultural issues may have caused this species to have been under-reported. This highlights that studies making use of Local Ecological Knowledge need to understand the cultural background and context from which data is collected. Nevertheless we recommend our approach, of stratified random interviews to establish mean last capture dates, may be an effective methodology for monitoring freshwater fish species of conservation concern within artisanal fisheries. If fishing effort remains relatively constant, or if changes in fishing effort are accounted for, differences over time in mean last capture dates are likely to represent changes in the status of species. We plan to repeat our interview surveys within the waterscape as part of a long-term fish-monitoring program.

Defining and redefining harm reduction in the Lao context

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Sychareun Vanphanom

2012-07-01

Full Text Available Abstract The response to drug use in Laos has focused on reducing opium supply (supply reduction and rates of drug use (demand reduction. However, recently there is increased interest among government counterparts to discuss and develop broader responses to injecting drug use (IDU including the introduction of harm reduction programs. The concept of harm reduction has just been introduced to Lao PDR and as yet there is no agreement on a definition of the concept. We highlight here a range of issues that remain controversial in Lao PDR in the HIV, drug use and harm reduction discourse, the definition of 'harm reduction' and related terms; and the scope of harm reduction. This was a qualitative study, consisting of in-depth interviews with 27 law enforcement and 8 health officers who work in the fields of HIV and/or drug control about their understanding of HIV related to drug use, and concepts of harm reduction. Content analysis was performed to identify the coding, categories and themes. We found that law enforcement officers in particular had limited understanding about harm reduction and the feasibility and appropriateness of harm reduction services in the Lao context. Harm reduction should be a core element of a public health response to HIV where drug use and IDU exists. Recommendations include the necessity of increasing the awareness of harm reduction among law enforcement officers and providing appropriate evidence to support the needs of harm reduction policy and programs. HIV prevention and treatment strategies should be integrated within existing social and cultural frameworks, working with the task force for HIV/IDU and other government counterparts.

Resources and Rules of the Game: Participation of Civil Society in REDD+ and FLEGT‐VPA Processes in Lao PDR

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Irmeli Mustalahti

2017-02-01

Full Text Available Reducing Emissions from Deforestation and Forest Degradation (REDD+ aims to achieve its purpose by working across multiple sectors and involving multilevel actors in reducing deforestation and forest degradation in tropical countries. By contrast, the European Union (EU Action Plan on Forest Law Enforcement, Governance and Trade (FLEGT and its Voluntary Partnership Agreements (VPAs focus on forestry and functions at a bilateral state level. The FLEGT Action Plan specifically aims to tackle illegal logging and improve forest governance in countries exporting tropical timber to the EU. Since illegal logging is just one driver of forest degradation, and legalisation of logging does not necessarily reduce deforestation and forest degradation, the two instruments differ in scope. However, by addressing the causes of forest degradation and their underlying governance issues, the FLEGT VPAs and REDD+ share many functional linkages at higher levels of forest policy and forest governance. The contribution and participation of civil society organisations (CSOs and other actors are imperative to both processes. Our study is based on a survey of key actors (national and international in REDD+ and FLEGT VPA processes in the Lao People’s Democratic Republic (Lao PDR. Our analysis was guided by the theoretical perspectives of the policy arrangement approach and examination of two specific dimensions of this approach, namely resources and rules of the game. This paper argues that participation of CSOs in both processes is crucial because it facilitates and nurtures much needed cooperation between other national and international actors. The paper concludes that participation of CSOs could bring valuable information and knowledge into REDD+ and FLEGT VPA processes, thus contributing to increased legitimacy, justice and transparency.

Spatial Simulation Modelling of Future Forest Cover Change Scenarios in Luangprabang Province, Lao PDR

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Khamma Homsysavath

2011-08-01

Full Text Available Taking Luangprabang province in Lao Peoples’s Democratic Republic (PDR as an example, we simulated future forest cover changes under the business-as-usual (BAU, pessimistic and optimistic scenarios based on the Markov-cellular automata (MCA model. We computed transition probabilities from satellite-derived forest cover maps (1993 and 2000 using the Markov chains, while the “weights of evidence” technique was used to generate transition potential maps. The initial forest cover map (1993, the transition potential maps and the 1993–2000 transition probabilities were used to calibrate the model. Forest cover simulations were then performed from 1993 to 2007 at an annual time-step. The simulated forest cover map for 2007 was compared to the observed (actual forest cover map for 2007 in order to test the accuracy of the model. Following the successful calibration and validation, future forest cover changes were simulated up to 2014 under different scenarios. The MCA simulations under the BAU and pessimistic scenarios projected that current forest areas would decrease, whereas unstocked forest areas would increase in the future. Conversely, the optimistic scenario projected that current forest areas would increase in the future if strict forestry laws enforcing conservation in protected forest areas are implemented. The three simulation scenarios provide a very good case study for simulating future forest cover changes at the subnational level (Luangprabang province. Thus, the future simulated forest cover changes can possibly be used as a guideline to set reference scenarios as well as undertake REDD/REDD+ preparedness activities within the study area.

An epidemic of dengue-1 in a remote village in rural Laos.

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Audrey Dubot-Pérès

Full Text Available In the Lao PDR (Laos, urban dengue is an increasingly recognised public health problem. We describe a dengue-1 virus outbreak in a rural northwestern Lao forest village during the cool season of 2008. The isolated strain was genotypically "endemic" and not "sylvatic," belonging to the genotype 1, Asia 3 clade. Phylogenetic analyses of 37 other dengue-1 sequences from diverse areas of Laos between 2007 and 2010 showed that the geographic distribution of some strains remained focal overtime while others were dispersed throughout the country. Evidence that dengue viruses have broad circulation in the region, crossing country borders, was also obtained. Whether the outbreak arose from dengue importation from an urban centre into a dengue-naïve community or crossed into the village from a forest cycle is unknown. More epidemiological and entomological investigations are required to understand dengue epidemiology and the importance of rural and forest dengue dynamics in Laos.

An ethnobotanical survey of medicinal plants of Laos toward the discovery of bioactive compounds as potential candidates for pharmaceutical development

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Soejarto, D.D.; Gyllenhaal, C.; Kadushin, M.R.; Southavong, B.; Sydara, K.; Bouamanivong, S.; Xaiveu, M.; Zhang, H.-J.; Franzblau, S.G.; Tan, Ghee T.; Pezzuto, J.M.; Riley, M.C.; Elkington, B.G.; Waller, D.P.

2012-01-01

Context An ethnobotany-based approach in the selection of raw plant materials to study was implemented. Objective To acquire raw plant materials using ethnobotanical field interviews as starting point to discover new bioactive compounds from medicinal plants of the Lao People’s Democratic Republic. Methods Using semi-structured field interviews with healers in the Lao PDR, plant samples were collected, extracted, and bio-assayed to detect bioactivity against cancer, HIV/AIDS, TB, malaria. Plant species demonstrating activity were recollected and the extracts subjected to a bioassay-guided isolation protocol to isolate and identify the active compounds. Results Field interviews with 118 healers in 15 of 17 provinces of Lao PDR yielded 753 collections (573 species) with 955 plant samples. Of these 955, 50 extracts demonstrated activity in the anticancer, 10 in the anti-HIV, 30 in the anti-TB, and 52 in the antimalarial assay. Recollection of actives followed by bioassay-guided isolation processes yielded a series of new and known in vitro-active anticancer and antimalarial compounds from 5 species. Discussion Laos has a rich biodiversity, harboring an estimated 8000–11,000 species of plants. In a country highly dependent on traditional medicine for its primary health care, this rich plant diversity serves as a major source of their medication. Conclusions Ethnobotanical survey has demonstrated the richness of plant-based traditional medicine of Lao PDR, taxonomically and therapeutically. Biological assays of extracts of half of the 955 samples followed by in-depth studies of a number of actives have yielded a series of new bioactive compounds against the diseases of cancer and malaria. PMID:22136442

Virulence genes of Helicobacter pylori in gastritis, peptic ulcer and gastric cancer in Laos.

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Vannarath, Sengdao; Vilaichone, Ratha-korn; Rasachak, Bouachanh; Mairiang, Pisaln; Yamaoka, Yoshio; Shiota, Seiji; Binh, Tran Thanh; Mahachai, Varocha

2014-01-01

Helicobacter pylori (H. pylori) infection is an established cause of peptic ulcers and gastric cancer. The aim of this study was to identify H. pylori genotypes and to examine their associations with geographical regions and gastritis, peptic ulcers and gastric cancer in Laos. A total of 329 Lao dyspeptic patients who underwent gastroscopy at Mahosot Hospital, Vientiane, Laos during December 2010--March 2012 were enrolled. Two biopsy specimens (one each from the antrum and corpus) were obtained for CLO testing and only CLO test-positive gastric tissue were used to extract DNA. PCR and sequencing were identified for variants of the cagA and vacA genotypes. Some 119 Laos patients (36.2%) were found to be infected with H. pylori including 83 with gastritis, 13 with gastric ulcers (GU), 20 with duodenal ulcers (DU) and 3 with gastric cancer. cagA was detected in 99.2%. East-Asian-type cagA (62%) and vacA s1c (64.7%) were predominant genotypes in Laos. vacA s1c-m1b was significantly higher in GU than gastritis (53.8% vs. 24.1%; P-value=0.04) whereas vacA s1a-m2 was significantly higher in DU than gastritis (40.0% vs. 16.9%; P-value=0.03). East-Asian-type cagA and vacA s1c were significantly higher in highland than lowland Lao (100% vs. 55.8%; P-value=0.001 and 88.2% vs. 61.5%, P-value=0.03 respectively). H. pylori is a common infection in Laos, as in other countries in Southeast Asia. The cagA gene was demonstrated in nearly all Laos patients, cagA and vacA genotypes being possible important factors in explaining H. pylori infection and disease outcomes in Laos.

A fly in the ointment: evaluation of traditional use of plants to repel and kill blowfly larvae in fermented fish.

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Hugo J de Boer

Full Text Available INTRODUCTION: In rural areas in Laos, fly larvae infestations are common in fermenting fish. Blowflies (Chrysomya megacephala, Diptera: Calliphoridae are attracted to oviposit (and/or larviposit onto fermenting fish which results in infestations with fly larvae. Knowledge of traditional use of plants to repel larvae during the production of fermented fish is common and widespread in Lao PDR. RESEARCH QUESTIONS: How effective are the most salient species in repelling, and killing fly larvae in fermenting fish? MATERIAL AND METHODS: The three plant species most frequently reported to repel fly larvae during an ethnobotanical survey throughout Lao PDR were tested for repellence and larvicidal activity of fly larvae infesting fermented fish. The lethality and repellence of Tadehagi triquetrum (L. H. Ohashi (Fabaceae, Uraria crinita (L. Desv. ex DC. (Fabaceae and Bambusa multiplex (Lour. Raeusch. ex Schult. & Schult. f. (Poaceae were tested in an experimental design using fermenting fish in Vientiane, Lao PDR. RESULTS: The repellent effect of fresh material of T. triquetrum and U. crinita, and the larvicidal effect of fresh B. multiplex, is significantly more effective than that of dried material of the same species, and the total effect (repellence and larvicidal effect combined for each of the three species was significantly more effective for fresh than for dry material. Fresh material of T. triquetrum, U. crinita, or B. multiplex added on top of the fermenting fish repelled 50%, 54%, 37%, and killed 22%, 28%, and 40% of fly larvae. The total effect was not significantly different per species at 72%, 82%, and 77%, respectively. DISCUSSION AND CONCLUSIONS: The three most salient species are effective in repelling and killing fly larvae in the production of fermented fish, and may be essential to augment food safety during traditional fermentation in open jars.

Co-existence of Paragonimus harinasutai and Paragonimus bangkokensis metacercariae in fresh water crab hosts in central Viet Nam with special emphasis on their close phylogenetic relationship.

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Doanh, Pham Ngoc; Hien, Hoang Van; Nonaka, Nariaki; Horii, Yoichiro; Nawa, Yukifumi

2012-09-01

During our epidemiological surveys for Paragonimus species in central Viet Nam, we found four morphologically different Paragonimus metacercariae in mountainous crabs. They were identified as metacercariae of Paragonimus westermani, P. bangkokensis, P. proliferus, and P. harinasutai in the order of their prevalence in crab hosts. This is the first discovery of P. harinasutai in Viet Nam, co-inhabiting with P. bangkokensis and other species. Metacercariae of P. harinasutai were given orally to a cat to obtain adult worms. Then, ITS2 and CO1 sequences of metacercariae and adults of P. harinasutai, and metacercariae of P. bangkokensis collected from the same place were determined for analyses of phylogenetic relationships to other P. harinasutai and P. bangkokensis populations as well as related species. The results of molecular analyses showed that P. harinasutai from Quang Binh province of central Viet Nam was almost completely identical with those from Vientiane, Lao PDR; P. bangkokensis from Quang Binh, Viet Nam was also almost completely identical with those from Lao PDR and from Quang Ninh province, Viet Nam. Except for one P. harinasutai isolate from China, all populations of P. harinasutai and P. bangkokensis from Thailand, Lao and Viet Nam make a single clade in both ITS2 and CO1 trees. In ITS2 sequences, AT deletion and ATC insertion were observed in some isolates of both species, indicating recent gene flow between P. harinasutai and P. bangkokensis. Moreover, because of their extremely high genetic similarities and their co-inhabitation in the same crab hosts found in Thailand, Lao PDR and Viet Nam, they should be considered as the sister species at the early stage of divergence. In addition, P. microrchis previously described from Yunnan, China should be placed as the synonym of P. harinasutai, because of their morphological and molecular similarities. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Intestinal Parasitic Infections and Environmental Water Contamination in a Rural Village of Northern Lao PDR.

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Ribas, Alexis; Jollivet, Chloé; Morand, Serge; Thongmalayvong, Boupha; Somphavong, Silaphet; Siew, Chern-Chiang; Ting, Pei-Jun; Suputtamongkol, Saipin; Saensombath, Viengsaene; Sanguankiat, Surapol; Tan, Boon-Huan; Paboriboune, Phimpha; Akkhavong, Kongsap; Chaisiri, Kittipong

2017-10-01

A field survey studying intestinal parasites in humans and microbial pathogen contamination at environment was performed in a Laotian rural village to identify potential risks for disease outbreaks. A parasitological investigation was conducted in Ban Lak Sip village, Luang Prabang, Lao PDR involving fecal samples from 305 inhabitants as well as water samples taken from 3 sites of the local stream. Water analysis indicated the presence of several enteric pathogens, i.e., Aeromonas spp., Vibrio spp., E. coli H7, E. coli O157: H7, verocytotoxin-producing E. coli (VTEC), Shigella spp., and enteric adenovirus. The level of microbial pathogens contamination was associated with human activity, with greater levels of contamination found at the downstream site compared to the site at the village and upstream, respectively. Regarding intestinal parasites, the prevalence of helminth and protozoan infections were 68.9% and 27.2%, respectively. Eight helminth taxa were identified in fecal samples, i.e., 2 tapeworm species (Taenia sp. and Hymenolepis diminuta), 1 trematode (Opisthorchis sp.), and 5 nematodes (Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis, trichostrongylids, and hookworms). Six species of intestinal protists were identified, i.e., Blastocystis hominis, Cyclospora spp., Endolimax nana, Entamoeba histolytica/E. dispar, Entamoeba coli, and Giardia lamblia. Questionnaires and interviews were also conducted to determine risk factors of infection. These analyses together with a prevailing infection level suggested that most of villagers were exposed to parasites in a similar degree due to limited socio-economic differences and sharing of similar practices. Limited access to effective public health facilities is also a significant contributing factor.

Hmong and Lao Refugee Women: Reflections of a Hmong-American Woman Anthropologist

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Dia Cha

2006-01-01

Full Text Available In 1992, Ms. Dia Cha – then a graduate student in anthropology at Northern Arizona University – traveled to Chieng Kham Refugee and Napho Repatriation Camps in Thailand, and the village of Ban KM 52, inVientiane Province, Laos, to research issues concerning the repatriation to Laos of Lao Lum and Hmong women refugees. This article, originally written upon the return from these travels and in partial fulfillment of the requirements for her Master of Arts degree in Applied Anthropology, considers the findings made and the insights achieved on this journey of discovery. In particular, the work discusses changes and continuity in the lives of Lao Lum and Hmong refugee women in the camps. Also addressed in considerable detail is the impact of the author’s status as an educated Hmong-American woman and former refugee on her interactions with female and male informants residing in the two refugee camps. Ms. Cha, who spent much of her early life in such refugee camps as are herein described, has, in the intervening period, become Dr. Dia Cha, Associate Professor of Anthropology and Ethnic Studies at St. Cloud State University, St. Cloud, Minnesota, USA. The research project she describes was funded by the United Nations Development Fund for Women and executed by the American Friends Service Committee (The Quaker Services. Ms. Jacquelyn Chagnon joined Ms. Cha during the second phrase ofthe research, in Napho Repatriation Center, and later in Laos; however, the following article, produced originally in 1992, was written solely by Ms. Cha.

Can topical insect repellents reduce malaria? A cluster-randomised controlled trial of the insect repellent N,N-diethyl-m-toluamide (DEET in Lao PDR.

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Vanessa Chen-Hussey

Full Text Available BACKGROUND: Mosquito vectors of malaria in Southeast Asia readily feed outdoors making malaria control through indoor insecticides such as long-lasting insecticidal nets (LLINs and indoor residual spraying more difficult. Topical insect repellents may be able to protect users from outdoor biting, thereby providing additional protection above the current best practice of LLINs. METHODS AND FINDINGS: A double blind, household randomised, placebo-controlled trial of insect repellent to reduce malaria was carried out in southern Lao PDR to determine whether the use of repellent and long-lasting insecticidal nets (LLINs could reduce malaria more than LLINs alone. A total of 1,597 households, including 7,979 participants, were recruited in June 2009 and April 2010. Equal group allocation, stratified by village, was used to randomise 795 households to a 15% DEET lotion and the remainder were given a placebo lotion. Participants, field staff and data analysts were blinded to the group assignment until data analysis had been completed. All households received new LLINs. Participants were asked to apply their lotion to exposed skin every evening and sleep under the LLINs each night. Plasmodium falciparum and P. vivax cases were actively identified by monthly rapid diagnostic tests. Intention to treat analysis found no effect from the use of repellent on malaria incidence (hazard ratio: 1.00, 95% CI: 0.99-1.01, p = 0.868. A higher socio-economic score was found to significantly decrease malaria risk (hazard ratio: 0.72, 95% CI: 0.58-0.90, p = 0.004. Women were also found to have a reduced risk of infection (hazard ratio: 0.59, 95% CI: 0.37-0.92, p = 0.020. According to protocol analysis which excluded participants using the lotions less than 90% of the time found similar results with no effect from the use of repellent. CONCLUSIONS: This randomised controlled trial suggests that topical repellents are not a suitable intervention in addition to

Assessing the trade impacts of the ASEAN+6 FTA : the case of Lao People’s Democratic Republic

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Suvannaphakdy, Sithanonxay; Tang, Hsiao Chink; DiCaprio, Alisa

2014-01-01

Using an unbalanced panel dataset of bilateral exports from 1992 to 2009, this paper assesses the potential trade impacts of the expansion of the Association of Southeast Asian Nations (ASEAN) to ASEAN+3 and ASEAN+6 on the Lao People’s Democratic Republic (Lao PDR). It finds that bilateral exports are positively related to the overall bilateral country size and similarity in country size, but inversely related to the relative factor endowment differences, transportation costs, and import tari...

Socio-economic perspectives on shifting cultivation landscapes in Northern Laos

DEFF Research Database (Denmark)

Heinimann, Andreas; Hett, Cornelia; Hurni, Kaspar

2013-01-01

Despite the rapid agricultural transition that has occurred in the past decade, shifting cultivation remains a widespread agricultural practice in the northern uplands of Lao PDR. Little information is available on the basic socio-economic situation and respective possible patterns in shifting cu...... minorities, pointing to multi-dimensional marginality of these areas. We discuss whether economic growth and increased market accessibility are sufficient to lift these landscapes out of poverty....

Actinomycetoma in SE Asia: the first case from Laos and a review of the literature

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Rattanavong Sayaphet

2012-12-01

Full Text Available Abstract Background Mycetoma is a chronic, localized, slowly progressing infection of the cutaneous and subcutaneous tissues caused either by fungi (eumycetoma or implantation mycosis or by aerobic actinomycetes (actinomycetoma. It is acquired by traumatic implantation, most commonly in the tropics and subtropics, especially in rural agricultural communities. Although well recognized elsewhere in Asia, it has not been reported from the Lao People’s Democratic Republic (Laos. Case presentation A 30 year-old female elementary school teacher and rice farmer from northeast Laos was admitted to Mahosot Hospital, Vientiane, with a massive growth on her left foot, without a history of trauma. The swelling had progressed slowly but painlessly over 5 years and multiple draining sinuses had developed. Ten days before admission the foot had increased considerably in size and became very painful, with multiple sinuses and discharge, preventing her from walking. Gram stain and bacterial culture of tissue biopsies revealed a branching filamentous Gram-positive bacterium that was subsequently identified as Actinomadura madurae by 16S rRNA gene amplification and sequencing. She was treated with long-term co-trimoxazole and multiple 3-week cycles of amikacin with a good therapeutic response. Conclusion We report the first patient with actinomycetoma from Laos. The disease should be considered in the differential diagnosis of chronic skin and bone infections in patients from rural SE Asia.

Risk of exposure to potential vector mosquitoes for rural workers in Northern Lao PDR.

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Julie-Anne A Tangena

2017-07-01

Full Text Available One major consequence of economic development in South-East Asia has been a rapid expansion of rubber plantations, in which outbreaks of dengue and malaria have occurred. Here we explored the difference in risk of exposure to potential dengue, Japanese encephalitis (JE, and malaria vectors between rubber workers and those engaged in traditional forest activities in northern Laos PDR.Adult mosquitoes were collected for nine months in secondary forests, mature and immature rubber plantations, and villages. Human behavior data were collected using rapid participatory rural appraisals and surveys. Exposure risk was assessed by combining vector and human behavior and calculating the basic reproduction number (R0 in different typologies. Compared to those that stayed in the village, the risk of dengue vector exposure was higher for those that visited the secondary forests during the day (odds ratio (OR 36.0, for those living and working in rubber plantations (OR 16.2 and for those that tapped rubber (OR 3.2. Exposure to JE vectors was also higher in the forest (OR 1.4 and, similar when working (OR 1.0 and living in the plantations (OR 0.8. Exposure to malaria vectors was greater in the forest (OR 1.3, similar when working in the plantations (OR 0.9 and lower when living in the plantations (OR 0.6. R0 for dengue was >2.8 for all habitats surveyed, except villages where R0≤0.06. The main malaria vector in all habitats was Anopheles maculatus s.l. in the rainy season and An. minimus s.l. in the dry season.The highest risk of exposure to vector mosquitoes occurred when people visit natural forests. However, since rubber workers spend long periods in the rubber plantations, their risk of exposure is increased greatly compared to those who temporarily enter natural forests or remain in the village. This study highlights the necessity of broadening mosquito control to include rubber plantations.

Evasion of "mandatory" social health insurance for the formal sector: evidence from Lao PDR.

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Alkenbrack, Sarah; Hanson, Kara; Lindelow, Magnus

2015-10-19

In the last decade, almost every low- or middle-income country in the world has expressed support for universal health coverage (UHC). While at the beginning of the UHC movement, country strategies focused on increasing access to the formal sector as the first step of UHC, there is now consensus that countries should cover the entire population, with particular attention to covering the poor. However, it is often assumed that mandatory schemes will automatically cover their target populations, and consequently little is known about why firms comply or do not comply with enrolment requirements. Using the experience of Lao PDR, where the enrolment rate in the mandatory social security scheme is low and the capacity for regulation is weak, we conducted this study to better understand the determinants of enrolment of private sector firms in mandatory social security. We used a cross-sectional case-comparison design, surveying 130 firms. We applied a structured questionnaire to explore determinants of enrolment, specifically looking at firm characteristics (e.g., industry category, ownership); sociodemographic characteristics of company heads; firms' risk perceptions; details of employment contracts; employee benefits; and exposure to social security. Closed ended questions were analysed quantitatively, while content analysis was applied to open-ended questions. Logistic regression was used to examine the determinants of enrolment. Smaller privately owned firms in the services industry were the least likely to enrol in social security, while firms in the trade industry were more likely to enrol than firms in manufacturing, construction, or services. The main reason for not enrolling was that firms offered a better package of benefits to their employees, although further investigation of company benefits showed that this was not the case in practice. Additional reasons for non-compliance were lack of knowledge and poor quality of care at government hospitals. The study

Factors affecting compliance with measles vaccination in Lao PDR.

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Phimmasane, Maniphet; Douangmala, Somthana; Koffi, Paulin; Reinharz, Daniel; Buisson, Yves

2010-09-24

In line with WHO objectives, the Lao Government is committed to eliminate measles by 2012. Yet from 1992 to 2007, the annual incidence of measles remained high while the vaccination coverage showed a wide diversity across provinces. A descriptive study was performed to determine factors affecting compliance with vaccination against measles, which included qualitative and quantitative components. The qualitative study used a convenience sample of 13 persons in charge of the vaccination program, consisting of officials from different levels of the health care structure and members of vaccination teams. The quantitative study performed on the target population consisted of a matched, case-control survey conducted on a stratified random sample of parents of children aged 9-23 months. Overall, 584 individuals (292 cases and 292 controls) were interviewed in the three provinces selected because of low vaccination coverage. On the provision of services side (supply), the main problems identified were a lack of vaccine supply and diluent, a difficulty in maintaining the cold chain, a lack of availability and competence among health workers, a lack of coordination and a limited capacity to assess needs and make coherent decisions. In the side of the consumer (demand), major obstacles identified were poor knowledge about measles immunization and difficulties in accessing vaccination centers because of distance and cost. In multivariate analysis, a low education level of the father was a factor of non-immunization while the factors of good compliance were high incomes, spacing of pregnancies, a feeling that children must be vaccinated, knowledge about immunization age, presenting oneself to the hospital rather than expecting the mobile vaccination teams and last, immunization of other family members or friends' children. The main factors affecting the compliance with vaccination against measles in Laos involve both the supply side and the demand side. Obtaining an effective

Diphtheria in Lao PDR: Insufficient Coverage or Ineffective Vaccine?

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Nanthavong, Naphavanh; Black, Antony P; Nouanthong, Phonethipsavanh; Souvannaso, Chanthasone; Vilivong, Keooudomphone; Muller, Claude P; Goossens, Sylvie; Quet, Fabrice; Buisson, Yves

2015-01-01

During late 2012 and early 2013 several outbreaks of diphtheria were notified in the North of the Lao People's Democratic Republic. The aim of this study was to determine whether the re-emergence of this vaccine-preventable disease was due to insufficient vaccination coverage or reduction of vaccine effectiveness within the affected regions. A serosurvey was conducted in the Huaphan Province on a cluster sampling of 132 children aged 12-59 months. Serum samples, socio-demographic data, nutritional status and vaccination history were collected when available. Anti-diphtheria and anti-tetanus IgG antibody levels were measured by ELISA. Overall, 63.6% of participants had detectable diphtheria antibodies and 71.2% tetanus antibodies. Factors independently associated with non-vaccination against diphtheria were the distance from the health centre (OR: 6.35 [95% CI: 1.4-28.8], p = 0.01), the Lao Theung ethnicity (OR: 12.2 [95% CI:1,74-85, 4], p = 0.01) and the lack of advice on vaccination given at birth (OR: 9.8 [95% CI: 1.5-63.8], (p = 0.01) while the level of maternal edu-cation was a protective factor (OR: 0.08 [95% CI: 0.008-0.81], p = 0.03). Most respondents claimed financial difficulties as the main reason for non-vaccination. Out of 55 children whose vaccination certificates stated that they were given all 3 doses of diphtheria-containing vaccine, 83.6% had diphtheria antibodies and 92.7% had tetanus antibodies. Furthermore, despite a high prevalence of stunted and underweight children (53% and 25.8%, respectively), the low levels of anti-diphtheria antibodies were not correlated to the nutritional status. Our data highlight a significant deficit in both the vaccination coverage and diphtheria vaccine effectiveness within the Huaphan Province. Technical deficiencies in the methods of storage and distribution of vaccines as well as unreliability of vaccination cards are discussed. Several hypotheses are advanced to explain such a decline in immunity against

Oral health behaviour of urban and semi-urban schoolchildren in the Lao PDR

DEFF Research Database (Denmark)

Jürgensen, Nanna; Petersen, Poul Erik

2011-01-01

To describe the oral health related knowledge, behaviour, and attitude towards health of 12-year old Lao schoolchildren; analyse how health risk factors relate to socio-demographic background; and determine the relative effect of living conditions on health and risk behaviour....

Neorickettsia sennetsu as a Neglected Cause of Fever in South-East Asia.

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Sabine Dittrich

Full Text Available Neorickettsia sennetsu infection is rarely recognized, with less than 100 globally reported patients over the last 50 years. The disease is thought to be contracted by eating raw fish, a staple of many South-East Asian cuisines. In 2009, the first patient with sennetsu was identified in the Lao PDR (Laos, raising the question as to how common this organism and related species are in patients presenting with fever. We investigated the frequency of N. sennetsu infection at hospitals in diverse areas of Laos. Consenting febrile hospital inpatients from central (Vientiane: n = 1,013, northern (Luang Namtha: n = 453 and southern (Salavan: n = 171 Laos were screened by PCR for N. sennetsu, if no previous positive direct diagnostic test was available. A PCR-restriction fragment length polymorphism assay was developed to differentiate between N. sennetsu, Ehrlichia chaffeensis and Anaplasma phagocytophilum. To allow more detailed studies of N. sennetsu, culture was successfully established using a reference strain (ATCC VR-367, identifying a canine-macrophage cell line (DH82 to be most suitable to visually identify infection. After screening, N. sennetsu was identified and sequence confirmed in four (4/1,637; 0.2% Lao patients. Despite the previously identified high seroprevalence of N. sennetsu antibodies in the Lao population (~17%, acute N. sennetsu infection with sufficient clinical signs to prompt hospitalization appears to be rare. The reservoir, zoonotic cycle and pathogenicity of N. sennetsu remain unclear and require further investigations.

Neorickettsia sennetsu as a Neglected Cause of Fever in South-East Asia.

Science.gov (United States)

Dittrich, Sabine; Phuklia, Weerawat; Turner, Gareth D H; Rattanavong, Sayaphet; Chansamouth, Vilada; Dumler, Stephen J; Ferguson, David J P; Paris, Daniel H; Newton, Paul N

2015-01-01

Neorickettsia sennetsu infection is rarely recognized, with less than 100 globally reported patients over the last 50 years. The disease is thought to be contracted by eating raw fish, a staple of many South-East Asian cuisines. In 2009, the first patient with sennetsu was identified in the Lao PDR (Laos), raising the question as to how common this organism and related species are in patients presenting with fever. We investigated the frequency of N. sennetsu infection at hospitals in diverse areas of Laos. Consenting febrile hospital inpatients from central (Vientiane: n = 1,013), northern (Luang Namtha: n = 453) and southern (Salavan: n = 171) Laos were screened by PCR for N. sennetsu, if no previous positive direct diagnostic test was available. A PCR-restriction fragment length polymorphism assay was developed to differentiate between N. sennetsu, Ehrlichia chaffeensis and Anaplasma phagocytophilum. To allow more detailed studies of N. sennetsu, culture was successfully established using a reference strain (ATCC VR-367), identifying a canine-macrophage cell line (DH82) to be most suitable to visually identify infection. After screening, N. sennetsu was identified and sequence confirmed in four (4/1,637; 0.2%) Lao patients. Despite the previously identified high seroprevalence of N. sennetsu antibodies in the Lao population (~17%), acute N. sennetsu infection with sufficient clinical signs to prompt hospitalization appears to be rare. The reservoir, zoonotic cycle and pathogenicity of N. sennetsu remain unclear and require further investigations.

A Two-Tier Multiple Choice Questions to Diagnose Thermodynamic Misconception of Thai and Laos Students

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Kamcharean, Chanwit; Wattanakasiwich, Pornrat

The objective of this study was to diagnose misconceptions of Thai and Lao students in thermodynamics by using a two-tier multiple-choice test. Two-tier multiple choice questions consist of the first tier, a content-based question and the second tier, a reasoning-based question. Data of student understanding was collected by using 10 two-tier multiple-choice questions. Thai participants were the first-year students (N = 57) taking a fundamental physics course at Chiang Mai University in 2012. Lao participants were high school students in Grade 11 (N = 57) and Grade 12 (N = 83) at Muengnern high school in Xayaboury province, Lao PDR. As results, most students answered content-tier questions correctly but chose incorrect answers for reason-tier questions. When further investigating their incorrect reasons, we found similar misconceptions as reported in previous studies such as incorrectly relating pressure with temperature when presenting with multiple variables.

Crowdsourced bi-directional disaster reporting and alerting on smartphones in Lao PDR

OpenAIRE

Frommberger, Lutz; Schmid, Falko

2013-01-01

Natural disasters are a large threat for people especially in developing countries such as Laos. ICT-based disaster management systems aim at supporting disaster warning and response efforts. However, the ability to directly communicate in both directions between local and administrative level is often not supported, and a tight integration into administrative workflows is missing. In this paper, we present the smartphone-based disaster and reporting system Mobile4D. It allows for bi-directio...

Building Capacity for Protected Area Management in Lao PDR

Science.gov (United States)

Rao, Madhu; Johnson, Arlyne; Spence, Kelly; Sypasong, Ahnsany; Bynum, Nora; Sterling, Eleanor; Phimminith, Thavy; Praxaysombath, Bounthob

2014-04-01

Declining biodiversity in protected areas in Laos is attributed to unsustainable exploitation of natural resources. At a basic level, an important need is to develop capacity in academic and professional training institutions to provide relevant training to conservation professionals. The paper (a) describes the capacity building approach undertaken to achieve this goal, (b) evaluates the effectiveness of the approach in building capacity for implementing conservation and (c) reviews implementation outcomes. Strong linkages between organizations implementing field conservation, professional training institutions, and relevant Government agencies are central to enhancing effectiveness of capacity building initiatives aimed at improving the practice of conservation. Protected area management technical capacity needs will need to directly influence curriculum design to insure both relevance and effectiveness of training in improving protected area management. Sustainability of capacity building initiatives is largely dependent on the level of interest and commitment by host-country institutions within a supportive Government policy framework in addition to engagement of organizations implementing conservation.

The use of dried cerebrospinal fluid filter paper spots as a substrate for PCR diagnosis of the aetiology of bacterial meningitis in the Lao PDR

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Elliott, I; Dittrich, S; Paris, D; Sengduanphachanh, A; Phoumin, P; Newton, P N

2013-01-01

We investigated whether dried cerebrospinal fluid (CSF) conserved on filter paper can be used as a substrate for accurate PCR diagnosis of important causes of bacterial meningitis in the Lao PDR. Using mock CSF, we investigated and optimized filter paper varieties, paper punch sizes, elution volumes and quantities of DNA template to achieve sensitive and reliable detection of bacterial DNA from filter paper specimens. FTA Elute Micro Card™ (Whatman, Maidstone, UK) was the most sensitive, consistent and practical variety of filter paper. Following optimization, the lower limit of detection for Streptococcus pneumoniae from dried mock CSF spots was 14 genomic equivalents (GE)/μL (interquartile range 5.5 GE/μL) or 230 (IQR 65) colony forming units/mL. A prospective clinical evaluation for S. pneumoniae, S. suis and Neisseria meningitidis was performed. Culture and PCR performed on fresh liquid CSF from patients admitted with a clinical diagnosis of meningitis (n = 73) were compared with results derived from dried CSF spots. Four of five fresh PCR-positive CSF samples also tested PCR positive from dried CSF spots, with one patient under the limit of detection. In a retrospective study of S. pneumoniae samples (n = 20), the median (IQR; range) CSF S. pneumoniae bacterial load was 1.1 × 104 GE/μL (1.2 × 105; 1 to 6.1 × 106 DNA GE/μL). Utilizing the optimized methodology, we estimate an extrapolated sensitivity of 90%, based on the range of CSF genome counts found in Laos. Dried CSF filter paper spots could potentially help us to better understand the epidemiology of bacterial meningitis in resource-poor settings and guide empirical treatments and vaccination policies. PMID:23738720

An assessment of Wx microsatellite allele, alkali degradation and differentiation of chloroplast DNA in traditional black rice (Oryza sativa L.) from Thailand and Lao PDR.

Science.gov (United States)

Prathepha, Preecha

2007-01-15

Thailand and Lao PDR are the country's rich rice diversity. To contribute a significant knowledge for development new rice varieties, a collection of 142 black rice (Oryza sativa) accessions were determined for variation of physico-chemical properties, Wx microsatellite allele, Wx allele and chloroplast DNA type. The results showed that amylose content of black rice accessions were ranged from 1.9 to 6.8%. All of the alkali disintegration types (high, intermediate and low) was observed in these rice with average of 1.75 on the 1-3 digestibility scale. The unique Wx microsatellite allele (CT)17 was found in these samples and all black rice strains carried Wx(b) allele. In addition, all black rice accessions were found the duplication of the 23 bp sequence motif in the exon 2 of the wx gene. This evidence is a common phenomenon in glutinous rice. Based on two growing condition for black rice, rainfed lowland and rainfed upland, chloroplast DNA type was distinct from each other. All rice strains from rainfed lowland was deletion plastotype, but all other rainfed upland strains were non-deletion types.

Laos.

Science.gov (United States)

1986-05-01

Focus in this discussion of Laos is on geography, the people, history, the government, the economy, foreign relations, and relations between the US and Laos. In 1985, the population of Laos totaled 3.6 million with an annual growth rate of 2.9%. The infant mortality rate is 126/1000; life expectancy is 46 years. A landlocked country on the Indochinese Peninsula, Laos is dominated by dense jungle and rugged mountains with a the monsoonal climate. Most of the people live in the valleys of the Mekong and its tributaries. Just under half of the population are ethnic Lao, the principal lowland inhabitants and politically and culturally dominant group. Mountain tribes of Sino-Tibetan and Thai ethnolinguistic heritage are found in northern Laos. In the central and southern mountains, Mon-Khmer tribes predominate. There also are Vietnamese and Chinese minorities, particularly in the towns. Throughout its history Siamese and Vietnamese kingdoms have competed for control of Laos, with the Siamese dominating much of what is now Laos in the 19th century, but supplanted by the French late in the century. France formally recognized the independence of Laos and Laos remained a member of the French Union until 1953. Lao politics remained unstable but essentially unchanged through the 1960s. On December 2, 1975, the monarchy was abolished, and the communist Lao People's Democratic Republic (LPDR) was established. The new government set about transforming Laos into a socialist state. Laos is underdeveloped. Most of its limited resources are underexploited and unsurveyed. It is further handicapped by an inadequate internal transportation system and isolation from the sea. An estimated 85% of the population engages in subsistence agriculture, but less than 10% of the land area is for agricultural use. The government permits a private sector, but the LPDR emphasizes development through socialism with improvement in agriculture and transporation as stated goals. Since the inauguration

Rates of motorcycle helmet use and reasons for non-use among adults and children in Luang Prabang, Lao People's Democratic Republic.

Science.gov (United States)

Fong, Michelle C; Measelle, Jeffrey R; Dwyer, Jessica L; Taylor, Yvonne K; Mobasser, Arian; Strong, Theresa M; Werner, Susanne; Ouansavanh, Siamphone; Mounmingkham, Amphone; Kasuavang, Mai; Sittiphone, Dalika; Phoumesy, Khamhak; Sysaythong, Keo; Khantysavath, Khauphan; Bounnaphone, Somchit; Vilaysom, Amphone; Touvachao, Sengchanh; Mounmeuangxam, Siviengxam; Souralay, Somchittana; Lianosay, Baoher; Lia, Thongher; Spector, Jonathan M

2015-09-28

Motorcycles make up 81 % of the total vehicle population and 74 % of road traffic deaths in Lao PDR. Helmets reduce the risk and severity of injuries resulting from motorcycle accidents by 72 %. Although Lao law mandates motorcycle helmet use among drivers and passengers, the prevalence of helmet use in Luang Prabang, Lao PDR is unknown. This project aimed to measure the prevalence of motorcycle helmet use among riders (i.e., drivers and passengers) in Luang Prabang. An observational survey in Luang Prabang was conducted in February 2015 to measure the prevalence of motorcycle helmet use among drivers and passengers. Additionally, non-helmet wearing riders were surveyed to identify the reasons for helmet non-use. Of 1632 motorcycle riders observed, only 16.2 % wore helmets. Approximately 29 % of adults wore helmets while less than 1 % of all children wore helmets. When surveyed about attitudes towards helmet use, the majority of adult drivers indicated that they did not like how adult helmets feel or made them look. Additionally, almost half of motorcyclists who did not own child helmets reported that their child was too young to wear a helmet. Our finding that children wear helmets at significantly lower rates compared to adults is consistent with findings from neighboring countries in Southeast Asia. Results of this study have implications for public health campaigns targeting helmet use, especially among children.

Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR

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Thomsen Sarah

2011-01-01

Full Text Available Abstract Background Multiple health risk behaviors (HRBs among adolescents pose a threat to their health, including HIV/AIDS. Health risk behaviors such as alcohol use, smoking, substance use, and sexual risk behaviors among youth have been shown to co-occur with each others. The objectives of this study was to estimate the prevalence of single and concurrent health risk behaviors and to explore how health risk behavior is associated with socio-demographic factors and peers' behaviors. Methods A cross sectional design was used to examine health risk behaviors of adolescents between the age 14 and 19 years living in the Luangnamtha province, Lao PDR. The study was conducted between June and August, 2008. An ordinal logistic regression model that simultaneously explored demographic factors and the influence of the behavior of peers on three categories of multiple HRBs (no risk, one risk, and two or more health risk behaviors was performed. Results A total of 1360 respondents, 669 (49.1% boys with mean age 16.7 ± 1.6 and 699 (50.9% girls aged 16.1 ± 1.5 were recruited into the study. The majority reported two or fewer risk behaviors. However, multiple risk behaviors increased with age for both sexes. About 46.8% (n = 637 reported no risk, 39.3 percent (n = 535 reported one risk, 8.1 percent (n = 110 reported two risks, and 5.8 percent reported more than two health risk behaviors. The protective factors among boys were school attendance (OR = .53, CI = .33-.86, being Hmong and Yao ethnicity (OR = .48, CI-.26-.90, while being above the age of 15 (OR = 2.20, 95% CI = 1.33-3.60, Akha ethnicity (OR = 2.20, 95% CI = 1.04-4.61, peer's smoking (OR = 3.11, 95% CI = 2.1-4.6, and peer's drinking alcohol (OR = 1.88, 95% CI = 1.1-3.21 were significantly associated with the presence of multiple risk behaviors among boys. Having some education (OR = 0.17, 95% CI = 0.06-0.45, and being of Hmong and Yao ethnicity (OR = 0.38, 95% CI = 0.18-0.80 were factors that

Low efficacy of single-dose albendazole and mebendazole against hookworm and effect on concomitant helminth infection in Lao PDR.

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Phonepasong Ayé Soukhathammavong

2012-01-01

Full Text Available BACKGROUND: Albendazole and mebendazole are increasingly deployed for preventive chemotherapy targeting soil-transmitted helminth (STH infections. We assessed the efficacy of single oral doses of albendazole (400 mg and mebendazole (500 mg for the treatment of hookworm infection in school-aged children in Lao PDR. Since Opisthorchis viverrini is co-endemic in our study setting, the effect of the two drugs could also be determined against this liver fluke. METHODOLOGY: We conducted a randomized, open-label, two-arm trial. In total, 200 children infected with hookworm (determined by quadruplicate Kato-Katz thick smears derived from two stool samples were randomly assigned to albendazole (n=100 and mebendazole (n=100. Cure rate (CR; percentage of children who became egg-negative after treatment, and egg reduction rate (ERR; reduction in the geometric mean fecal egg count at treatment follow-up compared to baseline at 21-23 days posttreatment were used as primary outcome measures. Adverse events were monitored 3 hours post treatment. PRINCIPAL FINDINGS: Single-dose albendazole and mebendazole resulted in CRs of 36.0% and 17.6% (odds ratio: 0.4; 95% confidence interval: 0.2-0.8; P=0.01, and ERRs of 86.7% and 76.3%, respectively. In children co-infected with O. viverrini, albendazole and mebendazole showed low CRs (33.3% and 24.2%, respectively and moderate ERRs (82.1% and 78.2%, respectively. CONCLUSIONS/SIGNIFICANCE: Both albendazole and mebendazole showed disappointing CRs against hookworm, but albendazole cured infection and reduced intensity of infection with a higher efficacy than mebendazole. Single-dose administrations showed an effect against O. viverrini, and hence it will be interesting to monitor potential ancillary benefits of a preventive chemotherapy strategy that targets STHs in areas where opisthorchiasis is co-endemic. CLINICAL TRIAL REGISTRATION: Current Controlled Trials ISRCTN29126001.

Low Efficacy of Single-Dose Albendazole and Mebendazole against Hookworm and Effect on Concomitant Helminth Infection in Lao PDR

Science.gov (United States)

Soukhathammavong, Phonepasong Ayé; Sayasone, Somphou; Phongluxa, Khampheng; Xayaseng, Vilavanh; Utzinger, Jürg; Vounatsou, Penelope; Hatz, Christoph; Akkhavong, Kongsap; Keiser, Jennifer; Odermatt, Peter

2012-01-01

Background Albendazole and mebendazole are increasingly deployed for preventive chemotherapy targeting soil-transmitted helminth (STH) infections. We assessed the efficacy of single oral doses of albendazole (400 mg) and mebendazole (500 mg) for the treatment of hookworm infection in school-aged children in Lao PDR. Since Opisthorchis viverrini is co-endemic in our study setting, the effect of the two drugs could also be determined against this liver fluke. Methodology We conducted a randomized, open-label, two-arm trial. In total, 200 children infected with hookworm (determined by quadruplicate Kato-Katz thick smears derived from two stool samples) were randomly assigned to albendazole (n = 100) and mebendazole (n = 100). Cure rate (CR; percentage of children who became egg-negative after treatment), and egg reduction rate (ERR; reduction in the geometric mean fecal egg count at treatment follow-up compared to baseline) at 21–23 days posttreatment were used as primary outcome measures. Adverse events were monitored 3 hours post treatment. Principal Findings Single-dose albendazole and mebendazole resulted in CRs of 36.0% and 17.6% (odds ratio: 0.4; 95% confidence interval: 0.2–0.8; P = 0.01), and ERRs of 86.7% and 76.3%, respectively. In children co-infected with O. viverrini, albendazole and mebendazole showed low CRs (33.3% and 24.2%, respectively) and moderate ERRs (82.1% and 78.2%, respectively). Conclusions/Significance Both albendazole and mebendazole showed disappointing CRs against hookworm, but albendazole cured infection and reduced intensity of infection with a higher efficacy than mebendazole. Single-dose administrations showed an effect against O. viverrini, and hence it will be interesting to monitor potential ancillary benefits of a preventive chemotherapy strategy that targets STHs in areas where opisthorchiasis is co-endemic. Clinical Trial Registration Current Controlled Trials ISRCTN29126001 PMID:22235353

Glass Barriers : Constraints to Women's Small-Scale Cross-Border Trade in Cambodia and Lao PDR

OpenAIRE

Seror, Marlon; Record, Richard; Clarke, Julian

2017-01-01

Trade facilitation projects often assume indirect benefits for small-scale, cross-border traders. Recent studies have shown the challenges faced in Africa by this population, especially women, but it remains unknown in Cambodia and the Lao People's Democratic Republic, despite large trade facilitation investments. This paper fills this gap, thanks to an innovative mix of original qualitati...

Facilitators and barriers for retention in HIV care between testing and treatment in Asia-A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam.

Directory of Open Access Journals (Sweden)

Sushil Koirala

Full Text Available The need for efficient retention in HIV care is more evident than ever because of the expansion of earlier ART initiation and the shift towards 'Test and Treat'. This study assesses factors affecting participation in the HIV care cascade among people living with HIV (PLHIV in the Asia-Pacific Region.A total of 7843 PLHIV aged 18-50 years were recruited using targeted and venue-based sampling between October 1, 2012, and May 31, 2013, across 59 sites in 7 countries (Bangladesh, Indonesia, Lao People's Democratic Republic (Lao PDR, Nepal, Pakistan, Philippines and Vietnam. Statistically significant associations between demographic and health system determinants, and various steps in the HIV care cascade were computed using a generalized structural equation model.A high proportion of PLHIV (40-51% presented late for HIV care and delayed linkage to care in all seven countries. However, once PLHIV enrolled in care, retention in the various steps of the care cascade including adherence to antiretroviral treatment (ART was satisfactory. The proportion still engaged in HIV care at 36 months post HIV diagnosis, varied from 78% in Nepal to >90% in Lao PDR. Similarly, the proportion of ART initiation who also were adherent to ART ranged from 91% in Bangladesh to >95% in Philippines/ Vietnam and from 70% in Lao PDR to 89% in the Philippines respectively. The following factors enhanced the likelihood of ART initiation and high adherence to HIV care and ART: good client-provider communication, high HIV treatment literacy, a referral from a health worker and TB/HIV co-infection. The following barriers were identified: young age, sex work, imprisonment, transgender identity, illiteracy, rural residence, alcohol/ injecting drug use, perceived poor health status, lack of health insurance, fear of confidentiality breach, self-referral for HIV testing, and public hospital as the place of HIV diagnosis.HIV programme planners should ensure easy access to HIV testing

Facilitators and barriers for retention in HIV care between testing and treatment in Asia-A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam.

Science.gov (United States)

Koirala, Sushil; Deuba, Keshab; Nampaisan, Oranuch; Marrone, Gaetano; Ekström, Anna Mia

2017-01-01

The need for efficient retention in HIV care is more evident than ever because of the expansion of earlier ART initiation and the shift towards 'Test and Treat'. This study assesses factors affecting participation in the HIV care cascade among people living with HIV (PLHIV) in the Asia-Pacific Region. A total of 7843 PLHIV aged 18-50 years were recruited using targeted and venue-based sampling between October 1, 2012, and May 31, 2013, across 59 sites in 7 countries (Bangladesh, Indonesia, Lao People's Democratic Republic (Lao PDR), Nepal, Pakistan, Philippines and Vietnam). Statistically significant associations between demographic and health system determinants, and various steps in the HIV care cascade were computed using a generalized structural equation model. A high proportion of PLHIV (40-51%) presented late for HIV care and delayed linkage to care in all seven countries. However, once PLHIV enrolled in care, retention in the various steps of the care cascade including adherence to antiretroviral treatment (ART) was satisfactory. The proportion still engaged in HIV care at 36 months post HIV diagnosis, varied from 78% in Nepal to >90% in Lao PDR. Similarly, the proportion of ART initiation who also were adherent to ART ranged from 91% in Bangladesh to >95% in Philippines/ Vietnam and from 70% in Lao PDR to 89% in the Philippines respectively. The following factors enhanced the likelihood of ART initiation and high adherence to HIV care and ART: good client-provider communication, high HIV treatment literacy, a referral from a health worker and TB/HIV co-infection. The following barriers were identified: young age, sex work, imprisonment, transgender identity, illiteracy, rural residence, alcohol/ injecting drug use, perceived poor health status, lack of health insurance, fear of confidentiality breach, self-referral for HIV testing, and public hospital as the place of HIV diagnosis. HIV programme planners should ensure easy access to HIV testing and earlier

Do Relocated Villages Experience More Forest Cover Change? Resettlements, Shifting Cultivation and Forests in the Lao PDR

Directory of Open Access Journals (Sweden)

Sébastien Boillat

2015-06-01

Full Text Available This study explores the relationships between forest cover change and the village resettlement and land planning policies implemented in Laos, which have led to the relocation of remote and dispersed populations into clustered villages with easier access to state services and market facilities. We used the Global Forest Cover Change (2000–2012 and the most recent Lao Agricultural Census (2011 datasets to assess forest cover change in resettled and non-resettled villages throughout the country. We also reviewed a set of six case studies and performed an original case study in two villages of Luang Prabang province with 55 households, inquiring about relocation, land losses and intensification options. Our results show that resettled villages have greater baseline forest cover and total forest loss than most villages in Laos but not significant forest loss relative to that baseline. Resettled villages are consistently associated with forested areas, minority groups, and intermediate accessibility. The case studies highlight that resettlement coupled with land use planning does not necessarily lead to the abandonment of shifting cultivation or affect forest loss but lead to a re-spatialization of land use. This includes clustering of forest clearings, which might lead to fallow shortening and land degradation while limited intensification options exist in the resettled villages. This study provides a contribution to studying relationships between migration, forest cover change, livelihood strategies, land governance and agricultural practices in tropical forest environments.

Culture-independent bacterial community analysis of the salty-fermented fish paste products of Thailand and Laos

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MARUI, Junichiro; BOULOM, Sayvisene; PANTHAVEE, Wanchai; MOMMA, Mari; KUSUMOTO, Ken-Ichi; NAKAHARA, Kazuhiko; SAITO, Masayoshi

2015-01-01

A bacterial community analysis, using a culture-independent method (polymerase chain reaction-denaturing gradient gel electrophoresis), detected 17 species of bacteria including species of the genera Tetragenococcus, Lactobacillus, Pediococcus, Weissella Halanaerobium, Clostridium, and Sphingomonas in a traditional salty-fermented fish paste known as pla-ra or pa-daek in Thailand and Laos, which is used as a storage-stable multi-purpose seasoning. The representative genus of lactic acid bacteria seemed to vary in the 10 products collected from Thailand and Laos. Tetragenococci were common in products from central Thailand and Vientiane in Laos which had salinities of not less than 11% and pH values ranging from 5.6 to 6.1. However, lactobacilli were common in products from northern Thailand which had the lowest salinities (8.3–8.6%) and pH values (4.5–4.8) of all the samples examined. Two Lactobacillus and one Tetragenococcus species were detected in one product from northeastern Thailand containing 10% salt. These results suggest that salinity in pla-ra/pa-daek is an important determinant of the representative genus of lactic acid bacteria such as, Tetragenococcus or Lactobacillus. Additionally, differences in the acidity between these two groups seemed to be related to the production of d-/l-lactic acid in the lactic acid bacteria in each product. This is the first study to report a correlation between bacterial community structure and taste components in pla-ra/pa-daek products from various regions. This scientific work on a traditional fermented food will be useful in helping local producers meet differing consumer preferences in various regions. PMID:25918672

Assessment of farmer knowledge of large ruminant health and production in developing village-level biosecurity in northern Lao PDR.

Science.gov (United States)

Nampanya, S; Rast, L; Khounsy, S; Windsor, P A

2010-12-01

The purpose of this study was to determine baseline knowledge and identify knowledge gaps of farmers on biosecurity, risk of transmission of transboundary diseases and large ruminant health and production in three provinces of northern Laos, Hua Phan (HP), Luang Prabang (LPB) and Xieng Khoung (XK). The survey was conducted in six villages that are project sites for an Australian Centre for International Agricultural Research (ACIAR) project, with two villages located in each of the three provinces. A census survey was conducted by interview with all 238 farmers participating in the ACIAR project, using a structured questionnaire. The interviews were conducted in Lao language and took 1-2 h per farmer. The answers were recorded in Lao and the survey data were translated into English and transcribed into Microsoft Excel, and a linear mixed model in the Genstat statistical analysis package was used to compare quantitative traits between the target provinces. The results showed that the prediction mean of farmer knowledge scores on parasitic disorders, infectious disease, reproduction and nutrition management were significantly different between the target provinces. The prediction mean of farmer knowledge scores on infectious disease questions ranged between 5.11 in HP to 8.54 in XK of 24 marks (P < 0.001). The prediction mean of total knowledge scores was 13.48 in LPB and 19.29 in XK of 42 marks (P < 0.001). The results indicate both the need for and scope required to attain improvements in farmer knowledge of large ruminant health and production. It was concluded that a participatory research and extension programme to address village-level biosecurity and reduce disease risks, plus enhance large ruminant production capabilities of smallholder producers, is a valid and potentially important strategy to address transboundary disease risk and rural poverty in northern Laos. © 2010 Blackwell Verlag GmbH.

Creating Laos

DEFF Research Database (Denmark)

Ivarsson, Søren

The existence of Laos today is taken for granted. But the crystallization of a Lao national idea and ultimately independence for the country was a long and uncertain process. This book examines the process through which Laos came into existence under French colonial rule through to the end of Wor...

Improving smallholder food security through investigations of carcass composition and beef marketing of buffalo and cattle in northern Lao PDR.

Science.gov (United States)

Nampanya, Sonevilay; Khounsy, Syseng; Phonvisay, Aloun; Bush, Russell David; Windsor, Peter Andrew

2015-04-01

This study determined the carcass composition of Lao indigenous buffalo (Bubalus bubalis) and cattle (Bos indicus), then examined trends in bovine meat marketing following review of records of beef production and prices in the two major cities of Luang Prabang (LPB) and Xieng Khoung (XK) provinces in northern Laos. Samples from 41 buffalo and 81 cattle (n = 122) were collected from animals slaughtered in May-June 2014, with live weights, carcass weights and other carcass-related variables collected. The animals were classified into four age cohort groups (6 years) with quantitative and dichotomous qualitative traits determined. There were significant differences in buffalo and cattle predicted mean carcass weights between age classification categories (p = 0.003 and 0.001) but not in dressing percentages (p = 0.1 and 0.1). The carcass weight of buffalo was 104 (±23.1)-176 (±12.0) kg compared to 65 (±8.7)-84 (±6.5) kg of cattle, with dressing percentages of 37-40 and 39-42 %, respectively. Despite an average bovine meat price increase of 42-48 % between 2011 and 2013, there was a reduction in the numbers of large ruminants slaughtered in the surveyed cities of LPB (11 %) and XK (7 %), with bovine meat availability per person of 5.2-6.6 kg (LPB) and 3.0-3.8 kg (XK). Improving the sustainability of the bovine meat supply in Laos requires a systems approach involving improvements to animal health and production, livestock marketing, plus the critical development of improved slaughterhouse facilities enabling a meat-processing sector to emerge. This development pathway is of particular importance for building the capacity of Laos to reduce food insecurity and alleviate the poverty of its largely rural smallholder community.

Task 1 Report - Assessment of Data Availability to Inform Energy Planning Analyses: Energy Alternatives Study for the Lao People's Democratic Republic: Smart Infrastructure for the Mekong Program

Energy Technology Data Exchange (ETDEWEB)

Lee, Nathan [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Lopez, Anthony J. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Katz, Jessica R. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Cardoso de Oliveira, Ricardo P. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Hayter, Sheila J. [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2018-01-24

In an effort to address concerns such as energy security, reliability, affordability, and other objectives, the Government of the Lao People's Democratic Republic (Lao PDR) is seeking to advance its expertise and experience in energy system analysis and planning to explore energy alternatives. Assessing the potential and alternatives for deploying energy technology options is often an early step - and, in most cases, an ongoing process - in planning for the development of the energy sector as a whole. Reliable and robust data are crucial to conducting these types of planning-related analyses in a transparent manner that builds confidence among power sector stakeholders and encourages investment in future energy project development and infrastructure opportunities. This report represents the first output of the Energy Alternatives Study for the Lao PDR (Energy Alternatives Study), a collaboration between Ministry of Energy and Mines and the United States Agency for International Development (USAID) under the auspices of the Smart Infrastructure for the Mekong (SIM) program. The Energy Alternatives Study includes five tasks that build upon each other to meet the goal of the project. The report summarizes the availability, quality, and accessibility of data that serve as key inputs to energy planning activities for the power sector. The purpose of this data assessment is two-fold: 1. To facilitate the informed use of existing data by highlighting applications for these data as they relate to priority energy planning analyses; and 2. To inform future investments in energy data collection and management by identifying significant data gaps and providing guidance on how to fill these gaps.

Turning Subsistence Peasants into Ecosystem Servants: Inequality and the Produc-tion of Natural Resources in Lao P.D.R.

Directory of Open Access Journals (Sweden)

Michael Kleinod

2016-08-01

Full Text Available This paper examines the nexus of nature conservation, productivity and domination in inclusive conservation approaches. It argues that the turning of subsistence peasants into “stewards and custodians of biodiversity” (CBD represents a soft form of domination according to the false alternatives of ecological instrumentality in that local development is subordinated to supposed “natural” constraints. The argument draws from critical theories of societal nature relations (Horkheimer & Adorno, 2002; Görg. 2003; Moore, 2015 as well as from extensive research on ecotourism as an instrument to reconcile conservation and development in the Lao People’s Democratic Republic. From this angle, conservation is seen as a way to produce “natural” resources building on, perpetuating and creating various social inequities, based on the fiction that “nature” is essentially non-human. This case is made with regard to National Protected Areas in Laos, which are designed explicitly to accommodate local people’s needs. Among other things, ecotourism is employed to create a source of income alternative to practices seen as “unsustainable”. Thereby, economic and also moral stakes in untouched resources are to be implanted. In such way, a compromise between (rather than a reconciliation of conservation and development is imposed which is largely alien to the lived realities of local people, and only accounting partly for their needs and aspirations – an imposition which tends to produce its own countercurrents, again tying into productivity and inequality. This paper thus analyzes the workings of the nature/society dualism underlying ecological instrumentality as experienced in ecotourism as a tool for nature conservation in Laos.

Forest Disturbances and Regrowth Assessment Using ALOS PALSAR Data from 2007 to 2010 in Vietnam, Cambodia and Lao PDR

Directory of Open Access Journals (Sweden)

Stéphane Mermoz

2016-03-01

Full Text Available This paper aims to develop a new methodology for monitoring forest disturbances and regrowth using ALOS PALSAR data in tropical regions. In the study, forest disturbances and regrowth were assessed between 2007 and 2010 in Vietnam, Cambodia and Lao People’s Democratic Republic. The deforestation rate in Vietnam has been among the highest in the tropics in the last few decades, and those in Cambodia and Lao are increasing rapidly. L-band ALOS PALSAR mosaic data were used for the detection of forest disturbances and regrowth, because L-band SAR intensities are sensitive to forest aboveground biomass loss. The methodology used here combines SAR data processing, which is particularly suited for change detection, forest detection and forest disturbances and regrowth detection using expectation maximization, which is closely related to fuzzy logic. A reliable training and testing database has been derived using AVNIR-2 and Google Earth images for calibration and validation. Efforts were made to apply masking areas that are likely to show different SAR backscatter temporal behaviors from the forests considered in the study, including mangroves, inundated forests, post-flooding or irrigated croplands and water bodies, as well as sloping areas and urban areas. The resulting forest disturbances and regrowth map (25-m resolution indicates disturbance rates of −1.07% in Vietnam, −1.22% in Cambodia and −0.94% in Lao between 2007 and 2010, with corresponding aboveground biomass losses of 60.7 Tg, 59.2 Tg and 83.8 Tg , respectively. It is expected that the method, relying on free of charge data (ALOS and ALOS2 mosaics, can be applied widely in the tropics.

The Theun-Hinboun public-private partnership: a critique of the Asian Development Bank's model hydropower venture in Lao PDR

International Nuclear Information System (INIS)

Ryder, G.

1999-10-01

Financing of the Theun-Hinboun hydroelectric project in Laos, developed by Statkraft, the Norwegian state utility and Vattenfall, its Swedish counterpart, is critiqued. The two utilities put up $ 22 million for Nordic Hydropower's stake in the project and the Norwegian agency for development cooperation provided $ 8 million more for feasibility study, design and environmental mitigation plans. The project was supervised by Nordic Hydropower, a company which also has the contract for operation and management. Electrical and mechanical equipment was supplied by Norwegian and Swedish companies with financing from Nordic export credit agencies and the multilateral Nordic Investment Bank. Proponents of the project consider it as a great success, a 'first' in terms of foreign investment, legal framework, financing, cross-border electricity sale (to Thailand) and logistics. This report suggests that the biggest success of the project's proponents has been their ability to cajole private investors into an otherwise 'unbankable' venture in Laos, which would never have been backed by commercial lenders, who quite apart from country-specific risks, regard hydrodams as high-risk, low return investments, with a reputation for cost overruns and delays due to environmental problems and public opposition, had it not been for the zeal of the Asian Development Bank for public-private partnership. It is charged that as a result of this zeal, willingly assisted by the Nordic export credit agencies, the Government of Laos, and the Electricity Generating Authority of Thailand (EGAT), each for its private reasons, taxpayers responsible for these institutions have been forced to shoulder risks that the private sector prudently refused to take. As part-owners of the project, Lao citizens owe the Asian Development Bank $ 60 million, taxpayers in Nordic countries are responsible for $ 70 million and Thai taxpayers (owners of 20 per cent of the project) will also have to pay irrespective of

Steam sauna and mother roasting in Lao PDR: practices and chemical constituents of essential oils of plant species used in postpartum recovery

Science.gov (United States)

2011-01-01

Background Fundamental in traditional postpartum recovery in Lao PDR is the use of hotbeds, mother roasting, steam sauna and steam baths. During these treatments medicinal plants play a crucial role, but little has been published about how the treatments are carried out precisely, which species are used, the medicinal properties of these species, and the medicinal efficacy of their chemical constituents. Methods Sixty-five interviews, in 15 rural villages, with women of 4 different ethnic groups were conducted to survey confinement rituals, and postpartum plant use and salience. Essential oils from the main species used were extracted using steam distillation and the main chemical constituents characterized using gas chromatography-mass spectrometry (GC-MS). Results A total of 10 different species were used by three or more of the ethnic groups included in this study. All species were used in steam sauna and bath, but only 3 species were used in hotbed and mother roasting. Essential oils of Amomum villosum, Amomum microcarpum and Blumea balsamifera were found to contain significant amounts of the following terpenes: β-pinene, camphor, bornyl acetate, borneol, linalool, D-limonene, fenchone, terpinen-4-ol and α-terpinene. Conclusions Many of these terpenes have documented antimicrobial and analgesic properties, and some have also synergistic interactions with other terpenes. The mode of application in hotbed and mother roasting differs from the documented mechanisms of action of these terpenes. Plants in these two practices are likely to serve mainly hygienic purposes, by segregating the mother from infection sources such as beds, mats, stools, cloth and towels. Steam sauna medicinal plant use through inhalation of essential oils vapors can possibly have medicinal efficacy, but is unlikely to alleviate the ailments commonly encountered during postpartum convalescence. Steam sauna medicinal plant use through dermal condensation of essential oils, and steam bath

Indigenous knowledge of the edible weaver ant Oecophylla smaragdina Fabricius Hymenoptera: Formicidae from the Vientiane Plain, Lao PDR

NARCIS (Netherlands)

Itterbeeck, Van J.; Sivongxay, N.; Praxaysombath, B.; Huis, van A.

2014-01-01

Of major importance in realizing the potential of edible insects as a core element in improving food security, sustainable food production, and biodiversity conservation, are developments in sustainable exploitation of wild edible insect populations and in (semi-)cultivating and farming edible

Newborn care in Indonesia, Lao People's Democratic Republic and the Philippines: a comprehensive needs assessment.

Science.gov (United States)

Duysburgh, Els; Kerstens, Birgit; Diaz, Melissa; Fardhdiani, Vini; Reyes, Katherine Ann V; Phommachanh, Khamphong; Temmerman, Marleen; Rodriques, Basil; Zaka, Nabila

2014-02-15

Between 1990 and 2011, global neonatal mortality decline was slower than that of under-five mortality. As a result, the proportion of under-five deaths due to neonatal mortality increased. This increase is primarily a consequence of decreasing post-neonatal and child under-five mortality as a result of the typical focus of child survival programmes of the past two decades on diseases affecting children over four weeks of age. Newborns are lagging behind in improved child health outcomes. The aim of this study was to conduct a comprehensive, equity-focussed newborn care assessment and to explore options to improve newborn survival in Indonesia, Lao People's Democratic Republic (PDR) and the Philippines. We assessed newborn health policies, services and care in the three countries through document review, interviews and health facility visits. Findings were triangulated to describe newborns' health status, the health policy and the health system context for newborn care and the equity situation regarding newborn survival. (1) In the three countries, decline of neonatal mortality is lagging behind compared to that of under-five mortality. (2) Comprehensive newborn policies in line with international standards exist, although implementation remains poor. An important factor hampering implementation is decentralisation of the health sector, which created confusion regarding roles and responsibilities. Management capacity and skills at decentralised level were often found to be limited. (3) Quality of newborn care provided at primary healthcare and referral level is generally substandard. Limited knowledge and skills among providers of newborn care are contributing to poor quality of care. (4) Socio-economic and geographic inequities in newborn care are considerable. Similar important challenges for newborn care have been identified in Indonesia, Lao PDR and the Philippines. There is an urgent need to address weak leadership and governance regarding newborn care, quality

IDRC in Laos

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

and Emerging Sciences (NUCES), Pakistan. With computing and the Internet dominated by English, researchers in Laos have begun the important task of developing computer software in Lao. The effort, led by the govern- ment's National Agency for Science and. Technology, forms part of a 10-country initiative coordinated ...

Investigations concerning the application of PDR-afterloading-therapy

International Nuclear Information System (INIS)

Pohlmann, S.; Brock, A.; Prager, W.; Friedrich, K.

1995-01-01

Introduction: Despite the gain in experiences concerning the PDR-afterloading technology there are still some important questions about its application: Questions: 1. Are the radiation reactions of PDR with Ir-192 and LDR with Co-60 nearly the same? 2. In which way the PDR-regimen has to be modified in case of tumor volume 3 , e.g. brachytherapy in the head and neck region? 3. Is it possible to interrupt the PDR-therapy during the night? Material and methods: We compared the radiation reactions of LDR-technique and two PDR-regimens by means of the guinea pig skin model (20 female animals) The following regimens are used: 1. continuos LDR-regimen 30 Gy in 60 hours 2. PDR-regimen 0,5 Gy hourly pulse length 10 minutes, 30 Gy in 60 hours 3. PDR-regimen with 9 hours night break 30 Gy/60 hours The isodose distribution patterns of the LDR-source (Co-60 source with an activity of 2 GBq) and the PDR-source (Ir-192 source with an activity of nearly 15 GBq) are the same. We implanted an interstitial applicator on the right hand side of the animal back with a Co-60 source and on the left hand side an interstitial applicator for a PDR-irradiation. The radiation reactions were controlled by the help of an evaluation table in which the criteria of radiation reaction - exsudation, hair growth and atrophy - were classified according to the degree of seriousness. The observation time is maximal 21 months. The degrees of seriousness are presented graphically in diagrams which we analysed by means of the cross-correlation-function. Results and conclusions: 1. Generally, it is possible to compare the radiation reactions of PDR irradiation and the classic continuos LDR brachytherapy with Co-60-sources. Calculations with the aid of the Monte-Carlo-method resulted in the fact that the gamma dose is the same in a distance of 2 mm from the source. 2. The activity of the source corresponds to the volume of tumor: the smaller the volume of the tumor the lower the dose rate (activity) of the

An expanding sexual economy along National Route 3 in Luang Namtha Province, Lao PDR.

Science.gov (United States)

Doussantousse, Serge; Sakounnavong, Bounchanh; Patterson, Ian

2011-12-01

With some of the lowest development indicators in Southeast Asia, remote upland areas of the Lao People's Democratic Republic are among the poorest in the region. The advent of improved transport and communication links, along with opportunities for wage employment, have accelerated the growth of a cash economy in traditionally isolated farming communities of Luang Namtha Province. Interviews and focus group discussions with young people, women in the sexual service business and health workers indicate that the lure of the new economy is wooing villagers away from their agrarian roots. Motorbikes and mobile phones have expanded the sexual territory of indigenous youth at a time when international commerce and a cash economy along improved highways are bringing new people into the region. Among the concerns for their health and safety are at-risk behaviours involving alcohol and sexual practices, especially HIV and sexually transmitted infections. Of particular concern is the sexual trade in the province with a predominance of young, poorly educated Khmou women providing sexual services in a growing number of entertainment places.

Stakeholder Participation in REDD+ Readiness Activities for Three Collaborative Projects in Lao PDR

Directory of Open Access Journals (Sweden)

Saykham Boutthavong

2017-04-01

Full Text Available A key challenge for reducing emission from deforestation and forest degradation (REDD in developing countries is to balance the power of various stakeholders in decision making. This study explores the forms of stakeholder participation in the implementation of three pilot projects in Laos, with a focus on who actually makes decisions on project activities. We found that stakeholder roles in making decisions were imbalanced. The central government and development partner organizations were the ones who actually fulfill the roles of decision-makers in most project activities. Although local communities were not the key stakeholders in decision making in most activities, their roles seem to have increased in the activities where participatory approaches were applied. Participation of the private sector, non-governmental organizations, academic and research institutes and mass organizations was limited. Opportunities to reach decision-makers regarding project activities came through service contract agreements. Our findings suggest that an understanding of who fulfills the key roles will support a decentralization of decision making by balancing power and redistributing the roles from dominant to weaker stakeholders. In addition, the private sector’s participation may enhance opportunities to harmonize their investments for supporting REDD+ development and reduce the negative impacts on the forests and the environment.

High-resolution dating of ancient ceramic kilns in Thailand, Laos and Burma by radiocarbon and palaeomagnetism

International Nuclear Information System (INIS)

Barbetti, M.; Hein, D.

1997-01-01

centuries AD, as are the kilns at Singburi in central Thailand and the in-ground kilns at Vientiane in Laos

Controlling Taenia solium and soil transmitted helminths in a northern Lao PDR village: Impact of a triple dose albendazole regime.

Science.gov (United States)

Ash, Amanda; Okello, Anna; Khamlome, Boualam; Inthavong, Phouth; Allen, John; Thompson, R C Andrew

2017-10-01

Taenia solium taeniasis-cysticercosis and soil-transmitted helminths (STHs) are parasitic Neglected Tropical Diseases endemic throughout Southeast Asia. Within Lao PDR, a remote northern hill tribe village had previously been identified as a hyper endemic focus for T. solium. To reduce this observed prevalence, a One Health intervention covering both pigs and humans was implemented, which included two Mass drug administrations (MDA1 and MDA2) for village residents using a triple dose albendazole 400mg treatment regime. In addition to the effect on T. solium levels, the dual impact of this anthelmintic regime on STHs within the community was also monitored. Faecal samples were collected pre and post MDA1 and MDA2 and analysed for the presence of Taenia species and the STHs Ascaris lumbricoides, Trichuris trichiura and hookworm species. The McMaster technique was used to measure the changes in both prevalence and intensity of infection. Molecular characterisation of Taenia and hookworm species was conducted to detect zoonotic species. The level of taeniasis within the sampled population decreased by 79.4% after MDA1, remained steady during the five month inter-treatment interval and decreased again by 100% after MDA2. The prevalence of STHs decreased by 65.5% and 62.8% after MDA1 and MDA2 respectively; however an increase to 62.1% of pre MDA1 levels was detected during the inter-treatment interval. Individually, hookworm prevalence decreased by 83.4% (MDA1) and 84.5% (MDA2), A. lumbricoides by 95.6% and 93.5% and T. trichiura by 69.2% and 61%. The intensity of infection within the sampled population also decreased, with egg reduction rates of 94.4% and 97.8% for hookworm, 99.4% and 99.3% for A. lumbricoides and 77.2% and 88.5% for T. trichiura. Molecular characterisation identified a T. solium tapeworm carrier from 21.6% (13/60) of households in the village. T. saginata was identified in 5% (3/60) of households. The zoonotic hookworm A. ceylanicum was detected in the

Existing landraces of Jatropha Curcas L. (physic nut) in Nepal and analysis of their bio-diesel content

Energy Technology Data Exchange (ETDEWEB)

Sharma, Ram Prasad

2010-09-15

The aim of this work was to find the existing landraces of Jatropha curcas in different agro ecological regions of Nepal and their Bio-Diesel content. More specifically, research efforts focused on (1) existing landraces (varieties) in all three topographic regions of Nepal (2) Bio-diesel content in those varieties (3) Bio-Diesel content in varieties from Laos (4) Constraints faced by the Nepalese Jatropha grower (5) Compare the quality of Bio-diesel between the Nepalese varieties and Laos varieties. To collect all the information, Seeds were collected from Nepal (Terai: Chitwan; Hill: Palpa and Syanja; Mountain: Tanahu and Gorkha) and Vientiane province from Laos.

Monitoring temporal Vegetation changes in Lao tropical forests

International Nuclear Information System (INIS)

Phompila, Chittana; Lewis, Megan; Clarke, Kenneth; Ostendorf, Bertram

2014-01-01

Studies on changes in vegetation are essential for understanding the interaction between humans and the environment. These studies provide key information for land use assessment, terrestrial ecosystem monitoring, carbon flux modelling and impacts of global climate change. The primary purpose of this study was to detect temporal vegetation changes in tropical forests in the southern part of Lao PDR from 2001-2012. The study investigated the annual vegetation phenological response of dominant land cover types across the study area and relationships to seasonal precipitation and temperature. Improved understanding of intra-annual patterns of vegetation variation was useful to detect longer term changes in vegetation. The breaks for additive season and trend (BFAST) approach was implemented to detect changes in these land cover types throughout the 2001-2012 period. We used the enhanced vegetation index (EVI) data from the Moderate Resolution Imaging Spectroradiometer (MODIS) (MOD13Q1 products) and monthly rainfall and temperature data obtained from the Meteorology and Hydrology Department, Ministry of Agriculture-Forestry, published by Lao National Statistical Centre in this research. EVI well documented the annual seasonal growth of vegetation and clearly distinguished the characteristic phenology of four different land use types; native forest, plantation, agriculture and mixed wooded/cleared area. Native forests maintained high EVI throughout the year, while plantations, wooded/cleared areas and agriculture showed greater inter-annual variation, with minimum EVI at the end of the dry season in April and maximum EVI in September-October, around two months after the wet season peak in rainfall. The BFAST analysis detected abrupt temporal changes in vegetation in the tropical forests, especially in a large conversion of mixed wooded/cleared area into plantation. Within the study area from 2001-2012 there has been an overall decreasing trend of vegetation cover for

Towards a Spatial Understanding of Trade-Offs in Sustainable Development: A Meso-Scale Analysis of the Nexus between Land Use, Poverty, and Environment in the Lao PDR

Science.gov (United States)

Messerli, Peter; Bader, Christoph; Hett, Cornelia; Epprecht, Michael; Heinimann, Andreas

2015-01-01

In land systems, equitably managing trade-offs between planetary boundaries and human development needs represents a grand challenge in sustainability oriented initiatives. Informing such initiatives requires knowledge about the nexus between land use, poverty, and environment. This paper presents results from Lao PDR, where we combined nationwide spatial data on land use types and the environmental state of landscapes with village-level poverty indicators. Our analysis reveals two general but contrasting trends. First, landscapes with paddy or permanent agriculture allow a greater number of people to live in less poverty but come at the price of a decrease in natural vegetation cover. Second, people practising extensive swidden agriculture and living in intact environments are often better off than people in degraded paddy or permanent agriculture. As poverty rates within different landscape types vary more than between landscape types, we cannot stipulate a land use–poverty–environment nexus. However, the distinct spatial patterns or configurations of these rates point to other important factors at play. Drawing on ethnicity as a proximate factor for endogenous development potentials and accessibility as a proximate factor for external influences, we further explore these linkages. Ethnicity is strongly related to poverty in all land use types almost independently of accessibility, implying that social distance outweighs geographic or physical distance. In turn, accessibility, almost a precondition for poverty alleviation, is mainly beneficial to ethnic majority groups and people living in paddy or permanent agriculture. These groups are able to translate improved accessibility into poverty alleviation. Our results show that the concurrence of external influences with local—highly contextual—development potentials is key to shaping outcomes of the land use–poverty–environment nexus. By addressing such leverage points, these findings help guide more

The CLMV Automobile and Auto Parts Industry

OpenAIRE

Hideo KOBAYASHI; Yingshan JIN

2015-01-01

To begin, consider the general economic characteristics of Cambodia, Lao PDR, Myanmar and Viet Nam, collectively known as the CLMV countries. These countries joined ASEAN relatively late and are economically less developed than the original members. According to the World Bank (2012), Viet Nam’s GDP stood at US$155.8 billion in 2012, Myanmar’s is estimated to be around US$50 billion, Cambodia at US$ 14.04 billion, and Lao PDR at US$9.41 billion. Therefore, these countries can be labelled as d...

Provider performance in treating poor patients--factors influencing prescribing practices in lao PDR: a cross-sectional study.

Science.gov (United States)

Syhakhang, Lamphone; Soukaloun, Douangdao; Tomson, Göran; Petzold, Max; Rehnberg, Clas; Wahlström, Rolf

2011-01-06

Out-of-pocket payments make up about 80% of medical care spending at hospitals in Laos, thereby putting poor households at risk of catastrophic health expenditure. Social security schemes in the form of community-based health insurance and health equity funds have been introduced in some parts of the country. Drug and Therapeutics Committees (DTCs) have been established to ensure rational use of drugs and improve quality of care. The objective was to assess the appropriateness and expenditure for treatment for poor patients by health care providers at hospitals in three selected provinces of Laos and to explore associated factors. Cross-sectional study using four tracer conditions. Structured interviews with 828 in-patients at twelve provincial and district hospitals on the subject of insurance protection, income and expenditures for treatment, including informal payment. Evaluation of each patient's medical record for appropriateness of drug use using a checklist of treatment guidelines (maximum score=10). No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level. The score for appropriate drug use in insured patients was significantly higher than uninsured patients (5.9 vs. 4.9), and the length of stay in days significantly shorter (2.7 vs. 3.7). Insured patients paid significantly less than uninsured patients, both for medicines (USD 14.8 vs. 43.9) and diagnostic tests (USD 5.9 vs. 9.2). On the contrary the score for appropriateness of drug use in patients making informal payments was significantly lower than patients not making informal payments (3.5 vs. 5.1), and the length of stay significantly longer (6.8 vs. 3.2), while expenditures were significantly higher both for medicines (USD 124.5 vs. 28.8) and diagnostic tests (USD 14.1 vs. 7.7). The lower expenditure for insured patients can help reduce the number of households experiencing catastrophic health

Provider performance in treating poor patients - factors influencing prescribing practices in lao PDR: a cross-sectional study

Directory of Open Access Journals (Sweden)

Petzold Max

2011-01-01

Full Text Available Abstract Background Out-of-pocket payments make up about 80% of medical care spending at hospitals in Laos, thereby putting poor households at risk of catastrophic health expenditure. Social security schemes in the form of community-based health insurance and health equity funds have been introduced in some parts of the country. Drug and Therapeutics Committees (DTCs have been established to ensure rational use of drugs and improve quality of care. The objective was to assess the appropriateness and expenditure for treatment for poor patients by health care providers at hospitals in three selected provinces of Laos and to explore associated factors. Methods Cross-sectional study using four tracer conditions. Structured interviews with 828 in-patients at twelve provincial and district hospitals on the subject of insurance protection, income and expenditures for treatment, including informal payment. Evaluation of each patient's medical record for appropriateness of drug use using a checklist of treatment guidelines (maximum score = 10. Results No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level. The score for appropriate drug use in insured patients was significantly higher than uninsured patients (5.9 vs. 4.9, and the length of stay in days significantly shorter (2.7 vs. 3.7. Insured patients paid significantly less than uninsured patients, both for medicines (USD 14.8 vs. 43.9 and diagnostic tests (USD 5.9 vs. 9.2. On the contrary the score for appropriateness of drug use in patients making informal payments was significantly lower than patients not making informal payments (3.5 vs. 5.1, and the length of stay significantly longer (6.8 vs. 3.2, while expenditures were significantly higher both for medicines (USD 124.5 vs. 28.8 and diagnostic tests (USD 14.1 vs. 7.7. Conclusions The lower expenditure for insured patients can help reduce

In Laos: Testing mobile solutions for poultry care | IDRC ...

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

Among its goals, the strategy aims to diversify and modernize agriculture and forestry, ... workers in 11 villages of Xaythany District, just north of the national capital, Vientiane. ... in diagnosing ailments in other animals they treat, such as pigs and goats. ... New animal vaccines could keep more African farmers in business.

Advantages of trained TBA and the perception of females and their experiences with reproductive health in two districts of the Luangprabang Province, Lao PDR.

Science.gov (United States)

Sirivong, Amone; Silphong, Bouavanh; Simphaly, Niphone; Phayasane, Thongsavath; Bonouvong, Vilaysack; Schelp, Frank P

2003-12-01

The study describes reproductive health in two districts of the Luangprabang Province in northern Lao PDR. The aim was to find out whether training traditional birth attendants (TBA) might have an impact on reproductive health. In June/July 2000, a total of 298 women of reproductive age, with children below two years of age, from 30 villages were interviewed by means of a closed questionnaire. In 1996/1997, a training course for TBA was conducted in one of the districts under survey. Information was obtained for demography, symptoms and risks during pregnancy and delivery, antenatal care (ANC), tetanus immunization, food taboos, place of delivery, birth attendant, practising of birth spacing and their attitude towards the services of TBA. The results obtained indirectly pointed towards a high fertility rate and a high rate of child death and abortion. An overwhelming majority of the women delivered at home, attended only by untrained individuals. During pregnancy and after delivery, the women claimed that they often suffered from edema of legs and feet, high fever and hemorrhages. Only 50% of the females in the district where TBA training were conducted, made use of the services of trained TBA. Nevertheless, females in the district with trained TBA, who made use of the TBA service in comparison with women in the same district not using the service of TBA, were 3.8 times more likely to also make use of the ANC service; 3.3 times more likely to seek immunization, and 8.6 times more likely to give colostrum to their new-borns. The educational level of the females proved to be an important factor. Literate women were more likely to practise birth spacing and have been vaccinated. Illiterate women were more likely to be at higher risk for losing a child. In the district without TBA service the loss of a child was less likely among literate than illiterate women. It is concluded that through adequately trained TBA and through their continuous support and supervision, ANC

Anethole potentiates dodecanol's fungicidal activity by reducing PDR5 expression in budding yeast.

Science.gov (United States)

Fujita, Ken-Ichi; Ishikura, Takayuki; Jono, Yui; Yamaguchi, Yoshihiro; Ogita, Akira; Kubo, Isao; Tanaka, Toshio

2017-02-01

trans-Anethole (anethole), a major component of anise oil, has a broad antimicrobial spectrum and a weaker antimicrobial potency than other available antibiotics. When combined with polygodial, nagilactone E, and n-dodecanol, anethole has been shown to exhibit synergistic antifungal activity against a budding yeast, Saccharomyces cerevisiae, and a human opportunistic pathogenic yeast, Candida albicans. However, the mechanism underlying this synergistic effect of anethole has not been characterized. We studied this mechanism using dodecanol-treated S. cerevisiae cells and focusing on genes related to multidrug efflux. Although dodecanol transiently reduced the number of colony forming units, this recovered to levels similar to those of untreated cells with continued incubation beyond 24h. Reverse transcription polymerase chain reaction analysis revealed overexpression of an ATP-binding cassette (ABC) transporter gene, PDR5, in addition to a slight increase in PDR11, PDR12, and PDR15 transcriptions in dodecanol-treated cells. In the presence of anethole, these effects were attenuated and the fungicidal activity of dodecanol was extended. Dodecanol showed longer lasting fungicidal activity against a Δpdr5. In addition, Δpdr3 and Δlge1, lack transcription factors of PDR5 and PDR3, were partly and completely susceptible to dodecanol, respectively. Furthermore, combination of anethole with fluconazole was also found to exhibit synergy on C. albicans. These results indicated that although anethole reduced the transcription of several transporters, PDR5 expression was particularly relevant to dodecanol efflux. Anethole is expected to be a promising candidate drug for the inhibition of efflux by reducing the transcription of several ABC transporters. Copyright © 2016 Elsevier B.V. All rights reserved.

CULTURAL NATIONALISM IN A COLONIAL CONTEXT: LAOS IN FRENCH INDOCHINA, 1893-1940

DEFF Research Database (Denmark)

Ivarsson, Søren

2008-01-01

In general, studies dealing with the link between French colonialism and nationalism in Laos have focused on the anti-colonial or revolutionary aspects of Lao nationalism. This is true for texts written by Western scholars as well as officially sanctioned books on Lao history published in Laos. T....... This chapter approaches Lao nationalism from a cultural perspective, through a discussion of how a specific idea about Laos and its culture was formed under French colonial rule in the period 1893-1940....

Using smartphones to improve animal health and food security ...

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

5 mai 2016 ... Primary animal health workers in Laos learn to use smartphones in their practice. A smartphone application developed with IDRC support is helping primary animal health workers (PAHWs) in Laos PDR to quickly and accurately answer questions and treat poultry. The app is also helping farmers raise ...

Arabidopsis pdr2 reveals a phosphate-sensitive checkpoint in root development.

Science.gov (United States)

Ticconi, Carla A; Delatorre, Carla A; Lahner, Brett; Salt, David E; Abel, Steffen

2004-03-01

Plants have evolved complex strategies to maintain phosphate (Pi) homeostasis and to maximize Pi acquisition when the macronutrient is limiting. Adjustment of root system architecture via changes in meristem initiation and activity is integral to the acclimation process. However, the mechanisms that monitor external Pi status and interpret the nutritional signal remain to be elucidated. Here, we present evidence that the Pi deficiency response, pdr2, mutation disrupts local Pi sensing. The sensitivity and amplitude of metabolic Pi-starvation responses, such as Pi-responsive gene expression or accumulation of anthocyanins and starch, are enhanced in pdr2 seedlings. However, the most conspicuous alteration of pdr2 is a conditional short-root phenotype that is specific for Pi deficiency and caused by selective inhibition of root cell division followed by cell death below a threshold concentration of about 0.1 mm external Pi. Measurements of general Pi uptake and of total phosphorus (P) in root tips exclude a defect in high-affinity Pi acquisition. Rescue of root meristem activity in Pi-starved pdr2 by phosphite (Phi), a non-metabolizable Pi analog, and divided-root experiments suggest that pdr2 disrupts sensing of low external Pi availability. Thus, PDR2 is proposed to function at a Pi-sensitive checkpoint in root development, which monitors environmental Pi status, maintains and fine-tunes meristematic activity, and finally adjusts root system architecture to maximize Pi acquisition.

Water Grabbing in the Mekong Basin – An Analysis of the Winners and Losers of Thailand’s Hydropower Development in Lao PDR

Directory of Open Access Journals (Sweden)

Nathanial Matthews

2012-06-01

The analysis shows that the structure and politics of the Thai electricity sector, private-sector profiteering and a strong domestic civil society are driving Thailand’s hydropower investment in neighbouring Laos. Thai investments are enabled by Laos’ weak enforcement of laws, a lack of capacity to regulate development, the existence of corruption and a tightly controlled state. These drivers and enabling factors combine with short-term economic focused regional development to create opportunities for water grabbing. The winners of this water grabbing are the powerful actors who control the benefits, while the losers, local livelihoods and the environment, are negatively impacted.

Developing a Mentorship Program in Laos

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Helen Nita Catton

2017-06-01

Full Text Available Skills strengthening and capacity building for maternal and newborn health (MNH providers are essential to ensure quality care for mothers and newborns. There is, however, limited research regarding what constitutes an effective model in low-income countries. The Lao People’s Democratic Republic (Laos has some of the region’s worst outcomes for neonatal and maternal mortality. Moreover, with a 23-year hiatus in midwifery training, which ended approximately 7 years ago, there is a cadre of new and inexperienced midwives in practice without support systems, skills, or continuing professional development opportunities. Traditional didactic teaching methodologies prevail in Laos, but with little evidence of efficacy. As an alternative model, Save the Children International has been implementing a mentorship approach for MNH providers in two provinces in northern Laos since January 2016, with technical guidance and funding from the United States Agency for International Development-supported global Maternal Child Survival Program. This community case study will describe and reflect on the approach by highlighting the need and rationale for mentorship, followed by a description of the program’s core components and the results observed so far. Lessons learned and the application of the approach to different contexts and health-care professionals, considering both constraints and opportunities, will be discussed.

Petunia hybrida PDR2 is involved in herbivore defense by controlling steroidal contents in trichomes.

Science.gov (United States)

Sasse, Joëlle; Schlegel, Markus; Borghi, Lorenzo; Ullrich, Friederike; Lee, Miyoung; Liu, Guo-Wei; Giner, José-Luis; Kayser, Oliver; Bigler, Laurent; Martinoia, Enrico; Kretzschmar, Tobias

2016-12-01

As a first line of defense against insect herbivores many plants store high concentrations of toxic and deterrent secondary metabolites in glandular trichomes. Plant Pleiotropic Drug Resistance (PDR)-type ABC transporters are known secondary metabolite transporters, and several have been implicated in pathogen or herbivore defense. Here, we report on Petunia hybrida PhPDR2 as a major contributor to trichome-related chemical defense. PhPDR2 was found to localize to the plasma membrane and be predominantly expressed in multicellular glandular trichomes of leaves and stems. Down-regulation of PhPDR2 via RNA interference (pdr2) resulted in a markedly higher susceptibility of the transgenic plants to the generalist foliage feeder Spodoptera littoralis. Untargeted screening of pdr2 trichome metabolite contents showed a significant decrease in petuniasterone and petuniolide content, compounds, which had previously been shown to act as potent toxins against various insects. Our findings suggest that PhPDR2 plays a leading role in controlling petuniasterone levels in leaves and trichomes of petunia, thus contributing to herbivory resistance. © 2016 John Wiley & Sons Ltd.

Sensitivity to Lovastatin of Saccharomyces cerevisiae Strains Deleted for Pleiotropic Drug Resistance (PDR) Genes

DEFF Research Database (Denmark)

Formenti, Luca Riccardo; Kielland-Brandt, Morten

2011-01-01

The use of statins is well established in human therapy, and model organisms such as Saccharomyces cerevisiae are commonly used in studies of drug action at molecular and cellular levels. The investigation of the resistance mechanisms towards statins may suggest new approaches to improve therapy...... based on the use of statins. We investigated the susceptibility to lovastatin of S. cerevisiae strains deleted for PDR genes, responsible for exporting hydrophobic and amphi-philic drugs, such as lovastatin. Strains deleted for the genes tested, PDR1, PDR3, PDR5 and SNQ2, exhibited remarkably different...

How Laos is moving forward with REDD+ schemes

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Sithong Thongmanivong

2013-07-01

Full Text Available The forest cover in Laos has decreased over the past three decades for variety of reasons. The current Laos Government has committed itself to restoring the forest cover to 70 per cent by 2020. As a result, many conservation projects and programs have been planned and implemented in different parts of the country. REDD+ was introduced in late 2007; however, progress of implementation of REDD+ has been slow. This paper examines and updates the status of REDD+ implementation in Laos, using information from literature and interviews with relevant individuals. The paper reveals that progress of REDD+ is slow not only due to external factors but also on internal factors. Currently, there are various international organisations and NGOs, from both the public and private sectors, attempting to pilot REDD+ projects. Laos faces many challenges in implementing REDD+, including institutional arrangements; appropriate methods for carbon accounting, reporting and verification; benefit sharing; and engaging local communities.

Biological equivalence between LDR and PDR in cervical cancer: multifactor analysis using the linear-quadratic model.

Science.gov (United States)

Couto, José Guilherme; Bravo, Isabel; Pirraco, Rui

2011-09-01

The purpose of this work was the biological comparison between Low Dose Rate (LDR) and Pulsed Dose Rate (PDR) in cervical cancer regarding the discontinuation of the afterloading system used for the LDR treatments at our Institution since December 2009. In the first phase we studied the influence of the pulse dose and the pulse time in the biological equivalence between LDR and PDR treatments using the Linear Quadratic Model (LQM). In the second phase, the equivalent dose in 2 Gy/fraction (EQD(2)) for the tumor, rectum and bladder in treatments performed with both techniques was evaluated and statistically compared. All evaluated patients had stage IIB cervical cancer and were treated with External Beam Radiotherapy (EBRT) plus two Brachytherapy (BT) applications. Data were collected from 48 patients (26 patients treated with LDR and 22 patients with PDR). In the analyses of the influence of PDR parameters in the biological equivalence between LDR and PDR treatments (Phase 1), it was calculated that if the pulse dose in PDR was kept equal to the LDR dose rate, a small the-rapeutic loss was expected. If the pulse dose was decreased, the therapeutic window became larger, but a correction in the prescribed dose was necessary. In PDR schemes with 1 hour interval between pulses, the pulse time did not influence significantly the equivalent dose. In the comparison between the groups treated with LDR and PDR (Phase 2) we concluded that they were not equivalent, because in the PDR group the total EQD(2) for the tumor, rectum and bladder was smaller than in the LDR group; the LQM estimated that a correction in the prescribed dose of 6% to 10% was ne-cessary to avoid therapeutic loss. A correction in the prescribed dose was necessary; this correction should be achieved by calculating the PDR dose equivalent to the desired LDR total dose.

The yeast Saccharomyces cerevisiae Pdr16p restricts changes in ergosterol biosynthesis caused by the presence of azole antifungals.

Science.gov (United States)

Šimová, Zuzana; Poloncová, Katarína; Tahotná, Dana; Holič, Roman; Hapala, Ivan; Smith, Adam R; White, Theodore C; Griač, Peter

2013-06-01

Pdr16p belongs to the family of phosphatidylinositol transfer proteins in yeast. The absence of Pdr16p results in enhanced susceptibility to azole antifungals in Saccharomyces cerevisiae. In the major fungal human pathogen Candida albicans, CaPDR16 is a contributing factor to clinical azole resistance. The current study was aimed at better understanding the function of Pdr16p, especially in relation to azole resistance in S. cerevisiae. We show that deletion of the PDR16 gene increased susceptibility of S. cerevisiae to azole antifungals that are used in clinical medicine and agriculture. Significant differences in the inhibition of the sterol biosynthetic pathway were observed between the pdr16Δ strain and its corresponding wild-type (wt) strain when yeast cells were challenged by sub-inhibitory concentrations of the azoles miconazole or fluconazole. The increased susceptibility to azoles, and enhanced changes in sterol biosynthesis upon exposure to azoles of the pdr16Δ strain compared to wt strain, are not the results of increased intracellular concentration of azoles in the pdr16Δ cells. We also show that overexpression of PDR17 complemented the azole susceptible phenotype of the pdr16Δ strain and corrected the enhanced sterol alterations in pdr16Δ cells in the presence of azoles. Pdr17p was found previously to be an essential part of a complex required for intermembrane transport of phosphatidylserine at regions of membrane apposition. Based on these observations, we propose a hypothesis that Pdr16p assists in shuttling sterols or their intermediates between membranes or, alternatively, between sterol biosynthetic enzymes or complexes. Copyright © 2013 John Wiley & Sons, Ltd.

Textiles of the Phu Thai of Laos

OpenAIRE

McIntosh, Linda Susan

2009-01-01

This thesis documents the hand-woven textiles that the Phu Thai ethnic group living in Savannakhet Province, Laos, produce. The various stages of textile production and the uses of textiles in Phu Thai society, especially as identity markers, are also examined. Textiles of neighboring groups are also investigated to how knowledge of textile technology, types, and aesthetics are transferred between the Phu Thai and other ethnicities, specifically the Lao and Katang. The study's field research ...

Valuing Attributes of Fluid Milk in Laos

OpenAIRE

Jae Won Lee; Taeyoon Kim; Viengsakoun Napasirth

2017-01-01

This study estimates the random utility function of fluid milk using 1,165 survey responses in Laos. It finds that both products’ attributes and individual characteristics affect consumers’ preference for the milk and the hypothetical brand of Laos-Korea has a potential compared to four real dairy products. Results also show that calories have a positive relationship with consumer’s preference while the price and fat content have a negative one. The decision for choosing each brand is signifi...

Smartphone-based integrated PDR/GPS/Bluetooth pedestrian location

Science.gov (United States)

Li, Xianghong; Wei, Dongyan; Lai, Qifeng; Xu, Ying; Yuan, Hong

2017-02-01

Typical indoor location method is fingerprint and traditional outdoor location system is GPS. Both of them are of poor accuracy and limited only for indoor or outdoor environments. As the smartphones are equipped with MEMS sensors, it means PDR can be widely used. In this paper, an algorithm of smartphone-based integrated PDR/GPS/Bluetooth for pedestrian location in the indoor/outdoor is proposed, which can be highly expected to realize seamless indoor/outdoor localization of the pedestrian. In addition, we also provide technologies to estimate orientation with Magnetometer and Gyroscope and detect context with output of sensors. The extensive experimental results show that the proposed algorithm can realize seamless indoor/outdoor localization.

Current situation and future prospects for beef production in Lao People's Democratic Republic.

Science.gov (United States)

Napasirth, Pattaya; Napasirth, Viengsakoun

2018-05-24

Lao-native beef cattle are primarily Bos indicus, and most ruminant production in Laos is still dominated by small-scale or backyard producers that use traditional practices, resulting in low productivity. The cattle herd size in Laos has grown by an average of 5 percent per year from 1.52 million in 2010/11 to 1.81 million in 2014/15. In 2016, the Laos cattle population was 1.88 million head, with smallholder farmers representing 98% of production despite efforts by the Laos government to develop commercial-scale farms. There were 170 commercial cattle farms in 2016, with 56 percent in the Central region of Laos. Although, overall, ruminant meat production has tended to increase with consumption of 7.29 kg/capita/year in 2013, it remains insufficient to meet demand. Crop residues and agro-industrial by-products used in ruminant diets include rice straw, cassava pulp and wet brewers' grains as roughage, energy and protein sources, respectively. The Belt and Road Initiative (BRI) proposed by China in 2013 will connect China closely with all countries in Southeast Asia. This initiative will change landlocked Laos to land linked for investors who will benefit from convenient transport at a lower cost, promoting agricultural production in Laos.

Biological equivalence between LDR and PDR in cervical cancer: multifactor analysis using the linear-quadratic model

Directory of Open Access Journals (Sweden)

José Guilherme Couto

2011-09-01

Full Text Available Purpose: The purpose of this work was the biological comparison between Low Dose Rate (LDR and Pulsed DoseRate (PDR in cervical cancer regarding the discontinuation of the afterloading system used for the LDR treatments atour Institution since December 2009. Material and methods: In the first phase we studied the influence of the pulse dose and the pulse time in the biologicalequivalence between LDR and PDR treatments using the Linear Quadratic Model (LQM. In the second phase,the equivalent dose in 2 Gy/fraction (EQD2 for the tumor, rectum and bladder in treatments performed with both techniqueswas evaluated and statistically compared. All evaluated patients had stage IIB cervical cancer and were treatedwith External Beam Radiotherapy (EBRT plus two Brachytherapy (BT applications. Data were collected from 48 patients(26 patients treated with LDR and 22 patients with PDR. Results: In the analyses of the influence of PDR parameters in the biological equivalence between LDR and PDRtreatments (Phase 1, it was calculated that if the pulse dose in PDR was kept equal to the LDR dose rate, a small therapeuticloss was expected. If the pulse dose was decreased, the therapeutic window became larger, but a correction inthe prescribed dose was necessary. In PDR schemes with 1 hour interval between pulses, the pulse time did not influencesignificantly the equivalent dose. In the comparison between the groups treated with LDR and PDR (Phase 2 weconcluded that they were not equivalent, because in the PDR group the total EQD2 for the tumor, rectum and bladderwas smaller than in the LDR group; the LQM estimated that a correction in the prescribed dose of 6% to 10% was ne -cessary to avoid therapeutic loss. Conclusions: A correction in the prescribed dose was necessary; this correction should be achieved by calculatingthe PDR dose equivalent to the desired LDR total dose.

Study on Mode of Laos-China Cross-Border Collaboration Strategy Facing Symbiosis Relation

OpenAIRE

Thiravong , Sisavath; Xu , Jingrong; Jing , Qin

2015-01-01

International audience; Laos is a country with abundant natural resources, low labor costs and land rents, which has natural geo-economic relationship with China, and gradually became one of the important destinations of Chinese enterprises’ foreign direct investment. Meanwhile, China has become the largest overseas investment country in Laos. Based on the symbiotic relationship between Laos and China, this paper studies the dynamics of Laos-China cross-border cooperation from three aspects, ...

Historical Changes of Land Tenure and Land Use Rights in a Local Community: A Case Study in Lao PDR

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Saykham Boutthavong

2016-04-01

Full Text Available Land-titling programs, land and forest allocation programs, and projects on state-allocated land for development and investment in Laos have been key drivers of change in land tenure. These have triggered major shifts in land use rights, from customary, to temporary, and then to permanent land use rights. This article explores how government programs to grant land use rights to individual households have affected the way people have been able to acquire and secure land tenure. For our case study, we selected the village of Napo, the target of many land tenure changes in the past four decades. We collected data from district offices, group discussions with village organizations, and interviews with selected households. The study shows how land use rights shifted over time and reveals that households obtained most of their agricultural land and forestland through a claim process. Original households were mainly land claimers, while migrants were land buyers. The process of formalization and allocation of tenure triggered inequality among households. Attention is needed in future land governance and tenure reforms in order to safeguard the land use rights of local people in an equitable manner.

Phonological Sketch of the Sida Language of Luang Namtha, Laos

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Nathan Badenoch

2017-07-01

Full Text Available This paper describes the phonology of the Sida language, a Tibeto-Burman language spoken by approximately 3,900 people in Laos and Vietnam. The data presented here are the variety spoken in Luang Namtha province of northwestern Laos, and focuses on a synchronic description of the fundamentals of the Sida phonological systems. Several issues of diachronic interest are also discussed in the context of the diversity of the Southern Loloish group of languages, many of which are spoken in Laos and have not yet been described in detail.

Sustainable renewable energy projects for intelligent rural electrification in Laos, Cambodia and Vietnam

Energy Technology Data Exchange (ETDEWEB)

Ortiz, Brisa; Vetter, Matthias [Fraunhofer Institute for Solar Energy Systems (ISE), Freiburg (Germany); Bourg, Catherine [Fondation Energies pour le Monde (France); Crehay, Romain [Centre Wallon de Recherches Agronomiques (Belgium)

2010-07-01

The project ''Renewable Energy Sustainable Programs for Intelligent Rural Electrifrication'' RESIREA has been looking for the creation of conditions that make possible the establishment of Renewable Energy Technologies (RET) markets in targeted provinces to Lao PDR, Cambodia and Vietnam. As a main result of the project, in three different selected provinces (one in each country) have been proposed villages as ''ready to implement''. The ''ready to implement'' villages are specific RET projects resulted from applying developed methodologies. One methodology is a deeply well structured cross-analysis of technical and economic parameters and the results have been integrated in a Geographical Information System GIS. Based on the least-cost methodology, off-grid biomass and photovoltaic PV power supply systems have been designed and asset for the proposed villages. In the case of PV system designs, a detailed study has been carried out by means of simulations tools and extensive field data. The PV system design looks to contribute to an ''easy scale-up'' concept for off-grid power supply systems, especially when rural communities are too diverse. Further expected benefits besides the supply of electricity services are the improvement of the living and health conditions of the populations, the stimulation of local markets for RET and economic activities. (orig.)

Multidrug resistance transporters Snq2p and Pdr5p mediate caffeine efflux in Saccharomyces cerevisiae.

Science.gov (United States)

Tsujimoto, Yoshiyuki; Shimizu, Yoshihiro; Otake, Kazuya; Nakamura, Tatsuya; Okada, Ryutaro; Miyazaki, Toshitaka; Watanabe, Kunihiko

2015-01-01

SNQ2 was identified as a caffeine-resistance gene by screening a genomic library of Saccharomyces cerevisiae in a multicopy vector YEp24. SNQ2 encodes an ATP-binding cassette transporter and is highly homologous to PDR5. Multicopy of PDR5 also conferred resistance to caffeine, while its resistance was smaller than that of SNQ2. Residual caffeine contents were analyzed after transiently exposing cells to caffeine. The ratios of caffeine contents were 21.3 ± 8.8% (YEp24-SNQ2) and 81.9 ± 8.7% (YEp24-PDR5) relative to control (YEp24, 100%). In addition, multicopies of SNQ2 or PDR5 conferred resistance to rhodamine 6G (R6G), which was widely used as a substrate for transport assay. R6G was exported by both transporters, and their efflux activities were inhibited by caffeine with half-maximal inhibitory concentrations of 5.3 ± 1.9 (YEp24-SNQ2) and 17.2 ± 9.6 mM (YEp24-PDR5). These results demonstrate that Snq2p is a more functional transporter of caffeine than Pdr5p in yeast cells.

Lao Tse y el Tao te Ching

OpenAIRE

Román López, María Teresa

2008-01-01

En este artículo describiremos algunos de los aspectos más reveladores de la obra y del pensamiento de Lao tse que, en cierta medida, pueden ayudarnos a entender algunas de las razones que justifican la gran influencia que el taoísmo ha tenido en el mundo oriental antiguo y, en particular, en el pensamiento de ChinaIn this article we will describe some of the most developing aspects in the book and of the thought of Lao tse that, in certain measure, they can help us to understand some of th...

Political Transmigrants: Rethinking Hmong Political Activism in America

Directory of Open Access Journals (Sweden)

Nengher N. Vang, Ph.D

2011-12-01

Full Text Available Since the initial resettlement of the Hmong in the United States in the mid-1970s, they have maintained strong political and military relationships with the Lao People‘s Democratic Republic (LPDR. Yet, there is little research on that relationship and the involvement of the Hmong in the United States in political developments in Laos. Most works on Hmong political activism have focused on the electoral participation and representation of Hmong Americans in relation to American domestic politics. In this article, using archival, ethnographic, and interview data that I have collected between 2006 and 2009 in Laos, Thailand, and the United States, I describe and analyze the non-domestic or transnational form of Hmong American political expression and participation. I argue that Hmong political activism in America not only was transnational from the outset, but that their transnational involvement in political developments in Laos and their relations with the Lao PDR government also had a significant impact on their ethnic politics. Many Hmong political activists made their entry into ethnic politics through the door of transnational politics, and many were motivated by transnational political issues to participate in domestic American politics. By exploring their transnational involvement in political developments in Laos and their relations with the Lao PDR government, we get a more complete and dynamic understanding of Hmong political activism in the United States than is possible by focusing exclusively on domestic and electoral participation. Examining their transnational politics also allows us to see the transnationality of not only their culture, identity, and community but also that of their political activities and aspirations.

An Extended Multilocus Sequence Typing (MLST Scheme for Rapid Direct Typing of Leptospira from Clinical Samples.

Directory of Open Access Journals (Sweden)

Sabrina Weiss

2016-09-01

Full Text Available Rapid typing of Leptospira is currently impaired by requiring time consuming culture of leptospires. The objective of this study was to develop an assay that provides multilocus sequence typing (MLST data direct from patient specimens while minimising costs for subsequent sequencing.An existing PCR based MLST scheme was modified by designing nested primers including anchors for facilitated subsequent sequencing. The assay was applied to various specimen types from patients diagnosed with leptospirosis between 2014 and 2015 in the United Kingdom (UK and the Lao Peoples Democratic Republic (Lao PDR. Of 44 clinical samples (23 serum, 6 whole blood, 3 buffy coat, 12 urine PCR positive for pathogenic Leptospira spp. at least one allele was amplified in 22 samples (50% and used for phylogenetic inference. Full allelic profiles were obtained from ten specimens, representing all sample types (23%. No nonspecific amplicons were observed in any of the samples. Of twelve PCR positive urine specimens three gave full allelic profiles (25% and two a partial profile. Phylogenetic analysis allowed for species assignment. The predominant species detected was L. interrogans (10/14 and 7/8 from UK and Lao PDR, respectively. All other species were detected in samples from only one country (Lao PDR: L. borgpetersenii [1/8]; UK: L. kirschneri [1/14], L. santarosai [1/14], L. weilii [2/14].Typing information of pathogenic Leptospira spp. was obtained directly from a variety of clinical samples using a modified MLST assay. This assay negates the need for time-consuming culture of Leptospira prior to typing and will be of use both in surveillance, as single alleles enable species determination, and outbreaks for the rapid identification of clusters.

Results of a psychosomatic training program in China, Vietnam and Laos: successful cross-cultural transfer of a postgraduate training program for medical doctors.

Science.gov (United States)

Fritzsche, Kurt; Scheib, Peter; Ko, Nayeong; Wirsching, Michael; Kuhnert, Andrea; Hick, Jie; Schüßler, Gerhard; Wu, Wenyuan; Yuan, Shen; Cat, Nguyen Huu; Vongphrachanh, Sisouk; Linh, Ngo Tich; Viet, Ngyuen Kim

2012-08-29

With the "ASIA-LINK" program, the European Community has supported the development and implementation of a curriculum of postgraduate psychosomatic training for medical doctors in China, Vietnam and Laos. Currently, these three countries are undergoing great social, economic and cultural changes. The associated psychosocial stress has led to increases in psychological and psychosomatic problems, as well as disorders for which no adequate medical or psychological care is available, even in cities. Health care in these three countries is characterized by the coexistence of Western medicine and traditional medicine. Psychological and psychosomatic disorders and problems are insufficiently recognized and treated, and there is a need for biopsychosocially orientated medical care. Little is known about the transferability of Western-oriented psychosomatic training programs in the Southeast Asian cultural context. The curriculum was developed and implemented in three steps: 1) an experimental phase to build a future teacher group; 2) a joint training program for future teachers and German teachers; and 3) training by Asian trainers that was supervised by German teachers. The didactic elements included live patient interviews, lectures, communication skills training and Balint groups. The training was evaluated using questionnaires for the participants and interviews of the German teachers and the future teachers. Regional training centers were formed in China (Shanghai), Vietnam (Ho Chi Minh City and Hue) and Laos (Vientiane). A total of 200 physicians completed the training, and 30 physicians acquired the status of future teacher. The acceptance of the training was high, and feelings of competence increased during the courses. The interactive training methods were greatly appreciated, with the skills training and self-experience ranked as the most important topics. Adaptations to the cultural background of the participants were necessary for the topics of "breaking bad

Results of a psychosomatic training program in China, Vietnam and Laos: successful cross-cultural transfer of a postgraduate training program for medical doctors

Directory of Open Access Journals (Sweden)

Fritzsche Kurt

2012-08-01

Full Text Available Abstract Background With the “ASIA-LINK” program, the European Community has supported the development and implementation of a curriculum of postgraduate psychosomatic training for medical doctors in China, Vietnam and Laos. Currently, these three countries are undergoing great social, economic and cultural changes. The associated psychosocial stress has led to increases in psychological and psychosomatic problems, as well as disorders for which no adequate medical or psychological care is available, even in cities. Health care in these three countries is characterized by the coexistence of Western medicine and traditional medicine. Psychological and psychosomatic disorders and problems are insufficiently recognized and treated, and there is a need for biopsychosocially orientated medical care. Little is known about the transferability of Western-oriented psychosomatic training programs in the Southeast Asian cultural context. Methods The curriculum was developed and implemented in three steps: 1 an experimental phase to build a future teacher group; 2 a joint training program for future teachers and German teachers; and 3 training by Asian trainers that was supervised by German teachers. The didactic elements included live patient interviews, lectures, communication skills training and Balint groups. The training was evaluated using questionnaires for the participants and interviews of the German teachers and the future teachers. Results Regional training centers were formed in China (Shanghai, Vietnam (Ho Chi Minh City and Hue and Laos (Vientiane. A total of 200 physicians completed the training, and 30 physicians acquired the status of future teacher. The acceptance of the training was high, and feelings of competence increased during the courses. The interactive training methods were greatly appreciated, with the skills training and self-experience ranked as the most important topics. Adaptations to the cultural background of the

Meelis Lao kuulutas eile sõja McDonald'sile / Peeter Raidla

Index Scriptorium Estoniae

Raidla, Peeter, 1955-

2004-01-01

Ärimees Meelis Lao lasi rendivaidlusele viidates sulgeda Viru tänava kiirtoitlustusasutuse McDonald's. Vt. samas: McDonald'si rendivaidlus küünib aastate taha; McDonald's andis asja politseisse; Meelis Lao kannab probleemide lahendaja tiitlit

A New PDR Navigation Device for Challenging Urban Environments

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Miguel Ortiz

2017-01-01

Full Text Available The motivations, the design, and some applications of the new Pedestrian Dead Reckoning (PDR navigation device, ULISS (Ubiquitous Localization with Inertial Sensors and Satellites, are presented in this paper. It is an original device conceived to follow the European recommendation of privacy by design to protect location data which opens new research toward self-contained pedestrian navigation approaches. Its application is presented with an enhanced PDR algorithm to estimate pedestrian’s footpaths in an autonomous manner irrespective of the handheld device carrying mode: texting or swinging. An analysis of real-time coding issues toward a demonstrator is also conducted. Indoor experiments, conducted with 3 persons, give a 5.8% mean positioning error over the 3 km travelled distances.

Drugs, ionophoric peptides, and steroids as substrates of the yeast multidrug transporter Pdr5p

NARCIS (Netherlands)

Kolaczkowski, M; vanderRest, M; CybularzKolaczkowska, A; Soumillion, JP; Konings, WN; Goffeau, A

1996-01-01

Pdr5p is the yeast Saccharomyces cerevisiae ATP-binding cassette transporter conferring resistance to several unrelated drugs. Its high overproduction in Pdr1p transcription factor mutants allows us to study the molecular mechanism of multidrug transport and substrate specificity. We have developed

Pulsed Dose Rate (PDR - BT) brachytherapy in treatment of breast cancer

International Nuclear Information System (INIS)

Skowronek, J.

2007-01-01

Breast conserving surgery (BCS) and radiotherapy (EBRT) of the conserved breast became widely accepted in the last decades for the treatment of early invasive breast cancer. The standard technique of RT after breast conservation is to treat the whole breast up to a total dose of 45 to 50 Gy. Initially brachytherapy for breast cancer was used in addition of external radiation to boost a portion of the breast to higher doses. However, over the past 10 years, the application of brachytherapy in breast cancer has changed. In early stage breast cancer, research has shown that the area that requires radiation treatment to prevent the cancer from returning is the breast tissue that surrounds the area where the initial cancer was removed. Because this typically includes only a part of the breast, brachytherapy is now being used to treat the targeted portion of the breast and as a result allows accelerated delivery of the radiation dose so that treatment is completed in four to five days. Another indications for PDR - BT as a part of treatment in locally advanced breast cancer or as a palliative treatment are discussed in the paper, too. Preliminary results with PDR - BT boost technique are promising. However, more experience and longer follow-up are required to define whether these methods might improve local tumor control for breast cancer patients. In this article the current status, indications, technical aspects and published results of PDR brachytherapy (PDR - BT) in breast cancer treatment are reviewed. (author)

REACH: an effective catalyst for scaling up priority nutrition interventions at the country level.

Science.gov (United States)

Pearson, Brenda L; Ljungqvist, Björn

2011-06-01

Renewed Efforts Against Child Hunger (REACH) is the joint United Nations initiative to address Millennium Development Goal (MDG) 10, Target 3, i.e., to halve the proportion of underweight children under 5 years old by 2015. The United Nations Food and Agriculture Organization (FAO), the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the World Food Programme (WFP), and the International Fund for Agricultural Development (IFAD) developed and tested a facilitation mechanism to act as a catalyst for scaling up multisectoral nutrition activities. The UN-REACH partners developed pilot projects in Mauritania and Lao PDR from 2008 to 2010 and deployed facilitators to improve nutrition governance and coordination. Review missions were conducted in February 2011 to assess the REACH approach and what it achieved. The UN review mission members reviewed documents, assessed policy and management indicators, conducted qualitative interviews, and discussed findings with key stakeholders, including the most senior UN nutrition directors from all agencies. Among other UN-REACH achievements, the Prime Minister of Mauritania agreed to preside over a new National Nutrition Development Council responsible for high-level decision-making and setting national policy objectives. REACH facilitated the completion of Lao's first national Nutrition Strategy and Plan of Action and formation of the multistakeholder Nutrition Task Force. During the REACH engagement, coordination, joint advocacy, situation analysis, policy development, and joint UN programming for nutrition were strengthened in Lao PDR and Mauritania. Improvements in the nutrition governance and management mechanisms in Mauritania and Lao PDR were observed during the period of REACH support through increased awareness of nutrition as a key development objective, establishment of governmental multisectoral coordinating mechanisms, improved government capacity, and new joint UN-government nutrition

Laos | IDRC - International Development Research Centre

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

As a result, local university researchers studied the effects of a new protected forest ... city of Luang Prabang, which introduced Internet services to rural people. ... the Government of Laos improve trade negotiations; leaders develop sound ...

Search Results | Page 737 | IDRC - International Development ...

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

Results 7361 - 7370 of 9580 ... Local Governance and ICT Research Network for Africa ... Cambodia) and ratification (in the case of Lao PDR) of the World Health Organiz ... both have maternal mortality rates of over 1 000 per 100 000 live births.

Purification and biochemical characterisation of the yeast ABC transporter Pdr11p

DEFF Research Database (Denmark)

Laub, Katrine Rude

Sterols constitute an essential lipid class in eukaryotic membranes where intracellular distributions are highly regulated. In the yeast Saccharomyces cerevisiae sterol uptake has been attributed to the two plasma membrane-localised ATP-binding cassette (ABC) transporters, Aus1p and Pdr11p...... of the yeast ABC transporter Pdr11p. This includes optimising its overexpression utilising the galactose induction system in S. cerevisiae, screening for the best detergent to extract the protein from the membrane, and establishing purification and reconstitution protocols. By providing a purification...

Effects of cross-border power trade between Laos and Thailand: Energy security and environmental implications

International Nuclear Information System (INIS)

Watcharejyothin, Mayurachat; Shrestha, Ram M.

2009-01-01

This paper analyzed the effects of hydropower development in Laos and power trade between Laos and Thailand on economy wide, energy resource mix, power generation capacity mix, energy system cost, environment, as well as, energy security. A MARKAL-based model for an integrated energy system of Laos and Thailand was developed to assess the effects of energy resource development and trade to meet the national energy demands of the two countries. Two national MARKAL-based energy system models of Laos and Thailand were formulated for the study. The results show that 80% exploitation of water resource in Laos would induce power trade between the countries. The integrated energy system cost is found to decrease marginally but it would mitigate the CO 2 emission by 2% when compared with the base case. Thailand is expected to gain benefit from the increased level of power imported from Laos in terms of the lower energy system cost, better environmental quality and, greater diversification of energy sources. As compared to the base case, Laos would become the net energy exporter, earn significant export revenue, and improve the increase in revenue of energy export per increase in total energy system cost from the maximum exploitation of hydropower resource.

On Calibrating the Sensor Errors of a PDR-Based Indoor Localization System

Directory of Open Access Journals (Sweden)

Wen-Yuah Shih

2013-04-01

Full Text Available Many studies utilize the signal strength of short-range radio systems (such as WiFi, ultrasound and infrared to build a radio map for indoor localization, by deploying a large number of beacon nodes within a building. The drawback of such an infrastructure-based approach is that the deployment and calibration of the system are costly and labor-intensive. Some prior studies proposed the use of Pedestrian Dead Reckoning (PDR for indoor localization, which does not require the deployment of beacon nodes. In a PDR system, a small number of sensors are put on the pedestrian. These sensors (such as a G-sensor and gyroscope are used to estimate the distance and direction that a user travels. The effectiveness of a PDR system lies in its success in accurately estimating the user’s moving distance and direction. In this work, we propose a novel waist-mounted based PDR that can measure the user’s step lengths with a high accuracy. We utilize vertical acceleration of the body to calculate the user’s change in height during walking. Based on the Pythagorean Theorem, we can then estimate each step length using this data. Furthermore, we design a map matching algorithm to calibrate the direction errors from the gyro using building floor plans. The results of our experiment show that we can achieve about 98.26% accuracy in estimating the user’s walking distance, with an overall location error of about 0.48 m.

The Forgotten Service: Determining the US Army’s Role in Shaping American Strategy in the Asia-Pacific Region

Science.gov (United States)

2014-06-01

bombers 2,263 716 Tactical bombers 1,251 723 Fighters 3,456 1,897 Transporters 849 545 Naval aviation Land-based aircraft 204...ASEAN) is comprised of ten member states: Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar , Philippines, Singapore, Thailand, and

Helmet use and associated factors among motorcyclists in the ...

African Journals Online (AJOL)

opperwjj

ABSTRACT. The Association of Southeast Asian Nations (ASEAN) is a collaborative group of 10 countries. (Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Singapore,. Thailand, Vietnam) located in South-East Asia. In most ASEAN countries, the majority of road users are motorcyclists.

Lao Tse y el Tao te Ching

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María Teresa Román López

2008-01-01

Full Text Available En este artículo describiremos algunos de los aspectos más reveladores de la obra y del pensamiento de Lao tse que, en cierta medida, pueden ayudarnos a entender algunas de las razones que justifican la gran influencia que el taoísmo ha tenido en el mundo oriental antiguo y, en particular, en el pensamiento de ChinaIn this article we will describe some of the most developing aspects in the book and of the thought of Lao tse that, in certain measure, they can help us to understand some of the reasons that justify the great influence that the Taoism has had in the old oriental world and, in particular, in the thought of China.

Laos. Un pays en mutation, Vatthana Pholsena

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Vanina Bouté

2012-09-01

Full Text Available C’est avec un regard neuf et une approche originale que Vatthana Pholsena a relevé le défi d’écrire l’ouvrage Laos. Un pays en mutation, le dernier-né de la collection « Asie Plurielle » (Belin qui a déjà proposé une longue série d’ouvrages de présentation générale des pays d’Asie. Cet ouvrage vient combler un grand manque dans la littérature sur le Laos. Aucun ouvrage généraliste en langue française n’existant jusque-là sur ce petit pays d’Asie du Sud-Est, le lecteur curieux devait se référ...

Thermal stability and filterability of jet fuels containing PDR additives in small-scale tests and realistic rig simulations

Energy Technology Data Exchange (ETDEWEB)

Bauldreay, J.M.; Clark, R.H.; Heins, R.J. [Shell Research, Ltd., Chester (United Kingdom)

1995-05-01

Specification, small-scale and realistic fuel simulation tests have addressed concerns about the impact of pipeline drag reducer (PDR) flow modifying additives on jet fuel handling and performance. A typical PDR additive tended to block filters which were similar to those used in the specification Jet Fuel Thermal Oxidation Tester (JFTOT) and other thermal stability test apparatus. Blockages reduced flow rates and PDR concentrations downstream of the filters. Consequently two PDR additives (A&B) were tested in JFTOT apparatus without the usual in-line pre-filters as part of a Ministry of Defense (MoD) co-ordinated Round Robin exercise. Some fuel/PDR additive combinations caused decreases in JFTOT breakpoints. Effects were additive- (type, concentration and degree of shear) and fuel-dependent; most failures were caused by filter blockages and not by a failing lacquer rating. In further work at Thornton, the thermal stability characteristics of similar fuel/additive combinations have been examined in non-specification tests. In Flask Oxidation Tests, PDR additives caused no significant increase in the liquid phase oxidation rates of the fuels. Additives were tested in the Single Tube Heat Transfer Rig (STHTR) which duplicates many of the conditions of a heat exchanger element in an engine`s fuel supply system. B produced an average two-fold decrease in thermal stability in a Merox fuel; A had no significant effect. In hydrotreated fuel, B reduced the thermal stability up to five-fold. A had little effect below 205{degrees}C, while at higher temperatures there may have been a marginal improvement in thermal stability. Again, certain jet fuel/PDR combinations were seen to reduce thermal stability.

Laos: a state coordinated frontier economy

NARCIS (Netherlands)

E. Andriesse (Edo)

2011-01-01

textabstractThis paper assesses the current variety of capitalism in Laos using Hall and Soskice’s (2001) comparative approach and the emerging body of knowledge on Varieties of Asian Capitalism. In addition to a systematic discussion of the traditional capitalist elements proposed by Hall and

Agrarian Land Use Transformation in Northern Laos: from Swidden to Rubber

DEFF Research Database (Denmark)

Vongvisouk, Thoumthone

2009-01-01

Land use and farmers’ livelihoods in mountainous regions of northern Laos are rapidly moving away from subsistence to market based agricultural systems, changing farmers’ relationship with land and naturalresources. The current study examines patterns of land use change in northern Laos, especial......’s resource management policy that developed during the 1990s aiming to control expansion of upland shifting cultivation practices through delineation of resource boundaries....

The genus Pothos (Araceae-Pothoideae-Potheae) of Thailand and Indochina

NARCIS (Netherlands)

Boyce, Peter C.

2000-01-01

An account of Pothos for Thailand and Indochina [taken here to comprise Myanmar, Cambodia, Lao P.D.R, Vietnam, subtropical China (Guangxi, Guangdong, Guizhou, Hainan, Hong Kong, Hubei, Sichuan, Yunnan)] and Taiwan is presented as a precursor of the forthcoming Flora of Thailand treatment. Fourteen

Prospects of semi-cultivating the edible weaver and Oecophylla smaragdina

NARCIS (Netherlands)

Itterbeeck, Van J.

2014-01-01

Keywords: entomophagy, edible insects, Formicidae, global food security, agricultural revolution, Lao PDR

An increased use of edible insects as human food and animal feed is a viable means to feed the growing human population and to tackle sustainability issues of the food production

76 FR 55419 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

Science.gov (United States)

2011-09-07

... programs that advance the progress of such countries to achieve lasting economic growth and poverty [[Page...) investments in its people; and (b) considering the opportunity to reduce poverty and generate economic growth...; Ghana, Guinea, Haiti, Honduras, India, Kenya, Kyrgyz Republic, Lao PDR, Lesotho, Liberia, Malawi, Mali...

77 FR 53917 - Report on Countries That Are Candidates for Millennium Challenge Account Eligibility in Fiscal...

Science.gov (United States)

2012-09-04

... poverty reduction. The Act requires the Millennium Challenge Corporation (MCC) to take a number of steps... its people; and (b) considering the opportunity to reduce poverty and generate economic growth in the... India Indonesia Iraq Kenya Kiribati Kyrgyz Republic Lao PDR Lesotho Liberia Malawi Mauritania Micronesia...

All projects related to | Page 658 | IDRC - International Development ...

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

This grant will allow the Southeast Asia Tobacco Control Alliance (SEATCA) to coordinate a research program in support of the successful implementation (in the case of Cambodia) and ratification (in the case of Lao PDR) of the World Health Organization's Framework Convention on Tobacco Control (WHO FCTC).

Kalman filter with a linear state model for PDR+WLAN positioning and its application to assisting a particle filter

Science.gov (United States)

Raitoharju, Matti; Nurminen, Henri; Piché, Robert

2015-12-01

Indoor positioning based on wireless local area network (WLAN) signals is often enhanced using pedestrian dead reckoning (PDR) based on an inertial measurement unit. The state evolution model in PDR is usually nonlinear. We present a new linear state evolution model for PDR. In simulated-data and real-data tests of tightly coupled WLAN-PDR positioning, the positioning accuracy with this linear model is better than with the traditional models when the initial heading is not known, which is a common situation. The proposed method is computationally light and is also suitable for smoothing. Furthermore, we present modifications to WLAN positioning based on Gaussian coverage areas and show how a Kalman filter using the proposed model can be used for integrity monitoring and (re)initialization of a particle filter.

Inter-active and dynamic approaches on forest and land-use planning - proceedings from a training workshop

Energy Technology Data Exchange (ETDEWEB)

Sandewall, Mats [ed.

1999-07-01

This document summarises the outcome of a training workshop, 'Inter-active and dynamic approaches on forest and land-use planning', that was organised in Vietnam and Lao PDR during April 1999. The workshop was arranged by researchers from SLU, Umeaa in cooperation with SIDA and it's CCB programme, The National Board of Forestry and concerned government institutions in Lao PDR - The national Programme for Shifting Cultivation Stabilisation, Ministry of Agriculture and Forestry , and in Vietnam - the Forest Inventory and Planning Institute, Ministry of Agriculture and Rural Development. The main purpose of this paper are: (1) to review and conclude the outcome of the workshop to all those who have participated or been concerned with it; (2) to summarise an evaluation of the somewhat unique arrangement, with participants from different sectors, administrative levels, gender and countries; and (3) to present 'the APM approach' on land use planning, which was put forward, tested and discussed during the workshop.

The post-opium scenario and rubber in northern Laos: Alternative Western and Chinese models of development.

Science.gov (United States)

Cohen, Paul T

2009-09-01

In the past few years rubber planting has spread rapidly throughout northern Laos, especially in Luang Namtha province that borders China. The impetus for this boom has come partly from the spiralling demand for rubber in China (now the world's largest rubber consumer), the high world prices for rubber, and China's promotion of overseas investment through its opium-replacement policy. These economic factors have converged with the desperate need of impoverished highlanders in northern Laos to replace opium as a cash crop as a consequence of a recent opium-eradication campaign and inadequate alternative development. This paper draws upon ethnographic and agro-economic research in northern Laos and neighbouring regions and reports of international development organisations operating in Laos. The rubber boom in northern Laos represents a fundamental clash between Western drug-oriented alternative development, on the one hand, and China's national economic strategies abroad and investment-led narcotics policy, on the other. China's opium-replacement policy has contributed to a type of unregulated frontier capitalism with socio-economic and environmental effects that threaten the principles and goals of alternative development and even to marginalise the role international development organisations in northern Laos.

Hai Di Lao Hot Pot: From Employee Stimulation to Service Innovation

OpenAIRE

Chen, C.; Shen, H.; Fan, Daisy X.F.

2015-01-01

The management of Chinese restaurant chains has for some time followed the western model while accommodating Chinese customers. The new Hai Di Lao Hot Pot Restaurant chain has established its own management style, pioneering chain catering management to help the Chinese restaurant industry establish a professional image, explore a local management model, and maintain high standards of food safety. The objectives of this case study are to introduce the Hai Di Lao managerial strategy, investiga...

Economic assessment of pulsed dose-rate (P.D.R.) brachytherapy with optimized dose distribution for cervix carcinoma;Evaluation economique de la curietherapie de debit pulse gynecologique (PDR) avec optimisation de la dose pour les cancers du col uterin

Energy Technology Data Exchange (ETDEWEB)

Remonnay, R.; Morelle, M.; Pommier, P.; Carrere, M.O. [Lyon Univ., 69 (France); Remonnay, R.; Morelle, M.; Pommier, P. [Axe Economie de la Sante, GATE, CNRS-UMR 5824, Centre Leon-Berard, 69 - Lyon (France); Pommier, P. [Centre Leon-Berard, 69 - Lyon (France); Haie-Meder, C. [Institut Gustave-Roussy, 94 - Villejuif (France); Quetin, P. [Centre Paul-Strauss, 67 - Strasbourg (France); Kerr, C. [Centre Val-d' Aurelle, parc Euromedecine, 34 - Montpellier (France); Delannes, M. [Institut Claudius-Regaud, 31 - Toulouse (France); Castelain, B. [Centre Oscar-Lambret, 59 - Lille (France); Peignaux, K. [Centre Georges Francois Leclerc, 21 - Dijon (France); Kirova, Y. [Institut Curie, 75 - Paris (France); Romestaing, P. [Centre hospitalier Lyon Sud, 69 - Pierre-Benite (France); Williaume, D. [Centre Eugene-Marquis, 35 - Rennes (France); Krzisch, C. [Hopital Sud, 80 - Amiens (France); Thomas, L. [Institut Bergonie, 33 - Bordeaux (France); Lang, P. [Groupe hospitalier Pitie-Salpetriere, 75 - Paris (France); Baron, M.H. [Hopital Jean-Minjoz, 25 - Besancon (France); Cussac, A. [Centre Rene-Gauducheau, 44 - Nantes-Saint-Herblain (France); Lesaunier, F. [Centre Francois-Baclesse, 14 - Caen (France); Maillard, S. [Institut Jean-Godinot, 51 - Reims (France); Barillot, I. [Hopital Bretonneau, 37 - Tours (France); Charra-Brunaud, C.; Peiffert, D. [Centre Alexis-Vautrin, 54 - Vandoeuvre-les-Nancy (France)

2010-06-15

Purpose: Our study aims at evaluating the cost of pulsed dose-rate (P.D.R.) brachytherapy with optimized dose distribution versus traditional treatments (iridium wires, cesium, non-optimized P.D.R.). Issues surrounding reimbursement were also explored. Materials and methods: This prospective, multi-centre, non-randomized study conducted in the framework of a project entitled 'Support Program for Costly Diagnostic and Therapeutic Innovations' involved 21 hospitals. Patients with cervix carcinoma received either classical brachytherapy or the innovation. The direct medical costs of staff and equipment, as well as the costs of radioactive sources, consumables and building renovation were evaluated from a hospital point of view using a micro costing approach. Subsequent costs per brachytherapy were compared between the four strategies. Results: The economic study included 463 patients over two years. The main resources categories associated with P.D.R. brachytherapy (whether optimized or not) were radioactive sources (1053 Euros) and source projectors (735 Euros). Optimized P.D.R. induced higher cost of imagery and dosimetry (respectively 130 Euros and 367 Euros) than non-optimized P.D.R. (47 Euros and 75 Euros). Extra costs of innovation over the less costly strategy (iridium wires) reached more than 2100 Euros per treatment, but could be reduced by half in the hypothesis of 40 patients treated per year (instead of 24 in the study). Conclusion: Aside from staff, imaging and dosimetry, the current hospital reimbursements largely underestimated the cost of innovation related to equipment and sources. (authors)

Religion and Globalization in Laos Religion und Globalisierung in Laos

Directory of Open Access Journals (Sweden)

Boike Rehbein

2009-04-01

Full Text Available According to Eurocentric sociology, modernization is supposed to make religion secular, a functional system, or a private matter. A closer analysis of the impact of contemporary globalization on religion in Laos shows that these tendencies can only be observed in certain social groups and in certain realms of religion. Some social groups preserve or reinvent religious traditions, others construct a new identity, and some do tend towards secularism or differentiation. The paper investigates these tendencies, referring to an empirical case study. It proposes to explain them within a conceptual framework adapted to societies of the global South which focuses on the concepts of social structure, division of work, socioculture, and institution. On the basis of these concepts, the paper proposes to distinguish between different religious realms, namely, belief, performance, and knowledge. In each of these three realms, different tendencies and social distributions can be observed. Der eurozentrischen Soziologie zufolge wird Religion im Zuge der Modernisierung entweder säkularisiert oder privatisiert oder in ein funktionales System verwandelt. Eine genauere Analyse des Einflusses, den die gegenwärtige Globalisierung auf die Religion in Laos ausübt, zeigt jedoch, dass diese Tendenzen auf bestimmte soziale Gruppen und Aspekte der Religion beschränkt sind. Einige soziale Gruppen bewahren oder rekonstruieren religiöse Traditionen, andere konstruieren eine neue Identität und wieder andere tendieren zu Säkularisierung oder funktionaler Differenzierung. Der Aufsatz analysiert diese Phänomene am Beispiel einer Fallstudie auf der Basis eines an den globalen Süden angepassten Begriffsapparats, der um die Begriffe Sozialstruktur, Tätigkeitsteilung, Soziokultur und Institution kreist. Der Aufsatz schlägt vor, zwischen den religiösen Sphären des Glaubens, der Performanz und des Wissens zu unterscheiden. In jeder Sphäre lassen sich unterschiedliche

Academic Adjustment Issues in a Malaysian Research University: The Case of Cambodian, Laotian, Burmese, and Vietnamese Postgraduate Students' Experiences

Science.gov (United States)

Sam, Rany; Zain, Ahmad Nurulazam Md; Bin Jamil, Hazri; Souriyavongsa, Thongma; Quyen, Le To Do

2013-01-01

The Malaysian government aims to help the bottom billion countries, which are its neighbouring countries in the South East Asian region, for their human capital development through providing university postgraduate scholarship projects. Those countries include Cambodia, Laos PDR, Burma or Myanmar, and Vietnam (CLMV), which are favourite countries…

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

Reductions in frequency of consumption and portions of imported... Impacts of the global economic crisis on foreign trade in lower-income economies in the Greater Mekong Sub-region and policy responses : the case of Vietnam and its implications for Lao PDR and Cambodia (restricted access). Like other developing ...

Increased expression of the yeast multidrug resistance ABC transporter Pdr18 leads to increased ethanol tolerance and ethanol production in high gravity alcoholic fermentation

Directory of Open Access Journals (Sweden)

Teixeira Miguel C

2012-07-01

Full Text Available Abstract Background The understanding of the molecular basis of yeast tolerance to ethanol may guide the design of rational strategies to increase process performance in industrial alcoholic fermentations. A set of 21 genes encoding multidrug transporters from the ATP-Binding Cassette (ABC Superfamily and Major Facilitator Superfamily (MFS in S. cerevisiae were scrutinized for a role in ethanol stress resistance. Results A yeast multidrug resistance ABC transporter encoded by the PDR18 gene, proposed to play a role in the incorporation of ergosterol in the yeast plasma membrane, was found to confer resistance to growth inhibitory concentrations of ethanol. PDR18 expression was seen to contribute to decreased 3 H-ethanol intracellular concentrations and decreased plasma membrane permeabilization of yeast cells challenged with inhibitory ethanol concentrations. Given the increased tolerance to ethanol of cells expressing PDR18, the final concentration of ethanol produced during high gravity alcoholic fermentation by yeast cells devoid of PDR18 was lower than the final ethanol concentration produced by the corresponding parental strain. Moreover, an engineered yeast strain in which the PDR18 promoter was replaced in the genome by the stronger PDR5 promoter, leading to increased PDR18 mRNA levels during alcoholic fermentation, was able to attain a 6 % higher ethanol concentration and a 17 % higher ethanol production yield than the parental strain. The improved fermentative performance of yeast cells over-expressing PDR18 was found to correlate with their increased ethanol tolerance and ability to restrain plasma membrane permeabilization induced throughout high gravity fermentation. Conclusions PDR18 gene over-expression increases yeast ethanol tolerance and fermentation performance leading to the production of highly inhibitory concentrations of ethanol. PDR18 overexpression in industrial yeast strains appears to be a promising approach to

Large Amplitude Oscillatory Shear (LAOS) of Acrylic Emulsion-Based Pressure Sensitive Adhesives (PSAs)

Science.gov (United States)

Zhang, Sipei; Nakatani, Alan; Griffith, William

Large Amplitude Oscillatory Shear (LAOS) testing has recently taken on renewed interest in the rheological community. It is a very useful tool to probe the viscoelastic response of materials in the non-linear regime. Much of the discussion on polymers in the LAOS field has focused on melts in or near the terminal flow regime. Here we present a LAOS study conducted on a commercial rheometer for acrylic emulsion-based pressure sensitive adhesive (PSA) films in the plateau regime. The films behaved qualitatively similar over an oscillation frequency range of 0.5-5 rad/s. From Fourier transform analysis, the fifth or even the seventh order harmonic could be observed at large applied strains. From stress decomposition analysis or Lissajous curves, inter-cycle elastic softening, or type I behavior, was observed for all films as the strain increases, while intra-cycle strain hardening occurred at strains in the LAOS regime. Overall, as acid content increases, it was found that the trend in elasticity under large applied strains agreed very well with the trend in cohesive strength of the films.

Survey on Pacific area energy policies by information collection. Laos and Myanmar; Taiheiyo energy seisaku joho nado genchi shushu chosa. Laos, Myanmar

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-03-01

For planning the Pacific area energy policy of Japan, the field survey on energy situations was carried out in Laos and Myanmar. Since Laos is rich in hydraulic resources, the future electric power development is expected. Development of oil and coal resources is yet in a planning stage. Electricite du Laos (EdL) is in charge of electricity business, and its power generation capacity amounts to 220MW (including hydroelectric one of 93%), and a half of it is exported. Based on the predicted growth rate of 9%/y for domestic power demand, development of the capacity to 440MW by fiscal 2002 is scheduled. Myanmar has natural gas and various mineral resources, and is rich in hydroelectric resources. Myanmar Electric Power Enterprise (MEPE) is in charge of electricity business. The power generation capacity amounts to 1.34GW (including private one of 26%). The power generation facility is composed of gas turbine one of 53% and hydroelectric one of 33%. Based on the predicted growth rate of 11.5%/y for domestic power demand, development of the capacity to 1.6GW by 2001 is scheduled. For the present, conversion of previous gas-firing power plants to efficient combined cycle ones is a main issue. 21 figs., 43 tabs.

Economic assessment of pulsed dose-rate (P.D.R.) brachytherapy with optimized dose distribution for cervix carcinoma

International Nuclear Information System (INIS)

Remonnay, R.; Morelle, M.; Pommier, P.; Carrere, M.O.; Remonnay, R.; Morelle, M.; Pommier, P.; Pommier, P.; Haie-Meder, C.; Quetin, P.; Kerr, C.; Delannes, M.; Castelain, B.; Peignaux, K.; Kirova, Y.; Romestaing, P.; Williaume, D.; Krzisch, C.; Thomas, L.; Lang, P.; Baron, M.H.; Cussac, A.; Lesaunier, F.; Maillard, S.; Barillot, I.; Charra-Brunaud, C.; Peiffert, D.

2010-01-01

Purpose: Our study aims at evaluating the cost of pulsed dose-rate (P.D.R.) brachytherapy with optimized dose distribution versus traditional treatments (iridium wires, cesium, non-optimized P.D.R.). Issues surrounding reimbursement were also explored. Materials and methods: This prospective, multi-centre, non-randomized study conducted in the framework of a project entitled 'Support Program for Costly Diagnostic and Therapeutic Innovations' involved 21 hospitals. Patients with cervix carcinoma received either classical brachytherapy or the innovation. The direct medical costs of staff and equipment, as well as the costs of radioactive sources, consumables and building renovation were evaluated from a hospital point of view using a micro costing approach. Subsequent costs per brachytherapy were compared between the four strategies. Results: The economic study included 463 patients over two years. The main resources categories associated with P.D.R. brachytherapy (whether optimized or not) were radioactive sources (1053 Euros) and source projectors (735 Euros). Optimized P.D.R. induced higher cost of imagery and dosimetry (respectively 130 Euros and 367 Euros) than non-optimized P.D.R. (47 Euros and 75 Euros). Extra costs of innovation over the less costly strategy (iridium wires) reached more than 2100 Euros per treatment, but could be reduced by half in the hypothesis of 40 patients treated per year (instead of 24 in the study). Conclusion: Aside from staff, imaging and dosimetry, the current hospital reimbursements largely underestimated the cost of innovation related to equipment and sources. (authors)

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

Directory of Open Access Journals (Sweden)

L. V. Averyanov

2015-04-01

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

New Species of Calamus (Palmae from Lao and Myanmar

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Andrew Henderson

2007-06-01

Full Text Available This paper concerns southern Asian species of Calamus from Beccari’s Groups V and VI. Calamus floribundus var. depauperatus is recognized as a distinct species, C. meghalayensis; C. kingianus is recognized as a distinct species from northeastern India and the Lao population of C. kingianus is recognized as a separate species, C. evansii; recently collected specimens from northern Myanmar are recognized as two distinct species, C. hukaungensis and C. spicatus; C. hypoleucus is recognized as a distinct species from Myanmar and the Lao population of C. hypoleucus is recognized as a distinct species, C minor. Nomenclature, descriptions, illustrations, specimens examined, and distribution maps are given for the new species.

Sharing the Benefits from Transportation and Logistics ...

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

Sharing the Benefits from Transportation and Logistics Improvements in the GMS : a Study of the East-West and North-South Corridors. The Greater Mekong Subregion (GMS) comprises Cambodia, Lao PDR, Myanmar, Thailand, Vietnam, and Yunnan Province of China ¿ an area of about 2.6 million square kilometers and a ...

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Results 681 - 690 of 6341 ... To reduce undernutrition in India, significant reform in public policy ... Both gender and caste dynamics limit the impact of nutritional. ... Many forms of violence affect women and girls, such as physical and sexual abuse, ... Policy options deal with resources booms in Lao PDR (restricted access).

All projects related to Thailand | Page 4 | IDRC - International ...

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

Sharing the Benefits from Transportation and Logistics Improvements in the GMS : a Study of the East-West and North-South Corridors. Project. The Greater Mekong Subregion (GMS) comprises Cambodia, Lao PDR, Myanmar, Thailand, Vietnam, and Yunnan Province of China ¿ an area of about 2. Start Date: August 12, ...

Reforming Lao Teacher Education to Include Females and Ethnic Minorities--Exploring Possibilities and Constraints

Science.gov (United States)

Berge, Britt-Marie; Chounlamany, Kongsy; Khounphilaphanh, Bounchanh; Silfver, Ann-Louise

2017-01-01

This article explores possibilities and constraints for the inclusion of female and ethnic minority students in Lao education in order to provide education for all. Females and ethnic minorities have traditionally been disadvantaged in Lao education and reforms for the inclusion of these groups are therefore welcome. The article provides rich…

Purification and biochemical characterization of NpABCG5/NpPDR5, a plant pleiotropic drug resistance transporter expressed in Nicotiana tabacum BY-2 suspension cells.

Science.gov (United States)

Toussaint, Frédéric; Pierman, Baptiste; Bertin, Aurélie; Lévy, Daniel; Boutry, Marc

2017-05-04

Pleiotropic drug resistance (PDR) transporters belong to the ABCG subfamily of ATP-binding cassette (ABC) transporters and are involved in the transport of various molecules across plasma membranes. During evolution, PDR genes appeared independently in fungi and in plants from a duplication of a half-size ABC gene. The enzymatic properties of purified PDR transporters from yeast have been characterized. This is not the case for any plant PDR transporter, or, incidentally, for any purified plant ABC transporter. Yet, plant PDR transporters play important roles in plant physiology such as hormone signaling or resistance to pathogens or herbivores. Here, we describe the expression, purification, enzymatic characterization and 2D analysis by electron microscopy of NpABCG5/NpPDR5 from Nicotiana plumbaginifolia , which has been shown to be involved in the plant defense against herbivores. We constitutively expressed NpABCG5/NpPDR5, provided with a His-tag in a homologous system: suspension cells from Nicotiana tabacum (Bright Yellow 2 line). NpABCG5/NpPDR5 was targeted to the plasma membrane and was solubilized by dodecyl maltoside and purified by Ni-affinity chromatography. The ATP-hydrolyzing specific activity (27 nmol min -1  mg -1 ) was stimulated seven-fold in the presence of 0.1% asolectin. Electron microscopy analysis indicated that NpABCG5/NpPDR5 is monomeric and with dimensions shorter than those of known ABC transporters. Enzymatic data (optimal pH and sensitivity to inhibitors) confirmed that plant and fungal PDR transporters have different properties. These data also show that N. tabacum suspension cells are a convenient host for the purification and biochemical characterization of ABC transporters. © 2017 The Author(s); published by Portland Press Limited on behalf of the Biochemical Society.

NpPDR1, a pleiotropic drug resistance-type ATP-binding cassette transporter from Nicotiana plumbaginifolia, plays a major role in plant pathogen defense.

Science.gov (United States)

Stukkens, Yvan; Bultreys, Alain; Grec, Sébastien; Trombik, Tomasz; Vanham, Delphine; Boutry, Marc

2005-09-01

Nicotiana plumbaginifolia NpPDR1, a plasma membrane pleiotropic drug resistance-type ATP-binding cassette transporter formerly named NpABC1, has been suggested to transport the diterpene sclareol, an antifungal compound. However, direct evidence for a role of pleiotropic drug resistance transporters in the plant defense is still lacking. In situ immunolocalization and histochemical analysis using the gusA reporter gene showed that NpPDR1 was constitutively expressed in the whole root, in the leaf glandular trichomes, and in the flower petals. However, NpPDR1 expression was induced in the whole leaf following infection with the fungus Botrytis cinerea, and the bacteria Pseudomonas syringae pv tabaci, Pseudomonas fluorescens, and Pseudomonas marginalis pv marginalis, which do not induce a hypersensitive response in N. plumbaginifolia, whereas a weaker response was observed using P. syringae pv syringae, which does induce a hypersensitive response. Induced NpPDR1 expression was more associated with the jasmonic acid than the salicylic acid signaling pathway. These data suggest that NpPDR1 is involved in both constitutive and jasmonic acid-dependent induced defense. Transgenic plants in which NpPDR1 expression was prevented by RNA interference showed increased sensitivity to sclareol and reduced resistance to B. cinerea. These data show that NpPDR1 is involved in pathogen resistance and thus demonstrate a new role for the ATP-binding cassette transporter family.

Melioidosis in the Lao People’s Democratic Republic

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David A.B. Dance

2018-02-01

Full Text Available Melioidosis is clearly highly endemic in Laos, although the disease has only been diagnosed regularly in humans (1359 cases since 1999, and only a single animal case has been microbiologically confirmed. Burkholderia pseudomallei is extensively and abundantly present in soil and surface water in central and southern Laos, but the true distribution of the disease across the country remains to be determined. Surveillance is almost non-existent and diagnostic microbiology services are not yet well established, whilst awareness of melioidosis is low amongst policy-makers, healthcare providers, and the public. It is hoped that this situation will improve over the next decade as the country rapidly develops, especially as this is likely to be accompanied by a further increase in the prevalence of diabetes, meaning that more people in this predominantly agricultural population will be at risk of contracting melioidosis.

Pilot survey on dental health in 5-12-year-old school children in Laos

NARCIS (Netherlands)

Besseling, S.; Ngonephady, S.; van Wijk, A.J.

2013-01-01

Aim The burden of dental caries in young Lao children is high. As a result, these children suffer from toothache, and school absenteeism is high. There is a need for the Lao Government to develop a strategy to prevent dental disease, such as caries. The aim of this study was to collect data on the

Effects of Female Education on Economic Growth: A Cross Country Empirical Study

Science.gov (United States)

Oztunc, Hakan; Oo, Zar Chi; Serin, Zehra Vildan

2015-01-01

This study examines the extent to which women's education affects long-term economic growth in the Asia Pacific region. It focuses on the time period between 1990 and 2010, using data collected in randomly selected Asia Pacific countries: Bangladesh, Cambodia, China, India, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam.…

Early Learning and Development Standards in East Asia and the Pacific: Experiences from Eight Countries

Science.gov (United States)

Miyahara, Junko; Meyers, Cliff

2008-01-01

This paper analyses how countries in UNICEF's East Asia and Pacific Region (EAPR) have engaged in the Early Learning and Development Standards (ELDS) process. ELDS has been developed by the governments of Cambodia, China, Fiji, Lao PDR, Mongolia, Philippines, Thailand, and Vietnam over the last 3 years with technical and financial support from…

Superconductivity of Rock-Salt Structure LaO Epitaxial Thin Film.

Science.gov (United States)

Kaminaga, Kenichi; Oka, Daichi; Hasegawa, Tetsuya; Fukumura, Tomoteru

2018-06-06

We report a superconducting transition in a LaO epitaxial thin film with the superconducting transition onset temperature ( T c ) at around 5 K. This T c is higher than those of other lanthanum monochalcogenides and opposite to their chemical trend: T c = 0.84, 1.02, and 1.48 K for LaX (X = S, Se, Te), respectively. The carrier control resulted in a dome-shaped T c as a function of electron carrier density. In addition, the T c was significantly sensitive to epitaxial strain in spite of the highly symmetric crystal structure. This rock-salt superconducting LaO could be a building block to design novel superlattice superconductors.

Nicotiana plumbaginifolia plants silenced for the ATP-binding cassette transporter gene NpPDR1 show increased susceptibility to a group of fungal and oomycete pathogens.

Science.gov (United States)

Bultreys, Alain; Trombik, Tomasz; Drozak, Anna; Boutry, Marc

2009-09-01

SUMMARY The behaviour of Nicotiana plumbaginifolia plants silenced for the ATP-binding cassette transporter gene NpPDR1 was investigated in response to fungal and oomycete infections. The importance of NpPDR1 in plant defence was demonstrated for two organs in which NpPDR1 is constitutively expressed: the roots and the petal epidermis. The roots of the plantlets of two lines silenced for NpPDR1 expression were clearly more sensitive than those of controls to the fungal pathogens Botrytis cinerea, Fusarium oxysporum sp., F. oxysporum f. sp. nicotianae, F. oxysporum f. sp. melonis and Rhizoctonia solani, as well as to the oomycete pathogen Phytophthora nicotianae race 0. The Ph gene-linked resistance of N. plumbaginifolia to P. nicotianae race 0 was totally ineffective in NpPDR1-silenced lines. In addition, the petals of the NpPDR1-silenced lines were spotted 15%-20% more rapidly by B. cinerea than were the controls. The rapid induction (after 2-4 days) of NpPDR1 expression in N. plumbaginifolia and N. tabacum mature leaves in response to pathogen presence was demonstrated for the first time with fungi and one oomycete: R. solani, F. oxysporum and P. nicotianae. With B. cinerea, such rapid expression was not observed in healthy mature leaves. NpPDR1 expression was not observed during latent infections of B. cinerea in N. plumbaginifolia and N. tabacum, but was induced when conditions facilitated B. cinerea development in leaves, such as leaf ageing or an initial root infection. This work demonstrates the increased sensitivity of NpPDR1-silenced N. plumbaginifolia plants to all of the fungal and oomycete pathogens investigated.

NpPDR1, a Pleiotropic Drug Resistance-Type ATP-Binding Cassette Transporter from Nicotiana plumbaginifolia, Plays a Major Role in Plant Pathogen Defense1

Science.gov (United States)

Stukkens, Yvan; Bultreys, Alain; Grec, Sébastien; Trombik, Tomasz; Vanham, Delphine; Boutry, Marc

2005-01-01

Nicotiana plumbaginifolia NpPDR1, a plasma membrane pleiotropic drug resistance-type ATP-binding cassette transporter formerly named NpABC1, has been suggested to transport the diterpene sclareol, an antifungal compound. However, direct evidence for a role of pleiotropic drug resistance transporters in the plant defense is still lacking. In situ immunolocalization and histochemical analysis using the gusA reporter gene showed that NpPDR1 was constitutively expressed in the whole root, in the leaf glandular trichomes, and in the flower petals. However, NpPDR1 expression was induced in the whole leaf following infection with the fungus Botrytis cinerea, and the bacteria Pseudomonas syringae pv tabaci, Pseudomonas fluorescens, and Pseudomonas marginalis pv marginalis, which do not induce a hypersensitive response in N. plumbaginifolia, whereas a weaker response was observed using P. syringae pv syringae, which does induce a hypersensitive response. Induced NpPDR1 expression was more associated with the jasmonic acid than the salicylic acid signaling pathway. These data suggest that NpPDR1 is involved in both constitutive and jasmonic acid-dependent induced defense. Transgenic plants in which NpPDR1 expression was prevented by RNA interference showed increased sensitivity to sclareol and reduced resistance to B. cinerea. These data show that NpPDR1 is involved in pathogen resistance and thus demonstrate a new role for the ATP-binding cassette transporter family. PMID:16126865

Preparing for the introduction of hospital autonomy in Laos: an assessment of current situation and suggestions for policy-making.

Science.gov (United States)

Geng, Jinsong; Yu, Hao; Chen, Yingyao

2016-04-01

The National Assembly of Lao People's Democratic Republic (Laos) approved the Health Sector Reform Strategy in 2012, which called for an assessment as to whether Laos should introduce hospital autonomy, and if so, in which ways. The purpose of this study is to assess the status quo of hospital governance in Laos and propose policy suggestions for hospital autonomy in the country. We formulated an analytic framework for hospital autonomy based on previous work by other researchers, collected qualitative data through key informant interviews and focus group discussions, and also performed secondary data analysis. Public hospitals in Laos enjoyed some informal autonomy with little accountability and Laos is facing key challenges of hospital governance. As a result, introducing hospital autonomy in Laos could bring risks, benefits and debates. Before Laos decides on granting autonomy to its public hospitals, we strongly suggest that the government do pilot in selected public hospitals with well-regulated governance framework first and conduct rigorous evaluations to examine whether the granted autonomy leads to the intended social goals of equity, quality, efficiency and sustainability. We recommend residual claimants should be monitored by the government and by the society with open and transparent approach, and active measures should be taken to improve performance and ensure social functions. The study findings may also provide some suggestions for low- and middle-income countries, which are contemplating the introduction of hospital autonomy in the public sector. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

Biological equivalence between LDR and PDR in cervical cancer: multifactor analysis using the linear-quadratic model

OpenAIRE

José Guilherme Couto; Isabel Bravo; Rui Pirraco

2011-01-01

Purpose The purpose of this work was the biological comparison between Low Dose Rate (LDR) and Pulsed Dose Rate (PDR) in cervical cancer regarding the discontinuation of the afterloading system used for the LDR treatments at our Institution since December 2009. Material and methods In the first phase we studied the influence of the pulse dose and the pulse time in the biological equivalence between LDR and PDR treatments using the Linear Quadratic Model (LQM). In the second phase, the equival...

A large-scale solar greenhouse dryer using polycarbonate cover: Modeling and testing in a tropical environment of Lao People's Democratic Republic

Energy Technology Data Exchange (ETDEWEB)

Janjai, Serm; Intawee, Poolsak; Kaewkiew, Jinda; Sritus, Chanoke [Solar Energy Research Laboratory, Department of Physics, Faculty of Science, Silpakorn University, Nakhon Pathom 73000 (Thailand); Khamvongsa, Vathsana [Department of Physics, Faculty of Natural Science, National University of Laos, P O Box 7322, Vientiane (Lao People' s Democratic Republic)

2011-03-15

A large-scale solar greenhouse dryer with a loading capacity of 1000 kg of fruits or vegetables has been developed and tested at field levels. The dryer has a parabolic shape and the dryer is covered with polycarbonate sheets. The base of the dryer is a black concrete floor with an area of 7.5 x 20.0 m{sup 2}. Nine DC fans powered by three 50-W solar cell modules are used to ventilate the dryer. The dryer was installed at Champasak (15.13 N, 105.79 E) in Lao People's Democratic Republic (Lao PDR). It is routinely used to dry chilli, banana and coffee. To assess the experimental performances of the dryer, air temperature, air relative humidity and product moisture contents were measured. One thousand kilograms of banana with the initial moisture content of 68% (wb) was dried within 5 days, compared to 7 days required for natural sun drying with the same weather conditions. Also three hundred kilograms of chilli with the initial moisture content of 75% (wb) was dried within 3 days while the natural sun drying needed 5 days. Two hundred kilograms of coffee with the initial moisture content of 52% (wb) was dried within 2 days as compared to 4 days required for natural sun drying. The chilli, coffee and banana dried in this dryer were completely protected from insects, animals and rain. Furthermore, good quality of dried products was obtained. The payback period of the dryer is estimated to be 2.5 years. A system of partial differential equations describing heat and moisture transfer during drying of chilli, coffee and banana in the greenhouse dryer was developed. These equations were solved by using the finite different method. The simulated results agree well with the experimental data. This model can be used to provide the design data for this type of dryer in other locations. (author)

Study of the Engine Bird Ingestion Experience of the Boeing 737 Aircraft (October 1986- September 1988)

Science.gov (United States)

1990-05-01

19554CUD CORRIENTES , ARGENTINA S FG 1100 544CN5 CAIRNS, OLD, AUSTRALIA S FG 4850 6049CUX CHIANG MAI, THAILAND N FN 728 435COX COCHIN, INDIA N FGH 5457...ARGENTINA S FGN 154 148 VLI PORT VILA, VANUATU S FGN 251 560 VMS VARANASI, INDIA N FGN 3150 2686 VoEN VERONA, ITALY N FGN 0 3 VIE VIENTIANE, LAOS N FGN 0 52...JIMA, JAPAN NO JT8O 2 MEL MELBOURNE, AUSTRALIA Nc CFM56 3 NONE NONE NONE NC 1 4. JAI JAIPUR, INDIA NO JT8O NC 1 VMS VARANASI, INDIA NO JT8D’ I MAN

77 FR 65892 - Patient Safety Organizations: Voluntary Relinquishment From PDR Secure, LLC

Science.gov (United States)

2012-10-31

... Organizations: Voluntary Relinquishment From PDR Secure, LLC AGENCY: Agency for Healthcare Research and Quality... Patient Safety Organizations (PSOs), which collect, aggregate, and analyze confidential information... Safety Act authorizes the listing of PSOs, which are entities or component organizations whose mission...

"The perfect business": human trafficking and Lao-Thai cross-border migration.

Science.gov (United States)

Molland, Sverre

2010-01-01

Over the past few years some governments and development organizations have increasingly articulated cross-border mobility as "trafficking in persons". The notion of a market where traffickers prey on the "supply" of migrants that flows across international borders to meet the "demand" for labour has become a central trope among anti-trafficking development organizations. This article problematizes such economism by drawing attention to the oscillating cross-border migration of Lao sex workers within a border zone between Laos and Thailand. It illuminates the incongruity between the recruitment of women into the sex industry along the Lao-Thai border and the market models that are employed by the anti-trafficking sector. It discusses the ways in which these cross-border markets are conceived in a context where aid programming is taking on an increasingly important role in the politics of borders. The author concludes that allusions to ideal forms of knowledge (in the guise of classic economic theory) and an emphasis on borders become necessary for anti-trafficking programmes in order to make their object of intervention legible as well as providing post-hoc rationalizations for their continuing operation.

Patterns and risks of trichinella infection in humans and pigs in northern Laos.

Directory of Open Access Journals (Sweden)

James V Conlan

Full Text Available Several outbreaks of trichinellosis associated with the consumption of raw pork have occurred in Laos since 2004. This cross-sectional study was conducted in four provinces of northern Laos to investigate the seroepidemiology of trichinellosis in the human population and determine the prevalence and species of Trichinella infection in the domestic pig population. Serum samples and questionnaire data were obtained from 1419 individuals. Serum samples were tested for Trichinella antibodies by ELISA using larval excretory-secretory (ES antigens and a subset of 68 positive samples were tested by western blot. The seroprevalence of Trichinella antibodies was 19.1% (95% confidence interval (CI = 17.1-21.1%. The risk of having antibodies detected by ELISA using ES antigens increased with age, being of Lao-Tai ethnicity, living in Oudomxay province and being male. Tongue and diaphragm muscle samples were collected from 728 pigs and tested for Trichinella larvae by the artificial digestion method. Trichinella larvae were isolated from 15 pigs (2.1% of which 13 were identified as T. spiralis by molecular typing; the species of the two remaining isolates could not be determined due to DNA degradation. Trichinella spp. are endemic in the domestic environment of northern Laos and targeted preventative health measures should be initiated to reduce the risk of further outbreaks occurring.

Inhibition of Saccharomyces cerevisiae Pdr5p by a natural compound extracted from Brazilian Red Propolis

Directory of Open Access Journals (Sweden)

Cinzia Lotti

2011-08-01

Full Text Available Multidrug resistance of cancer cells and pathogenic microorganisms leading to the treatment failure of some forms of cancer or life-threatening bacterial or fungal infections is often caused by the overexpression of multidrug efflux pumps belonging to the ATP-binding cassette transporters superfamily. The multidrug resistance of fungal cells often involves the overexpression of efflux pumps belonging to the pleiotropic drug resistance (PDR family of ABC transporters. Possibly the best-studied fungal PDR transporter is the multidrug resistance transporter Pdr5p of Saccharomyces cerevisiae. Some research groups have been searching for new inhibitors of these efflux pumps in order to alleviate resistance. Natural products are a great source for the discovery of new compounds with biological activity. Propolis is a complex resinous material collected by honeybees from exudates and buds of certain plant sources and this material is thought to serve as a defense substance for bee hives. Propolis is widely used in traditional medicine and is reported to have a broad spectrum of pharmacological properties. Literature reported some biological functionalities of propolis, such as antibacterial, antiviral, fungicidal, anti-inflammatory and anti-carcinogenic activities. The chemical composition of propolis is qualitatively and quantitatively variable. Components isolated from methanolic extract of red Brazilian propolis (Alagoas, Northeast of Brazil are isoflavonoids (including pterocarpans, isoflavans, isoflavones, flavanones and polyprenylated benzophenones. In this work we demonstrated the effects of five different isolated compounds on the ATPase activity of Pdr5p. Out of all five substances tested, only BRP-1 was able to completely abolish the enzymatic activity while others worked as positive modulators of the enzyme activity. BRP-1also inhibited the efflux of Rhodamine 6G from yeast cells overexpressing Pdr5p. Taken together, these results

Effect of intravitreal injection of Conbercept before PPV on complications and visual recovery in patients with PDR

Directory of Open Access Journals (Sweden)

Shao-Bing Lin

2018-05-01

Full Text Available AIM: To analyze the effect of intravitreal injection of Conbercept before pars plana vitrectomy(PPVon complications and visual recovery in patients with proliferative diabetic retinopathy(PDR. METHODS: Totally 94 patients with PDR(monocular onsetwere randomly divided into the experimental group(n=47and the control group(n=47. All patients were treated by PPV. The experimental group was treated with intravitreal injection of conbercept at 5-7d before PPV while the control group was not given the intervention. The surgical time, surgical procedures, complications and visual recovery in the two groups were observed and statistically analyzed. RESULTS: The operating time of PPV for the experimental group was significantly shorter than that for the control group(72.33±15.71min vs 91.06±19.29min, PPPPCONCLUSION: The intravitreal injection of conbercept before PPV has a positive effect on reducing the incidence of intraoperative complications and promoting postoperative visual recovery in patients with PDR.

Hmong demographic changes in Laos: causes and ecological consequences.

Science.gov (United States)

Ireson, W R

1995-10-01

This study of the Hmong in Laos is based on ethnographic research conducted during a three week stay in the Nong Het district of Xieng Khouang province. Information was collected on the household agricultural economy, village and household movement, family composition and change, cropping and animal husbandry, and environmental resources. The study area east of the Mekong River and near the Vietnamese border is an infrequently studied area. Findings differ from the ethnographic literature that portrays the Hmong as migrating frequently as swidden fields are exhausted, as living in large extended families, and as polygynous. The Hmong are the second largest minority in Laos (231,000), but are only 0.1% of Thailand's total population (90,000). There are 558,000 Hmong in Vietnam, but 5 million in China. Most rural Hmong in Laos produce opium as a necessary crop for sustaining their household farming economy. Although areas near the study area were involved in major military action during 1960-73, the study area received minimal disruption. Four studies of the Hmong in Laos and Thailand indicated that the Hmong stayed at one residence about 7 years, that residence varied from 6-16 years, and that settlements were short-lived. Household size ranged from 4 to 47 households. The Hmong in this study were more sedentary. In 1990, the villages averaged about 45 households. The population ranged in age from 19 years to 87 years. The Hmong had a high birth rate and a high mortality rate due to poor diet and lack of adequate medical care. 45% of the Nong Het population were aged under 14 years, which suggests a baby boom after the war. The dependency ratio was very high. Polygyny was uncommon. Of the 154 households, the average size was small at 7.40 persons. 71% were nuclear families. Patrilocal residence after marriage was still practiced, but the time spent in the father's home was reduced. The findings suggest that the Hmong are likely to become sedentary due to limits on

Two Ways to Examine Differential Constitutive Equations: Initiated on Steady or Initiated on Unsteady (LAOS Shear Characteristics

Directory of Open Access Journals (Sweden)

Jana Zelenkova

2017-06-01

Full Text Available The exponential Phan–Tien and Tanner (PTT, Giesekus, Leonov, and modified extended Pom–Pom (mXPP differential constitutive models are evaluated in two ways: with regard to steady shear characteristics and with regard to large amplitude oscillatory shear characteristics of a solution of poly(ethylene oxide in dimethyl sulfoxide. Efficiency of the models with nonlinear parameters optimized with respect to steady shear measurements is evaluated by their ability to describe large amplitude oscillatory shear (LAOS characteristics. The reciprocal problem is also analyzed: The nonlinear parameters are optimized with respect to the LAOS measurements, and the models are confronted with the steady shear characteristics. In this case, optimization is based on the LAOS measurements and equal emphasis is placed on both real and imaginary parts of the stress amplitude. The results show that the chosen models are not adequately able to fit the LAOS characteristics if the optimization of nonlinear parameters is based on steady shear measurements. It follows that the optimization of nonlinear parameters is much more responsible if it is carried out with respect to the LAOS data. In this case, when the optimized parameters are used for a description of steady shear characteristics, efficiency of the individual models as documented differs.

Laos: A final frontier for ICTs | IDRC - International Development ...

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

2011-02-07

Feb 7, 2011 ... The country's 20 Web sites are all in English, a language few Lao people can ... and improve basic ICT skills at four levels: the national government; the .... in the early 2000s, government policies intended to reduce the risk o.

The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents.

Science.gov (United States)

Le, Thao N; Kato, Tomoko

2006-03-01

The purpose of this study was to investigate the role of age, gender, peer, family, and culture in adolescent risky sexual behavior for Cambodian and Laotian (Lao)/Mien youth. We obtained cross-sectional, in-home interview data including measures of individualism, collectivism, acculturation, risky sexual behavior, peer delinquency, parent engagement, and parent discipline from a sample of mostly second-generation Cambodian (n = 112) and Lao/Mien (n = 67) adolescents. Data were analyzed using step-wise, hierarchical multiple regressions. Peer delinquency and age (older) were significant predictors of risky sexual behavior in both groups. Parent discipline also significantly predicted risky sexual behavior, but only for Lao/Mien adolescents. Vertical and horizontal individualism were associated positively with risky sexual behavior for Cambodian youth whereas collectivism (horizontal) was associated negatively with risky sexual behavior for Lao/Mien youth. Acculturation was nonsignificant in both groups. In addition to age, parents, and peer groups, the findings suggest that culture also matters in risky sexual behavior, particularly for Cambodian and Laotian youth.

Economic critique of Nam Theun-Hinboun Hydropower Project and electricity development in Laos: proposal for an alternative path to development

International Nuclear Information System (INIS)

Adams, T.

1996-01-01

A proposed alternative to the development of a large-scale hydropower project in Laos was presented. The alternative is intended to help make electricity development sustainable over the long term and to benefit the citizens of Laos. The author carefully analyzed the Asian Development Bank report RRP: Laos 27325 of October 1994. He concluded that as presently constituted, the project is likely to fail as an investment and is likely to result in a significant net financial liability. Water resources are one of Laos' greatest assets and the future uses of Laotian rivers could be lost in order to achieve near-term electricity development. It was suggested that Laos should follow three key principles in the development of its electricity sector: maximize economic efficiency, ensure that the government acts as a regulator and not as an investor, and ensure the protection of property rights of citizens and investors. Relevant aspects of the experience with electricity development in Canada were also outlined

Radiobiological responses for two cell lines following continuous low dose-rate (CLDR) and pulsed dose rate (PDR) brachytherapy

International Nuclear Information System (INIS)

Hanisch, Per Henrik; Furre, Torbjoern; Olsen, Dag Rune; Pettersen, Erik O.

2007-01-01

The iso-effective irradiation of continuous low-dose-rate (CLDR) irradiation was compared with that of various schedules of pulsed dose rate (PDR) irradiation for cells of two established human lines, T-47D and NHIK 3025. Complete single-dose response curves were obtained for determination of parameters α and β by fitting of the linear quadratic formula. Sublethal damage repair constants μ and T 1/2 were determined by split-dose recovery experiments. On basis of the acquired parameters of each cell type the relative effectiveness of the two regimens of irradiation (CLDR and PDR) was calculated by use of Fowler's radiobiological model for iso-effect irradiation for repeated fractions of dose delivered at medium dose rates. For both cell types the predicted and observed relative effectiveness was compared at low and high iso-effect levels. The results indicate that the effect of PDR irradiation predicted by Fowler's model is equal to that of CLDR irradiation for both small and large doses with T-47D cells. With NHIK 3025 cells PDR irradiation induces a larger effect than predicted by the model for small doses, while it induces the predicted effect for high doses. The underlying cause of this difference is unclear, but cell-cycle parameters, like G2-accumulation is tested and found to be the same for the two cell lines

Joint malaria surveys lead towards improved cross-border cooperation between Savannakhet province, Laos and Quang Tri province, Vietnam

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Pongvongsa Tiengkham

2012-08-01

Full Text Available Abstract Background In Savannakhet province, Laos and Quang Tri province, Vietnam, malaria is still an important health problem and most cases are found in the mountainous, forested border areas where ethnic minority groups live. The objectives of this study were to obtain a better joint understanding of the malaria situation along the border and, on the basis of that, improve malaria control methods through better cooperation between the two countries. Methods Fourteen villages in Savannakhet and 22 villages in Quang Tri were randomly selected within 5 km from the border where a blood survey for microscopic diagnosis (n = 1256 and n = 1803, respectively, household interviews (n = 400, both sides and vector surveys were conducted between August and October 2010. Satellite images were used to examine the forest density around the study villages. Results Malaria prevalence was significantly higher in Laos (5.2% than in Vietnam (1.8% and many other differences were found over the short distance across the border. Bed net coverage was high (> 90% in both Laos and Vietnam but, while in Laos more than 60% of the nets were long-lasting insecticide-treated, Vietnam used indoor residual spraying in this area and the nets were untreated. Anopheles mosquitoes were more abundant in Laos than in Vietnam, especially many Anopheles dirus were captured in indoor light traps while none were collected in Vietnam. The forest cover was higher around the Lao than the Vietnamese villages. After this study routine exchange of malaria surveillance data was institutionalized and for the first time indoor residual spraying was applied in some Lao villages. Conclusions The abundance of indoor-collected An. dirus on the Laos side raises doubts about the effectiveness of a sole reliance on long-lasting insecticide-treated nets in this area. Next to strengthening the early detection, correct diagnosis and prompt, adequate treatment of malaria infections, it is

A HYDROCHEMICAL HYBRID CODE FOR ASTROPHYSICAL PROBLEMS. I. CODE VERIFICATION AND BENCHMARKS FOR A PHOTON-DOMINATED REGION (PDR)

International Nuclear Information System (INIS)

Motoyama, Kazutaka; Morata, Oscar; Hasegawa, Tatsuhiko; Shang, Hsien; Krasnopolsky, Ruben

2015-01-01

A two-dimensional hydrochemical hybrid code, KM2, is constructed to deal with astrophysical problems that would require coupled hydrodynamical and chemical evolution. The code assumes axisymmetry in a cylindrical coordinate system and consists of two modules: a hydrodynamics module and a chemistry module. The hydrodynamics module solves hydrodynamics using a Godunov-type finite volume scheme and treats included chemical species as passively advected scalars. The chemistry module implicitly solves nonequilibrium chemistry and change of energy due to thermal processes with transfer of external ultraviolet radiation. Self-shielding effects on photodissociation of CO and H 2 are included. In this introductory paper, the adopted numerical method is presented, along with code verifications using the hydrodynamics module and a benchmark on the chemistry module with reactions specific to a photon-dominated region (PDR). Finally, as an example of the expected capability, the hydrochemical evolution of a PDR is presented based on the PDR benchmark

Informal workers and access to healthcare: a qualitative study of facilitators and barriers to accessing healthcare for beer promoters in the Lao People's Democratic Republic.

Science.gov (United States)

Sychareun, Vanphanom; Vongxay, Viengnakhone; Thammavongsa, Vassana; Thongmyxay, Souksamone; Phummavongsa, Phouthong; Durham, Jo

2016-04-18

Informal workers often face considerable risks and vulnerabilities as a consequence of their work and employment conditions. The purpose of this study was to examine the interplay between the experience of informal work and access to health, using as an example, female beer promoters employed in the informal economy, in the Lao People's Democratic Republic. In-depth interviews were undertaken with 24 female beer promoters working in beer shops, restaurants and entertainment venues in Vientiane City. The recruitment strategy of snowball sampling was used. Interviews explored the beer promoter's experience of the organization of work, perceived healthcare needs, access to healthcare and insurance, and health seeking practices. The data was analysed thematically and subsequently using Bourdieu's concepts of habitus, capital and field. Most of the beer promoters included in the study were 18 years of age, single, had worked as beer promoters for more than one year and just over half were working to support their higher education. The beer promoters demonstrated a holistic view of health, also viewing good health as contributing to being beautiful - an important attribute in their work. Many reported that their work conditions, including the noisy environment, exposure to second-hand tobacco smoke, long hours on their feet and sexual harassment negatively affected their physical and mental health. Only four participants had any form of health insurance with access to healthcare constrained by individual characteristics, health system factors and the conditions of their informal employment. Drawing on the work of Bourdieu, the study shows how both employment and illness are linked to habitus embodied in everyday practices, access to capital and the position the female beer promoters hold in the social hierarchy in the field of employment.

Reasons rural Laotians choose home deliveries over delivery at health facilities: a qualitative study

Science.gov (United States)

2012-01-01

Background Maternal mortality among poor rural women in the Lao People’s Democratic Republic (Lao PDR) is among the highest in Southeast Asia, in part because only 15% give birth at health facilities. This study explored why women and their families prefer home deliveries to deliveries at health facilities. Methods A qualitative study was conducted from December 2008 to February 2009 in two provinces of Lao PDR. Data was collected through eight focus group discussions (FGD) as well as through in-depth interviews with 12 mothers who delivered at home during the last year, eight husbands and eight grandmothers, involving a total of 71 respondents. Content analysis was used to analyze the FGD and interview transcripts. Results Obstacles to giving birth at health facilities included: (1) Distance to the health facilities and difficulties and costs of getting there; (2) Attitudes, quality of care, and care practices at the health facilities, including a horizontal birth position, episiotomies, lack of privacy, and the presence of male staff; (3) The wish to have family members nearby and the need for women to be close to their other children and the housework; and (4) The wish to follow traditional birth practices such as giving birth in a squatting position and lying on a “hot bed” after delivery. The decision about where to give birth was commonly made by the woman’s husband, mother, mother-in-law or other relatives in consultation with the woman herself. Conclusion This study suggests that the preference in rural Laos for giving birth at home is due to convenience, cost, comfort and tradition. In order to assure safer births and reduce rural Lao PDR’s high maternal mortality rate, health centers could consider accommodating the wishes and traditional practices of many rural Laotians: allowing family in the birthing rooms; allowing traditional practices; and improving attitudes among staff. Traditional birth attendants, women, and their families could be

3 CFR - Presidential Determination for the Lao People's Democratic Republic Under Section 2(b)(2) of the...

Science.gov (United States)

2010-01-01

... Determination for the Lao People's Democratic Republic Under Section 2(b)(2) of the Export-Import Bank Act of... 3 The President 1 2010-01-01 2010-01-01 false Presidential Determination for the Lao People's Democratic Republic Under Section 2(b)(2) of the Export-Import Bank Act of 1945, as amended Presidential...

Heterologous expression of the yeast Tpo1p or Pdr5p membrane transporters in Arabidopsis confers plant xenobiotic tolerance.

Science.gov (United States)

Remy, Estelle; Niño-González, María; Godinho, Cláudia P; Cabrito, Tânia R; Teixeira, Miguel C; Sá-Correia, Isabel; Duque, Paula

2017-07-03

Soil contamination is a major hindrance for plant growth and development. The lack of effective strategies to remove chemicals released into the environment has raised the need to increase plant resilience to soil pollutants. Here, we investigated the ability of two Saccharomyces cerevisiae plasma-membrane transporters, the Major Facilitator Superfamily (MFS) member Tpo1p and the ATP-Binding Cassette (ABC) protein Pdr5p, to confer Multiple Drug Resistance (MDR) in Arabidopsis thaliana. Transgenic plants expressing either of the yeast transporters were undistinguishable from the wild type under control conditions, but displayed tolerance when challenged with the herbicides 2,4-D and barban. Plants expressing ScTPO1 were also more resistant to the herbicides alachlor and metolachlor as well as to the fungicide mancozeb and the Co 2+ , Cu 2+ , Ni 2+ , Al 3+ and Cd 2+ cations, while ScPDR5-expressing plants exhibited tolerance to cycloheximide. Yeast mutants lacking Tpo1p or Pdr5p showed increased sensitivity to most of the agents tested in plants. Our results demonstrate that the S. cerevisiae Tpo1p and Pdr5p transporters are able to mediate resistance to a broad range of compounds of agricultural interest in yeast as well as in Arabidopsis, underscoring their potential in future biotechnological applications.

Cohabitation with farm animals in urban households with and without occupational farm work: associations between participation in educational activities and good hygiene practices in at-risk households cohabiting with farm animals.

Science.gov (United States)

Somphou, Phoupasong; Takano, Takehito; Nakamura, Keiko

2008-11-01

This study was performed to investigate patterns of cohabitation with farm animals in urban households in Vientiane, Lao People's Democratic Republic, with regard to animal-to-human disease transmission. We also investigated the association between participation in hygiene-related educational activities and good hygiene practices in households with or without cohabitation with animals. A survey regarding cohabitation with animals, socioeconomic characteristics and participation in educational activities was conducted among 1,497 households randomly sampled from urban districts of Vientiane in 2001. Rates of satisfactory performance of recommended good hygiene practices according to a program commencing in 1996 were compared among households cohabiting with animals with or without participation in educational activities (reference group). Even among households not engaged in agriculture as a major source of income, 54.4, 34.9, 7.9, 3.1 and 35.7% cohabited with chickens, ducks, cattle, buffaloes and dogs, respectively. The percentage of households fulfilling the recommendations for good hygiene practices was 56.7%. The rates of satisfactory hygiene practices among households participating in health education and cohabitating with chickens, ducks or cattle were greater than those in the reference group (OR = 1.7, 95%CI = 1.2, 2.3; OR = 2.0, 95%CI = 1.3, 3.0; OR = 2.3, 95%CI = 1.0, 4.9) regardless of socioeconomic factors. Households cohabiting with animals showed poorer rates of satisfactory hygiene practices than those without animals. Cohabitation with farm animals is common in urban Vientiane regardless of household involvement in agriculture. Further effort is required to improve hygiene conditions, despite some positive effects of health education even in households cohabiting with animals.

Trichoderma virens PDR-28: a heavy metal-tolerant and plant growth-promoting fungus for remediation and bioenergy crop production on mine tailing soil.

Science.gov (United States)

Babu, A Giridhar; Shim, Jaehong; Bang, Keuk-Soo; Shea, Patrick J; Oh, Byung-Taek

2014-01-01

A heavy metal-tolerant fungus, Trichoderma virens PDR-28, was isolated from rhizosphere soil and evaluated for use in remediating mine tailing soil and for plant biomass production. PDR-28 exhibited plant growth-promoting traits, including 1-aminocyclopropane-1-carboxylic acid (ACC) deaminase, acid phosphatase and phytase activity, siderophore production, and P solubilization. HMs were more available in mine tailing soil inoculated soil with PDR-28 than in uninoculated soil; the order of HM bioleaching was Cd > As > Zn > Pb > Cu. PDR-28 effectively removed HMs in the order of Pb > Cd > As > Zn > Cu from liquid media containing 100 mg HM L(-1). Inoculating HM-contaminated mine tailing soil with the fungus significantly increased the dry biomass of maize roots (64%) and shoots (56%). Chlorophyll, total soluble sugars (reducible and nonreducible), starch, and protein contents increased by 46%, 28%, 30%, and 29%, respectively, compared to plants grown in uninoculated soil. Inoculation increased heavy metal concentrations in maize roots by 25% (Cu) to 62% (Cd) and in shoots by 35% (Cu) to 64% (Pb) compared to uninoculated plants. Results suggest that PDR-28 would be beneficial for phytostabilization and plant biomass production as a potential source of biofuel in the quest for renewable energy. Copyright © 2013. Published by Elsevier Ltd.

Connecting the Dots: How U.S. Global Health Programs Can Improve International Health Regulation Compliance

Science.gov (United States)

2014-12-01

funds that go toward biosafety and biosecurity .177 The laboratories are a prerequisite for the AFHSC-GEIS to carry out its mission. They also service...Surveillance Continue the development and implementation of BS&S Standard Operating Procedures across the Former Soviet Union Laboratory Conduct training...implementation of BS&S Standard Operating Procedures in Iraq and Afghanistan Laboratory Continue installation of laboratory equipment in Lao PDR, Cambodia

Home Healthcare Program for Soil-Transmitted Helminthiasis in Schoolchildren along the Mekong River Basin.

Science.gov (United States)

Kaewpitoon, Soraya J; Loyd, Ryan A; Kaewpitoon, Natthawut

2015-05-01

Soil-transmitted helminths (STH) are among the most important groups of infectious agents responsible for physical and intellectual growth retardation in children worldwide. Current status is need requiredfor the development of control programs. To determine the STH infections among the schoolchildren in the Mekong River basin near rural Ubon Ratchathani, Thailand and Champassak, Laos PDR, including their caregiver knowledge and attitude concerning prevention of STH infections. A cross sectional survey was designed as a home healthcare programfrom October 2009 to April 2012. 1,957 fecal samples were collected from children aged 5-12 years in five districts of Ubon Ratchathani province (1,012 fecal samples; Khong Chiam, Si Mueang Mai, Phibun Mangsahan, Sirindhorn, and Pho Sai), Thailand, and one district of Champassak Province (945 fecal samples; Pakse), Lao PDR. Fecal samples were prepared by the modified formalin ethylacetate concentration technique, and determined by light microscope. The knowledge and attitude of children's caregivers concerning prevention of soil-transmitted helminth infections were completed interviewed by semi-structured questionnaires. The overall intestinal helminth prevalence rate was 11.88%. Classified by species the STHs were as follows: Ascaris lumbricoides (30.9%), Trichuris trichiura (21.7%), and hookworm (20.5%). The highest prevalence was recorded in children aged 9 years and above. The highest prevalence of STH infection was found in the Pakse district of Laos PDR (16.08%). The intensities of infection with A. lumbricoides, T trichiura, and Hookworm were 1.82 ± 0.36, 1.32 ± 0.30, and 1.29 ± 0.32, respectively. 1,077 of caregivers were completed interviewed and found that the caregivers had fair levels of knowledge and attitude regarding soil-transmitted helminthiasis. These results suggest that priority should be given to STH eradication, the development of control programs in the Mekong River Basin, and the provision of

Comparison of the Determinants of the Health Service System and the Health Status of the People in the Greater Mekong Subregion (GMS).

Science.gov (United States)

Phanphairoj, Kanjanee; Loa, Ritzmond

2017-12-01

Health is influenced by numerous factors that affect the health service system and health status of the people in every country. This article aims to compare the determinants of the health service system and the health status of the people in Thailand, the Lao PDR, Vietnam, and Cambodia; and to recommend policies that impact the population's health and the country's development. Methods: A comprehensive search of the literature from a variety of online search and academic databases, and synthesis of previous study was used in this paper. Data on country indicators were taken from published online databases of the Ministry of Public Health of Cambodia, Lao PDR, Thailand,and Vietnam; the World Health Organization, and the World Bank. In Thailand, the determinants of the health service system and health status of the people are medical information and technology because of the government initiatives to improve the quality of healthcare services through the use of modern technology. In Vietnam, the society and culture, and the strengths and weaknesses of the hospital significantly affect the health status and health service system there because of the religious beliefs of the people. However, in Cambodia, the strengths and weaknesses of the hospital are the primary determinant of the health service system and health status of the people due to the condition of the hospitals, the availability of new medical devices, and the number of healthcare professionals. In the Lao PDR, trade and investment, and medical information and technology, significantly influence the health service system and health status of the people because of the government efforts to outsource capital expenditures and medical technology. The strengths and weaknesses of the hospital are the key determinants of the health service system and health status of the people in all GMS countries. Understanding the determinants of health is essential in order to develop policies and programs that impact the

The microstructure and rheology of a model, thixotropic nanoparticle gel under steady shear and large amplitude oscillatory shear (LAOS)

International Nuclear Information System (INIS)

Min Kim, Jung; Kate Gurnon, A.; Wagner, Norman J.; Eberle, Aaron P. R.; Porcar, Lionel

2014-01-01

The microstructure-rheology relationship for a model, thermoreversible nanoparticle gel is investigated using a new technique of time-resolved neutron scattering under steady and time-resolved large amplitude oscillatory shear (LAOS) flows. A 21 vol. % gel is tested with varying strength of interparticle attraction. Shear-induced structural anisotropy is observed as butterfly scattering patterns and quantified through an alignment factor. Measurements in the plane of flow show significant, local anisotropy develops with alignment along the compressional axis of flow, providing new insights into how gels flow. The microstructure-rheology relationship is analyzed through a new type of structure-Lissajous plot that shows how the anisotropic microstructure is responsible for the observed LAOS response, which is beyond a response expected for a purely viscous gel with constant structure. The LAOS shear viscosities are observed to follow the “Delaware-Rutgers” rule. Rheological and microstructural data are successfully compared across a broad range of conditions by scaling the shear rate by the strength of attraction, providing a method to compare behavior between steady shear and LAOS experiments. However, important differences remain between the microstructures measured at comparatively high frequency in LAOS experiments and comparable steady shear experiments that illustrate the importance of measuring the microstructure to properly interpret the nonlinear, dynamic rheological response

The microstructure and rheology of a model, thixotropic nanoparticle gel under steady shear and large amplitude oscillatory shear (LAOS)

Energy Technology Data Exchange (ETDEWEB)

Min Kim, Jung; Kate Gurnon, A.; Wagner, Norman J., E-mail: wagnernj@udel.edu [Department of Chemical and Biomolecular Engineering and Center for Neutron Science, University of Delaware, Newark, Delaware 19716 (United States); Eberle, Aaron P. R. [NIST Center for Neutron Research, National Institute of Standards and Technology, Gaithersburg, Maryland 20899 (United States); Porcar, Lionel [NIST Center for Neutron Research, National Institute of Standards and Technology, Gaithersburg, Maryland 20899 and Institut Laue-Langevin, BP 156, F-38042 Grenoble Cedex 9 (France)

2014-09-01

The microstructure-rheology relationship for a model, thermoreversible nanoparticle gel is investigated using a new technique of time-resolved neutron scattering under steady and time-resolved large amplitude oscillatory shear (LAOS) flows. A 21 vol. % gel is tested with varying strength of interparticle attraction. Shear-induced structural anisotropy is observed as butterfly scattering patterns and quantified through an alignment factor. Measurements in the plane of flow show significant, local anisotropy develops with alignment along the compressional axis of flow, providing new insights into how gels flow. The microstructure-rheology relationship is analyzed through a new type of structure-Lissajous plot that shows how the anisotropic microstructure is responsible for the observed LAOS response, which is beyond a response expected for a purely viscous gel with constant structure. The LAOS shear viscosities are observed to follow the “Delaware-Rutgers” rule. Rheological and microstructural data are successfully compared across a broad range of conditions by scaling the shear rate by the strength of attraction, providing a method to compare behavior between steady shear and LAOS experiments. However, important differences remain between the microstructures measured at comparatively high frequency in LAOS experiments and comparable steady shear experiments that illustrate the importance of measuring the microstructure to properly interpret the nonlinear, dynamic rheological response.

International Uranium Resources Evaluation Project (IUREP) national favourability studies: Laos

International Nuclear Information System (INIS)

1977-11-01

Laos is a land locked country containing about 3.5 million people living primarily at a subsistence level. Geologically, the country contains a few places that may be marginally favourable for uranium deposits. A uranium potential in the upper half of Category 1 is assigned. (author)

Balti kalleim lao- ning tootmispindade rent on Riias / Kristo Kiviorg

Index Scriptorium Estoniae

Kiviorg, Kristo

2005-01-01

Ilmunud ka: Delovõje Vedomosti 21. sept. lk. 12. Tootmis- ja laopindade rent Baltimaades ja Soomes. Vt. samas: Tallinnas lao- ning tootmispinnad poolaastaga kallinenud kuni 37%; Helsingis on kõige rohkem tõusnud C-kvaliteediklassi pinnad; Tartu piirkonnas enamik saadaolevaid pindu keskmises või halvas seisukorras

The War Against Trucks Aerial Interdiction in Southern Laos 1968-1972

National Research Council Canada - National Science Library

Nalty, Bernard C

2005-01-01

This history recounts an ambitious attempt by the Air Force to interdict traffic on the Ho Chi Minh Trail of southern Laos, as part of a plan to support the war in South Vietnam by impending the flow...

Laos Organization Name Using Cascaded Model Based on SVM and CRF

Directory of Open Access Journals (Sweden)

Duan Shaopeng

2017-01-01

Full Text Available According to the characteristics of Laos organization name, this paper proposes a two layer model based on conditional random field (CRF and support vector machine (SVM for Laos organization name recognition. A layer of model uses CRF to recognition simple organization name, and the result is used to support the decision of the second level. Based on the driving method, the second layer uses SVM and CRF to recognition the complicated organization name. Finally, the results of the two levels are combined, And by a subsequent treatment to correct results of low confidence recognition. The results show that this approach based on SVM and CRF is efficient in recognizing organization name through open test for real linguistics, and the recalling rate achieve 80. 83％and the precision rate achieves 82. 75％.

A functional model for monitoring equity and effectiveness in purchasing health insurance premiums for the poor: evidence from Cambodia and the Lao PDR.

Science.gov (United States)

Annear, Peter Leslie; Bigdeli, Maryam; Jacobs, Bart

2011-10-01

To assess the impact on equity and effectiveness of introducing targeted subsidies for the poor into existing voluntary health insurance schemes in Low Income Countries with special reference to cross-subsidisation. A functional model was constructed using routine collected financial data to analyse changes in financial flows and resulting shifts in cross-subsidization between poor and non-poor. Data were collected from two sites, in Cambodia at Kampot operational health district and in the Lao People's Democratic Republic at Nambak district. Six key variables were identified as determining the financial flows between the subsidy and the insurance schemes and with health providers: population coverage, premium rate, facility contact rate, capitation rate, cost of treatment and changes in administration costs. Negative cross-subsidization was revealed where capitation was used as the payment mechanism and where utilisation rates of the poor were significantly below the non-poor. The same level of access for the poor could have been achieved with a lower Health Equity Fund subsidy if used as a direct reimbursement of user charges by the Health Equity Fund to the provider rather than through the Community Based Health Insurance scheme. Purchasing premiums for the poor under these conditions is more costly than direct reimbursement to the provider for the same level of service delivery. Negative cross-subsidization is a serious risk that must be managed appropriately and the benefits of a larger risk pool (cross-subsidization of the poor) are not evident. Benefits from combined coverage may accrue in the longer term with an expanded base of voluntary payers or when those with subsidized premiums are lifted out of poverty. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Unscented Kalman Filter Algorithm for WiFi-PDR Integrated Indoor Positioning

Directory of Open Access Journals (Sweden)

CHEN GuoLiang

2015-12-01

Full Text Available Indoor positioning still faces lots of fundamental technical problems although it has been widely applied. A novel indoor positioning technology by using the smart phone with the assisting of the widely available and economically signals of WiFi is proposed. It also includes the principles and characteristics in indoor positioning. Firstly, improve the system's accuracy by fusing the WiFi fingerprinting positioning and PDR (ped estrian dead reckoning positioning with UKF (unscented Kalman filter. Secondly, improve the real-time performance by clustering the WiFi fingerprinting with k-means clustering algorithm. An investigation test was conducted at the indoor environment to learn about its performance on a HUAWEI P6-U06 smart phone. The result shows that compared to the pattern-matching system without clustering, an average reduction of 51% in the time cost can be obtained without degrading the positioning accuracy. When the state of personnel is walking, the average positioning error of WiFi is 7.76 m, the average positioning error of PDR is 4.57 m. After UKF fusing, the system's average positioning error is down to 1.24 m. It shows that the algorithm greatly improves the system's real-time and positioning accuracy.

Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR

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Ling Gong

2014-06-01

Full Text Available AIM: To determine whether the 23-gauge(23Gvitrecomy cutter could replace scissors in conventional 20-gauge(20Gpars plana vitrectomy for treating severe proliferative diabetic retinopathy(PDR.METHODS:Non-comparative interventional case series. Totally 27 eyes of 27 patients with PDR stageⅥ confirmed by funduscopy and B-ultrasound scan were enrolled. They underwent 20G vitrectomy, in which 23G vitrectomy cutter replaced scissors to remove neuvascular membrane. All 27 eyes received complete panretinal photocoagulation, 17 eyes received no tamponade, 6 eyes were 12% C3F8 tamponade, 4 eyes were filled with silicone oil. The follow up time was 3mo. The operation duration time, iatrogenic retinal tear and retinal bleeding need electric coagulation, best corrected visual acuity(BCVA, retinal reattachment were analyzed.RESULTS: The operative time was 35-120(average 79.19±29.82min; intraoperative iatrogenic retinal breaks were detected in 2 eyes(7%. At the end of 3mo follow up, BCVA>0.1 were in 9 eyes, from 0.05-0.1 in 10 eyes, CONCLUSION: The 23G vitrectomy cutter could replace scissors in conventional 20G pars plana vitrectomy for treating severe PDR.

Pulsed dose rate (PDR) brachytherapy as salvage treatment of locally advanced or recurrent gynecologic cancer

DEFF Research Database (Denmark)

Jensen, P T; Roed, H; Engelholm, S A

1998-01-01

PURPOSE: Pulsed dose rate (PDR) brachytherapy is a new treatment option permitting dose distribution optimization in interstitial implants. It possesses the advantage of equipment simplification and radiation protection to the staff, compared to the manually afterloading technique. This study pre...

The Laos tou Theou – an orthodox view of the ‘people of God’

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Angelo Nicolaides

2010-07-01

Full Text Available The creation of the Ekklesia by the incarnate logos of God created a new and unique relationship with God’s people that allows humanity to enter into the Covenant and to become part of the ‘people of God’ (Laos tou Theou. Who is the Ekklesia? Is it the entire body of believers in Christ? Who are the chosen race, the royal priesthood and the holy nation of God? If the Ekklesia is the new Laos tou Theou, does its being so cancel out the initial covenant given to the nation of Israel? Is the nation of Israel still ‘God’s people’? This article strives to provide answers to the above questions by providing a discourse analytic approach to the theme. It is clear from the research that the Ekklesia remain the Laos tou Theou, comprising the entire corpus of Christ and the entire communion (or fellowship [koinonia] of all of the disciples of Jesus. Essentially, all baptised believers are part of the chosen race and the royal priesthood, which form the holy nation of God. All of us are equally called by God to belong to his ‘people’.

Floristic inventory of vascular plant in Nam Ha National Biodiversity Conservation Area, Lao People's Democratic Republic

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Jeong Ho Park

2018-06-01

Full Text Available The floristic inventory of vascular plants in Nam Ha National Biodiversity Conservation Area was conducted to understand the plant diversity in the northern area of Lao People's Democratic Republic. From the joint field surveys between Korean and Laos experts conducted during 2015–2017, it was found that there are 64 families, 145 genera, and 189 species distributed in the Nam Ba National Biodiversity Conservation Area, and a total of 56 families, 117 genera, and 148 species which comprise more than 78% of the total species were identified as endemic plants to the Lao People's Democratic Republic. Considering the usage of the plants, there are 91 species of medicinal plants, 33 species of ornamental plants, eight species of edible plants, and 16 species of economic plants. In addition, it was found out that Dalbergia balansae and Cinnamomum macrocarpum are categorized as vulnerable in the International Union for Conservation of Nature (IUCN Red list, and 13 more species are categorized as the least concern.

A non-equilibrium ortho-to-para ratio of water in the Orion PDR

NARCIS (Netherlands)

Choi, Y.; van der Tak, F. F. S.; Bergin, E. A.; Plume, R.

2014-01-01

Context. The ortho-to-para ratio (OPR) of H2O is thought to be sensitive to the temperature of water formation. The OPR of H2O is thus useful for studying the formation mechanism of water. Aims: We investigate the OPR of water in the Orion PDR (photon-dominated region), at the Orion Bar and Orion S

Nursing qualification and workforce for the Association of Southeast Asian Nations Economic Community.

Science.gov (United States)

Efendi, Ferry; Nursalam, N; Kurniati, Anna; Gunawan, Joko

2018-01-23

International nurse migration among Association of Southeast Asian Nations (ASEAN) countries has the potential to increase the effectiveness of health services and access for the ASEAN Economic Community. Providing equivalent nursing qualifications and licensure standards and increasing the availability of the nursing workforce has become a challenge for ASEAN members. The purpose of this study is: 1) to comparatively analyze information on nursing licensing examinations (NLE) across ASEAN countries; and 2) to present information on the human resources required for a successful nursing workforce. This study reviews all documents published on the subject within the ASEAN Economic Community. NLE systems exist in all ASEAN Member States (AMSs)s except Brunei, Vietnam, and Lao PDR. Nursing education systems also vary across ASEAN countries. Language as a means of general communication and nursing examinations also differs. The availability of a qualified health workforce at the regional level is above the threshold in some areas. However, at the national level, Indonesia, Myanmar, Cambodia, and Lao PDR fall below the threshold. Professional licensure requirements differ among ASEAN nurses as a part of the process to become a qualified nurse in host and source countries. Mutual Recognition Agreements on nursing services should address the differences in NLE requirements as well as the availability of nurses. © 2018 Wiley Periodicals, Inc.

Towards a Curriculum for the Thai Lao of Northeast Thailand?

Science.gov (United States)

Draper, John

2015-01-01

This article considers a fundamental issue in language planning, namely, whether or not to introduce a curriculum for the mother tongue (MT), in the wider context of a complex language planning situation in Thailand. It details recent moves in the consideration of this issue for the Thai Lao (Isan) of Northeast Thailand, Thailand's largest…

Laos : tous les projets | CRDI - Centre de recherches pour le ...

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

Les chaînes de valeur mondiales, qui constituent aujourd'hui la plus importante part du commerce mondial, se composent de producteurs et d'entreprises qui créent des biens comme entrants destinés à d'autres producteurs. Région: Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, South Asia, Far East Asia, ...

Theun-Hinboun hydro deal marks first for Laos

International Nuclear Information System (INIS)

Logie, James

1997-01-01

Financing for the Theun-Hinboun hydroelectric power project in Laos has been achieved from various large companies. This is the first time an Asian power project of this nature has enjoyed such interest on the international finance markets. The project uses run-of-river technology, rather than dams and reservoirs, and so is more environmentally acceptable to conservation agencies. The financial structure of the project's financing is discussed to illustrate its importance as a milestone. (UK)

Spatial Variation in Seasonal Water Poverty Index for Laos: An Application of Geographically Weighted Principal Component Analysis

OpenAIRE

Kallio, Marko; Guillaume, Joseph; Kummu, Matti; Virrantaus, Kirsi-Kanerva

2017-01-01

Water poverty, defined as insufficient water of adequate quality to cover basic needs, is an issue that may manifest itself in multiple ways. Extreme seasonal variation in water availability, such as in Laos, located in Monsoon Asia, results in large differences in water poverty conditions between dry and wet seasons. In this study, seasonal Water Poverty Indices (WPI) are developed for 8215 villages in Laos. WPI is a multidimensional composite index integrating five dimensions of water: reso...

Rubber Plantation Expansion Related Land Use Change along the Laos-China Border Region

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Xiaona Liu

2016-10-01

Full Text Available Spatial-temporal changes of land use and land cover in Luang Namtha Province in northern part of Laos was analyzed using Landsat TM (Thematic Mapper/ETM+ (Enhanced Thematic Mapper images from 1990 to 2010 since the opening of the Boten border adjacent to China. The results showed that: (1 “forest land—cultivated land—grassland” was the primary landscape structure. Woodland was the major land cover type, while paddy field was the dominant land use type replaced by rubber plantation in 2010; (2 since the opening of the border crossings in 1994, the rate and intensity of land use change were accelerated and enhanced gradually, especially in the recent decade. Woodland decreased significantly, while shrubland, rubber plantation and swidden land increased obviously. Rubber plantation and swidden land showed the fastest growth derived from woodland and shrubland, indicating continuous human activities and slash-and-burn farming; and (3 during 1990–2010, swidden land was mainly located in northern mountainous areas with frequently increased changing spatial distribution in the recent decade. Rubber plantation was mainly distributed in the border region of China and Laos with the expansion from the border region into the non-frontier of Laos with Luang Namtha City as the center. Woodland reduction was so obvious along the Kunming-Bangkok highway.

Rural Finance and Microfinance Development in Transition Countries in Southeast and East Asia

OpenAIRE

Llanto, Gilberto M.; Fukui, Ryu

2006-01-01

Microfinance is an emerging important financial subsector in Asian transition countries. Its role is to improve financial access of the poor and small economic players and thus help them to build assets, thereby contribute to poverty alleviation. This paper provides an overview of rural finance and microfinance development in transition countries in Southeast and East Asia—Cambodia, Lao PDR, Myanmar, Vietnam, and Mongolia—focusing on the institutional evolution and the inter-relation between ...

Success factors for sustainable private business operation of decentralised rural electrification with PV - Results from the project "DELTA PRO RES" in the lower Delta Mekong countries

OpenAIRE

Gölz, S.; Vogt, G.; Maigne, Y.; Mozas, K.

2006-01-01

The project Delta PRO RES is the response to the wave of electricity sector reform in developing countries in South East Asia which provides opportunities for a new approach: bankable rural electrification. The project prepares the ground for this future track by developing a methodology and markets to increase rural access to energy with decentralized renewable energy systems in the Lower Delta Mekong countries Vietnam, Cambodia and Lao PDR. Private entrepreneurship and venture capital inves...

Reasons rural Laotians choose home deliveries over delivery at health facilities: a qualitative study

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Sychareun Vanphanom

2012-08-01

Full Text Available Abstract Background Maternal mortality among poor rural women in the Lao People’s Democratic Republic (Lao PDR is among the highest in Southeast Asia, in part because only 15% give birth at health facilities. This study explored why women and their families prefer home deliveries to deliveries at health facilities. Methods A qualitative study was conducted from December 2008 to February 2009 in two provinces of Lao PDR. Data was collected through eight focus group discussions (FGD as well as through in-depth interviews with 12 mothers who delivered at home during the last year, eight husbands and eight grandmothers, involving a total of 71 respondents. Content analysis was used to analyze the FGD and interview transcripts. Results Obstacles to giving birth at health facilities included: (1 Distance to the health facilities and difficulties and costs of getting there; (2 Attitudes, quality of care, and care practices at the health facilities, including a horizontal birth position, episiotomies, lack of privacy, and the presence of male staff; (3 The wish to have family members nearby and the need for women to be close to their other children and the housework; and (4 The wish to follow traditional birth practices such as giving birth in a squatting position and lying on a “hot bed” after delivery. The decision about where to give birth was commonly made by the woman’s husband, mother, mother-in-law or other relatives in consultation with the woman herself. Conclusion This study suggests that the preference in rural Laos for giving birth at home is due to convenience, cost, comfort and tradition. In order to assure safer births and reduce rural Lao PDR’s high maternal mortality rate, health centers could consider accommodating the wishes and traditional practices of many rural Laotians: allowing family in the birthing rooms; allowing traditional practices; and improving attitudes among staff. Traditional birth attendants, women, and

Integrated WiFi/PDR/Smartphone Using an Adaptive System Noise Extended Kalman Filter Algorithm for Indoor Localization

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Xin Li

2016-02-01

Full Text Available Wireless signal strength is susceptible to the phenomena of interference, jumping, and instability, which often appear in the positioning results based on Wi-Fi field strength fingerprint database technology for indoor positioning. Therefore, a Wi-Fi and PDR (pedestrian dead reckoning real-time fusion scheme is proposed in this paper to perform fusing calculation by adaptively determining the dynamic noise of a filtering system according to pedestrian movement (straight or turning, which can effectively restrain the jumping or accumulation phenomena of wireless positioning and the PDR error accumulation problem. Wi-Fi fingerprint matching typically requires a quite high computational burden: To reduce the computational complexity of this step, the affinity propagation clustering algorithm is adopted to cluster the fingerprint database and integrate the information of the position domain and signal domain of respective points. An experiment performed in a fourth-floor corridor at the School of Environment and Spatial Informatics, China University of Mining and Technology, shows that the traverse points of the clustered positioning system decrease by 65%–80%, which greatly improves the time efficiency. In terms of positioning accuracy, the average error is 4.09 m through the Wi-Fi positioning method. However, the positioning error can be reduced to 2.32 m after integration of the PDR algorithm with the adaptive noise extended Kalman filter (EKF.

Increasing safer sexual behavior among Lao kathoy through an integrated social marketing approach.

Science.gov (United States)

Longfield, Kim; Panyanouvong, Xouchai; Chen, Judy; Kays, Megan B

2011-11-16

Although HIV prevalence has remained low in Laos thus far, there is reason to be concerned that Lao male-to-female (MtF) transgender persons (kathoy) and their partners may facilitate the spread of HIV. Little is known about how to most effectively reach kathoy with HIV prevention programming. This paper evaluates an intervention with Lao kathoy with the objective of increasing safe sex with regular and casual partners. Quantitative surveys were administered in November 2004 (n = 288) and June 2006 (n = 415) using time location sampling at venues where kathoy were known to congregate. Respondents were aged 15-35 and from three urban centers in Laos. UNIANOVA tests were used to compare baseline and follow-up survey data and to evaluate the impact of PSI's kathoy-specific interventions on items that changed significantly over time. Exposure to the intervention was associated with higher levels of condom use at last anal sex with casual partners and greater use of water-based lubricant. Exposure was also linked to improved perceptions of product availability for condoms and water-based lubricant. Knowledge about the importance of consistent condom use improved over time as well as the need to use condoms with regular partners. Some HIV knowledge decreased over time and the intention to use condoms with casual partners when water-based lubricant is available also declined. Study results demonstrate the feasibility of reaching kathoy with an integrated social marketing approach; combining product promotion, peer education, and other types of interpersonal communication. The approach was successful at increasing condom use with casual partners and water-based lubricant use, but the importance of using condoms along with water-based lubricant must be emphasized and modified strategies are required for improving condom use with boyfriends. Future messages should emphasize consistent condom use with all types of partners as well as improve knowledge and correct

Detection of human papillomavirus among women in Laos: feasibility of using filter paper card and prevalence of high-risk types.

Science.gov (United States)

Phongsavan, Keokedthong; Gustavsson, Inger; Marions, Lena; Phengsavanh, Alongkone; Wahlström, Rolf; Gyllensten, Ulf

2012-10-01

Persistent infection with high-risk (HR) human papillomavirus (HPV) is a well-recognized cause of cervical cancer, but little is known about the situation in Laos. The aims of the study were to determine the prevalence of HR-HPV among Lao women and to evaluate the use of a filter paper card (FTA Elute Micro Card) for collection of cervical cells in the humid tropical climate. This is a cross-sectional study including 1922 women from 3 provinces in Laos. During a gynecological examination, cervical cells were collected and applied to the FTA card followed by HPV typing using a real-time polymerase chain reaction (PCR)-based assay. Overall, 213 of the 1922 women were positive for HR-HPV (11%). The most common type was the group HPV33/52/58 (3%), followed by the single type 16 (2%) and the group 18/45 (1%), respectively. Only 11 cards (0.6%) did not contain a sufficient amount of genomic DNA for polymerase chain reaction-based analysis. The prevalence of HR-HPV infections in Laos is similar to other Asian countries, and 40% of the women with an HR-HPV infection will be target of the present HPV vaccines. The FTA card is suitable for collection of cervical cells for HR-HPV typing in tropical conditions. This information is important for planning and establishing primary and secondary prevention of cervical cancer in Laos.

Treatment Results of PDR Brachytherapy Combined With External Beam Radiotherapy in 106 Patients With Intermediate- to High-Risk Prostate Cancer

International Nuclear Information System (INIS)

Pieters, Bradley R.; Geijsen, Elisabeth D.; Koedooder, Kees; Blank, Leo E.C.M.; Rezaie, Elisa; Grient, Johan N.B. van der; Reijke, Theo M. de; Koning, Caro C.E.

2011-01-01

Purpose: To evaluate treatment outcome of pulsed dose-rate brachytherapy (PDR) combined with external-beam radiotherapy (EBRT) for the treatment of prostate cancer. Methods and Materials: Between 2002 and 2007, 106 patients were treated by EBRT combined with PDR and followed prospectively. Two, 38, and 66 patients were classified as low-, intermediate-, and high-risk disease respectively according to the National Comprehensive Cancer Network criteria. EBRT dose was 46 Gy in 2.0-Gy fractions. PDR dose was increased stepwise from 24.96 to 28.80 Gy. Biochemical disease free survival and overall survival were determined by the Kaplan-Meier method. Cumulative incidence of late gastrointestinal (GI) and genitourinary (GU) toxicity were scored, according to the Common Terminology Criteria for Adverse Events. Results: The 3- and 5-year biochemical nonevidence of disease (bNED) were 92.8% (95% confidence interval [CI], 87.1-98.5) and 89.5% (95% CI, 85.2-93.8), respectively. Overall survival at 3 and 5 years was 99% (95% CI, 96-100) and 96% (95% CI, 90-100), respectively. The 3- and 5-year Grade 2 GI toxicity was 5.3% (95% CI, 0-10.6) and 12.0% (95% CI, 1.4-22.6), respectively. No Grade 3 or higher GI toxicity was observed. The 3- and 5-year Grade 2 or higher GU toxicity was 18.7% (95% CI, 10.3-27.1) and 26.9% (95% CI, 15.1-38.7), respectively. Conclusion: Results on tumor control and late toxicity of EBRT combined with PDR are good and comparable to results obtained with EBRT combined with high-dose-rate brachytherapy for the treatment of prostate cancer.

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...

Beriberi (thiamine deficiency and high infant mortality in northern Laos.

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Hubert Barennes

2015-03-01

Full Text Available Infantile beriberi (thiamine deficiency occurs mainly in infants breastfed by mothers with inadequate intake of thiamine, typically among vulnerable populations. We describe possible and probable cases of infantile thiamine deficiency in northern Laos.Three surveys were conducted in Luang Namtha Province. First, we performed a retrospective survey of all infants with a diagnosis of thiamine deficiency admitted to the 5 hospitals in the province (2007-2009. Second, we prospectively recorded all infants with cardiac failure at Luang Namtha Hospital. Third, we further investigated all mothers with infants (1-6 months living in 22 villages of the thiamine deficiency patients' origin. We performed a cross-sectional survey of all mothers and infants using a pre-tested questionnaire, physical examination and squat test. Infant mortality was estimated by verbal autopsy. From March to June 2010, four suspected infants with thiamine deficiency were admitted to Luang Namtha Provincial hospital. All recovered after parenteral thiamine injection. Between 2007 and 2009, 54 infants with possible/probable thiamine deficiency were diagnosed with acute severe cardiac failure, 49 (90.2% were cured after parenteral thiamine; three died (5.6%. In the 22 villages, of 468 live born infants, 50 (10.6%, 95% CI: 8.0-13.8 died during the first year. A peak of mortality (36 deaths was reported between 1 and 3 months. Verbal autopsy suggested that 17 deaths (3.6% were due to suspected infantile thiamine deficiency. Of 127 mothers, 60 (47.2% reported edema and paresthesia as well as a positive squat test during pregnancy; 125 (98.4% respected post-partum food avoidance and all ate polished rice. Of 127 infants, 2 (1.6% had probable thiamine deficiency, and 8 (6.8% possible thiamine deficiency.Thiamine deficiency may be a major cause of infant mortality among ethnic groups in northern Laos. Mothers' and children's symptoms are compatible with thiamine deficiency. The severity

Laos : tous les projets | Page 2 | CRDI - Centre de recherches pour ...

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

Région: Central Asia, Far East Asia, South Asia, Cambodia, Indonesia, Laos, Malaysia, Mongolia, Nepal, Pakistan, Philippines, Japan. Programme: Économies en réseaux ... Depuis sa création, Internet est dominé par la langue anglaise et la culture nord-américaine. Date de début : 30 avril 2007. End Date: 26 juin 2012.

Land-use change in a telecoupled world: the relevance and applicability of the telecoupling framework in the case of banana plantation expansion in Laos

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Cecilie Friis

2017-12-01

Full Text Available Land-use change is increasingly influenced by complex socioeconomic and environmental interactions that transcend spatial, institutional, and temporal scales. These interactions challenge classical place-based land system analysis and require new analytical approaches equipped for tackling processes, flows, and feedbacks over distance. The recently proposed telecoupling framework offers interesting perspectives for bringing place-based and process-oriented research together in the study of land-use change. However, few studies have explored the influence and implications of telecouplings in local land-use changes. One reason for this is that the framework still faces challenges for application in empirical research. Here, we offer a qualitative operationalization of the telecoupling framework to explore its relevance and applicability in a case of local land-use change. Investigating the case of a recent boom in commercial banana cultivation in Luang Namtha Province, Lao PDR, we use a grounded empirical approach starting with the observed land-use change at the village level. We then trace flows and distal processes influencing the conversion to banana cultivation from the perspectives and experiences of the local actors involved. The results identify four prominent material and immaterial telecouplings at various spatial and temporal scales, as well as some potential feedbacks. This complexity points to the need for interdisciplinary research because the processes involved in creating telecoupled land-use change transcend the boundaries of any one discipline. Overall, however, telecoupling presents a strong heuristic lens for examining and describing distal causal relations in land-use change in a manner that does not favor a specific analytical scale or type of interaction.

Increasing safer sexual behavior among Lao kathoy through an integrated social marketing approach

Directory of Open Access Journals (Sweden)

Longfield Kim

2011-11-01

Full Text Available Abstract Background Although HIV prevalence has remained low in Laos thus far, there is reason to be concerned that Lao male-to-female (MtF transgender persons (kathoy and their partners may facilitate the spread of HIV. Little is known about how to most effectively reach kathoy with HIV prevention programming. This paper evaluates an intervention with Lao kathoy with the objective of increasing safe sex with regular and casual partners. Methods Quantitative surveys were administered in November 2004 (n = 288 and June 2006 (n = 415 using time location sampling at venues where kathoy were known to congregate. Respondents were aged 15-35 and from three urban centers in Laos. UNIANOVA tests were used to compare baseline and follow-up survey data and to evaluate the impact of PSI's kathoy-specific interventions on items that changed significantly over time. Results Exposure to the intervention was associated with higher levels of condom use at last anal sex with casual partners and greater use of water-based lubricant. Exposure was also linked to improved perceptions of product availability for condoms and water-based lubricant. Knowledge about the importance of consistent condom use improved over time as well as the need to use condoms with regular partners. Some HIV knowledge decreased over time and the intention to use condoms with casual partners when water-based lubricant is available also declined. Conclusions Study results demonstrate the feasibility of reaching kathoy with an integrated social marketing approach; combining product promotion, peer education, and other types of interpersonal communication. The approach was successful at increasing condom use with casual partners and water-based lubricant use, but the importance of using condoms along with water-based lubricant must be emphasized and modified strategies are required for improving condom use with boyfriends. Future messages should emphasize consistent condom use with all types

Increasing safer sexual behavior among Lao kathoy through an integrated social marketing approach

Science.gov (United States)

2011-01-01

Background Although HIV prevalence has remained low in Laos thus far, there is reason to be concerned that Lao male-to-female (MtF) transgender persons (kathoy) and their partners may facilitate the spread of HIV. Little is known about how to most effectively reach kathoy with HIV prevention programming. This paper evaluates an intervention with Lao kathoy with the objective of increasing safe sex with regular and casual partners. Methods Quantitative surveys were administered in November 2004 (n = 288) and June 2006 (n = 415) using time location sampling at venues where kathoy were known to congregate. Respondents were aged 15-35 and from three urban centers in Laos. UNIANOVA tests were used to compare baseline and follow-up survey data and to evaluate the impact of PSI's kathoy-specific interventions on items that changed significantly over time. Results Exposure to the intervention was associated with higher levels of condom use at last anal sex with casual partners and greater use of water-based lubricant. Exposure was also linked to improved perceptions of product availability for condoms and water-based lubricant. Knowledge about the importance of consistent condom use improved over time as well as the need to use condoms with regular partners. Some HIV knowledge decreased over time and the intention to use condoms with casual partners when water-based lubricant is available also declined. Conclusions Study results demonstrate the feasibility of reaching kathoy with an integrated social marketing approach; combining product promotion, peer education, and other types of interpersonal communication. The approach was successful at increasing condom use with casual partners and water-based lubricant use, but the importance of using condoms along with water-based lubricant must be emphasized and modified strategies are required for improving condom use with boyfriends. Future messages should emphasize consistent condom use with all types of partners as well as

Laos ja tootmises piirid paika. Selge markeering tagab korra / Jaana Pikalev ; kommenteerinud OIiver Licht

Index Scriptorium Estoniae

Pikalev, Jaana

2011-01-01

Inglismaa ekspertide hinnangul peaksid Eesti firmad oluliselt parandama tööohutust ning tootmishooneid ja töötingimusi. Lao- ja tootmispindu tuleks markeerida. Kalevi kommivabriku laokoordinaatori Siim Simsi hinnangul võiksid Eestis olla markeerimisstandardid

Assessment of continuous gas resources in the Khorat Plateau Province, Thailand and Laos, 2016

Science.gov (United States)

Schenk, Christopher J.; Klett, Timothy R.; Mercier, Tracey J.; Finn, Thomas M.; Tennyson, Marilyn E.; Gaswirth, Stephanie B.; Marra, Kristen R.; Le, Phuong A.; Drake, Ronald M.

2017-05-25

Using a geology-based assessment methodology, the U.S. Geological Survey assessed mean undiscovered, technically recoverable resources of 2.3 trillion cubic feet of continuous gas in the Khorat Plateau Province of Thailand and Laos.

Predicting Environmental Suitability for a Rare and Threatened Species (Lao Newt, Laotriton laoensis) Using Validated Species Distribution Models

Science.gov (United States)

Chunco, Amanda J.; Phimmachak, Somphouthone; Sivongxay, Niane; Stuart, Bryan L.

2013-01-01

The Lao newt (Laotriton laoensis) is a recently described species currently known only from northern Laos. Little is known about the species, but it is threatened as a result of overharvesting. We integrated field survey results with climate and altitude data to predict the geographic distribution of this species using the niche modeling program Maxent, and we validated these predictions by using interviews with local residents to confirm model predictions of presence and absence. The results of the validated Maxent models were then used to characterize the environmental conditions of areas predicted suitable for L. laoensis. Finally, we overlaid the resulting model with a map of current national protected areas in Laos to determine whether or not any land predicted to be suitable for this species is coincident with a national protected area. We found that both area under the curve (AUC) values and interview data provided strong support for the predictive power of these models, and we suggest that interview data could be used more widely in species distribution niche modeling. Our results further indicated that this species is mostly likely geographically restricted to high altitude regions (i.e., over 1,000 m elevation) in northern Laos and that only a minute fraction of suitable habitat is currently protected. This work thus emphasizes that increased protection efforts, including listing this species as endangered and the establishment of protected areas in the region predicted to be suitable for L. laoensis, are urgently needed. PMID:23555808

Effective mine risk education in war-zone areas--a shared responsibility.

Science.gov (United States)

Durham, Joanne; Gillieatt, Sue; Sisavath, Bounpheng

2005-09-01

The focus of this paper is effective health education and promotion in the field of mine awareness, or what has more recently been re-titled 'mine risk education'. According to the United Nations, mine risk education comprises educational activities that aim to reduce the risk of injury from landmine/unexploded ordnance (UXO) through raising awareness and promoting behavioural change and includes public information dissemination, education and training, and community mine action liaison. Specifically, this paper is an empirical study of mine risk education practices using data collected during the implementation of a mine risk education programme that commenced in Lao PDR in 1996 and is ongoing. In particular, it considers lessons learned from the programme's monitoring and evaluation process. The authors argue that in a country such as Lao PDR, where communities have lived with UXO infestation for over 25 years, more mine risk education is not necessarily needed. This paper concludes that common programmes of mine risk education using top-down educational methods, based on the assumption that ignorance of landmine/UXO risk is the key factor in mine accidents, are inadequate. Evidence from the literature on health promotion and the experience of the programme indicate that there is a need to supplement or replace existing common mine risk education practices with techniques that incorporate an understanding of the economic, social and political circumstances faced by communities at risk.

Facilitators and barriers to accessing reproductive health care for migrant beer promoters in Cambodia, Laos, Thailand and Vietnam: A mixed methods study

Science.gov (United States)

2012-01-01

Background The purpose of the research was to assess access to sexual and reproductive health services for migrant women who work as beer promoters. This mixed methods research was conducted in Phnom Penh, Cambodia, Bangkok, Thailand, Vientiane, Laos, and Hanoi, Vietnam during 2010 to 2011. Methods Focus groups were held with beer promoters and separate focus groups or interviews with key informants to explore the factors affecting beer promoters’ access to health care institutions for reproductive health care. The findings of the focus groups were used to develop a survey for beer promoters. This survey was conducted in popular health institutions for these women in each of the four Asian cities. Results Several common themes were evident. Work demands prevented beer promoters from accessing health care. Institutional factors affecting care included cost, location, environmental factors (e.g. waiting times, cleanliness and confidentiality) and service factors (e.g. staff attitudes, clinic hours, and availability of medications). Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends. The survey of the beer promoters confirmed that cost, location and both environmental and service factors impact on access to health care services for beer promoters. Many beer promoters are sexually active, and a significant proportion of those surveyed rely on sex work to supplement their income. Many also drink with their clients. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites. Conclusions Recommendations from the research include the provision of evening and weekend clinic hours to facilitate access, free or low cost clinics, and health insurance through employer or government plans which are easy to access for migrants. Other improvements that would facilitate the access of beer promoters to these services include increased funding to hire

Facilitators and barriers to accessing reproductive health care for migrant beer promoters in Cambodia, Laos, Thailand and Vietnam: a mixed methods study.

Science.gov (United States)

Webber, Gail; Spitzer, Denise; Somrongthong, Ratana; Dat, Truong Cong; Kounnavongsa, Somphone

2012-07-02

The purpose of the research was to assess access to sexual and reproductive health services for migrant women who work as beer promoters. This mixed methods research was conducted in Phnom Penh, Cambodia, Bangkok, Thailand, Vientiane, Laos, and Hanoi, Vietnam during 2010 to 2011. Focus groups were held with beer promoters and separate focus groups or interviews with key informants to explore the factors affecting beer promoters' access to health care institutions for reproductive health care. The findings of the focus groups were used to develop a survey for beer promoters. This survey was conducted in popular health institutions for these women in each of the four Asian cities. Several common themes were evident. Work demands prevented beer promoters from accessing health care. Institutional factors affecting care included cost, location, environmental factors (e.g. waiting times, cleanliness and confidentiality) and service factors (e.g. staff attitudes, clinic hours, and availability of medications). Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends.The survey of the beer promoters confirmed that cost, location and both environmental and service factors impact on access to health care services for beer promoters. Many beer promoters are sexually active, and a significant proportion of those surveyed rely on sex work to supplement their income. Many also drink with their clients. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites. Recommendations from the research include the provision of evening and weekend clinic hours to facilitate access, free or low cost clinics, and health insurance through employer or government plans which are easy to access for migrants. Other improvements that would facilitate the access of beer promoters to these services include increased funding to hire more staff (reducing waiting times) and to

Facilitators and barriers to accessing reproductive health care for migrant beer promoters in Cambodia, Laos, Thailand and Vietnam: A mixed methods study

Directory of Open Access Journals (Sweden)

Webber Gail

2012-07-01

Full Text Available Abstract Background The purpose of the research was to assess access to sexual and reproductive health services for migrant women who work as beer promoters. This mixed methods research was conducted in Phnom Penh, Cambodia, Bangkok, Thailand, Vientiane, Laos, and Hanoi, Vietnam during 2010 to 2011. Methods Focus groups were held with beer promoters and separate focus groups or interviews with key informants to explore the factors affecting beer promoters’ access to health care institutions for reproductive health care. The findings of the focus groups were used to develop a survey for beer promoters. This survey was conducted in popular health institutions for these women in each of the four Asian cities. Results Several common themes were evident. Work demands prevented beer promoters from accessing health care. Institutional factors affecting care included cost, location, environmental factors (e.g. waiting times, cleanliness and confidentiality and service factors (e.g. staff attitudes, clinic hours, and availability of medications. Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends. The survey of the beer promoters confirmed that cost, location and both environmental and service factors impact on access to health care services for beer promoters. Many beer promoters are sexually active, and a significant proportion of those surveyed rely on sex work to supplement their income. Many also drink with their clients. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites. Conclusions Recommendations from the research include the provision of evening and weekend clinic hours to facilitate access, free or low cost clinics, and health insurance through employer or government plans which are easy to access for migrants. Other improvements that would facilitate the access of beer promoters to these services include

A new karst-dwelling bent-toed gecko (Squamata: Gekkonidae: Cyrtodactylus) from Xiangkhoang Province, northeastern Laos.

Science.gov (United States)

Nazarov, Roman A; Pauwels, Olivier S G; Konstantinov, Evgeniy L; Chulisov, Anatoliy S; Orlov, Nikolai L; Poyarkov, Nikolay A

2018-05-18

We describe a new karst-dwelling Cyrtodactylus from Ban Thathom, Xiangkhoang Province, northeastern Laos. The new species can be distinguished from other congeners by having four dark dorsal bands between limb insertions, a discontinuous nuchal loop, 10 precloacal pores in males or 10-12 precloacal pits (females) separated by a diastema from a series of enlarged femoral scales bearing 18 or 19 pores (male) or 8-10 pits (females) along each femur, 14-18 dorsal tubercle rows at midbody, no precloacal groove, 30-36 midbody scale rows across belly between ventrolateral skin folds, transversely enlarged subcaudal plates, and a maximal known snout-vent length of 75.5 mm. Our description brings to 22 the number of Cyrtodactylus species recorded from Laos.

Distance Education Policy and Public Awareness in Cambodia, Laos, and Viet Nam

Science.gov (United States)

Vuth, Doung; Than, Chhuon Chan; Phanousith, Somphone; Phissamay, Phonpasit; Tai, Tran Thi

2007-01-01

The current project brings together academic and governmental specialists from Cambodia, Laos, and Viet Nam (CLV), in a collaborative study of the prospects for distance education (DE) in those countries. The study's overall objectives are to: (1) survey and take stock of existing educational scenarios and problems in CLV; (2) document the…

Autofluorescence microscopy for paired-matched morphological and molecular identification of individual chigger mites (Acari: Trombiculidae, the vectors of scrub typhus.

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Rawadee Kumlert

Full Text Available Conventional gold standard characterization of chigger mites involves chemical preparation procedures (i.e. specimen clearing for visualization of morphological features, which however contributes to destruction of the arthropod host DNA and any endosymbiont or pathogen DNA harbored within the specimen.In this study, a novel work flow based on autofluorescence microscopy was developed to enable identification of trombiculid mites to the species level on the basis of morphological traits without any special preparation, while preserving the mite DNA for subsequent genotyping. A panel of 16 specifically selected fluorescence microscopy images of mite features from available identification keys served for complete chigger morphological identification to the species level, and was paired with corresponding genotype data. We evaluated and validated this method for paired chigger morphological and genotypic ID using the mitochondrial cytochrome c oxidase subunit I gene (coi in 113 chigger specimens representing 12 species and 7 genera (Leptotrombidium, Ascoschoengastia, Gahrliepia, Walchia, Blankaartia, Schoengastia and Schoutedenichia from the Lao People's Democratic Republic (Lao PDR to the species level (complete characterization, and 153 chiggers from 5 genera (Leptotrombidium, Ascoschoengastia, Helenicula, Schoengastiella and Walchia from Thailand, Cambodia and Lao PDR to the genus level. A phylogenetic tree constructed from 77 coi gene sequences (approximately 640 bp length, n = 52 new coi sequences and n = 25 downloaded from GenBank, demonstrated clear grouping of assigned morphotypes at the genus levels, although evidence of both genetic polymorphism and morphological plasticity was found.With this new methodology, we provided the largest collection of characterized coi gene sequences for trombiculid mites to date, and almost doubled the number of available characterized coi gene sequences with a single study. The ability to provide paired

Does a quality assurance training course on chest radiography for radiological technologists improve their performance in Laos?

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Akihiro Ohkado

2017-01-01

Full Text Available Background: It is of critical importance to improve and maintain the quality of chest radiography (CXR to avoid faulty diagnosis of respiratory diseases. The study aims to determine the effectiveness of a training program in improving the quality of CXR among radiological technologists (RTs in Laos. Design: This was a cross-sectional study, conducted through on-site investigation of X-ray facilities, assessment of CXR films in Laos, both before and after a training course in November 2013. Methods: Each RT prospectively selected 6 recent CXR films, taken both before and within approximately 6 months of attending the training course. Consequently, 12 CXR films per RT were supposed to be collected for assessment. The quality of the CXR films was assessed using the “Assessment Sheet for Imaging Quality of Chest Radiography.” Results: Nineteen RTs from 19 facilities at 16 provinces in Laos participated in the training course. Among them, 17 RTs submitted the required set of CXR films (total: 204 films. A wide range of X-ray machine settings had been used as tube voltage ranged from 40 to 130 kV. The assessment of the CXR films indicated that the training was effective in improving the CXR quality regarding contrast (P = 0.005, sharpness (P = 0.004, and the total score on the 6 assessment factors (P = 0.009. Conclusions: The significant improvement in the total score on the 6 assessment factors, in contrast, and in sharpness, strongly suggests that the training course had a positive impact on the quality of CXR among a sample trainees of RTs in Laos.

Task 2 Report - A GIS-Based Technical Potential Assessment of Domestic Energy Resources for Electricity Generation.

Energy Technology Data Exchange (ETDEWEB)

Lee, Nathan [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Grue, Nicholas W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Rosenlieb, Evan [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2018-03-14

The purpose of this report is to support the Lao Ministry of Energy and Mines in assessing the technical potential of domestic energy resources for utility scale electricity generation in the Lao PDR. Specifically, this work provides assessments of technical potential, and associated maps of developable areas, for energy technologies of interest. This report details the methodology, assumptions, and datasets employed in this analysis to provide a transparent, replicable process for future analyses. The methodology and results presented are intended to be a fundamental input to subsequent decision making and energy planning-related analyses. This work concentrates on domestic energy resources for utility-scale electricity generation and considers solar photovoltaic, wind, biomass, and coal resources. This work does not consider potentially imported energy resources (e.g., natural gas) or domestic energy resources that are not present in sufficient quantity for utility-scale generation (e.g., geothermal resources). A technical potential assessment of hydropower resources is currently not feasible due to the absence of required data including site-level assessments of multiple characteristics (e.g., geology environment and access) as well as spatial data on estimated non-exploited hydropower resources. This report is the second output of the Energy Alternatives Study for the Lao PDR, a collaboration led by the Lao Ministry of Energy and Mines and the United States Agency for International Development under the auspices of the Smart Infrastructure for the Mekong program. The Energy Alternatives Study is composed of five successive tasks that collectively support the project's goals. This work is focused on Task 2 - Assess technical potential of domestic energy resources for electricity generation. The work was carried out by a team from the U.S. Department of Energy's National Renewable Energy Laboratory (NREL) in collaboration with the Lao Ministry of Energy

Intestinal parasitic infections in HIV-infected patients, Lao People's Democratic Republic.

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Phimpha Paboriboune

Full Text Available BACKGROUND: HIV infection is an emerging problem in Laos. We conducted the first prospective study on intestinal parasites, including opportunistic protozoa, in newly diagnosed HIV infected patients, with or without diarrhea. The aims were to describe the spectrum of infections, to determine their prevalence and to assess their associations with diarrhea, CD4 cell count, place of residence and living conditions. METHODOLOGY: One to three stool samples over consecutive days were obtained from 137 patients. The Kato thick smear method, formalin-ethyl concentration and specific stains for coccidia and microsporidia diagnosis were performed on 260 stool samples. Baseline characteristics regarding relevant demographics, place of residence and living conditions, clinical features including diarrhea, were collected using a standardized questionnaire. PRINCIPAL FINDINGS: The 137 patients were young (median age: 36 years and severely immunocompromised (83.9% at WHO stage 3 or 4, median CD4 cell count: 41/mm3. Diarrhea was present in 43.0% of patients. Parasite infection was found in 78.8% of patients, infection with at least two species in 49.6%. Prevalence rates of protozoan and helminth infections were similar (54.7% and 58.4% respectively. Blastocystis sp. was the most frequent protozoa (26.3%. Cryptosporidium sp., Cytoisospora belli and microsporidia, found at low prevalence rates (6.6%, 4.4%, 2.9%, respectively, were described for the first time in Laos. Cryptosporidium sp. was associated with persistent diarrhea. Strongyloides stercoralis was the most prevalent helminth following Opisthorchis viverrini (20.4% and 47.5% respectively. The most immunocompromised patients, as assessed by a CD4 count ≤ 50 cells/mm3, were more likely to be infected with intestinal parasites. CONCLUSIONS/SIGNIFICANCE: HIV infection was mainly diagnosed at an advanced stage of immunosuppression in Lao patients. Intestinal parasite infections were highly prevalent

Causes of Severe Visual Impairment and Blindness: Comparative Data From Bhutanese and Laotian Schools for the Blind.

Science.gov (United States)

Farmer, Lachlan David Mailey; Ng, Soo Khai; Rudkin, Adam; Craig, Jamie; Wangmo, Dechen; Tsang, Hughie; Southisombath, Khamphoua; Griffiths, Andrew; Muecke, James

2015-01-01

To determine and compare the major causes of childhood blindness and severe visual impairment in Bhutan and Laos. Independent cross-sectional surveys. This survey consists of 2 cross-sectional observational studies. The Bhutanese component was undertaken at the National Institute for Vision Impairment, the only dedicated school for the blind in Bhutan. The Laotian study was conducted at the National Ophthalmology Centre and Vientiane School for the Blind. Children younger than age 16 were invited to participate. A detailed history and examination were performed consistent with the World Health Organization Prevention of Blindness Eye Examination Record. Of the 53 children examined in both studies, 30 were from Bhutan and 23 were from Laos. Forty percent of Bhutanese and 87.1% of Laotian children assessed were blind, with 26.7% and 4.3%, respectively, being severely visually impaired. Congenital causes of blindness were the most common, representing 45% and 43.5% of the Bhutanese and Laotian children, respectively. Anatomically, the primary site of blinding pathology differed between the cohorts. In Bhutan, the lens comprised 25%, with whole globe at 20% and retina at 15%, but in Laos, whole globe and cornea equally contributed at 30.4%, followed by retina at 17.4%. There was an observable difference in the rates of blindness/severe visual impairment due to measles, with no cases observed in the Bhutanese children but 20.7% of the total pathologies in the Laotian children attributable to congenital measles infection. Consistent with other studies, there is a high rate of blinding disease, which may be prevented, treated, or ameliorated.

Using Plant Functional Traits and Phylogenies to Understand Patterns of Plant Community Assembly in a Seasonal Tropical Forest in Lao PDR.

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Manichanh Satdichanh

Full Text Available Plant functional traits reflect different evolutionary responses to environmental variation, and among extant species determine the outcomes of interactions between plants and their environment, including other plant species. Thus, combining phylogenetic and trait-based information can be a powerful approach for understanding community assembly processes across a range of spatial scales. We used this approach to investigate tree community composition at Phou Khao Khouay National Park (18°14'-18°32'N; 102°38'- 102°59'E, Laos, where several distinct forest types occur in close proximity. The aim of our study was to examine patterns of plant community assembly across the strong environmental gradients evident at our site. We hypothesized that differences in tree community composition were being driven by an underlying gradient in soil conditions. Thus, we predicted that environmental filtering would predominate at the site and that the filtering would be strongest on sandier soil with low pH, as these are the conditions least favorable to plant growth. We surveyed eleven 0.25 ha (50x50 m plots for all trees above 10 cm dbh (1221 individual trees, including 47 families, 70 genera and 123 species and sampled soils in each plot. For each species in the community, we measured 11 commonly studied plant functional traits covering both the leaf and wood economic spectrum traits and we reconstructed a phylogenetic tree for 115 of the species in the community using rbcL and matK sequences downloaded from Genebank (other species were not available. Finally we compared the distribution of trait values and species at two scales (among plots and 10x10m subplots to examine trait and phylogenetic community structures. Although there was strong evidence that an underlying soil gradient was determining patterns of species composition at the site, our results did not support the hypothesis that the environmental filtering dominated community assembly processes

Mimogonellus dreybrodti sp. n., a new cave-inhabiting Osoriinae from Laos (Coleoptera: Staphylinidae).

Science.gov (United States)

Yin, Zi-Wei; Steiner, Helmut

2017-10-17

A new osoriine species, Mimogonellus dreybrodti Yin & Steiner, sp. n., collected from a cave in Houaphanh Province, Laos, is described and illustrated. This represents the third Mimogonellus species in Asia, and the first in the genus known to inhabit a cave environment.

Interaction of hemoglobin Grey Lynn (Vientiane) with a non-deletional α(+)-thalassemia in an adult Thai proband.

Science.gov (United States)

Singha, Kritsada; Fucharoen, Goonnapa; Fucharoen, Supan

2014-01-01

Hemoglobin (Hb) Grey Lynn is a Hb variant caused by a substitution of Phe for Leu at position 91 of α1-globin chain, originally described in individual of unknown ethnic background. This article addresses the interaction of Hb Grey Lynn with a non-deletional α(+)-thalassemia found in Thailand, a hitherto un-described condition. The proband was adult Thai woman referred for investigation of mild anemia with Hb 90 g/L. Hb analyses using low pressure liquid chromatography raised a suspicion of abnormal Hb presence, which was failed to demonstrate by cellulose acetate electrophoresis and capillary electrophoresis. DNA sequencing identified a CTT (Leu) to TTT (Phe) mutation at codon 91 corresponding to the Hb Grey Lynn (Vientiane) [α91(FG3)Leu>Phe (α1) on α1-globin gene and a C deletion between codons 36 and 37 on α2-globin gene causing α(+)-thalassemia. As compared to those observed in a compound heterozygote for Hb Grey Lynn / α(0)-thalassemia reported previously, higher MCV (81.7 fL) and MCH (26.3 pg) values with a lower level of Hb Grey Lynn (19.7%) were observed in the proband. The normochromic normocytic anemia observed could be due to the interaction of Hb Grey Lynn with α(+)-thalassemia. The two mutations could be identified using PCR-RFLP and allele-specific PCR assays developed.

Meelis Lao astub kohtu ette McDonald's Eesti ründamise eest / Martin Hanson, Peeter Raidla

Index Scriptorium Estoniae

Hanson, Martin, 1984-

2005-01-01

Prokuratuur süüdistab Meelis Laod McDonald'si omavolilises sulgemises rendivaidluse tõttu. Skeem: Meelis Laoga seotud firmad. Vt. samas: Omakohus kohut ei mõjutanud; Mõis: Lao tegutseb efektiivselt

Safety, feasibility, and acceptability of visual inspection with acetic acid and immediate treatment with cryotherapy in rural Laos.

Science.gov (United States)

Phongsavan, Keokedthong; Phengsavanh, Alongkone; Wahlström, Rolf; Marions, Lena

2011-09-01

To assess the safety, acceptability, and feasibility of visual inspection with acetic acid (VIA) followed by immediate treatment with cryotherapy as a single-visit approach for the prevention of cervical cancer among women in rural Laos. In 2009, women from 2 provinces in Laos were recruited for cervical cancer screening using VIA. If the inspection of the cervix showed a well-defined acetowhite lesion close to the os, immediate cryotherapy was offered. Of the 1926 women who were included, 134 (7.0%) tested positive on VIA. Of these, 113 (84.3%) underwent immediate cryotherapy and none declined treatment. One year after immediate cryotherapy, 77 (68.1%) women returned for a follow-up assessment and 68 (88.3%) were now VIA-negative. There was no report of a major complication during or after treatment. The acceptance of both VIA and cryotherapy was high. Visual inspection with acetic acid is a simple test that requires minimal infrastructure and expenditure. Integration of VIA with cryotherapy at the primary care level may constitute a feasible program for the prevention of cervical cancer in Laos. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Results of ten centers, participating to the S.T.I.C. P.D.R. programme in relation with the external quality control in brachytherapy

International Nuclear Information System (INIS)

Metayer, Y.; Peiffert, D.; Brenier, J.P.; Bellec, J.; Goubard, O.; Chemin, A.; Chea, M.; Gaillot, N.

2007-01-01

Under the programme of S.T.I.C. P.D.R. brachytherapy a part of the quality control is realized internally (control of the Ir-192 source, the projector, treatment) and another is performed externally. It mainly concerns the use planning software. This control has helped to detect two problems of reconstruction, assess and validate the procedures for the acquisition, transfer and use of 3D images, check that the agreement issued on the dose is better than 5% on 10 projectors sources. S.T.I.C. ( supporting to costly innovative techniques; P.D.R (pulsed dose rate). (N.C.)

February 2012 workshop jumpstarts the Mekong Fish Monitoring Network

Science.gov (United States)

Andersen, Matthew E.; Ainsley, Shaara M.

2012-01-01

The Mekong River in Southeast Asia travels through a basin rich in natural resources. The river originates on the northern slope of the world's tallest mountains, the Himalaya Range, and then drops elevation quickly through steep mountain gorges, tumbling out of China into Myanmar (Burma) and the Lao People's Democratic Republic (Lao PDR). The precipitous terrain of Lao PDR and Thailand generates interest in the river and its tributaries for hydropower development. The terrain, soils, water, and climate make it one of the world's most biologically rich regions. The Mekong's bounty is again on display in the Mekong River Delta, where rice production has successfully been increased to high levels making Vietnam second only to Thailand as the world's largest rice exporters. At least 800 fish species contribute to the natural resource bounty of the Mekong River and are the basis for one of the world's most productive fisheries that provide the primary protein source to more than 50 million people. Against this backdrop of rich natural resources, the U.S. Geological Survey (USGS) is working with the consulting firm FISHBIO, colleagues from the international Delta Research and Global Observation Network (DRAGON) Institute, and a broad contingent of Southeast Asian representatives and partners from abroad to increase knowledge of the Mekong River fisheries and to develop the capacity of permanent residents to investigate and understand these fisheries resources. With the Lower Mekong Basin (LMB) region facing the likelihood of significant environmental changes as a result of both human activities and global climate change, enhancing environmental understanding is critical. To encourage cooperation among the LMB scientists and managers in the study of the Mekong River's fisheries, FISHBIO and the USGS, with generous support from the U.S. State Department, hosted a workshop in Phnom Penh, Cambodia, in February 2012. Workshop participants were from Lao PDR, Thailand

The practice and clinical implications of tablet splitting in international health

Science.gov (United States)

Elliott, Ivo; Mayxay, Mayfong; Yeuichaixong, Sengchanh; Lee, Sue J; Newton, Paul N

2014-01-01

Objective Tablet splitting is frequently performed to facilitate correct dosing, but the practice and implications in low-income settings have rarely been discussed. Methods We selected eight drugs, with narrow therapeutic indices or critical dosages, frequently divided in the Lao PDR (Laos). These were split, by common techniques used in Laos, by four nurses and four laypersons. The mean percentage deviation from the theoretical expected weight and weight loss of divided tablets/capsules were recorded. Results Five of eight study drugs failed, on splitting, to meet European Pharmacopoeia recommendations for tablet weight deviation from the expected weight of tablet/capsule halves with 10% deviating by more than 25%. There was a significant difference in splitting accuracy between nurses and laypersons (P = 0.027). Coated and unscored tablets were less accurately split than uncoated (P = 0.03 and 0.0019 for each half) and scored (0.0001 for both halves) tablets. Conclusion These findings have potential clinical implications on treatment outcome and the development of antimicrobial resistance. Investment by drug companies in a wider range of dosage units, particularly for narrow therapeutic index and critical dosage medicines, is strongly recommended. PMID:24702766

Cigarette price level and variation in five Southeast Asian countries.

Science.gov (United States)

Liber, Alex C; Ross, Hana; Ratanachena, Sophapan; Dorotheo, E Ulysses; Foong, Kin

2015-06-01

To monitor and analyse impacts of the interaction between tobacco excise tax policy and industry price strategy, on the price level and variation of cigarettes sold in five Southeast Asian countries (Indonesia, Cambodia, Lao PDR, the Philippines and Vietnam). Prices of cigarette sold by sticks and packs were collected through an in-person survey of retailers during 2011. Mean cigarette prices and price variation were calculated in each study country for single cigarettes, whole packs and brand groups. Price variation of whole packs was greater in countries with ad-valorem excise tax structures (Cambodia, Lao PDR and Vietnam) than in countries with multitiered specific excise taxes (Indonesia and the Philippines). The price variation for single sticks appeared to be driven by local currency denomination. Cigarettes sold individually cost more per stick than cigarettes sold in whole packs in every brand group except for Indonesia's domestic brands. Tobacco industry strategy and excise tax structure drove the price level and variation of cigarettes sold in packs, while currency denominations influence the selling price of single sticks. To maximise the effectiveness of tobacco tax policies, countries should adopt specific excise tax structures to decrease cigarette price variation, which would minimise opportunities for smokers to 'trade down' to a cheaper brand to avoid a tax-driven price increase. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Référence de valeur et valeur de référence : le kièt et le pièp, « pivots » des relations interindividuelles lao Kièt and Pièp as Nodes in Lao Inter-Individual Relationships

Directory of Open Access Journals (Sweden)

Léo Mariani

2012-10-01

Full Text Available À travers l’analyse de deux notions émiques, le pièp et le kièt, liées à l’idée d’honneur, cet article propose un modèle fonctionnel de l’interaction sociale lao. Par l’étude de ces mécanismes relationnels, il examine les normes comportementales principales d’un point de vue avant tout pratique, ouvrant la possibilité, pour qui le souhaite, d’une efficacité de l’action dans ce contexte. Des matériaux ethnographiques sont interprétés, conduisant à élaborer, pour ces notions, dont le champ sémantique couvre ceux de l’amour-propre, de l’honorabilité et du prestige, des définitions anthropologiques plus fines qui éclairent la dialectique individu/société dans le Laos contemporain.This article analyzes two emic concepts, pièp and kièt, both connected to the idea of honor, to propose a functional model of Lao social interaction. It examines relational mechanisms and the main behavioral norms from a primarily practical point of view, allowing anyone concerned to achieve action efficiency in this framework. The interpretation of relevant ethnographic materials allows for the elaboration of finer anthropological definitions of these concepts – the semantic field of which encompasses the meanings of amour-propre, honorability, and prestige – which shed light on the dialectical relation between the individual and society in contemporary Laos.

Trees of Laos and Vietnam: a field guide to 100 economically or ecologically important species

NARCIS (Netherlands)

Sam, Hoang Van; Nanthavong, Khamseng; Keßler, P.J.A.

2004-01-01

This field guide to 100 economically or ecologically important tree species from Laos and Vietnam enables the user to identify the included taxa with user-friendly keys. It includes scientific names, botanical descriptions of families, genera, and species. Specific information on distribution,

Coagulation and inflammation in scrub typhus and murine typhusu-a prospective comparative study from Laos

NARCIS (Netherlands)

Paris, D. H.; Chansamouth, V.; Nawtaisong, P.; Löwenberg, E. C.; Phetsouvanh, R.; Blacksell, S. D.; Lee, S. J.; Dondorp, A. M.; van der Poll, T.; Newton, P. N.; Levi, M. [=Marcel M.; Day, N. P. J.

2012-01-01

Scrub typhus (caused by Orientia tsutsugamushi) and murine typhus (caused by Rickettsia typhi) cause up to 28% of febrile episodes in Thailand and Laos. The current understanding of coagulation and inflammation in the pathogenesis of these clinically very similar vasculotropic diseases is limited.

GridiLoc: A Backtracking Grid Filter for Fusing the Grid Model with PDR Using Smartphone Sensors

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Jianga Shang

2016-12-01

Full Text Available Although map filtering-aided Pedestrian Dead Reckoning (PDR is capable of largely improving indoor localization accuracy, it becomes less efficient when coping with highly complex indoor spaces. For instance, indoor spaces with a few close corners or neighboring passages can lead to particles entering erroneous passages, which can further cause the failure of subsequent tracking. To address this problem, we propose GridiLoc, a reliable and accurate pedestrian indoor localization method through the fusion of smartphone sensors and a grid model. The key novelty of GridiLoc is the utilization of a backtracking grid filter for improving localization accuracy and for handling dead ending issues. In order to reduce the time consumption of backtracking, a topological graph is introduced for representing candidate backtracking points, which are the expected locations at the starting time of the dead ending. Furthermore, when the dead ending is caused by the erroneous step length model of PDR, our solution can automatically calibrate the model by using the historical tracking data. Our experimental results show that GridiLoc achieves a higher localization accuracy and reliability compared with the commonly-used map filtering approach. Meanwhile, it maintains an acceptable computational complexity.

Knowledge and acceptability of the rectal treatment route in Laos and its application for pre-referral emergency malaria treatment

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Ashley Elizabeth A

2010-11-01

Full Text Available Abstract Background Rectal artesunate has been shown to reduce death and disability from severe malaria caused by delays in reaching facilities capable of providing appropriate treatment. Acceptability of this mode of drug delivery in Laos is not known. In 2009 the acceptability of rectal treatments was evaluated among the general Lao population and Lao doctors in a national survey. Methods A cross sectional survey was performed of 985 households selected through a multi-stage random sampling process from 85 villages in 12/18 provinces and of 315 health staff randomly selected at each administrative level. Results Out of 985 families, 9% had used the rectal route to treat children (the main indication was seizures or constipation. The population considered it less effective than other routes. Other concerns raised included pain (28%, discomfort for children (40% and the possibility of other side effects (20%. Of 300 health staff surveyed (nurses 44%, doctors 66%, only 51% had already used the rectal route with a suppository, mostly to treat fever (76%. Health staff working in provincial hospitals had more experience of using the rectal route than those in urban areas. The majority (92% were keen to use the rectal route to treat malaria although oral and intramuscular routes were preferred and considered to be more efficacious. Discussion and conclusion Use of rectal treatments is uncommon in Laos and generally not considered to be very effective. This view is shared by the population and health care workers. More information and training are needed to convince the population and health staff of the efficacy and advantages of the rectal route for malaria treatment.

Motivation And Working Behavior In Frontier Tourism Business Of Thailand-Laos

OpenAIRE

Thirachaya Maneenetr

2010-01-01

The objectives of this research were to study the motivations and working behavior of the frontier tourism business at the Thailand-Laos border, to compare the working relationship between travel agencies and the hotel business, and to study the relationship between working motivation and working behavior in the tourism business by using a total sampling of 140 persons: 112 persons from the hotel business and 28 persons from travel agencies. Personnel in the tourism business consisted of 42.1...

On secondary loops in LAOS via self-intersection of Lissajous–Bowditch curves

OpenAIRE

Ewoldt, Randy H.; McKinley, Gareth H.

2009-01-01

When the shear stress measured in large amplitude oscillatory shear (LAOS) deformation is represented as a 2-D Lissajous–Bowditch curve, the corresponding trajectory can appear to self-intersect and form secondary loops. This self-intersection is a general consequence of a strongly nonlinear material response to the imposed oscillatory forcing and can be observed for various material systems and constitutive models. We derive the mathematical criteria for the formation of secondary loops, qua...

The Role of Remote Sensing for Understanding Large-Scale Rubber Concession Expansion in Southern Laos

Directory of Open Access Journals (Sweden)

Mutlu Özdoğan

2018-04-01

Full Text Available Increasing global demand for natural rubber began in the mid-2000s and led to large-scale expansion of plantations in Laos until rubber latex prices declined greatly beginning in 2011. The expansion of rubber did not, however, occur uniformly across the country. While the north and central Laos experienced mostly local and smallholder plantations, rubber expansion in the south was dominated by transnational companies from Vietnam, China and Thailand through large-scale land concessions, often causing conflicts with local communities. In this study we use satellite remote sensing to identify and map the expansion of large-scale rubber plantations in Champasak Province—the first area in southern Laos to host large-scale rubber development—and document the biophysical impacts on the local landscape, which of course is linked to social impacts on local people. Our study demonstrates that the expansion of rubber in the province was rapid and did not always conform to approved concession area locations. The mono-culture nature of rubber plantations also had the effect of homogenizing the landscape, eclipsing the changes caused by local populations. We argue that by providing a relatively inexpensive way to track the expansion of rubber plantations over space and time, remote sensing has the potential to provide advocates and other civil society groups with data that might otherwise remain limited to the restricted domains of state regulation and private sector reporting. However, we also caution that while remote sensing has the potential to provide strong public evidence about plantation expansion, access to and control of this information ultimately determines its value.

The "third abstraction" of the Chinese artist LaoZhu: Neural and behavioral indicators of aesthetic appreciation.

Science.gov (United States)

Bao, Yan; Yang, Taoxi; Zhang, Jinfan; Zhang, Jiyuan; Lin, Xiaoxiong; Paolini, Marco; Pöppel, Ernst; Silveira, Sarita

2017-06-01

The eminent Chinese artist LaoZhu has created a homogeneous set of abstract pictures that are referred to as the "third abstraction." By definition, these pictures are meant to be representations of the artist's personal involvement and as such to create an internal point of view in the observer on an implicit level of processing. Aiming at investigating whether the artist's choice of a specific color is experienced in a specific way in the recipient, we assessed both explicit and implicit (i.e. neurocognitive) correlates in naive viewers of LaoZhu's pieces. The behavioral results reveal a preference of the original red paintings over color-changed counterparts in green or black. Paradoxically and inconsistent with predictions, we found higher levels of neural activation in several brain regions (predominantly in the frontal and parietal cortices) for the color-changed compared to the original red conditions. These observations add empirically to the complementarity of early visual pathways and higher-order cognition as well as of explicit and implicit information processing during aesthetic appreciation. We discuss our findings in light of processing effort and top-down control of the color-changed paintings. With regard to the third abstraction as defined by LaoZhu, in particular to the distinction between an external and internal point of view when viewing abstract art, our results contribute to an understanding of "abstraction and empathy" as a fundamental part of aesthetic appreciations. © 2017 The Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.

Expanding contraceptive choice in the developing world: lessons from the Lao People's Democratic Republic and the Republic of Zambia.

Science.gov (United States)

d'Arcangues, Catherine M; Ba-Thike, Katherine; Say, Lale

2013-12-01

Women need different forms of contraception over their lifetime. In the developed world, they have access to some 20 different methods. In developing countries, only a few options are available. This paper focuses on four under-used methods: intrauterine devices, implants, emergency contraception and female condoms. It examines reasons for their low uptake, strategies used for their adoption, and challenges in sustaining these efforts, in two countries: Laos and Zambia. In-country documentation and reports from international partners were reviewed; questionnaires were sent and interviews carried out with ministry officials, senior providers, and local representatives of international organisations and international non-governmental organisations. In Laos, the family planning programme is relatively young; its challenges include ensuring the sustainability of services and supplies, improving the quality of IEC to dispel misconceptions surrounding contraception, and developing novel distribution systems to reach rural populations. Zambia has a much older programme, which lost ground in the face of competing health priorities. Its challenges include strengthening the supply chain management, coordinating the multiple groups of providers and ensuring the sustainability of services in rural areas. The contrast offered by Laos and Zambia illustrates the importance of regular evaluation to identify priority areas for improving contraceptive delivery.

A multicentre audit of HDR/PDR brachytherapy absolute dosimetry in association with the INTERLACE trial (NCT015662405)

Science.gov (United States)

Díez, P.; Aird, E. G. A.; Sander, T.; Gouldstone, C. A.; Sharpe, P. H. G.; Lee, C. D.; Lowe, G.; Thomas, R. A. S.; Simnor, T.; Bownes, P.; Bidmead, M.; Gandon, L.; Eaton, D.; Palmer, A. L.

2017-12-01

A UK multicentre audit to evaluate HDR and PDR brachytherapy has been performed using alanine absolute dosimetry. This is the first national UK audit performing an absolute dose measurement at a clinically relevant distance (20 mm) from the source. It was performed in both INTERLACE (a phase III multicentre trial in cervical cancer) and non-INTERLACE brachytherapy centres treating gynaecological tumours. Forty-seven UK centres (including the National Physical Laboratory) were visited. A simulated line source was generated within each centre’s treatment planning system and dwell times calculated to deliver 10 Gy at 20 mm from the midpoint of the central dwell (representative of Point A of the Manchester system). The line source was delivered in a water-equivalent plastic phantom (Barts Solid Water) encased in blocks of PMMA (polymethyl methacrylate) and charge measured with an ion chamber at 3 positions (120° apart, 20 mm from the source). Absorbed dose was then measured with alanine at the same positions and averaged to reduce source positional uncertainties. Charge was also measured at 50 mm from the source (representative of Point B of the Manchester system). Source types included 46 HDR and PDR 192Ir sources, (7 Flexisource, 24 mHDR-v2, 12 GammaMed HDR Plus, 2 GammaMed PDR Plus, 1 VS2000) and 1 HDR 60Co source, (Co0.A86). Alanine measurements when compared to the centres’ calculated dose showed a mean difference (±SD) of  +1.1% (±1.4%) at 20 mm. Differences were also observed between source types and dose calculation algorithm. Ion chamber measurements demonstrated significant discrepancies between the three holes mainly due to positional variation of the source within the catheter (0.4%-4.9% maximum difference between two holes). This comprehensive audit of absolute dose to water from a simulated line source showed all centres could deliver the prescribed dose to within 5% maximum difference between measurement and calculation.

Interstitial prostate brachytherapy. LDR-PDR-HDR

International Nuclear Information System (INIS)

Kovacs, Gyoergy; Hoskin, Peter

2013-01-01

The first comprehensive overview of interstitial brachytherapy for the management of local or locally advanced prostate cancer. Written by an interdisciplinary team who have been responsible for the successful GEC-ESTRO/EAU Teaching Course. Discusses in detail patient selection, the results of different methods, the role of imaging, and medical physics issues. Prostate brachytherapy has been the subject of heated debate among surgeons and the proponents of the various brachytherapy methods. This very first interdisciplinary book on the subject provides a comprehensive overview of innovations in low dose rate (LDR), high dose rate (HDR), and pulsed dose rate (PDR) interstitial brachytherapy for the management of local or locally advanced prostate cancer. In addition to detailed chapters on patient selection and the use of imaging in diagnostics, treatment guidance, and implantation control, background chapters are included on related medical physics issues such as treatment planning and quality assurance. The results obtained with the different treatment options and the difficult task of salvage treatment are fully discussed. All chapters have been written by internationally recognized experts in their fields who for more than a decade have formed the teaching staff responsible for the successful GEC-ESTRO/EAU Prostate Brachytherapy Teaching Course. This book will be invaluable in informing residents and others of the scientific background and potential of modern prostate brachytherapy. It will also prove a useful source of up-to-date information for those who specialize in prostate brachytherapy or intend to start an interstitial brachytherapy service.

Influence of length of interval between pulses in PDR brachytherapy (PDRBT on value of Biologically Equivalent Dose (BED in healthy tissues

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Tomasz Piotrowski

2010-07-01

Full Text Available Purpose: Different PDR treatment schemas are used in clinical practice, however optimal length of interval between pulses still remains unclear. The aim of this work was to compare value of BED doses measured in surrounded healthy tissues according to different intervals between pulses in PDRBT. Influence of doses optimization on BED values was analyzed.Material and methods: Fifty-one patients treated in Greater Poland Cancer Centre were qualified for calculations.Calculations of doses were made in 51 patients with head and neck cancer, brain tumor, breast cancer, sarcoma, penis cancer and rectal cancer. Doses were calculated with the use of PLATO planning system in chosen critical points in surrounded healthy tissues. For all treatment plans the doses were compared using Biologically Equivalent Dose formula.Three interval lengths (1, 2 and 4 hours between pulses were chosen for calculations. For statistical analysis Friedman ANOVA test and Kendall ratio were used.Results: The median value of BED in chosen critical points in healthy tissues was statistically related to the length of interval between PDR pulses and decreased exponentially with 1 hour interval to 4 hours (Kendall = from 0.48 to 1.0; p = from 0.002 to 0.00001.Conclusions: Prolongation of intervals between pulses in PDR brachytherapy was connected with lower values of BED doses in healthy tissues. It seems that longer intervals between pulses reduced the risk of late complications, but also decreased the tumour control. Furthermore, optimization influenced the increase of doses in healthy tissues.

Distribution of mosquitoes and mosquito-borne arboviruses in Yunnan Province near the China-Myanmar-Laos border.

Science.gov (United States)

Wang, Jinglin; Zhang, Hailin; Sun, Xiaohong; Fu, Shihong; Wang, Huanqin; Feng, Yun; Wang, Huanyu; Tang, Qing; Liang, Guo-Dong

2011-05-01

Economic development and increased tourism in the southern region of Yunnan Province in China, adjacent to several countries in Southeast Asia, has increased the likelihood of import and export of vectors and vector-borne diseases. We report the results of surveillance of mosquitoes and mosquito-borne arboviruses along the border of China-Myanmar-Laos in 2005 and 2006, and information associating several arboviruses with infections and possibly disease in local human populations. Seventeen mosquito species representing four genera were obtained, and 14 strains of mosquito-borne viruses representing six viruses in five genera were isolated from Culex tritaeniorhynchus. In addition, IgM against Japanese encephalitis virus, Sindbis virus, Yunnan orbivirus and novel Banna virus was detected in acute-phase serum samples obtained from hospitalized patients with fever and encephalitis near the areas where the viruses were isolated. This investigation suggests that Japanese encephalitis virus, Sindbis virus, and lesser-known arboviruses circulate and may be infecting humans in the China-Myanmar-Laos border region.

The role of ABC proteins Aus1p and Pdr11p in the uptake of external sterols in yeast: dehydroergosterol fluorescence study

DEFF Research Database (Denmark)

Kohut, Peter; Wüstner, Daniel; Hronska, L

2011-01-01

of sterol molecules into plasma membrane is not spontaneous but requires assistance of two ABC (ATP-binding cassette) pumps--Aus1p or Pdr11p. DHE taken up by uptake-competent hem1ΔAUS1PDR11 cells could be directly visualized by UV-sensitive wide field fluorescence microscopy. HPLC analysis of sterols......Uptake of external sterols in the yeast Saccharomyces cerevisiae is a multistep process limited to anaerobiosis or heme deficiency. It includes crossing the cell wall, insertion of sterol molecules into plasma membrane and their internalization and integration into intracellular membranes. We...... applied the fluorescent ergosterol analog dehydroergosterol (DHE) to monitor the initial steps of sterol uptake by three independent approaches: fluorescence spectroscopy, fluorescence microscopy and sterol quantification by HPLC. Using specific fluorescence characteristics of DHE we showed that the entry...

Trees of Laos and Vietnam: a field guide to 100 economically or ecologically important species

OpenAIRE

Sam, Hoang Van; Nanthavong, Khamseng; Keßler, P.J.A.

2004-01-01

This field guide to 100 economically or ecologically important tree species from Laos and Vietnam enables the user to identify the included taxa with user-friendly keys. It includes scientific names, botanical descriptions of families, genera, and species. Specific information on distribution, habitat, ecology, and uses has been compiled. All specimens examined have been listed.

SEATCA Tobacco Industry Interference Index: a tool for measuring implementation of WHO Framework Convention on Tobacco Control Article 5.3

Science.gov (United States)

Assunta, Mary; Dorotheo, E Ulysses

2016-01-01

Objective To measure the implementation of WHO Framework Convention on Tobacco Control (FCTC) Article 5.3 at country level using a new Tobacco Industry Interference Index and to report initial results using this index in seven Southeast Asian countries. Methods Score sheet based on WHO FCTC Article 5.3 Guidelines sent to correspondents in seven Southeast Asian countries, using a scoring system designed with the help of tobacco control experts and validated through focused group discussions. Results The seven countries ranked from the lowest level of interference to the highest are Brunei, Thailand, Lao PDR, Cambodia, Philippines, Malaysia and Indonesia. Countries that face high levels of unnecessary interaction with the tobacco industry also face high levels of tobacco industry influence in policy development. Most governments do not allow any tobacco industry representatives on their delegation to sessions of the Conference of the Parties or its subsidiary bodies nor accept their sponsorship for delegates, but most governments still accept or endorse offers of assistance from the tobacco industry in implementing tobacco control policies. Most governments also receive tobacco industry contributions (monetary or in kind) or endorse industry corporate social responsibility activities. Governments do not have a procedure for disclosing interactions with the tobacco industry, but Lao PDR, Philippines and Thailand have instituted measures to prevent or reduce industry interference. Conclusions This Tobacco Industry Interference Index, based on the WHO FCTC Article 5.3 Guidelines, is a useful advocacy tool for identifying both progress and gaps in national efforts at implementing WHO FCTC Article 5.3. PMID:25908597

Identifying priorities to improve maternal and child nutrition among the Khmu ethnic group, Laos: a formative study.

Science.gov (United States)

de Sa, Joia; Bouttasing, Namthipkesone; Sampson, Louise; Perks, Carol; Osrin, David; Prost, Audrey

2013-10-01

Chronic malnutrition in children remains highly prevalent in Laos, particularly among ethnic minority groups. There is limited knowledge of specific nutrition practices among these groups. We explored nutritional status, cultural beliefs and practices of Laos' Khmu ethnic group to inform interventions for undernutrition as part of a Primary Health Care (PHC) project. Mixed methods were used. For background, we disaggregated anthropometric and behavioural indicators from Laos' Multiple Indicator Cluster Survey. We then conducted eight focus group discussions and 33 semi-structured interviews with Khmu villagers and health care workers, exploring beliefs and practices related to nutrition. The setting was two rural districts in Luang Prabang province, in one of which the PHC project had been established for 3 years. There was a higher prevalence of stunting in the Khmu than in other groups. Disaggregation showed nutrition behaviours were associated with ethnicity, including exclusive breastfeeding. Villagers described strong adherence to post-partum food restrictions for women, while little change was described in intake during pregnancy. Most children were breastfed, although early introduction of pre-lacteal foods was noted in the non-PHC district. There was widespread variation in introduction and diversity of complementary foods. Guidance came predominantly from the community, with some input from health care workers. Interventions to address undernutrition in Khmu communities should deliver clear, consistent messages on optimum nutrition behaviours. Emphasis should be placed on dietary diversity for pregnant and post-partum mothers, encouraging exclusive breastfeeding and timely, appropriate complementary feeding. The impact of wider governmental policies on food security needs to be further assessed. © 2012 John Wiley & Sons Ltd.

Paradoxical risk perception and behaviours related to Avian Flu outbreak and education campaign, Laos.

Science.gov (United States)

Barennes, Hubert; Harimanana, Aina N; Lorvongseng, Somchay; Ongkhammy, Somvay; Chu, Cindy

2010-10-12

In Laos, small backyard poultry systems predominate (90%). The first lethal human cases of highly pathogenic avian influenza (HPAI) occurred in 2007. Few studies have addressed the impact of outbreaks and education campaigns on a smallholder producer system. We evaluated awareness and behaviours related to educational campaigns and the 2007 HPAI outbreaks. During a national 2-stage cross-sectional randomised survey we interviewed 1098 households using a pre-tested questionnaire in five provinces representative of the Southern to Northern strata of Laos. We used multivariate analysis (Stata, version 8; Stata Corporation, College Station, TX, USA) to analyse factors affecting recollection of HPAI educational messages, awareness of HPAI, and behaviour change. Of the 1098 participants, 303 (27.6%) received training on HPAI. The level of awareness was similar to that in 2006. The urban population considered risk to be decreased, yet unsafe behaviours persisted or increased. This contrasted with an increase in awareness and safe behaviour practices in rural areas. Reported behaviour changes in rural areas included higher rates of cessation of poultry consumption and dead poultry burial when compared to 2006. No participants reported poultry deaths to the authorities. Overall, 70% could recall an educational message but the content and accuracy differed widely depending on training exposure. Washing hands and other hygiene advice, messages given during the HPAI educational campaign, were not recalled. Trained persons were able to recall only one message while untrained participants recalled a broader range of messages. Factors associated with an awareness of a threat of AI in Laos were: having received HPAI training, literacy level, access to TV, recent information, living in rural areas. We report a paradoxical relationship between unsafe behaviours and risk perception in urban areas, as well as exposure to HPAI training and message misinterpretation. Future educational

Constraints in the use of repair half times and mathematical modelling for the clinical application of HDR and PDR treatment schedules as an alternative for LDR brachytherapy

International Nuclear Information System (INIS)

Pop, L.A.M.; Broek, J.F.C.M. van den; Visser, A.G.; Kogel, A.J. van der

1996-01-01

Using theoretical models based on radiobiological principles for the design of new treatment schedules for HDR and PDR brachytherapy, it is important to realise the impact of assumptions regarding the kinetics of repair. Extrapolations based on longer repair half times in a continuous LDR reference scheme may lead to the calculation of dangerously high doses for alternative HDR and PDR treatment schedules. We used the clinical experience obtained with conventional ERT and LDR brachytherapy in head and neck cancer as a clinical guideline to check the impact of the radiobiological parameters used. Biologically equivalent dose (BED) values for the in clinical practice of LDR brachytherapy recommended dose of 65-70 Gy (prescribed at a dose rate between 30-50 cGy/h) are calculated as a function of the repair half time. These BED values are compared with the biological effect of a clinical reference dose of conventional ERT with 2 Gy/day and complete repair between the fractions. From this comparison of LDR and ERT treatment schedules, a range of values for the repair half times of acute or late responding tissues is demarcated with a reasonable fit to the clinical data. For the acute effects (or tumor control) the best fits are obtained for repair half times of about 0.5 h, while for late effects the repair half times are at least 1 h and can be as high as 3 h. Within these ranges of repair half times for acute and late effects, the outcome of 'alternative' HDR or PDR treatment schedules are discussed. It is predominantly the late reacting normal tissue with the longer repair half time for which problems will be encountered and no or only marginal gain is to be expected of decreasing the dose rate per pulse in PDR brachytherapy

A cross-sectional community study of post-traumatic stress disorder and social support in Lao People's Democratic Republic.

Science.gov (United States)

Southivong, Bouavanh; Ichikawa, Masao; Nakahara, Shinji; Southivong, Chanhpheng

2013-10-01

To estimate post-traumatic stress disorder (PTSD) symptoms in those injured and not injured by landmines or unexploded ordnance (UXO) in rural Lao People's Democratic Republic and to determine whether the perception of social support was associated with PTSD symptom severity. A community survey was conducted among 190 people injured by landmines or UXO and 380 age-, sex- and neighbourhood-matched non-injured individuals in the Sepone district of Savannakhet Province, the part of the Lao People's Democratic Republic most heavily bombed during the Viet Nam War. Using the Harvard Trauma Questionnaire and the Medical Outcomes Study Social Support Survey, trained health-care workers conducted face-to-face interviews to assess PTSD symptoms and level of perceived social support. Multiple linear regression was performed to explore the association between social support and other factors and PTSD. The prevalence of PTSD was higher among the injured (10%) than among the non-injured (4%), but the level of perceived social support was not significantly different between the two groups. A higher level of perceived social support was associated with milder symptoms of PTSD. Women, older people and those with a formal education were more often and more severely affected by PTSD. The perception of strong social support might help to alleviate the symptoms of PTSD among people injured by landmines or UXO in rural parts of the Lao People's Democratic Republic. Psychosocial interventions should be incorporated in assistance for the injured because they have more severe and longer-lasting symptoms of PTSD than the non-injured.

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

Directory of Open Access Journals (Sweden)

Ian G. Baird

2017-02-01

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

A new species of Desmodium (Leguminosae; tribe Desmodieae) from Thailand and Laos and two new distribution records and lectotypification for Thailand

DEFF Research Database (Denmark)

Saisorn, Witsanu; Balslev, Henrik; Chantaranothai, Pranom

2016-01-01

A new species of Desmodium (Leguminosae), D. brevipedicellatum from Thailand and Laos is described and illustrated. Two taxa, D. concinnum and D. laxiflorum subsp. lacei are reported as new for Thailand....

Situation Report--Dominican Republic, Ethiopia, Gilbert and Ellice Islands, Laos, Liberia, Republic of Vietnam, Seychelles, Tahiti (French Polynesia).

Science.gov (United States)

International Planned Parenthood Federation, London (England).

Data relating to population and family planning in eight foreign countries are presented in these situation reports. Countries included are Dominical Republic, Ethiopia, Gilbert and Ellice Islands, Laos, Liberia, Republic of Vietnam, Seychelles, and Tahiti (French Polynesia). Information is provided, where appropriate and available, under two…

“Learning it the Hard Way”: Social safeguards norms in Chinese-led dam projects in Myanmar, Laos and Cambodia

NARCIS (Netherlands)

Kirchherr, Julian|info:eu-repo/dai/nl/411261487; Matthews, Nathanial; Charles, Katrina J.; Walton, Matthew J.

Chinese dam developers claim to construct at least every second dam worldwide. However, scholarly literature comprehensively investigating the social safeguard norms in these projects is rare. This paper analyses social safeguard norms in Chinese-led dam projects in Myanmar, Laos and Cambodia,

Paradoxical risk perception and behaviours related to Avian Flu outbreak and education campaign, Laos

Directory of Open Access Journals (Sweden)

Lorvongseng Somchay

2010-10-01

Full Text Available Abstract Background In Laos, small backyard poultry systems predominate (90%. The first lethal human cases of highly pathogenic avian influenza (HPAI occurred in 2007. Few studies have addressed the impact of outbreaks and education campaigns on a smallholder producer system. We evaluated awareness and behaviours related to educational campaigns and the 2007 HPAI outbreaks. Methods During a national 2-stage cross-sectional randomised survey we interviewed 1098 households using a pre-tested questionnaire in five provinces representative of the Southern to Northern strata of Laos. We used multivariate analysis (Stata, version 8; Stata Corporation, College Station, TX, USA to analyse factors affecting recollection of HPAI educational messages, awareness of HPAI, and behaviour change. Results Of the 1098 participants, 303 (27.6% received training on HPAI. The level of awareness was similar to that in 2006. The urban population considered risk to be decreased, yet unsafe behaviours persisted or increased. This contrasted with an increase in awareness and safe behaviour practices in rural areas. Reported behaviour changes in rural areas included higher rates of cessation of poultry consumption and dead poultry burial when compared to 2006. No participants reported poultry deaths to the authorities. Overall, 70% could recall an educational message but the content and accuracy differed widely depending on training exposure. Washing hands and other hygiene advice, messages given during the HPAI educational campaign, were not recalled. Trained persons were able to recall only one message while untrained participants recalled a broader range of messages. Factors associated with an awareness of a threat of AI in Laos were: having received HPAI training, literacy level, access to TV, recent information, living in rural areas. Conclusion We report a paradoxical relationship between unsafe behaviours and risk perception in urban areas, as well as exposure to

Agreement Between the Lao People's Democratic Republic and the International Atomic Energy Agency for the application of safeguards in connection with the Treaty on the Non-Proliferation of Nuclear Weapons

International Nuclear Information System (INIS)

2001-01-01

The text of the Agreement (and the Protocol thereto) concluded between the Lao People's Democratic Republic and the International Atomic Energy Agency for the application of safeguards in connection with the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) is reproduced in this document for the information of all Members. The Agreement was approved by the Board of Governors on 22 February 1989. It was signed in Vienna on 22 November 1991. Pursuant to Article 24 of the Agreement, the Agreement entered into force on the date upon which the Agency received from Laos written notification that Laos' statutory and constitutional requirements for entry into force have been met, i.e. on 5 April 2001. Pursuant to Article II of the Protocol, the Protocol entered into force on the same date

Stability and Unimolecular Reactivity of Palladate(II) Complexes [Ln PdR3 ]- (L=Phosphine, R=Organyl, n=0 and 1).

Science.gov (United States)

Kolter, Marlene; Koszinowski, Konrad

2016-10-24

The reduction of Pd II precatalysts to catalytically active Pd 0 species is a key step in many palladium-mediated cross-coupling reactions. Besides phosphines, the stoichiometrically used organometallic reagents can afford this reduction, but do so in a poorly understood way. To elucidate the mechanism of this reaction, we have treated solutions of Pd(OAc) 2 and a phosphine ligand L in tetrahydrofuran with RMgCl (R=Ph, Bn, Bu) as well as other organometallic reagents. Analysis of these model systems by electrospray- ionization mass spectrometry found palladate(II) complexes [L n PdR 3 ] - (n=0 and 1), thus pointing to the occurrence of transmetallation reactions. Upon gas-phase fragmentation, the [L n PdR 3 ] - anions preferentially underwent a reductive elimination to yield Pd 0 species. The sequence of the transmetallation and reductive elimination, thus, constitutes a feasible mechanism for the reduction of the Pd(OAc) 2 precatalyst. Other species of interest observed include the Pd IV complex [PdBn 5 ] - , which did not fragment via a reductive elimination but lost BnH instead. © 2016 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

Forest degradation sub-national assessments: Monitoring options for Cambodia, Lao PDR, and Vietnam

Science.gov (United States)

Rick Turner; James Halperin; Patricia Manley; Leif Mortenson

2013-01-01

Techniques for monitoring deforestation and associated changes to forest carbon stocks are widespread and well published. In contrast, techniques for monitoring forest degradation are relatively untested in developing countries despite their inclusion in UNFCCC REDD+ negotiations. The Lowering Emissions in Asia's Forests (LEAF) program of the United States Agency...

Thermal Analysis of Iodine Satellite (iSAT) from Preliminary Design Review (PDR) to Critical Design Review (CDR)

Science.gov (United States)

Mauro, Stephanie

2016-01-01

The Iodine Satellite (iSAT) is a 12U cubesat with a primary mission to demonstrate the iodine fueled Hall Effect Thruster (HET) propulsion system. The spacecraft (SC) will operate throughout a one year mission in an effort to mature the propulsion system for use in future applications. The benefit of the HET is that it uses a propellant, iodine, which is easy to store and provides a high thrust-to-mass ratio. This paper will describe the thermal analysis and design of the SC between Preliminary Design Review (PDR) and Critical Design Review (CDR). The design of the satellite has undergone many changes due to a variety of challenges, both before PDR and during the time period discussed in this paper. Thermal challenges associated with the system include a high power density, small amounts of available radiative surface area, localized temperature requirements of the propulsion components, and unknown orbital parameters. The thermal control system is implemented to maintain component temperatures within their respective operational limits throughout the mission, while also maintaining propulsion components at the high temperatures needed to allow gaseous iodine propellant to flow. The design includes heaters, insulation, radiators, coatings, and thermal straps. Currently, the maximum temperatures for several components are near to their maximum operation limit, and the battery is close to its minimum operation limit. Mitigation strategies and planned work to solve these challenges will be discussed.

Insect Consumption to Address Undernutrition, a National Survey on the Prevalence of Insect Consumption among Adults and Vendors in Laos.

Science.gov (United States)

Barennes, Hubert; Phimmasane, Maniphet; Rajaonarivo, Christian

2015-01-01

Insect consumption (entomophagy) is a potentially high nutritious and healthy source of food with high fat, protein, vitamin, fiber and micronutrient content. At least 2 billion people globally eat insects (over 1900 edible species) though this habit is regarded negatively by others. There is a limited amount of data on the perception and consumption of insects. We conducted a national cross-sectional survey in the Lao People's Democratic Republic (Laos) to assess the prevalence and characteristics of insect consumption among adult lay people and insect vendors. We conducted a multi stage randomized national survey in 1303 households in 96 villages in 16 Lao provinces. Three insect vendors or collectors per village were also included. A standardized pretested questionnaire addressed the following issues: socioeconomic characteristics, type of insects consumed and frequency of consumption, reasons and trends in consumption as well as reports on side effects, over the last 10 years. A total of 1059 adults (Sex ratio F/M: 1.2, 30 ethnic groups), and 256 vendors were enrolled. A total of 1025 (96.8%) lay people were currently insect consumers, 135 (13.0%) daily or weekly consumers, and 322 (31.1%) consumed several times per month. For the majority (575, 55.6%) the consumption was infrequent (less than a few times per year) and only 22 (2%) had never eaten insects. Consumption started in childhood. Insect availability was seasonal (670, 63.2%) and respondents would have eaten more insects, if they had been more available (919, 86.7%). Hmong and Leu ethnic groups had significantly lower consumption levels than the general population. Eggs of weaver ants, short-tailed crickets, crickets, grasshoppers, and cicadas were the top 5 insects consumed. Consumption had decreased in the last decade, mostly due to less availability (869; 84.0%) and change of life (29; 5.5%). Of 1059, 80 (7.5%) reported allergy problems and 106 (10.0%) reported some use in traditional medicine. A

Insect Consumption to Address Undernutrition, a National Survey on the Prevalence of Insect Consumption among Adults and Vendors in Laos.

Directory of Open Access Journals (Sweden)

Hubert Barennes

Full Text Available Insect consumption (entomophagy is a potentially high nutritious and healthy source of food with high fat, protein, vitamin, fiber and micronutrient content. At least 2 billion people globally eat insects (over 1900 edible species though this habit is regarded negatively by others. There is a limited amount of data on the perception and consumption of insects. We conducted a national cross-sectional survey in the Lao People's Democratic Republic (Laos to assess the prevalence and characteristics of insect consumption among adult lay people and insect vendors.We conducted a multi stage randomized national survey in 1303 households in 96 villages in 16 Lao provinces. Three insect vendors or collectors per village were also included. A standardized pretested questionnaire addressed the following issues: socioeconomic characteristics, type of insects consumed and frequency of consumption, reasons and trends in consumption as well as reports on side effects, over the last 10 years.A total of 1059 adults (Sex ratio F/M: 1.2, 30 ethnic groups, and 256 vendors were enrolled. A total of 1025 (96.8% lay people were currently insect consumers, 135 (13.0% daily or weekly consumers, and 322 (31.1% consumed several times per month. For the majority (575, 55.6% the consumption was infrequent (less than a few times per year and only 22 (2% had never eaten insects. Consumption started in childhood. Insect availability was seasonal (670, 63.2% and respondents would have eaten more insects, if they had been more available (919, 86.7%. Hmong and Leu ethnic groups had significantly lower consumption levels than the general population. Eggs of weaver ants, short-tailed crickets, crickets, grasshoppers, and cicadas were the top 5 insects consumed. Consumption had decreased in the last decade, mostly due to less availability (869; 84.0% and change of life (29; 5.5%. Of 1059, 80 (7.5% reported allergy problems and 106 (10.0% reported some use in traditional medicine. A

Orbital rhabdomyosarcoma of the child: the role of PDR brachytherapy in eye preservation

International Nuclear Information System (INIS)

Kovacs, G.; Rochels, R.; Mehdorn, H.M.; Werner, J.; Wilhelm, R.; Kohr, P.; Kimmig, B. N.

1996-01-01

Material and Methods: There were four children (8-7-5 years and(15(12)) months old) with recurrent/primary embryonal rhabdomyosarcoma treated with curative intention by peroperative PDR boost brachytherapy in combination with radio-chemotherapy and/or surgery. PDR brachytherapy according to the Kiel protocol: daily five pulses, two hours each, with 1 Gy on the reference isodose which is usually 2-3 mm close to the applicator surface. CT simulation based conformal treatment planning was carried out in each case. The implant was done intraoperatively using the free-hand plastic tube method, after a macroscopically complete excision of the tumor. Due to treatment planning individual target volume, eye with N, opticus and bone structures, as well as the applicators and other regions of interest were visualized. Manual volume optimisation was practiced and natural volumen-dose histograms were analysed in 'classic' graphic mode as well as in a special colour coded three-dimensional visualization in cine mode on the screen. One child received, three months before the recurrence was operated, 50 Gy hyperfractionated external beam radiation (2 Gy fractions) and was irradiated with 20 Gy brachytherapy in four days. The second patient received ten days after 20 Gy brachytherapy 32 Gy hyperfractionated external beam radiation. The third child (external beam treatment outside of our clinic), received conventional fractionated irradiation with 1.6 Gy fraction dose instead of a prescribed hyperfractionated external beam therapy and her brachytherapy dose was 25 Gy. At the (15(12)) months old child with primary embryonal rhabdomyosarcoma we applied 20 Gy brachytherapy and 24 Gy hyperfractionated external beam irradiation. All patients received multidrug chemotherapy according to the German Study Protocol (CWS-91). Results: Follow-up is 34, 28, 22, and 6 months for recurrent embryonal rhabdomyosarcoma patients (stand February 96). We observed at 9 months one rhabdomyosarcoma

Feasibility and early results of interstitial intensity-modulated HDR/PDR brachytherapy (IMBT) with/without complementary external-beam radiotherapy and extended surgery in recurrent pelvic colorectal cancer

International Nuclear Information System (INIS)

Tepel, J.; Bokelmann, F.; Faendrich, F.; Kremer, B.; Schmid, A.; Kovacs, G.; University Hospital of Schleswig-Holstein, Kiel

2005-01-01

Background: A new multimodality treatment concept consisting of extended resection and postoperative fractionated intensity-modulated interstitial brachytherapy (IMBT) was introduced for pelvic recurrence of colorectal carcinoma. Patients and Methods: 46 patients received extended resection and single plastic tubes were sutured directly onto the tumor bed. IMBT was started within 2 weeks postoperatively with a median dose of 24.5 Gy (5-35 Gy). Patients were treated either with high-dose-rate brachytherapy (HDR; n=23) or with pulsed-dose-rate brachytherapy (PDR; n=23). 25 patients received complementary 45-Gy external-beam irradiation (EBRT) to the pelvic region after explanting the plastic tubes. Results: Median follow-up was 20.6 months (7-107 months) and mean patient survival 25.7±25.8 months (median 17, range 1-107 months). After 5 years overall survival, disease-free survival and local control rate were 23%, 20% and 33%, significantly influenced by the resectional state. There was a trend in favor of PDR compared to HDR, which reached statistical significance in patients who had not received additional EBRT. Conclusion: The combination of extended surgery and postoperative interstitial IMBT is feasible and offers effective interdisciplinary treatment of recurrent colorectal cancer. In this small and inhomogeneous cohort of patients PDR seems to be more effective than HDR, particularly when application of complementary EBRT is not possible. None of the patients who required resection of distant metastasis survived >2 years in this study. (orig.)

An organizational analysis of road traffic crash prevention to explain the difficulties of a national program in a low income country.

Science.gov (United States)

Vogel, Tania; Reinharz, Daniel; Gripenberg, Marissa; Barennes, Hubert

2015-09-28

Road traffic crashes (RTC), that daily kill 3400 people and leave 15,000 with a permanent disability could be prevented through the implementation of safety programs developed in partnership with governments and institutions. The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs. This issue has rarely been addressed. We conducted a detailed organizational analysis of the stakeholders involved in road safety programs in Lao People's Democratic Republic (Lao PDR). A case study was performed. The framework used was a snowball effect in which the characterization of all key stakeholders and the links between them, as well as the factors that led to these links, were determined. The effect of the relations between key stakeholders on the prevention of RTC was assessed through an analysis of the transactional, intangible and controlling factors that influence these relationships. The design and implementation of road safety programs in Lao PDR suffer from weak relationships between stakeholders and a poorly functional bicephal leadership between the Ministry of Public Works and Transport and the non-governmental organisation called Handicap International. This poor coordination between key stakeholders is evident, particularly in the area of collective action and is reinforced by a lack of interest from several different stakeholders. Most agencies do not prioritize road safety. Uneven distribution of funding is another contributing factor. Strengthening the leadership is crucial to the success of the program. Some organisations have skills, power the decision making and the allocation of resources in regards to road safety programs. Encouraging participation of these organizations through a more prominent position would thus result in a better collaboration. Non-monetary rewards would further help to strengthen collaborative work. The bicephal nature of the leadership of road safety programs proves

Nuclear Enterprises portable dose rate meter type PDR4 and external probes types BP1/1, BP8 and GP9

International Nuclear Information System (INIS)

Burgess, P.H.; Iles, W.J.

1979-08-01

The performance characteristics of Nuclear Enterprises Portable Dose Rate Meter Type PDR4 are evaluated under the headings: general description, facilities and controls, radiation characteristics, electrical characteristics, environmental characteristics, mechanical characteristics, the manual, summary of performance, and conclusions. Results of an investigation of the radiation characteristics of the external probes Type BP1/1, Type BP8, and Type GP9 are also detailed. (U.K.)

Risks, benefits and survival strategies-views from female sex workers in Savannakhet, Laos

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Phrasisombath Ketkesone

2012-11-01

Full Text Available Abstract Background Female sex workers (FSWs are vulnerable to sexually transmitted infections (STIs and encounter socio-economic and health problems, including STIs/HIV, unintended pregnancy and complications from unsafe abortion, stigma, violence, and drug addiction. Reducing risks associated with sex work requires an understanding of the social and cultural context in which sex workers live and work. This study aimed to explore the working environment and perceived risks among FSWs in Savannakhet province in Laos. Methods Five focus group discussions (FGDs and seven interviews were conducted with FSWs in Kaysone Phomvihan district in Laos. Latent content analysis was used to analyze the transcribed text. Results The results revealed that the FSWs were aware of risks but they also talked about benefits related to their work. The risks were grouped into six categories: STIs/HIV, unintended pregnancy, stigma, violence, being cheated, and social and economic insecurity. The reported benefits were financial security, fulfilling social obligations, and sexual pleasure. The FSWs reported using a number of strategies to reduce risks and increase benefits. Conclusions The desire to be self-sufficient and earn as much money as possible put the FSWs in disadvantaged and vulnerable situations. Fear of financial insecurity, obligations to support one’s family and the need to secure the future influenced FSWs’ decisions to have safe or unsafe sex. The FSWs were, however, not only victims. They also had some control over their lives and working environment, with most viewing their work as an easy and good way of earning money.

In-water calibration of PDR 192Ir brachytherapy sources with an NE2571 ionization chamber

International Nuclear Information System (INIS)

Reynaert, N.; Verhaegen, F.; Thierens, H.

1998-01-01

An ionometric calibration procedure for 192 Ir PDR brachytherapy sources in terms of dose rate to water is presented. The calibration of the source is performed directly in a water phantom at short distances (1.0, 2.5 and 5.0 cm) using an NE2571 Farmer type ion chamber. To convert the measured air-kerma rate in water to dose rate to water a conversion factor (CF) was calculated by adapting the medium-energy x-ray dosimetry protocol for a point source geometry (diverging beam). The obtained CF was verified using two different methods. Firstly, the CF was calculated by Monte Carlo simulations, where the source-ionization chamber geometry was modelled accurately. In a second method, a combination of Monte Carlo simulations and measurements of the air-kerma rate in water (at 1.0, 2.5 and 5.0 cm distance) and in air (1 m distance) was used to determine the CF. The obtained CFs were also compared with conversion factors calculated with the adapted dosimetry protocol for high-energy photons introduced by Toelli. All calculations were done for a Gammamed PDR 192 Ir source-NE2571 chamber geometry. The conversion factors obtained with the four different methods agree to within 1% at the three distances of interest. We obtained the following values (medium-energy x-ray protocol): CF(1 cm) = 1.458; CF(2.5 cm) = 1.162; CF(5.0 cm) = 1.112 (1σ=0.7% for the three distances of interest). The obtained results were checked with TLD measurements. The values of the specific dose rate constant and the radial dose function calculated in this work are in accordance with the literature data. (author)

Quality of YBCO thin films grown on LAO substrates exposed to the film deposition - film removal processes

Energy Technology Data Exchange (ETDEWEB)

Blagoev, B; Nurgaliev, T [Institute of Electronics, Bulgarian Academy of Sciences, 72 Tzarigradsko Chaussee, 1784 Sofia (Bulgaria); Mozhaev, P B [Institute of Physics and Technology, Russian Academy of Sciences, 117218 Moscow (Russian Federation); Sardela, M; Donchev, T [Materials Research Laboratory, University of Illinois, 104 South Goodwin Ave., Urbana, IL 61801 (United States)], E-mail: blago_sb@yahoo.com

2008-05-01

The characteristics are investigated of high temperature superconducting YBa{sub 2}Cu{sub 3}O{sub 7} (YBCO) films grown on LaAlO{sub 3} (LAO) substrates being exposed a different number of times to YBCO film deposition and acid-solution-based cleaning procedures. Possible mechanisms of degradation of the substrate surface quality reflecting on the growing YBCO film parameters are discussed and analyzed.

Parachorius semsanganus sp. n. from Laos, the Asian’s largest Canthonini of special phylogenetic significance

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Sergey Tarasov

2011-06-01

Full Text Available The new species Parachorius semsanganus sp. n. is described from Laos. This enigmatic Oriental deltochiline represents a “morphological link” between Parachorius and Cassolus by sharing characters of the two genera. The fact that P. semsanganus cannot be unequivocally placed in either of these two genera stresses some more general problems of the current classification of Parachorius and Cassolus. Such problems can be solved only in the course of phylogenetic analysis, the need of which is briefly outlined.

The United States Air Force in Southeast Asia: The War in Northern Laos, 1954-1973

Science.gov (United States)

1993-01-01

Mekong serves as the major artery for commerce between Laos and the outside world, and the country’s major populated areas nestle along its banks. (f...said napalm’s use would do more harm than good. He recalled that Robert G. K. Thompson, the noted guerrilla warfare expert from Malaysia , had said that...265 Malaysia 123 Mangkhala Souvanna Phouma 259 Manila, Philippine Islands 11,54 MaoTse-tung 8 Marine Amphibious Force 194,247 Martin. Graham A. 92

Spatio-temporal patterns of soil erosion and suspended sediment dynamics in the Mekong River Basin.

Science.gov (United States)

Suif, Zuliziana; Fleifle, Amr; Yoshimura, Chihiro; Saavedra, Oliver

2016-10-15

Understanding of the distribution patterns of sediment erosion, concentration and transport in river basins is critically important as sediment plays a major role in river basin hydrophysical and ecological processes. In this study, we proposed an integrated framework for the assessment of sediment dynamics, including soil erosion (SE), suspended sediment load (SSL) and suspended sediment concentration (SSC), and applied this framework to the Mekong River Basin. The Revised Universal Soil Loss Equation (RUSLE) model was adopted with a geographic information system to assess SE and was coupled with a sediment accumulation and a routing scheme to simulate SSL. This framework also analyzed Landsat imagery captured between 1987 and 2000 together with ground observations to interpolate spatio-temporal patterns of SSC. The simulated SSL results from 1987 to 2000 showed the relative root mean square error of 41% and coefficient of determination (R(2)) of 0.89. The polynomial relationship of the near infrared exoatmospheric reflectance and the band 4 wavelength (760-900nm) to the observed SSC at 9 sites demonstrated the good agreement (overall relative RMSE=5.2%, R(2)=0.87). The result found that the severe SE occurs in the upper (China and Lao PDR) and lower (western part of Vietnam) regions. The SSC in the rainy season (June-November) showed increasing and decreasing trends longitudinally in the upper (China and Lao PDR) and lower regions (Cambodia), respectively, while the longitudinal profile of SSL showed a fluctuating trend along the river in the early rainy season. Overall, the results described the unique spatio-temporal patterns of SE, SSL and SSC in the Mekong River Basin. Thus, the proposed integrated framework is useful for elucidating complex process of sediment generation and transport in the land and river systems of large river basins. Copyright © 2016 Elsevier B.V. All rights reserved.

SEATCA Tobacco Industry Interference Index: a tool for measuring implementation of WHO Framework Convention on Tobacco Control Article 5.3.

Science.gov (United States)

Assunta, Mary; Dorotheo, E Ulysses

2016-05-01

To measure the implementation of WHO Framework Convention on Tobacco Control (FCTC) Article 5.3 at country level using a new Tobacco Industry Interference Index and to report initial results using this index in seven Southeast Asian countries. Score sheet based on WHO FCTC Article 5.3 Guidelines sent to correspondents in seven Southeast Asian countries, using a scoring system designed with the help of tobacco control experts and validated through focused group discussions. The seven countries ranked from the lowest level of interference to the highest are Brunei, Thailand, Lao PDR, Cambodia, Philippines, Malaysia and Indonesia. Countries that face high levels of unnecessary interaction with the tobacco industry also face high levels of tobacco industry influence in policy development. Most governments do not allow any tobacco industry representatives on their delegation to sessions of the Conference of the Parties or its subsidiary bodies nor accept their sponsorship for delegates, but most governments still accept or endorse offers of assistance from the tobacco industry in implementing tobacco control policies. Most governments also receive tobacco industry contributions (monetary or in kind) or endorse industry corporate social responsibility activities. Governments do not have a procedure for disclosing interactions with the tobacco industry, but Lao PDR, Philippines and Thailand have instituted measures to prevent or reduce industry interference. This Tobacco Industry Interference Index, based on the WHO FCTC Article 5.3 Guidelines, is a useful advocacy tool for identifying both progress and gaps in national efforts at implementing WHO FCTC Article 5.3. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Incidence and Mortality of Liver Cancer and Their Relationship with Development in Asia.

Science.gov (United States)

Mohammadian, Maryam; Soroush, Ali; Mohammadian-Hafshejani, Abdollah; Towhidi, Farhad; Hadadian, Fatemeh; Salehiniya, Hamid

2016-01-01

Liver cancer (LC) is the sixth world most common cancer and the second leading cause of cancer death. Due to the importance and necessity of awareness about the incidence and mortality of diseases to perform prevention programs, this study focused on data for LC and its relationship with the human development index (HDI) and its components in Asia in 2012. This ecological study was based on GLOBOCAN data for Asian countries. We assessed correlations between standardized incidence rates (SIR) and standardized mortality rates (SMR) of LC with HDI and its components using of SPSS18. A total of 582,420 incident cases and 557,097 deaths were recorded in Asian countries in 2012. The five with the highest SIR were Mongolia, Lao PDR, Vietnam, Republic of Korea and Thailand and those with the highest SMR were Mongolia, Lao PDR, Vietnam, Cambodia and Thailand. A negative relation was observed between HDI and LC for SIR of 0.049 (P=0.748) and for SMR of 0.07 (P=0.645), with life expectancy at birth a positive relation for SIR of 0.061 (P=0.687) and a negative relation for SMR of 0.079 (P=0.603), with the average years of education a negative relation fo SIR of 0.476 (p=0.952) and for SMR of 0.032 (P=0.832), and with the country income level per person a negative relation for SMI of 0.11 (p=0.465) and for SMR of 0.113 (P=0.455). The incidence of LC is more in less developed and developing countries but statistically significant correlations were not found between standardized incidence and mortality rates of LC, and HDI and its dimensions.

Crystal Growth, Structures, and Properties of the Complex Borides, LaOs ₂ Al ₂ B and La ₂ Os ₂ AlB ₂

Energy Technology Data Exchange (ETDEWEB)

Bugaris, Daniel E.; Han, Fei; Im, Jino; Chung, Duck Young; Freeman, Arthur J.; Kanatzidis, Mercouri G.

2015-08-17

Single crystals of two novel quaternary metal borides, LaOs2Al2B and La2Os2AlB2, have been grown from La/Ni eutectic fluxes. LaOs2Al2B crystallizes in tetragonal space group P4/mmm with the CeCr2Si2C-type structure, and lattice parameters a = 4.2075(6) angstrom and c = 5.634(1) angstrom. La2Os2AlB2 exhibits a new crystal structure in monoclinic space group C2/c with lattice parameters a = 16.629(3) angstrom, b = 6.048(1) angstrom, c = 10.393(2) angstrom, and beta = 113.96(3)degrees. Both structures are three-dimensional frameworks with unusual coordination (for solid-state compounds) of the boron atoms by transition metal atoms. The boron atom is square planar in LaOs2Al2B, whereas it exhibits linear and T-shaped geometries in La2Os2AlB2. Electrical resistivity measurements reveal poor metal behavior (rho(30)0 (K) similar to 900 mu Omega cm) for La2Os2AlB2, consistent with the electronic band structure calculations, which also predict a metallic character for LaOs2Al2B.

A new species of Desmodium (Leguminosae; tribe Desmodieae) from Thailand and Laos with two new distribution records and lectotypifications for Thailand

DEFF Research Database (Denmark)

Saisorn, Witsanu; Balslev, Henrik; Chantaranothai, Pranom

2016-01-01

A new species of Desmodium (Leguminosae), D. brevipedicellatum W. Saisorn, Chantar. & Balslev from Thailand and Laos is described and illustrated. Two taxa, D. concinnum DC. and D. laxiflorum DC. subsp. lacei (Schindl.) H. Ohashi, are reported as new for Thailand. Lectotypes of D. amoenum Wall. e...

Whose Education Policies in Aid-Receiving Countries? A Critical Discourse Analysis of Quality and Normative Transfer through Cambodia and Laos

Science.gov (United States)

McCormick, Alexandra

2012-01-01

Critical discourse analysis of policy contexts and documents has been employed in this research to analyze the role of language in promoting normative positions affecting the quality of education in Cambodia and Laos. The article examines the ways institutional normative influences at multiple levels within the Education for All (EFA) program have…

Spin fluctuation mechanism to normal state resistivity of iron-based superconductors La(O1-xFx)FeAs

International Nuclear Information System (INIS)

Choudhary, K.K.; Singh, S.; Prasad, D.; Kaurav, N.; Varshney, Dinesh

2010-01-01

Temperature-dependant resistivity of iron-based superconductors La(O 1-x F x )FeAs (for x = 0.12) is theoretically analysed by considering the strong spin fluctuations effect. In addition to the spin fluctuation-induced contribution the electron-phonon ρ e-ph (T) = AT, and electron-electron ρ e-e (T) = BT 2 contributions are also incorporated for complete understanding of experimental data. (author)

Net costs of health worker rural incentive packages: an example from the Lao People's Democratic Republic.

Science.gov (United States)

Keuffel, Eric; Jaskiewicz, Wanda; Paphassarang, Chanthakhath; Tulenko, Kate

2013-11-01

Many developing countries are examining whether to institute incentive packages that increase the share of health workers who opt to locate in rural settings; however, uncertainty exists with respect to the expected net cost (or benefit) from these packages. We utilize the findings from the discrete choice experiment surveys applied to students training to be health professionals and costing analyses in Lao People's Democratic Republic to model the anticipated effect of incentive packages on new worker location decisions and direct costs. Incorporating evidence on health worker density and health outcomes, we then estimate the expected 5-year net cost (or benefit) of each incentive packages for 3 health worker cadres--physicians, nurses/midwives, and medical assistants. Under base case assumptions, the optimal incentive package for each cadre produced a 5-year net benefit (maximum net benefit for physicians: US$ 44,000; nurses/midwives: US$ 5.6 million; medical assistants: US$ 485,000). After accounting for health effects, the expected net cost of select incentive packages would be substantially less than the original estimate of direct costs. In the case of Lao People's Democratic Republic, incentive packages that do not invest in capital-intensive components generally should produce larger net benefits. Combining discrete choice experiment surveys, costing surveys and cost-benefit analysis methods may be replicated by other developing countries to calculate whether health worker incentive packages are viable policy options.

Anomalous He-gas high-pressure studies on superconducting LaO1-xFxFeAs

International Nuclear Information System (INIS)

Bi, W; Banks, H B; Schilling, J S; Takahashi, H; Okada, H; Kamihara, Y; Hirano, M; Hosono, H

2010-01-01

Ac susceptibility measurements have been carried out on superconducting LaO 1-x F x FeAs for x=0.07 and 0.14 under He-gas pressures to ∼0.8 GPa. Not only do the measured values of dT c /dP differ substantially from those obtained in previous studies using other pressure media, but also the T c (P) dependences observed depend on the detailed pressure/temperature history of the sample. A sizeable sensitivity of T c (P) to shear stresses provides a possible explanation.

Anisotropic two-gap superconductivity and the absence of a Pauli paramagnetic limit in single-crystalline LaO0.5F0.5BiS2

Science.gov (United States)

Chan, Y. C.; Yip, K. Y.; Cheung, Y. W.; Chan, Y. T.; Niu, Q.; Kajitani, J.; Higashinaka, R.; Matsuda, T. D.; Yanase, Y.; Aoki, Y.; Lai, K. T.; Goh, Swee K.

2018-03-01

Ambient-pressure-grown LaO0.5F0.5BiS2 with a superconducting transition temperature Tc˜3 K possesses a highly anisotropic normal state. By a series of electrical resistivity measurements with a magnetic-field direction varying between the crystalline c axis and the a b plane, we present datasets displaying the temperature dependence of the out-of-plane upper critical field Hc2 ⊥(T ) , the in-plane upper critical field Hc2 ∥(T ) , as well as the angular dependence of Hc 2 at fixed temperatures for ambient-pressure-grown LaO0.5F0.5BiS2 single crystals. The anisotropy of the superconductivity, Hc2 ∥/Hc2 ⊥ , reaches ˜16 on approaching 0 K, but it decreases significantly near Tc. A pronounced upward curvature of Hc2 ∥(T ) is observed near Tc, which we analyze using a two-gap model. Moreover, Hc2 ∥(0 ) is found to exceed the Pauli paramagnetic limit, which can be understood by considering the strong spin-orbit coupling associated with Bi as well as the breaking of the local inversion symmetry at the electronically active BiS2 bilayers. Hence, LaO0.5F0.5BiS2 with a centrosymmetric lattice structure is a unique platform to explore the physics associated with local parity violation in the bulk crystal.

The Relationship between Foreign Direct Investment from Thailand and Export on the Economic Growth of Laos

OpenAIRE

Thanet Wattanakul; Tanawat Watchalaanun

2017-01-01

This study examines the relationship between Laos’s GDP, Thailand’s direct investment to Laos and Laos’s export to Thailand by using 44 quarters of data from 2005 Q1 to 2015 Q4. All relationships were studied using the vector error correction model (VECM). The results presented long run relationship from Laos’ GDP and Laos’ export to Thailand as well as from Thailand’s direct investment to Laos’s GDP and Laos’s export to Thailand. In the short run, there was only unidirectional re...

A PRELIMINARY ANNOTATED CHECKLIST OF THE PAPILIONIDAE OF LAOS WITH NOTES ON TAXONOMY, PHENOLOGY, DISTRIBUTION AND VARIATION (Lepidoptera, Papilionoidea

Directory of Open Access Journals (Sweden)

A.M. Cotton

2006-10-01

Full Text Available 63 Papilionid taxa of Laos are reported representing 60 biological species. Of these, the occurrence of Papilio elephenor is unproven, and that of Papilio krishna is refuted, leaving 58 species confirmed for Laos. Notes on their taxonomy, distribution, phenology and variation are given. The following synonymies or changes of status are herewith listed:Graphium antiphates itamputi is regarded as a separate subspecies from pompilius stat. rev.Papilio tamerlanus timur Ney, 1911 is a synonym of Papilio alebion mullah Alphéraky, 1897, syn. nov. The following combinations are therefore proposed for the collective species: Graphium mullah mullah (Alphéraky, 1897 comb. nov. applies to the Sichuan population; Graphium mullah chungianus (Murayama, 1961 comb. nov., for the Taiwanese subspecies; and Graphium mullah kooichii (Morita, 1996 comb. nov. for the Lao subspecies.The true type of Papilio arycles sphinx Fruhstorfer, 1899 is identified, and arycleoides Fruhstorfer, 1902 placed in synonymy, syn. nov.Teinopalpus imperialis bhumipoli Nakano & Sukkit, 1985, T. i. gerritesi Nakano, 1995, T. i. gillesi Turlin, 1991, and T. i. hakkaorum Schäffler 2004 are shown to be synonyms of Teinopalpus imperialis imperatrix de Nicéville, 1899, syn. nov.Atrophaneura varuna liziensis Zhao, 1997 is synonymized with A. varuna astorion (Westwood, 1842 syn. nov.The names elegans Chou et al., 2000, pulcher Chou et al., 2000 and longimacula Wang & Niu, 2002 are sunk as synonyms of Papilio bianor bianor syn. nov.Papilio bianor significans Fruhstorfer, 1902 is regarded as a valid subspecies (stat. rev. and the ranges of Papilio bianor gladiator Fruhstorfer, [1902] and ganesa Doubleday, 1842 are clarified.Papilio noblei de Nicéville, [1889] is shown to be monotypic, and haynei Tytler, 1926 is sunk as a synonym syn. nov.Papilio hipponous siamensis Godfrey, 1916 is synonymized with pitmani Elwes & de Nicéville, [1887] syn. nov.The taxon imitata Monastyrskii & Devyatkin, 2003

Reaching across the Mekong: Local Socioeconomic and Gender Effects of Lao-Thai Crossborder Linkages

Directory of Open Access Journals (Sweden)

José Edgardo Gomez, Jr.

2011-01-01

Full Text Available Following trade agreements between ASEAN states, the expansion of cross-border roads and bridges between Laos and Thailand has linked local communities and distant markets in increasingly diverse ways. Although the planned impacts of such integration are expected to be beneficial, effects on the ground vary, as witnessed at a sleepy outpost in Xayabury and a more vibrant crossing in Savannakhet. This paper discusses first the physical setting of such border facilities, and then explores their actual local effects on traders’ activities, highlighting changes in gender roles and perceptions of entrepreneurial competition participated in by women in the two research sites.

Phase relationships in the quasi-ternary LaO1.5–SiO2–MgO system at 1773 K

Directory of Open Access Journals (Sweden)

Kiyoshi Kobayashi and Yoshio Sakka

2012-01-01

Full Text Available Phase relationships in the LaO1.5–SiO2–MgO quasi-ternary system at 1773 K were investigated by powder x-ray diffraction (XRD analysis applying single- and multiple-phase Rietveld methods. Most of the formed phases satisfied the Gibbs' phase rule, except for the samples containing LaO1.5 and a liquid phase at 1773 K. The detection of segregated MgO phases was difficult in the XRD profiles of the compositional samples around the oxyapatite single phase because the MgO peaks were weak and heavily overlapped by peaks from the oxyapatite and La(OH3 phases. The solid solubility limit of MgO in oxyapatite was determined not only from the chemical composition of the oxyapatite phase, which was confirmed by XRD, but also from several phase boundary compositions among the two-phase and three-phase regions based on the Gibbs' phase rule. Formation of a liquid phase at 1773 K was observed in a wide range of compositions and considered when constructing the phase diagram.

Khub traditions in Northern Lao People’s Democratic Republic: Conservation and transmission

Directory of Open Access Journals (Sweden)

Dome Swangarom

2015-05-01

Full Text Available This qualitative research was conducted in three Northern provinces of the Lao People’s Democratic Republic with the aim of investigating the traditional art of khub music and its conservation and inheritance. Data were collected from documents and field research using interviews, observation and focus group discussions as data collection tools. The results show that Morkhub, musicians, teachers, students and audiences all contribute to the success or failure of conservation and inheritance of traditional Laotian music. The majority of problems with conservation stem from a lack of interest and the dilution of local culture with modern Western influences. As a result of this investigation, a four-point plan was proposed to standardize and support future conservation of khub traditions by inclusion in the education system.

On the Culinary Culture of Laos%老挝饮食文化略论

Institute of Scientific and Technical Information of China (English)

郑南

2015-01-01

老挝是东盟十国之一，东南亚地区唯一的内陆国，其饮食文化在形成的过程中主要受到中国、法国、泰国与越南的影响，中西交汇而具民族特点。中国与东南亚地区文化交流的历史已经有两千年以上的文字记录，古代中华文化深刻影响了东南亚地区的政治、经济、科技、文化、宗教、习俗等诸多领域。具有资源、文化、技术、地缘优势的中华饮食文化，在农业耕作技术、作物品种、食物原料、烹调方法、饮食器具、饮食习俗等方面曾长期而深入地影响过东南亚地区。近代以来作为中国的重要贸易地区，“一带一路”所涵盖的国家，对其饮食文化的构成及特点进行研究与讨论具有重要意义。%Laos is the only one of the ten ASEAN nations that does not have an inch of coastline.Its culinary culture is influenced by those of China, France, Thailand and Vietnam.In other words, its culi-nary is a combination of the eastern and the western.Having a recorded history of exchange with China and other southeastern Asian counties of more than two thousand years, its politics, economy, science, cul-ture, religion and custom are greatly influenced by its neighbors, especially those of China as China is close to Laos and has been superior in resources, culture, technology, agriculture, crops growing, food materials, cooking technology, utensils and culinary habits.It is important to devote some attention to the structure and characteristics of the culinary culture of Laos as it is an important trading partner of China and a country covered in the One Belt and One Road program.

Sources and export of particle-borne organic matter during a monsoon flood in a catchment of northern Laos

OpenAIRE

Gourdin , E.; Huon , S.; Evrard , O.; Ribolzi , O.; Bariac , T.; Sengtaheuanghoung , O.; Ayrault , S.

2015-01-01

Tropical rivers of Southeast Asia are characterized by high specific carbon yields and supplies to the ocean. The origin and dynamics of particulate organic matter were studied in the Houay Xon River catchment located in northern Laos during the first erosive flood of the rainy season in May 2012. The partly cultivated catchment is equipped with three successive gauging stations draining areas ranging between 0.2 and 11.6 km2 on the main stem of the permanent stream, ...

Two ways to examine differential constitutive equations: initiated on steady or initiated on unsteady (LAOS) shear characteristics

Czech Academy of Sciences Publication Activity Database

Zelenková, Jana; Pivokonský, Radek; Filip, Petr

2017-01-01

Roč. 9, č. 6 (2017), č. článku 205. ISSN 2073-4360 R&D Projects: GA ČR GA17-26808S Institutional support: RVO:67985874 Keywords : LAOS * Fourier-Transform rheology * exponential Phan–Tien and Tanner (PTT) model * Giesekus model * Leonov model * modified extended Pom–Pom (mXPP) model * poly(ethylene oxide) Subject RIV: BK - Fluid Dynamics OBOR OECD: Fluids and plasma physics (including surface physics) Impact factor: 3.364, year: 2016 http://www.mdpi.com/2073-4360/9/6/205/pdf

Reflections on leadership at the local level and the future of Laos

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Richard Pratt

2016-05-01

The interviews provide insight into the complex world in which local leaders work and the opportunities and constraints they must negotiate. They must understand the issues their communities face when changes are impinging on those communities. This understanding helps to give them access, and once access is obtained, they must try to help to solve community problems using their experience and knowledge. The resources available— money, people, and materials—to get to the best outcomes are very limited, and the political setting presents significant challenges. Ultimately they may get results by joining their motivation to help, their local and outside knowledge, and the limited available resources with the power, or potential power, of local people. Finally, there are good reasonys to believe that what was learned here has important implications for the future of leadership in Laos.

Corporate social responsibility: Benefits for youth in hydropower development in Laos

Science.gov (United States)

Sparkes, Stephen

2014-04-01

The role of the state as regulator combined with policies on Corporate Social Responsibility (CSR) that go beyond legal requirements to establishing programmes that promote development and good international business practice is an emerging new paradigm. In this paper, the example of a state-owned company, Statkraft A.S. of Norway, and its recent hydropower investment in central Laos illustrates how policy, implementation and follow-up can lead to benefits for local communities in the impacted area of the Theun-Hinboun Expansion Project (THXP). Programmes include both support for and improvement of existing government education programmes, employment opportunities and specific programmes for youth. They have been designed to mitigate possible negative effects of the influx of workers and rapid socio-economic change in the affected area. Young people continue to have a central role in the implementation of these programmes as peer educators under the supervision of project staff and non-governmental organisations (NGOs).

Trails of river monsters: Detecting critically endangered Mekong giant catfish Pangasianodon gigas using environmental DNA

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Bellemain Eva

2016-07-01

Full Text Available Pressures on freshwater biodiversity in Southeast Asia are accelerating, yet the status and conservation needs of many of the region’s iconic fish species are poorly known. The Mekong is highly species diverse and supports four of the six largest freshwater fish globally, three of which, including Mekong giant catfish (Pangasianodon gigas, are Critically Endangered. Emerging environmental DNA (eDNA techniques have potential for monitoring threatened freshwater biodiversity, yet have not been applied in complex and biodiverse tropical ecosystems such as the Mekong. We developed species-specific primers for amplifying Mekong giant catfish DNA. In situ validation demonstrated that the DNA amplification was successful for all samples taken in reservoirs with known presence of Mekong giant catfish independent of fish density. We collected water samples from six deep pools on the Mekong, identified through Local Ecological Knowledge, in Cambodia, Lao PDR, and Thailand. DNA was extracted and amplified from these samples using the designed primers and probes. Mekong giant catfish DNA was detected from one sample from the species’ presumed spawning grounds on the Mekong mainstream, near the border between northern Thailand and Lao PDR. eDNA sampling using species-specific primers has potential for surveying and monitoring poorly known species from complex tropical aquatic environments. However accounting for false absences is likely to be required for the method to function with precision when applied to extremely rare species that are highly dispersed within a large river system. We recommend that such approach be utilised more widely by freshwater conservation practitioners for specific applications. The method is best suited for baseline biodiversity assessments or to identify and prioritise locations for more rigorous sampling. Our methods are particularly relevant for systems or species with limited baseline data or with physical characteristics

Persistent organic pollutants in wetlands of the Mekong Basin

Science.gov (United States)

Triet, Tran; Barzen, Jeb Anthony; Choowaew, Sansanee; Engels, Jon Michael; Ni, Duong Van; Mai, Nguyen Anh; Inkhavilay, Khamla; Soben, Kim; Sethik, Rath; Gomotean, Bhuvadol; Thuyen, Le Xuan; Kyi, Aung; Du, Nguyen Huy; Nordheim, Richard; Lam, Ho Si Tung; Moore, Dorn M.; Wilson, Scott

2013-01-01

In this study, the presence and concentration of persistent organic pollutants (POP) were assessed in surface sediments collected from a wide variety of wetlands located throughout the Mekong Basin in Myanmar, Lao People’s Democratic Republic (PDR), Thailand, Cambodia, and Vietnam. Of the 39 POPs tested in 531 sediment samples, dichlorodiphenyltrichloroethane (DDT) and its metabolites endosulfan, hexachlorobenzene (HCB), and endrin were most commonly detected. Even though DDT was banned in the 1990s, some use of DDT may still be occurring in the Mekong Basin. The amount of metabolites for DDT—dichlorodiphenyldichloroethylene (DDE) and dichlorodiphenyldichloroethane (DDD)—found, however, suggests that use of DDT is on the decline throughout the region. HCB and endrin were found distributed broadly throughout the Mekong Basin but not in high amounts. The concentration and distribution of endosulfan and its metabolites represent a serious problem requiring further study and management action. While the total loading of POPs in wetland sediments of the Mekong Basin was generally low, hotspot sites occurred where concentrations exceeded established ecological risk thresholds. For example, wetlands of the open, dry dipterocarp forest of northern Cambodia and Vietnam as well as wetlands in the Mekong Delta of Vietnam contained high concentrations of some POPs. High concentrations of POPs were detected in some wetlands important for biodiversity conservation. Hotspots identified in wetlands such as the Tonle Sap not only had concentrations of DDT and DDE that exceeded Canadian and U.S. benchmarks, but fauna sampled in the area also showed high degrees of bioaccumulation of the same substances. Further and more extensive attention to monitoring POP presence in water birds, fish, and other aquatic organisms is warranted because of the bioaccumulation of these chemicals at higher levels in the food chain. This study represents a collaboration of eight universities from

Medicines coverage and community-based health insurance in low-income countries

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Wagner Anita K

2008-10-01

Full Text Available Abstract Objectives The 2004 International Conference on Improving Use of Medicines recommended that emerging and expanding health insurances in low-income countries focus on improving access to and use of medicines. In recent years, Community-based Health Insurance (CHI schemes have multiplied, with mounting evidence of their positive effects on financial protection and resource mobilization for healthcare in poor settings. Using literature review and qualitative interviews, this paper investigates whether and how CHI expands access to medicines in low-income countries. Methods We used three complementary data collection approaches: (1 analysis of WHO National Health Accounts (NHA and available results from the World Health Survey (WHS; (2 review of peer-reviewed articles published since 2002 and documents posted online by national insurance programs and international organizations; (3 structured interviews of CHI managers about key issues related to medicines benefit packages in Lao PDR and Rwanda. Results In low-income countries, only two percent of WHS respondents with voluntary insurance belong to the lowest income quintile, suggesting very low CHI penetration among the poor. Yet according to the WHS, medicines are the largest reported component of out-of-pocket payments for healthcare in these countries (median 41.7% and this proportion is inversely associated with income quintile. Publications have mentioned over a thousand CHI schemes in 19 low-income countries, usually without in-depth description of the type, extent, or adequacy of medicines coverage. Evidence from the literature is scarce about how coverage affects medicines utilization or how schemes use cost-containment tools like co-payments and formularies. On the other hand, interviews found that medicines may represent up to 80% of CHI expenditures. Conclusion This paper highlights the paucity of evidence about medicines coverage in CHI. Given the policy commitment to expand CHI

An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion

Directory of Open Access Journals (Sweden)

Hanvoravongchai Piya

2012-12-01

Full Text Available Abstract Background There is increasing perception that countries cannot work in isolation to militate against the threat of pandemic influenza. In the Greater Mekong Subregion (GMS of Asia, high socio-economic diversity and fertile conditions for the emergence and spread of infectious diseases underscore the importance of transnational cooperation. Investigation of healthcare resource distribution and inequalities can help determine the need for, and inform decisions regarding, resource sharing and mobilisation. Methods We collected data on healthcare resources deemed important for responding to pandemic influenza through surveys of hospitals and district health offices across four countries of the GMS (Cambodia, Lao PDR, Thailand, Vietnam. Focusing on four key resource types (oseltamivir, hospital beds, ventilators, and health workers, we mapped and analysed resource distributions at province level to identify relative shortages, mismatches, and clustering of resources. We analysed inequalities in resource distribution using the Gini coefficient and Theil index. Results Three quarters of the Cambodian population and two thirds of the Laotian population live in relatively underserved provinces (those with resource densities in the lowest quintile across the region in relation to health workers, ventilators, and hospital beds. More than a quarter of the Thai population is relatively underserved for health workers and oseltamivir. Approximately one fifth of the Vietnamese population is underserved for beds and ventilators. All Cambodian provinces are underserved for at least one resource. In Lao PDR, 11 percent of the population is underserved by all four resource items. Of the four resources, ventilators and oseltamivir were most unequally distributed. Cambodia generally showed higher levels of inequalities in resource distribution compared to other countries. Decomposition of the Theil index suggests that inequalities result principally from

“Learning it the Hard Way”: Social safeguards norms in Chinese-led dam projects in Myanmar, Laos and Cambodia

International Nuclear Information System (INIS)

Kirchherr, Julian; Matthews, Nathanial; Charles, Katrina J.; Walton, Matthew J.

2017-01-01

Chinese dam developers claim to construct at least every second dam worldwide. However, scholarly literature comprehensively investigating the social safeguard norms in these projects is rare. This paper analyses social safeguard norms in Chinese-led dam projects in Myanmar, Laos and Cambodia, hotspots of Chinese-led dam construction. We find that social safeguard norms adopted have significantly changed in the past 15 years. While Chinese dam developers claimed to adopt standards of the host countries upon the launch of China's Going Out Policy in 2001, with occasional adoption of more demanding Chinese standards, they did not adopt international norms. In recent years, however, they increasingly take into account international norms. We argue that the root cause for this change is social mobilization, with the suspension of the Myitsone Dam in 2011 as a particular game changer. Enhanced social safeguard legislation in host countries and China, stricter rules of Chinese funders and cooperation of Chinese dam developers with international players have also facilitated this change. - Highlights: • Very first regional case study on social safeguard norms in Chinese-led dam projects in Myanmar, Laos and Cambodia. • Found that Chinese dam developers increasingly take into account international social safeguards norms. • Root cause is social mobilization, with the suspension of the Myitsone Dam in 2011 as a particular game changer.

Synthesis of LaO1-xFxFeAs (x=0-0.15) via solid state metathesis reaction

Science.gov (United States)

Frankovsky, Rainer; Marchuk, Alexey; Pobel, Roman; Johrendt, Dirk

2012-04-01

LaOFeAs and superconducting LaO1-xFxFeAs have been synthesized via salt metathesis reactions and characterized by X-ray powder diffraction and magnetic susceptibility measurements. The process uses LaOCl and NaFeAs as precursors and yielded very pure samples. Superconductivity was confirmed in samples with x=0.05, 0.10 and 0.15 at critical temperatures of 11 K, 26 K and 9 K, respectively. According to temperature-dependent X-ray diffraction data, the reaction pathway is not topotactic in contrast to earlier suggestions.

Substance abuse among migrant workers of Thai-Laos border, Thailand.

Science.gov (United States)

Jaichuang, Siriluk; Ratanasiri, Amornrat; Kanato, Manop

2012-09-01

Study the impact of substance abuse among migrant workers along the Thai-Laos border region in Nakhon Phanom Province. The target population included migrant workers aged 15 years and over and were selected using the snowball technique. Data were collected from 300 migrant workers and in-depth interviews and focus group discussion were carried out. Data analysis used content analysis, descriptive statistics, and multivariate logistic regression. Fifty-five point seven percent of migrant workers used stimulants namely tobacco, energy drinks, coffee, and methamphetamine. Males were at greater risk for substance abuse than females (AOR 16.03; 95% CI 8.43-30.45) and those who received news and information from community radios and news broadcasting towers were at more risk than other media (AOR 5.38; 95% CI 2.88-10.05). The impact of substance abuse were found to be chronic cough, moodiness, lack of interest in food, headache, wakefulness, sleeplessness, tremor heart palpitation, and accidents. Health promotion strategy must be implemented to minimize the harm. Motivating behavioral modification while keeping in mind the lifestyle, work, and environment of these people could help.

Pre-cut Filter Paper for Detecting Anti-Japanese Encephalitis Virus IgM from Dried Cerebrospinal Fluid Spots.

Science.gov (United States)

Bharucha, Tehmina; Chanthongthip, Anisone; Phuangpanom, Soumphou; Phonemixay, Ooyanong; Sengvilaipaseuth, Onanong; Vongsouvath, Manivanh; Lee, Sue; Newton, Paul N; Dubot-Pérès, Audrey

2016-03-01

The use of filter paper as a simple, inexpensive tool for storage and transportation of blood, 'Dried Blood Spots' or Guthrie cards, for diagnostic assays is well-established. In contrast, there are a paucity of diagnostic evaluations of dried cerebrospinal fluid (CSF) spots. These have potential applications in low-resource settings, such as Laos, where laboratory facilities for central nervous system (CNS) diagnostics are only available in Vientiane. In Laos, a major cause of CNS infection is Japanese encephalitis virus (JEV). We aimed to develop a dried CSF spot protocol and to evaluate its diagnostic performance using the World Health Organisation recommended anti-JEV IgM antibody capture enzyme-linked immunosorbent assay (JEV MAC-ELISA). Sample volumes, spotting techniques and filter paper type were evaluated using a CSF-substitute of anti-JEV IgM positive serum diluted in Phosphate Buffer Solution (PBS) to end-limits of detection by JEV MAC-ELISA. A conventional protocol, involving eluting one paper punch in 200 μl PBS, did not detect the end-dilution, nor did multiple punches utilising diverse spotting techniques. However, pre-cut filter paper enabled saturation with five times the volume of CSF-substitute, sufficiently improving sensitivity to detect the end-dilution. The diagnostic accuracy of this optimised protocol was compared with routine, neat CSF in a pilot, retrospective study of JEV MAC-ELISA on consecutive CSF samples, collected 2009-15, from three Lao hospitals. In comparison to neat CSF, 132 CSF samples stored as dried CSF spots for one month at 25-30 °C showed 81.6% (65.7-92.3 95%CI) positive agreement, 96.8% (91.0-99.3 95%CI) negative agreement, with a kappa coefficient of 0.81 (0.70-0.92 95%CI). The novel design of pre-cut filter paper saturated with CSF could provide a useful tool for JEV diagnostics in settings with limited laboratory access. It has the potential to improve national JEV surveillance and inform vaccination policies. The

Pre-cut Filter Paper for Detecting Anti-Japanese Encephalitis Virus IgM from Dried Cerebrospinal Fluid Spots.

Directory of Open Access Journals (Sweden)

Tehmina Bharucha

2016-03-01

Full Text Available The use of filter paper as a simple, inexpensive tool for storage and transportation of blood, 'Dried Blood Spots' or Guthrie cards, for diagnostic assays is well-established. In contrast, there are a paucity of diagnostic evaluations of dried cerebrospinal fluid (CSF spots. These have potential applications in low-resource settings, such as Laos, where laboratory facilities for central nervous system (CNS diagnostics are only available in Vientiane. In Laos, a major cause of CNS infection is Japanese encephalitis virus (JEV. We aimed to develop a dried CSF spot protocol and to evaluate its diagnostic performance using the World Health Organisation recommended anti-JEV IgM antibody capture enzyme-linked immunosorbent assay (JEV MAC-ELISA.Sample volumes, spotting techniques and filter paper type were evaluated using a CSF-substitute of anti-JEV IgM positive serum diluted in Phosphate Buffer Solution (PBS to end-limits of detection by JEV MAC-ELISA. A conventional protocol, involving eluting one paper punch in 200 μl PBS, did not detect the end-dilution, nor did multiple punches utilising diverse spotting techniques. However, pre-cut filter paper enabled saturation with five times the volume of CSF-substitute, sufficiently improving sensitivity to detect the end-dilution. The diagnostic accuracy of this optimised protocol was compared with routine, neat CSF in a pilot, retrospective study of JEV MAC-ELISA on consecutive CSF samples, collected 2009-15, from three Lao hospitals. In comparison to neat CSF, 132 CSF samples stored as dried CSF spots for one month at 25-30 °C showed 81.6% (65.7-92.3 95%CI positive agreement, 96.8% (91.0-99.3 95%CI negative agreement, with a kappa coefficient of 0.81 (0.70-0.92 95%CI.The novel design of pre-cut filter paper saturated with CSF could provide a useful tool for JEV diagnostics in settings with limited laboratory access. It has the potential to improve national JEV surveillance and inform vaccination

Determination of hydrogen peroxide and glucose using a novel sensor platform based on Co0.4Fe0.6LaO3 nanoparticles

International Nuclear Information System (INIS)

Zhang, Zhen; Gu, Shuqing; Ding, Yaping; Zhang, Fenfen; Jin, Jindi

2013-01-01

We report on a novel nonenzymatic sensor platform for the determination of hydrogen peroxide and glucose. It is based on a carbon paste electrode that was modified with Co 0.4 Fe 0.6 LaO 3 nanoparticles synthesized by the sol–gel method. The structure and morphology of Co 0.4 Fe 0.6 LaO 3 nanoparticles were characterized by X-ray diffraction, scanning electron microscopy, and transmission electron microscopy. The electrochemical performance of this sensor was evaluated by cyclic voltammetry and amperometry, and the results demonstrated that it exhibits strong electrocatalytical activity towards the oxidation of H 2 O 2 and glucose in an alkaline medium. The sensor has a limit of detection as low as 2.0 nM of H 2 O 2 and a linear range that extends from 0.01 to 800 μM. The response to glucose is characterized by two analytical ranges of different slope, viz. from 0.05 to 5 μM and from 5 to 500 μM, with a 10 nM limit of detection. The glucose sensor has a fast response and good long term stability. (author)

Epidemiological and molecular characteristics of emergent dengue virus in Yunnan Province near the China-Myanmar-Laos border, 2013-2015.

Science.gov (United States)

Hu, Ting-Song; Zhang, Hai-Lin; Feng, Yun; Fan, Jian-Hua; Tang, Tian; Liu, Yong-Hua; Zhang, Liu; Yin, Xiao-Xiong; Chen, Gang; Li, Hua-Chang; Zu, Jin; Li, Hong-Bin; Li, Yuan-Yuan; Yu, Jing; Zhang, Fu-Qiang; Fan, Quan-Shui

2017-05-08

Yunnan Province is located in southwestern China and neighbors the Southeast Asian countries, all of which are dengue-endemic areas. In 2000-2013, sporadic imported cases of dengue fever (DF) were reported almost annually in Yunnan Province. During 2013-2015, we confirmed that a large-scale indigenous DF outbreak emerged in cities of Yunnan Province near the China-Myanmar-Laos border. Epidemiological characteristics of DF in Yunnan Province during 2013-2015 were evaluated by retrospective analysis. A total of 232 dengue virus (DENV)-positive sera were randomly collected for sequence analysis of the capsid/premembrane region of DENV from patients with DF in Yunnan Province. The envelope gene of DENV isolates was also amplified and sequenced. Phylogenetic analyses were performed using the neighbor-joining method with the Tajima-Nei model. Phylogenetically, all DENV-positive samples could be classified into DENV-1 genotype I and DENV-2 Asian I genotype during 2013-2015 and DENV-4 genotype I in 2015 from Ruili City; and DENV-3 genotype II in 2013 and DENV-2 Cosmopolitan genotype in 2015 from Xishuangbanna Prefecture. Our results indicated that imported DF from patients from Laos and Myanmar was the primary cause of the DF epidemic in Yunnan Province. Additionally, DENV strains of all four serotypes were identified in indigenous cases in Yunnan Province during the same time period, while the dengue epidemic pattern observed in southwestern Yunnan showed characteristics of a hypoendemic nature: circulation of DENV-1 and DENV-2 over consecutive years.

Adaptive error detection for HDR/PDR brachytherapy: Guidance for decision making during real-time in vivo point dosimetry

DEFF Research Database (Denmark)

Kertzscher Schwencke, Gustavo Adolfo Vladimir; Andersen, Claus E.; Tanderup, Kari

2014-01-01

Purpose:This study presents an adaptive error detection algorithm (AEDA) for real-timein vivo point dosimetry during high dose rate (HDR) or pulsed dose rate (PDR) brachytherapy (BT) where the error identification, in contrast to existing approaches, does not depend on an a priori reconstruction ......, and the AEDA’s capacity to distinguish between true and false error scenarios. The study further shows that the AEDA can offer guidance in decision making in the event of potential errors detected with real-time in vivo point dosimetry....... of the dosimeter position reconstruction. Given its nearly exclusive dependence on stable dosimeter positioning, the AEDA allows for a substantially simplified and time efficient real-time in vivo BT dosimetry implementation. Methods:In the event of a measured potential treatment error, the AEDA proposes the most...

Challenges for strengthening the health workforce in the Lao People's Democratic Republic: perspectives from key stakeholders.

Science.gov (United States)

Qian, Yi; Yan, Fei; Wang, Wei; Clancy, Shayna; Akkhavong, Kongsap; Vonglokham, Manithong; Outhensackda, Somphou; Østbye, Truls

2016-11-29

The Lao People's Democratic Republic is facing a critical shortage and maldistribution of health workers. Strengthening of the health workforce has been adopted as one of the five priorities of the National Health Sector Strategy (2013-2025). This study aims to identify, explore, and better understand the key challenges for strengthening the Laotian health workforce. This study applied exploratory and descriptive qualitative methods and adapted a working life-span framework. Twenty-three key stakeholders with particular insights into the current situation of the health workforce were purposively recruited for in-depth interviews. Important policy documents were also collected from key informants during the interviews. Thematic analysis was employed for the textual data using MAXQDA 10. The overarching problem is that there is a perceived severe shortage of skilled health workers (doctors, nurses, and midwives) and lab technicians, especially in primary health facilities and rural areas. Key informants also identified five problems: insufficient production of health workers both in quantity and quality, a limited national budget to recruit enough health staff and provide sufficient and equitable salaries and incentives, limited management capacity, poor recruitment for work in rural areas, and lack of well-designed continuing education programs for professional development. These problems are interrelated, both in how the issues arise and in the effect they have on one another. To improve the distribution of health workers in rural areas, strategies for increasing production and strengthening retention should be well integrated for better effectiveness. It is also essential to take the Laotian-specific context into consideration during intervention development and implementation. Furthermore, the government should acknowledge the inadequate health management capacity and invest to improve human resource management capacity at all levels. Finally, assessment of

New species of semi-aquatic freshwater earthworm genus Glyphidrilus Horst, 1889 from Thailand and Laos (Oligochaeta, Almidae

Directory of Open Access Journals (Sweden)

Ratmanee Chanabun

2017-05-01

Full Text Available Seven new species of semi-aquatic freshwater earthworms belonging to the genus Glyphidrilus Horst, 1889 are described from Thailand and Laos, Glyphidrilus nanensis Chanabun & Panha sp. n., G. satunensis Chanabun & Panha sp. n., G. chiangraiensis Chanabun & Panha sp. n., G. namphao Chanabun & Panha sp. n., G. sekongensis Chanabun & Panha sp. n., G. namdonensis Chanabun & Panha sp. n., and G. champasakensis Chanabun & Panha sp. n. The species are characterized by their external and internal morphological characteristics, as well as body sizes. Other morphological character differences between these seven species were also compared, and an identification key is provided. The relationships of the new species to congeners are discussed.

Risk factors for the presence of Aedes aegypti and Aedes albopictus in domestic water-holding containers in areas impacted by the Nam Theun 2 hydroelectric project, Laos

NARCIS (Netherlands)

Hiscox, A.F.; Kaye, A.; Vongphayloth, K.; Banks, I.; Piffer, M.; Khammanithong, P.; Sananikhom, P.; Kaul, S.; Hill, N.; Lindsay, S.W.; Brey, P.T.

2013-01-01

We assessed risk factors for vectors of dengue and chikungunya viruses near a new hydroelectric project, Nam Theun 2, in Laos. Immature stages of Aedes aegypti were found only in sites within 40 km of the urban provincial capital, but Aedes albopictus was found throughout. Aedes aegypti pupae were

FY 1998 survey report on the potential study of cooperation related to the activity implementation joint in 6 countries of Southeast Asia (Vietnam, Laos, Cambodia, Myanmar, Thailand and Malaysia); 1998 nendo Indoshina 6 kakkoku (Vietnam, Laos, Cambodia, Myanmar, Tai oyobi Malaysia) ni okeru energy kankyo kanren kyodo kenkyu jisshi kanosei chosa hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-03-01

A potential study in FY 1998 was made of the energy/environment related activity implementation joint (COP3 related AIJ) in 6 Southeast Asian countries. Vietnam is a country which is the lowest in greenhouse effect gas (GHG) emission in the world, but they want the international assistance for their continued development and contribution to the global environment. Laos has to continue their economic development for extermination of poverty and improvement of life level. Accordingly, AIJ has to be the one that supports those and is helpful for both industrial development and environmental improvement. The same in Cambodia as in Laos, AIJ has to be the one that is helpful for both industrial development and promotion of environmental improvement. In Myanmar, GHG emits (CO2 conversion) 94.5% in the agricultural sector where methane is emitted from livestock and rice growing. There, the forest protection plays a big role. In Thailand, the use of land and forest protection are subjects mainly with the heightening of energy efficiency and fuel substitution. Malaysia, of course, promotes the economic development, has the leading GHG policy (traffic management in urban area, etc.), and wants the international technology transfer. (NEDO)

Instrument evaluation no. 13. Nuclear enterprises portable meter type PDR

International Nuclear Information System (INIS)

Burgess, P.H.; Iles, W.J.

1978-06-01

The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the appropriate Recommendations of the International Electrotechnical Commission. The radiations in the tests are, in general, selected from the range of reference radiations for instrument calibration being drawn up by the International Standards Organisation. Normally, each report deals with the capabilities and limitations of one model of instrument and no direct comparison with other instruments intended for similar purposes is made, since the significance of particular performance characteristics largely depends on the radiations and environmental conditions in which the instrument is to be used. The results quoted here have all been obtained from tests on instruments in routine production, with the appropriate measurements being made by the NRPB. This report deals with the evaluation of Nuclear Enterprises Portable Dose Rate Meter Type PDR 2

Atmospheric nitrogen deposition budget in a subtropical hydroelectric reservoir (Nam Theun II case study, Lao PDR)

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Adon, Marcellin; Galy-Lacaux, Corinne; Serça, Dominique; Guerin, Frederic; Guedant, Pierre; Vonghamsao, Axay; Rode, Wanidaporn

2016-04-01

With 490 km² at full level of operation, Nam Theun 2 (NT2) is one of the largest hydro-reservoir in South East Asia. NT2 is a trans-basin hydropower project that diverts water from the Nam Theun river (a Mekong tributary) to the Xe Ban Fai river (another Mekong tributary). Atmospheric deposition is an important source of nitrogen (N), and it has been shown that excessive fluxes of N from the atmosphere has resulted in eutrophication of many coastal waters. A large fraction of atmospheric N input is in the form of inorganic N. This study presents an estimation of the atmospheric inorganic nitrogen budget into the NT2 hydroelectric reservoir based on a two-year monitoring (July 2010 to July 2012) including gas concentrations and precipitation. Dry deposition fluxes are calculated from monthly mean surface measurements of NH3, HNO3 and NO2 concentrations (passive samplers) together with simulated deposition velocities, and wet deposition fluxes from NH4+ and NO3- concentrations in single event rain samples (automated rain sampler). Annual rainfall amount was 2500 and 3160 mm for the two years. The average nitrogen deposition flux is estimated at 1.13 kgN.ha-1.yr-1 from dry processes and 5.52 kgN.ha-1.yr-1 from wet ones, i.e., an average annual total nitrogen flux of 6.6 kgN.ha-1.yr-1 deposited into the NT2 reservoir. The wet deposition contributes to 83% of the total N deposition. The nitrogen deposition budget has been also calculated over the rain tropical forest surrounding the reservoir. Due to higher dry deposition velocities above forested ecosystems, gaseous dry deposition flux is estimated at 4.0 kgN.ha-1.yr-1 leading to a total nitrogen deposition about 9.5 kgN.ha-1.yr-1. This result will be compared to nitrogen deposition in the African equatorial forested ecosystems in the framework of the IDAF program (IGAC-DEBITS-AFrica).

THE FASTEST GROWING LEAST DEVELOPED COUNTRIES

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Wioletta NOWAK

2017-12-01

Full Text Available The paper presents trends in economic growth and development in twelve least developed countries from 2006 to 2015. The study is based on the data retrieved from the World Bank Database. During the analysed 10 years, seven Asian (Myanmar, Lao PDR, Bhutan, Cambodia, Timor-Leste, Bangladesh, and Afghanistan and five African (Ethiopia, Rwanda, Angola, Sudan, and Mozambique LDCs had average annual GDP per capita growth rates higher than 4.0%. GDP has been largely generated through the services and industry sectors. A few LDCs sustained strong growth mainly because of foreign assistance and in other countries remittances were a significant source of development finance. Resource rich countries recorded high inflows of foreign direct investment. In a few fast growing LDCs the state has been heavily engaged in economy. The analysed LDCs substantially improved their development indicators.

Migrant Workers in Agriculture: A View from Thailand.

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Thetkathuek, Anamai; Daniell, William

2016-01-01

There has been a dramatic increase in the global movement of workers during the last few decades. As Thailand has developed rapidly over the past 20 years, it has attracted laborers (both authorized and unauthorized) from the neighboring countries of Myanmar, People's Democratic Republic of Lao (Lao PDR), and Cambodia. Given that agriculture has been Thailand's most important industry, its continued growth has been dependent on migrant workers. Both crop agriculture and animal-production agriculture have employed migrant labor. Migrants have been hired to plant, weed, fertilize, spray pesticides, and harvest crops such as rice, corn, sugar cane, and cassava. They have worked at rubber and coffee plantations, as well as in the production of ornamental crops. Also, migrants have labored on pig, beef, and duck farms. There have been numerous documented health problems among migrant workers, including acute diarrhea, malaria, and fever of unknown causes. Occupational illness and injury have been a significant concern, and there has been limited health and safety training. This article reviewed the demographic changes in Thailand, studied the agricultural crops and animal production that are dependent on migrant labor, discussed the health status and safety challenges pertaining to migrant workers in agriculture, and described several recommendations. Among the recommendations, the conclusions of this study have suggested that addressing the cost for health care and solutions to health care access for migrant labor are needed.

Geographic information system-based healthcare waste management planning for treatment site location and optimal transportation routeing.

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Shanmugasundaram, Jothiganesh; Soulalay, Vongdeuane; Chettiyappan, Visvanathan

2012-06-01

In Lao People's Democratic Republic (Lao PDR), a growth of healthcare centres, and the environmental hazards and public health risks typically accompanying them, increased the need for healthcare waste (HCW) management planning. An effective planning of an HCW management system including components such as the treatment plant siting and an optimized routeing system for collection and transportation of waste is deemed important. National government offices at developing countries often lack the proper tools and methodologies because of the high costs usually associated with them. However, this study attempts to demonstrate the use of an inexpensive GIS modelling tool for healthcare waste management in the country. Two areas were designed for this study on HCW management, including: (a) locating centralized treatment plants and designing optimum travel routes for waste collection from nearby healthcare facilities; and (b) utilizing existing hospital incinerators and designing optimum routes for collecting waste from nearby healthcare facilities. Spatial analysis paved the way to understand the spatial distribution of healthcare wastes and to identify hotspots of higher waste generating locations. Optimal route models were designed for collecting and transporting HCW to treatment plants, which also highlights constraints in collecting and transporting waste for treatment and disposal. The proposed model can be used as a decision support tool for the efficient management of hospital wastes by government healthcare waste management authorities and hospitals.

Vietelmis jablonskii, a new species of riffle beetle from Laos and Thailand and new faunistic records on Vietelmis Delève, 1968 from Malaysia (Coleoptera: Elmidae).

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Kodada, Ján; Sangpradub, Narumon; Somnark, Rungnapa; Gruľa, Daniel; Žiak, Dávid; Freitag, Hendrik

2017-05-15

A new species of riffle beetle, Vietelmis jablonskii, from Laos and Thailand is described and illustrated. Differences to other Vietelmis species are discussed and an identification key for the Vietelmis is presented. New faunistic records are provided for V. kovaci Kodada & Čiampor, 2000; the genus Vietelmis is newly recorded for Thailand.

Effects of socio-demographic characteristics and household water management on Aedes aegypti production in suburban and rural villages in Laos and Thailand.

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Vannavong, Nanthasane; Seidu, Razak; Stenström, Thor-Axel; Dada, Nsa; Overgaard, Hans J

2017-04-04

Dengue fever is a mosquito-borne disease accounting for 50-100 million annual cases globally. Laos and Thailand are countries in south-east Asia where the disease is endemic in both urban and rural areas. Household water storage containers, which are favourable breeding sites for dengue mosquitoes, are common in these areas, due to intermittent or limited access to water supply. This study assessed the effect of household water management and socio-demographic risk factors on Aedes aegypti infestation of water storage containers. A cross-sectional survey of 239 households in Laos (124 suburban and 115 rural), and 248 households in Thailand (127 suburban and 121 rural) was conducted. Entomological surveys alongside semi-structured interviews and observations were conducted to obtain information on Ae. aegypti infestation, socio-demographic factors and water management. Zero-inflated negative binomial regression models were used to assess risk factors associated with Ae. aegypti pupal infestation. Household water management rather than socio-demographic factors were more likely to be associated with the infestation of water containers with Ae. aegypti pupae. Factors that was significantly associated with Ae. aegypti infestation were tanks, less frequent cleaning of containers, containers without lids, and containers located outdoors or in toilets/bathrooms. Associations between Ae. aegypti pupae infestation, household water management, and socio-demographic factors were found, with risk factors for Ae. aegypti infestation being specific to each study setting. Most of the containers did not have lids, larvicides, such as temephos was seldom used, and containers were not cleaned regularly; factors are facilitating dengue vector proliferation. It is recommended that, in Lao villages, health messages should promote proper use and maintenance of tightly fitted lids, and temephos in tanks, which were the most infested containers. Recommendations for Thailand are that small

Effects of socio-demographic characteristics and household water management on Aedes aegypti production in suburban and rural villages in Laos and Thailand

OpenAIRE

Vannavong, Nanthasane; Seidu, Razak; Stenstr?m, Thor-Axel; Dada, Nsa; Overgaard, Hans J

2017-01-01

Background Dengue fever is a mosquito-borne disease accounting for 50–100 million annual cases globally. Laos and Thailand are countries in south-east Asia where the disease is endemic in both urban and rural areas. Household water storage containers, which are favourable breeding sites for dengue mosquitoes, are common in these areas, due to intermittent or limited access to water supply. This study assessed the effect of household water management and socio-demographic risk factors on A...

Plant-pollinator interactions in tropical monsoon forests in Southeast Asia.

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Kato, Makoto; Kosaka, Yasuyuki; Kawakita, Atsushi; Okuyama, Yudai; Kobayashi, Chisato; Phimminith, Thavy; Thongphan, Daovorn

2008-11-01

Forests with different flora and vegetation types harbor different assemblages of flower visitors, and plant-pollinator interactions vary among forests. In monsoon-dominated East and Southeast Asia, there is a characteristic gradient in climate along latitude, creating a broad spectrum of forest types with potentially diverse pollinator communities. To detect a geographical pattern of plant-pollinator interactions, we investigated flowering phenology and pollinator assemblages in the least-studied forest type, i.e., tropical monsoon forest, in the Vientiane plain in Laos. Throughout the 5-year study, we observed 171 plant species blooming and detected flower visitors on 145 species. Flowering occurred throughout the year, although the number of flowering plant species peaked at the end of dry season. The dominant canopy trees, including Dipterocarpaceae, bloomed annually, in contrast to the supra-annual general flowering that occurs in Southeast Asian tropical rain forests. Among the 134 native plant species, 68 were pollinated by hymenopterans and others by lepidopterans, beetles, flies, or diverse insects. Among the observed bees, Xylocopa, megachilids, and honeybees mainly contributed to the pollination of canopy trees, whereas long-tongued Amegilla bees pollinated diverse perennials with long corolla tubes. This is the first community-level study of plant-pollinator interactions in an Asian tropical monsoon forest ecosystem.

Reverse flow injection spectrophotometric determination of ciprofloxacin in pharmaceuticals using iron from soil as a green reagent

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Palamy, Sysay; Ruengsitagoon, Wirat

2018-02-01

A novel reverse flow injection spectrophotometric method for the determination of ciprofloxacin was successfully combined with the on-line introduction of an iron solution extracted from soil as green reagent. The assay was optimized by a univariate method to select the optimum conditions for the highest absorbance and highest stability of the complex. Beer-Lambert's law (λmax = 440 nm) is obeyed in the range 0.5-50 μg mL- 1 with a correlation coefficient (r2) of 0.9976 and 0.9996 using soil as green reagent from Khon Kaen, Thailand and Vientiane, Laos, respectively. The average percentage recoveries were in the range of 98.55-102.14% and the precision was in the range of 0.80-1.73%. The limit of detection and the limit of quantitation were 0.20 and 0.69 μg mL- 1, respectively, with a sampling rate of over 46 samples h- 1. The method was successfully applied to the determination of ciprofloxacin in commercial pharmaceutical formulations. The results were in good agreement with those obtained by the reference HPLC method using a t-test at 95% of confidence level for comparison. This method is suitable for laboratories looking for alternative analytical methods using green reagents.

Relationship between Aedes aegypti production and occurrence of Escherichia coli in domestic water storage containers in rural and sub-urban villages in Thailand and Laos.

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Dada, Nsa; Vannavong, Nanthasane; Seidu, Razak; Lenhart, Audrey; Stenström, Thor Axel; Chareonviriyaphap, Theeraphap; Overgaard, Hans J

2013-06-01

In a cross-sectional survey in one rural and one suburban village each in Thailand and Laos the relationship between Aedes aegypti production and Escherichia coli contamination in household water storage containers was investigated. Entomological and microbiological surveys were conducted in 250 and 239 houses in Thailand and Laos, respectively. Entomological indices across all four villages were high, indicating a high risk for dengue transmission. Significantly more Ae. aegypti pupae were produced in containers contaminated with E. coli as compared to those that were not, with the odds of Ae. aegypti infested containers being contaminated with E. coli ranging from two to five. The level of E. coli contamination varied across container classes but contamination levels were not significantly associated with the number of pupae produced. We conclude that the observed relationship between Ae. aegypti production and presence of E. coli in household water storage containers suggests a causal relationship between dengue and diarrheal disease at these sites. How this relationship can be exploited for the combined and cost-effective control of dengue and diarrheal diseases requires further research. Copyright © 2013 Elsevier B.V. All rights reserved.

Variability of blood pressure and blood glucose during perioperative period for patients with secondary neovascular glaucoma after silicone oil removed in PDR

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Fu-Lin Gao

2015-06-01

Full Text Available AIM:To research blood pressure and blood glucose variability during peroperative period for patients with secondary neovasular glaucoma(NVGafter silicone oil removed in proliferative diabetic retinaopathy(PDR.METHODS: Totally, 271 patients(271 eyesundergone surgery of vitrectomy and silicon-oil tamponade combined with cataract were respective analyzed. Fourteen patients(14 eyeswith secondary NVG after silicon oil removed and randomly controlled group of no NVG according with ages, operation method in the same time were studied. The blood pressure and blood glucose variability during peroperative period was analyzed, and did comparison after excluded contralateral eye. The complications of 271 patients were surveyed in following-up period 1～12mo. The incidence of NVG, the time, blood pressure, blood glucose and glycated hemoglobin(Hbc%variability during peroperative period was statisticed and compared by software of SPSS 11.0.RESULTS: Fourteen eyes(5.2%of 271 cases was with secondary NVG(female: 4 eyes, 28.6%; male: 10 eyes, 71.4%, average ages was 57.07 years(49～68 years. NVG presented in the 107～ 135d after vitrectomy and 7～45d(average 31.78dafter silicon-oil removed. Diabetes mellitus was 10～15(average 13.2a. In NVG group, the variability of blood glucose was 4.0～10.2mmol/L(mean 8.52±3.24mmol/L, variable coefficient was 0.48. In NNVG group, the variability of blood glucose was 5.0～8.2mmol/L(mean 7.22±0.24mmol/L, variable coefficient was 0.43. It was significantly difference in comparison in variable coefficient(PPPPCONCLUSION: There are significant variability on fasting blood glucose, daytime SBP and night DBP during perioperative in PDR patients with secondary NVG. It might be occurred 1wk after silicone oil removal surgery.

Temporal and spatial distributions of precursory seismicity rate changes in the Thailand-Laos-Myanmar border region: implication for upcoming hazardous earthquakes

Science.gov (United States)

Puangjaktha, Prayot; Pailoplee, Santi

2018-01-01

To study the prospective areas of upcoming strong-to-major earthquakes, i.e., M w ≥ 6.0, a catalog of seismicity in the vicinity of the Thailand-Laos-Myanmar border region was generated and then investigated statistically. Based on the successful investigations of previous works, the seismicity rate change (Z value) technique was applied in this study. According to the completeness earthquake dataset, eight available case studies of strong-to-major earthquakes were investigated retrospectively. After iterative tests of the characteristic parameters concerning the number of earthquakes ( N) and time window ( T w ), the values of 50 and 1.2 years, respectively, were found to reveal an anomalous high Z-value peak (seismic quiescence) prior to the occurrence of six out of the eight major earthquake events studied. In addition, the location of the Z-value anomalies conformed fairly well to the epicenters of those earthquakes. Based on the investigation of correlation coefficient and the stochastic test of the Z values, the parameters used here ( N = 50 events and T w = 1.2 years) were suitable to determine the precursory Z value and not random phenomena. The Z values of this study and the frequency-magnitude distribution b values of a previous work both highlighted the same prospective areas that might generate an upcoming major earthquake: (i) some areas in the northern part of Laos and (ii) the eastern part of Myanmar.

Integrated WiFi/PDR/Smartphone Using an Unscented Kalman Filter Algorithm for 3D Indoor Localization.

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Chen, Guoliang; Meng, Xiaolin; Wang, Yunjia; Zhang, Yanzhe; Tian, Peng; Yang, Huachao

2015-09-23

Because of the high calculation cost and poor performance of a traditional planar map when dealing with complicated indoor geographic information, a WiFi fingerprint indoor positioning system cannot be widely employed on a smartphone platform. By making full use of the hardware sensors embedded in the smartphone, this study proposes an integrated approach to a three-dimensional (3D) indoor positioning system. First, an improved K-means clustering method is adopted to reduce the fingerprint database retrieval time and enhance positioning efficiency. Next, with the mobile phone's acceleration sensor, a new step counting method based on auto-correlation analysis is proposed to achieve cell phone inertial navigation positioning. Furthermore, the integration of WiFi positioning with Pedestrian Dead Reckoning (PDR) obtains higher positional accuracy with the help of the Unscented Kalman Filter algorithm. Finally, a hybrid 3D positioning system based on Unity 3D, which can carry out real-time positioning for targets in 3D scenes, is designed for the fluent operation of mobile terminals.

Integrated WiFi/PDR/Smartphone Using an Unscented Kalman Filter Algorithm for 3D Indoor Localization

Directory of Open Access Journals (Sweden)

Guoliang Chen

2015-09-01

Full Text Available Because of the high calculation cost and poor performance of a traditional planar map when dealing with complicated indoor geographic information, a WiFi fingerprint indoor positioning system cannot be widely employed on a smartphone platform. By making full use of the hardware sensors embedded in the smartphone, this study proposes an integrated approach to a three-dimensional (3D indoor positioning system. First, an improved K-means clustering method is adopted to reduce the fingerprint database retrieval time and enhance positioning efficiency. Next, with the mobile phone’s acceleration sensor, a new step counting method based on auto-correlation analysis is proposed to achieve cell phone inertial navigation positioning. Furthermore, the integration of WiFi positioning with Pedestrian Dead Reckoning (PDR obtains higher positional accuracy with the help of the Unscented Kalman Filter algorithm. Finally, a hybrid 3D positioning system based on Unity 3D, which can carry out real-time positioning for targets in 3D scenes, is designed for the fluent operation of mobile terminals.

Genetic diversity of three surface protein genes in Plasmodium malariae from three Asian countries.

Science.gov (United States)

Srisutham, Suttipat; Saralamba, Naowarat; Sriprawat, Kanlaya; Mayxay, Mayfong; Smithuis, Frank; Nosten, Francois; Pukrittayakamee, Sasithon; Day, Nicholas P J; Dondorp, Arjen M; Imwong, Mallika

2018-01-11

Genetic diversity of the three important antigenic proteins, namely thrombospondin-related anonymous protein (TRAP), apical membrane antigen 1 (AMA1), and 6-cysteine protein (P48/45), all of which are found in various developmental stages of Plasmodium parasites is crucial for targeted vaccine development. While studies related to the genetic diversity of these proteins are available for Plasmodium falciparum and Plasmodium vivax, barely enough information exists regarding Plasmodium malariae. The present study aims to demonstrate the genetic variations existing among these three genes in P. malariae by analysing their diversity at nucleotide and protein levels. Three surface protein genes were isolated from 45 samples collected in Thailand (N = 33), Myanmar (N = 8), and Lao PDR (N = 4), using conventional polymerase chain reaction (PCR) assay. Then, the PCR products were sequenced and analysed using BioEdit, MEGA6, and DnaSP programs. The average pairwise nucleotide diversities (π) of P. malariae trap, ama1, and p48/45 were 0.00169, 0.00413, and 0.00029, respectively. The haplotype diversities (Hd) of P. malariae trap, ama1, and p48/45 were 0.919, 0.946, and 0.130, respectively. Most of the nucleotide substitutions were non-synonymous, which indicated that the genetic variations of these genes were maintained by positive diversifying selection, thus, suggesting their role as a potential target of protective immune response. Amino acid substitutions of P. malariae TRAP, AMA1, and P48/45 could be categorized to 17, 20, and 2 unique amino-acid variants, respectively. For further vaccine development, carboxyl terminal of P48/45 would be a good candidate according to conserved amino acid at low genetic diversity (π = 0.2-0.3). High mutational diversity was observed in P. malariae trap and ama1 as compared to p48/45 in P. malariae samples isolated from Thailand, Myanmar, and Lao PDR. Taken together, these results suggest that P48/45 might be a good vaccine

A Stochastic Climate Generator for Agriculture in Southeast Asian Domains

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Greene, A. M.; Allis, E. C.

2014-12-01

We extend a previously-described method for generating future climate scenarios, suitable for driving agricultural models, to selected domains in Lao PDR, Bangladesh and Indonesia. There are notable differences in climatology among the study regions, most importantly the inverse seasonal relationship of southeast Asian and Australian monsoons. These differences necessitate a partially-differentiated modeling approach, utilizing common features for better estimation while allowing independent modeling of divergent attributes. The method attempts to constrain uncertainty due to both anthropogenic and natural influences, providing a measure of how these effects may combine during specified future decades. Seasonal climate fields are downscaled to the daily time step by resampling the AgMERRA dataset, providing a full suite of agriculturally relevant variables and enabling the propagation of climate uncertainty to agricultural outputs. The role of this research in a broader project, conducted under the auspices of the International Fund for Agricultural Development (IFAD), is discussed.

The Relationship between Foreign Direct Investment from Thailand and Export on the Economic Growth of Laos

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Thanet Wattanakul

2017-09-01

Full Text Available This study examines the relationship between Laos’s GDP, Thailand’s direct investment to Laos and Laos’s export to Thailand by using 44 quarters of data from 2005 Q1 to 2015 Q4. All relationships were studied using the vector error correction model (VECM. The results presented long run relationship from Laos’ GDP and Laos’ export to Thailand as well as from Thailand’s direct investment to Laos’s GDP and Laos’s export to Thailand. In the short run, there was only unidirectional relationship from Laos’s GDP to Laos’s exports to Thailand. This study indicates that Laos’s exporters receive benefits from Thailand’s direct investment contribution to accelerate economic growth in the short term. Therefore, Laos’s government should distribute income from the exporters to other economy sectors or spread the types of export goods into a larger range.

When China Sneezes Does ASEAN Catch a Cold?

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Sohrab Rafiq

2017-08-01

Full Text Available This paper looks at the effects of a China slowdown on Emerging Market Economies (Indonesia, Malaysia, and Thailand and Frontier Developing Economies (Cambodia, Lao P.D.R., and Vietnam in ASEAN. The main findingis that the impact of China growth shocks on ASEAN has risen since the global financial crisis. A one percent decline in China’s growth implies a 0.3 percent reduction in growth for ASEAN EMEs and 0.2 for FDEs. An important component of inflation is also shared between ASEAN and China. These magnitudes are double what they were two decades ago due to stronger trade and financial linkages. Finally, a slowdown in China, while having real effects, also has a financial impact via slower credit growth and lower equity prices. This is in line with the existence of both portfolio balance and signaling channels, in which ASEAN market participants absorb news on China economic activity as an indicator over domestic growth prospects.

Identifying afterloading PDR and HDR brachytherapy errors using real-time fiber-coupled Al2O3:C dosimetry and a novel statistical error decision criterion

International Nuclear Information System (INIS)

Kertzscher, Gustavo; Andersen, Claus E.; Siebert, Frank-Andre; Nielsen, Soren Kynde; Lindegaard, Jacob C.; Tanderup, Kari

2011-01-01

Background and purpose: The feasibility of a real-time in vivo dosimeter to detect errors has previously been demonstrated. The purpose of this study was to: (1) quantify the sensitivity of the dosimeter to detect imposed treatment errors under well controlled and clinically relevant experimental conditions, and (2) test a new statistical error decision concept based on full uncertainty analysis. Materials and methods: Phantom studies of two gynecological cancer PDR and one prostate cancer HDR patient treatment plans were performed using tandem ring applicators or interstitial needles. Imposed treatment errors, including interchanged pairs of afterloader guide tubes and 2-20 mm source displacements, were monitored using a real-time fiber-coupled carbon doped aluminum oxide (Al 2 O 3 :C) crystal dosimeter that was positioned in the reconstructed tumor region. The error detection capacity was evaluated at three dose levels: dwell position, source channel, and fraction. The error criterion incorporated the correlated source position uncertainties and other sources of uncertainty, and it was applied both for the specific phantom patient plans and for a general case (source-detector distance 5-90 mm and position uncertainty 1-4 mm). Results: Out of 20 interchanged guide tube errors, time-resolved analysis identified 17 while fraction level analysis identified two. Channel and fraction level comparisons could leave 10 mm dosimeter displacement errors unidentified. Dwell position dose rate comparisons correctly identified displacements ≥5 mm. Conclusion: This phantom study demonstrates that Al 2 O 3 :C real-time dosimetry can identify applicator displacements ≥5 mm and interchanged guide tube errors during PDR and HDR brachytherapy. The study demonstrates the shortcoming of a constant error criterion and the advantage of a statistical error criterion.

Diphtheria outbreak in Lao People's Democratic Republic, 2012-2013.

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Sein, Carolyn; Tiwari, Tejpratap; Macneil, Adam; Wannemuehler, Kathleen; Soulaphy, Chanthavy; Souliphone, Phouthone; Reyburn, Rita; Ramirez Gonzalez, Alejandro; Watkins, Margaret; Goodson, James L

2016-08-05

Diphtheria is a vaccine-preventable disease. When vaccination coverage and population immunity are low, outbreaks can occur. We investigated a diphtheria outbreak in Lao People's Democratic Republic that occurred during 2012-2013 and highlighted challenges in immunization services delivery to children in the country. We reviewed diphtheria surveillance data from April 1, 2012-May 31, 2013. A diphtheria case was defined as a respiratory illness consisting of pharyngitis, tonsillitis, or laryngitis, and an adherent tonsillar or nasopharyngeal pseudomembrane. To identify potential risk factors for diphtheria, we conducted a retrospective case-control study with two aged-matched neighborhood controls per case-patient in Houaphan Province, using bivariate analysis to calculate matched odds ratio (mOR) with 95% confidence intervals (CI). Reasons for non-vaccination among unvaccinated persons were assessed. Sixty-two clinical cases of diphtheria and 12 diphtheria-related deaths were reported in seven of 17 provinces. Among case-patients, 43 (69%) were diphtheria case-patients from Houaphan province and 79 matched-controls were enrolled. Five (12%) case-patients and 20 (25%) controls had received DTP3 (mOR=0.4, CI=0.1-1.7). No diphtheria toxoid-containing vaccine was received by 20 (48%) case-patients and 38 (46%) controls. Among case-patients and controls with no DTP dose, 43% of case-patients and 40% of controls lacked access to routine immunization services. Suboptimal DTP3 coverage likely caused the outbreak. To prevent continued outbreaks, access to routine immunization services should be strengthened, outreach visits need to be increased, and missed opportunities need to be minimized. In the short term, to rapidly increase population immunity, three rounds of DTP immunization campaign should be completed, targeting children aged 0-14years in affected provinces. Copyright © 2016 Elsevier Ltd. All rights reserved.

Preparation of the La0.8Sr0.2MnO3 films on STO and LAO substrates by excimer laser-assisted metal organic deposition using the KrF laser

International Nuclear Information System (INIS)

Tsuchiya, T.; Daoudi, K.; Manabe, T.; Yamaguchi, I.; Kumagai, T.

2007-01-01

La 0.8 Sr 0.2 MnO 3 films were prepared on SrTiO 3 (STO) and LaAlO 3 (LAO) substrates using excimer laser-assisted metal organic deposition (ELAMOD). For the LAO substrate, no epitaxial La 0.8 Sr 0.2 MnO 3 film was obtained by laser irradiation in the fluence range from 60 to 110 mJ/cm 2 with heating at 500 deg. C. On the other hand, an epitaxial La 0.8 Sr 0.2 MnO 3 film on the STO substrate was formed by laser irradiation in the fluence range from 60 to 100 mJ/cm 2 with heating at 500 deg. C. To optimize the electrical properties for an IR sensor, the effects of the laser fluence, the irradiation time and the film thickness on the temperature dependence of the resistance and temperature coefficient of resistance (TCR: defined as 1/R.(dR/dT)) of the LSMO films were investigated. An LSMO film on the STO substrate that showed the maximum TCR of 3.9% at 265 K was obtained by the ELAMOD process using the KrF laser

The ecosystem approach to health is a promising strategy in international development: lessons from Japan and Laos.

Science.gov (United States)

Asakura, Takashi; Mallee, Hein; Tomokawa, Sachi; Moji, Kazuhiko; Kobayashi, Jun

2015-02-16

An ecological perspective was prominently present in the health promotion movement in the 1980s, but this seems to have faded. The burden of disease the developing world is facing cannot be addressed solely by reductionist approaches. Holistic approaches are called for that recognize the fundamentally interdependent nature of health and other societal, developmental, and ecosystem related factors in human communities. An ecosystem approach to human health (ecohealth) provides a good starting point to explore these interdependencies. Development assistance is often based on the assumption that developed countries can serve as models for developing ones. Japan has provided lavish assistance to Laos for example, much of it going to the development of transport networks. However, there is little sign that there is an awareness of the potentially negative environmental and health impacts of this assistance. We argue that the health consequences of environmental degradation are not always understood, and that developing countries need to consider these issues. The ecohealth approach is useful when exploring this issue. We highlight three implications of the ecohealth approach: (1) The WHO definition of health as a state of complete physical, mental and social well-being emphasized that health is more than the absence of disease. However, because this approach may involve an unattainable goal, we suggest that health should be defined in the ecosystem context, and the goal should be to attain acceptable and sustainable levels of health through enabling people to realize decent livelihoods, and to pursue their life purpose; (2) The increasing interconnectedness of ecosystems in a globalizing world requires an ethical approach that considers human responsibility for the global biosphere. Here, ecohealth could be a countervailing force to our excessive concentration on economy and technology; and (3) If ecohealth is to become a positive agent of change in the global health

Large thermal conductivity reduction induced by La/O vacancies in the thermoelectric LaCoO3 system.

Science.gov (United States)

Wang, Yang; Li, Fang; Xu, Luxiang; Sui, Yu; Wang, Xianjie; Su, Wenhui; Liu, Xiaoyang

2011-05-16

A series of compact La/O-vacant La(1-x)CoO(3-y) compounds were prepared by a cold high-pressure procedure, and their thermoelectric (TE) properties were investigated. Compared with the ion-substituted hole-type LaCoO(3) systems (e.g., La(1-x)Sr(x)CoO(3)), the thermal conduction of La(1-x)CoO(3-y) is noticeably reduced by the La/O vacancies, whereas the electric transport is less influenced, which results in an efficient ZT enhancement. We demonstrate that the large thermal conductivity reduction originates from the strong point-defect scattering, and La(1-x)CoO(3-y) can be rationalized as a partially filled solid solution: La(1-x)◻(x)CoO(3-y)◻(y), where ◻ denotes a vacancy. Such intrinsic thermal conductivity suppression provides an effective pathway for the design of better TE materials.

Managing Indigenous Minority Groups in the Tourism Industry: An Exploratory Case Study in Southern Laos

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Kuwahara Hiroshi

2014-01-01

Full Text Available Tourism-based employment has been promoted for reducing poverty in the least developed countries (LDCs. However, for employing the poor sustainably, particularly, indigenous minority groups, management has to cope with the socioeconomic disadvantages in these environments. This study aims to explore the challenges and practical strategies for human resource management (HRM of indigenous minority groups in the tourism sectors of LDCs; specifically, those identified as “best practice” in southern Laos. Semi-structured interviews were conducted with the managing director of the project regarding training, compatibility with family life, benefits and incentives, and leadership and teamwork. A qualitative analysis was applied to the interview data and hypothetical HRM strategies were derived. Then, to examine the validity of these strategies within the project, semi-structured interviews were conducted with a half of the employees. The results suggest significance for the following HRM strategies: a social orientation toward tourism industry hygiene standards; a flexible leave system that allows employees to participate in family events and family-operated farming; and nonfinancial benefits such as food, clothing, and housing.

Study for urbanization corresponding to socio-economic activities in Savannaket, Laos using satellite remote sensing

International Nuclear Information System (INIS)

Kimijiama, S; Nagai, M

2014-01-01

In Greater Mekong Sub-region (GMS), economic liberalization and deregulation facilitated by GMS Regional Economic Corporation Program (GMS-ECP) has triggered urbanization in the region. However, the urbanization rate and its linkage to socio-economic activities are ambiguous. The objectives of this paper are to: (a) determine the changes in urban area from 1972 to 2013 using remote sensing data, and (b) analyse the relationships between urbanization with respect to socio-economic activities in central Laos. The study employed supervised classification and human visible interpretation to determine changes in urbanization rate. Regression analysis was used to analyze the correlation between the urbanization rate and socio-economic variables. The result shows that the urban area increased significantly from 1972 to 2013. The socio-economic variables such as school enrollment, labour force, mortality rate, water source and sanitation highly correlated with the rate of urbanization during the period. The study concluded that identifying the highly correlated socio-economic variables with urbanization rate could enable us to conduct a further urbanization simulation. The simulation helps in designing policies for sustainable development

Evolution of tourism approaches for poverty reduction impact in SNV Asia: Cases from Lao PDR, Bhutan and Vietnam

NARCIS (Netherlands)

Hummel, J.A.; Gujadhur, T.; Ritsma, N.

2013-01-01

Development agencies are facing a growing demand to demonstrate larger impacts on poverty, which has resulted in a questioning of tourism as an effective intervention strategy. Tourism has been employed as an agent of economic development, job creation, and environmental and cultural conservation.

High-temperature ethanol production using thermotolerant yeast newly isolated from Greater Mekong Subregion

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Atiya Techaparin

Full Text Available Abstract The application of high-potential thermotolerant yeasts is a key factor for successful ethanol production at high temperatures. Two hundred and thirty-four yeast isolates from Greater Mekong Subregion (GMS countries, i.e., Thailand, The Lao People's Democratic Republic (Lao PDR and Vietnam were obtained. Five thermotolerant yeasts, designated Saccharomyces cerevisiae KKU-VN8, KKU-VN20, and KKU-VN27, Pichia kudriavzevii KKU-TH33 and P. kudriavzevii KKU-TH43, demonstrated high temperature and ethanol tolerance levels up to 45 °C and 13% (v/v, respectively. All five strains produced higher ethanol concentrations and exhibited greater productivities and yields than the industrial strain S. cerevisiae TISTR5606 during high-temperature fermentation at 40 °C and 43 °C. S. cerevisiae KKU-VN8 demonstrated the best performance for ethanol production from glucose at 37 °C with an ethanol concentration of 72.69 g/L, a productivity of 1.59 g/L/h and a theoretical ethanol yield of 86.27%. The optimal conditions for ethanol production of S. cerevisiae KKU-VN8 from sweet sorghum juice (SSJ at 40 °C were achieved using the Box-Behnken experimental design (BBD. The maximal ethanol concentration obtained during fermentation was 89.32 g/L, with a productivity of 2.48 g/L/h and a theoretical ethanol yield of 96.32%. Thus, the newly isolated thermotolerant S. cerevisiae KKU-VN8 exhibits a great potential for commercial-scale ethanol production in the future.

Crystal structure details of La- and Bi-substituted hydroxyapatites: Evidence for LaO+ and BiO+ with a very short metal–oxygen bond

International Nuclear Information System (INIS)

Kazin, Pavel E.; Pogosova, Mariam A.; Trusov, Lev A.; Kolesnik, Irina V.; Magdysyuk, Oxana V.; Dinnebier, Robert E.

2016-01-01

Crystal structures of substituted apatites with general formula Ca 10−x M x (PO 4 ) 6 (OH 1−δ ) 2−x O x , where M=La, Bi, 0≤x<2, were refined using high-resolution X-ray powder diffraction patterns. Individual positions for Ca 2+ and M 3+ -ions localized near Ca2-site were determined. The M 3+ -ion was found shifted toward the hexagonal channel center with respect to the Ca 2+ -ion, forming very short bond with the intrachannel O 2− , while leaving considerably longer distances to other oxygen atoms, which suggested the existence of a MO + ion. Distinct bands of stretching M–O modes were observed in the Raman and FT-IR spectra of the compounds. The bond lengths for BiO + and LaO + were estimated to be 2.05(1) and 2.09(1) Å correspondingly. The latter was almost 0.3 Å lower than the shortest La–O bond in La 2 O 3 . The realization of such a strong lanthanide–oxygen bond in a crystal lattice could provide a very high axial ligand field and might be implemented to develop high-energy-barrier single-molecule magnets as well as to tune properties of lanthanide-based luminophores. - Graphical abstract: A fragment of the La-for-Ca substituted apatite crystal structure focusing on the La–O bond. - Highlights: • Individual positions in the apatite crystal lattice for a doping atom (La, Bi) and Ca. • The doping atom shifts toward the center of the hexagonal channel. • BiO + and LaO + with estimated short bond lengths of 2.05 and 2.09 Å respectively.

Three new species of earthworms in the Amynthas (Clitellata: Megascolecidae from Nam Xam National Protected Area, Laos

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Yong Hong

2017-09-01

Full Text Available Earthworm specimens collected from the Nam Xam National Protected Area, Laos, belong to three new species of megascolecid earthworms: Amynthas xamtaiensis sp. nov., Amynthas vanhyai sp. nov., and Amynthas multipapillatus sp. nov. The authors provide a new record for Amynthas gracilis (Kinberg, 1867. All three new species key to the gracilis (hawayanus group in Sims and Easton (1972, defined by having three pairs of spermathecal pores in 5/6–7/8. A. xamtaiensis sp. nov. has male pores superficial in thickened areas, containing two genital papillae medial to the male pores. A. vanhyai sp. nov. has male pores equatorial oval pads at sixth setal lines, and shallowly pinnate intestinal ceca having 6–10 lobes on each edge. A. multipapillatus sp. nov. has male pores on small longitudinal shallow invaginations at lateral margins of the ventrum, and more than 100 small genital papillae covering the ventral surface from 16/17 to 17/18.

Research into the functional components and antioxidant activities of North China rice wine (Ji Mo Lao Jiu).

Science.gov (United States)

He, Shuai; Mao, Xiangzhao; Liu, Pei; Lin, Hong; Du, Zuyuan; Lv, Ning; Han, Jichen; Qiu, Cuifang

2013-07-01

Over the last decade, considerable experimental evidence has supported the view that grape wine and South China rice wine are rich in diverse nutrients and have powerful antioxidant activity. However, little research has been carried out for North China rice wine, of which Ji Mo Lao Jiu (JMLJ) is the outstanding representative. In this study, the functional components and antioxidant activity of JMLJ were investigated. Twenty-eight free amino acids were found in JMLJ, much more than that previously reported in other Chinese rice wines (16-21). Functional oligosaccharides (5290.222 mg/L), total phenols (722.431 ± 10.970 mg/L), and mineral elements (9) were rich in JMLJ. When compared with synthetic antioxidants, such as butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT), JMLJ showed effective 1,1-diphenyl-2-picryl-hydrazyl (DPPH) radical scavenging and reducing capacity. The results of this study lay the foundation for promoting the utilization of JMLJ and the development of North China rice wine in the food industry.

Evolution in karst massifs: Cryptic diversity among bent-toed geckos along the Truong Son Range with descriptions of three new species and one new country record from Laos.

Science.gov (United States)

Luu, Vinh Quang; Bonkowski, Michael; Nguyen, Truong Quang; Le, Minh Duc; Schneider, Nicole; Ngo, Hanh Thi; Ziegler, Thomas

2016-05-02

Species designated as 'cryptic' share a similar morphotype, and are often only clearly separable by molecular data. Cyrtodactylus, the most diverse gecko genus of the family Gekkonidae, is a prime example, because many morphologically similar taxa have only recently been identified as new species as a result of available genetic evidence. However, while cryptic diversity of Cyrtodactylus is already well documented on the Vietnamese side of the Truong Son range, only scarce data is available from central Laos. In this study, we address this issue by means of an integrative approach, which employs morphological, molecular, and ecological data to distinguish cryptic species of the Cyrtodacylus phongnhakebangensis species group primarily distributed along the northern Truong Son Range. Our analyses based on 12 selected morphological characters, a partial mitochondrial gene (COI), and five ecological parameters revealed three undescribed cryptic Cyrtodactylus species from Hin Nam No National Protected Area, which are described as Cyrtodactylus calamei sp. nov., Cyrtodactylus hinnamnoensis sp. nov., and Cyrtodactylus sommerladi sp. nov. A fourth discovered Cyrtodactylus population in Hin Nam No proved to be the first country record of C. cryptus for Laos. Our results highlight the importance of applying an integrative approach to resolving the taxonomy of complex and cryptic species groups, and the role of the Truong Son Range in maintaining the high level of biodiversity over time.

Alcohols are inhibitors of Saccharomyces cerevisiae multidrug-resistance pumps Pdr5p and Snq2p.

Science.gov (United States)

Gášková, Dana; Plášek, Jaromír; Zahumenský, Jakub; Benešová, Ivana; Buriánková, Luboslava; Sigler, Karel

2013-12-01

The effect of alcohols on cell membrane proteins has originally been assumed to be mediated by their primary action on membrane lipid matrix. Many studies carried out later on both animal and yeast cells have revealed that ethanol and other alcohols inhibit the functions of various membrane channels, receptors and solute transport proteins, and a direct interaction of alcohols with these membrane proteins has been proposed. Using our fluorescence diS-C3 (3) diagnostic assay for multidrug-resistance pump inhibitors in a set of isogenic yeast Pdr5p and Snq2p mutants, we found that n-alcohols (from ethanol to hexanol) variously affect the activity of both pumps. Beginning with propanol, these alcohols have an inhibitory effect that increases with increasing length of the alcohol acyl chain. While ethanol does not exert any inhibitory effect at any of the concentration used (up to 3%), hexanol exerts a strong inhibition at 0.1%. The alcohol-induced inhibition of MDR pumps was detected even in cells whose membrane functional and structural integrity were not compromised. This supports a notion that the inhibitory action does not necessarily involve only changes in the lipid matrix of the membrane but may entail a direct interaction of the alcohols with the pump proteins. © 2013 Federation of European Microbiological Societies. Published by John Wiley & Sons Ltd. All rights reserved.

The endoparasitism challenge in developing countries as goat raising develops from smallholder to commercial production systems: A study from Laos.

Science.gov (United States)

Windsor, P A; Nampanya, S; Putthana, V; Keonam, K; Johnson, K; Bush, R D; Khounsy, S

2018-02-15

Progressing economic development in Southeast Asia has increased regional demand for goat meat, leading to expanding production by smallholders and recently, development of commercial farms. In Laos, an emerging export market for goats into Vietnam has led to increased goat numbers, with potential increases in risk of disease, particularly endoparasitism. A cross-sectional survey investigated the prevalence of gastrointestinal parasites in indigenous Kambing-Katjang goats on smallholder farms (n = 389) in 8 villages where no anthelmintic treatments were in use, providing comparisons with a case study of imported Boer crossbred goats (n = 45) on a commercial farm where intensive anthelmintic treatments were required to manage mortalities attributable to Haemonchosis. Clinical examinations, collection of faecal samples, and pathological examination on the commercial farm, accompanied collection of information on animal gender, age and body weight, with data analyses performed in Genstat. Faecal samples contained eggs of multiple endoparasitic species, with Strongyles spp. and coccidian oocysts of Eimeria spp. most prevalent. Significant associations between the presence of endoparasites and the farm type (smallholder versus commercial; p commercial farm having Stronglyes spp. and Eimeria spp. of 1.3 (CI = 0.6-2.9) and 4.8 (CI = 2.5-9.1). Mortalities from endoparasitism were only recorded at the commercial farm, with the loss of 24 goats in the final 3 months of the dry season (Feb-April). This study identified a moderate prevalence of multiple endoparasitic species in smallholder goat farms that appeared well-tolerated, whereas in the developing commercial system, endoparasites posed significant risks to enterprise viability, even with use of anthelmintics. Further studies on endoparasite control are required if commercial tropical goat meat production is to prove sustainable and assist in addressing regional food security, plus provide a pathway to

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

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William E. Willmott

2012-09-01

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

Constructing a Governing Rationale: Developing Lao Hmong Refugees at Wat Tham Krabok

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David Chambers

2014-12-01

Full Text Available In this paper I argue that Thai discourses of modernization and development have been taken up by the leaders and other prominent monks at Wat Tham Krabok Buddhist Temple (WTK in central Thailand’s Saraburi Province and directed at governing a settlement of mostly Lao Hmong refugees that made their home on temple controlled land from the 1990s to 2000s. Though decoding the motivations on the part of WTK’s leaders and other senior monks for allowing thousands of Hmong to settle on WTK controlled land is a complex process, viewing the story through the lens of development teaches new things about their overarching motivations for such an intervention. Furthermore, it allows several aspects of their governing rationale—including attention to legibility, territoriality, infrastructural development—to stand out and reveals that WTK’s leaders enacted specific projects that appear to be directed at governing, reforming, and possibly modernizing the Hmong population at WTK. The styles of this intervention varied between the temples second and third abbots, Chamroon and Charoen, in their respective use of discursive versus material means of intervention. Considering these goals in concert with the history of material construction at the temple highlights how the material and discursive aspects of life at WTK are recursively connected to reinforce regimes of Hmong development toward an ideal of modernity that pays homage to symbols of Thai modernity and legitimizes WTK as a worthy Buddhist institution.

Rural energy survey and scenario analysis of village energy consumption: A case study in Lao People's Democratic Republic

International Nuclear Information System (INIS)

Mustonen, S.M.

2010-01-01

In developing countries, providing all citizens an access to modern forms of energy is among the central energy policy objectives, as the linkages between modern energy services and human development are widely recognized. This paper presents in a scenario analysis of rural energy consumption, how energy services in different sectors of a village economy contribute to the achievement of the UNDP Millennium Development Goals. In a rural village in Lao People's Democratic Republic, household energy demand and energy uses were surveyed immediately prior to the electrification of the village. Based on the situation preceding electrification of the village, the development of village electrification was studied by simulating the village energy system, accounting for all village energy uses but transportation. To study the potential development of electricity demand in the village, three scenarios were constructed using the LEAP model: 'residential demand', 'income generation' and 'public services'. Energy demand in each scenario was analyzed with reference to the Millennium Development Goals.

Application of the region-time-length algorithm to study of earthquake precursors in the Thailand-Laos-Myanmar borders

Science.gov (United States)

Puangjaktha, P.; Pailoplee, S.

2018-04-01

In order to examine the precursory seismic quiescence of upcoming hazardous earthquakes, the seismicity data available in the vicinity of the Thailand-Laos-Myanmar borders was analyzed using the Region-Time-Length (RTL) algorithm based statistical technique. The utilized earthquake data were obtained from the International Seismological Centre. Thereafter, the homogeneity and completeness of the catalogue were improved. After performing iterative tests with different values of the r0 and t0 parameters, those of r0 = 120 km and t0 = 2 yr yielded reasonable estimates of the anomalous RTL scores, in both temporal variation and spatial distribution, of a few years prior to five out of eight strong-to-major recognized earthquakes. Statistical evaluation of both the correlation coefficient and stochastic process for the RTL were checked and revealed that the RTL score obtained here excluded artificial or random phenomena. Therefore, the prospective earthquake sources mentioned here should be recognized and effective mitigation plans should be provided.

Linking data to tobacco control program action among students aged 13-15 in Association of Southeast Asian Nations (ASEAN) member states, 2000-2006.

Science.gov (United States)

Sirichotiratana, N; Sovann, S; Aditama, T Y; Krishnan, M; Kyaing, N N; Miguel-Baquilod, M; Hai, P T; Sinha, D N; Warren, C W; Jones, N R

2008-12-01

The Association of Southeast Asian Nations (ASEAN) has made tobacco use prevention a primary health issue. All ASEAN countries except Indonesia have ratified the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), the world's first public health treaty on tobacco control. Global Youth Tobacco Survey (GYTS) data were collected from representative samples of students in school grades associated with ages 13-15 in Cambodia, Indonesia, Laos (Vientiane), Malaysia, Myanmar, Philippines, Singapore, Thailand and Vietnam (Hanoi). Current cigarette smoking ranged from less than 5% (Vietnam and Cambodia) to 20.2% in Malaysia. Current use of tobacco products other than cigarettes was less than 10% in all countries. Boys were significantly more likely than girls to smoke cigarettes or use other tobacco products. Exposure to second-hand smoke in public places was greater than 50%, direct pro-tobacco advertising exposure was greater than 75% and over 10% of students were exposed to indirect advertising. Over 60% of students who currently smoked cigarettes wanted to stop, but 80% who tried to quit in the year prior to the survey failed. Efforts to reduce the current and projected harm caused by tobacco use in the ASEAN countries are urgently needed. ASEAN countries need to expand their national comprehensive tobacco prevention and control programs and enforce those laws already passed. Without this effort little reduction can be expected in the burden of chronic diseases and tobacco-related mortality.

Fatal Chromobacterium violaceum septicaemia in northern Laos, a modified oxidase test and post-mortem forensic family G6PD analysis.

Science.gov (United States)

Slesak, Günther; Douangdala, Phouvieng; Inthalad, Saythong; Silisouk, Joy; Vongsouvath, Manivanh; Sengduangphachanh, Amphonesavanh; Moore, Catrin E; Mayxay, Mayfong; Matsuoka, Hiroyuki; Newton, Paul N

2009-07-29

Chromobacterium violaceum is a Gram negative facultative anaerobic bacillus, found in soil and stagnant water, that usually has a violet pigmented appearance on agar culture. It is rarely described as a human pathogen, mostly from tropical and subtropical areas. A 53 year-old farmer died with Chromobacterium violaceum septicemia in Laos. A modified oxidase method was used to demonstrate that this violacious organism was oxidase positive. Forensic analysis of the glucose-6-phosphate dehydrogenase genotypes of his family suggest that the deceased patient did not have this possible predisposing condition. C. violaceum infection should be included in the differential diagnosis in patients presenting with community-acquired septicaemia in tropical and subtropical areas. The apparently neglected but simple modified oxidase test may be useful in the oxidase assessment of other violet-pigmented organisms or of those growing on violet coloured agar.

Research into the functional components and antioxidant activities of North China rice wine (Ji Mo Lao Jiu)

Science.gov (United States)

He, Shuai; Mao, Xiangzhao; Liu, Pei; Lin, Hong; Du, Zuyuan; Lv, Ning; Han, Jichen; Qiu, Cuifang

2013-01-01

Over the last decade, considerable experimental evidence has supported the view that grape wine and South China rice wine are rich in diverse nutrients and have powerful antioxidant activity. However, little research has been carried out for North China rice wine, of which Ji Mo Lao Jiu (JMLJ) is the outstanding representative. In this study, the functional components and antioxidant activity of JMLJ were investigated. Twenty-eight free amino acids were found in JMLJ, much more than that previously reported in other Chinese rice wines (16–21). Functional oligosaccharides (5290.222 mg/L), total phenols (722.431 ± 10.970 mg/L), and mineral elements (9) were rich in JMLJ. When compared with synthetic antioxidants, such as butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT), JMLJ showed effective 1,1-diphenyl-2-picryl-hydrazyl (DPPH) radical scavenging and reducing capacity. The results of this study lay the foundation for promoting the utilization of JMLJ and the development of North China rice wine in the food industry. PMID:24804035

Emerging Pollutant of Concern: Occurrence of Pharmaceutical Compounds in Asia with Particular Preference to Southeast Asia Countries

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Hashim Nor Haslina

2016-01-01

Full Text Available Southeast Asia countries were developing countries, with the rapid development for a better living condition leads to longer life expectancy, which increased total population. It may result in increased the demand of pharmaceutical in domestic use and or in hospital. Although most wastewater treatment plants (WWTPs met the local authority’s regulatory requirement, there are still many pharmaceutical compound incompletely removed and discharge to the water stream and enter the environment. Recently many studies and researches have published on the occurrence and source as well as the fate of pharmaceuticals all over the world including Asia. As part of Asia region, Southeast Asia countries (Malaysia, Philippines, Singapore, Thailand, Vietnam, Brunei, Cambodia, and Lao PDR seem has lack of research knowledge and information regarding this emerging pollutant issues compared to developed Asia country as China, Korea and Hong Kong. In this paper, it will review recent studies occurrences (surface and wastewater on most common pharmaceuticals with several recommendations to overcome and thus summarise the actual situation in Southeast Asia.

Use of refractometry and colorimetry as field methods to rapidly assess antimalarial drug quality.

Science.gov (United States)

Green, Michael D; Nettey, Henry; Villalva Rojas, Ofelia; Pamanivong, Chansapha; Khounsaknalath, Lamphet; Grande Ortiz, Miguel; Newton, Paul N; Fernández, Facundo M; Vongsack, Latsamy; Manolin, Ot

2007-01-04

The proliferation of counterfeit and poor-quality drugs is a major public health problem; especially in developing countries lacking adequate resources to effectively monitor their prevalence. Simple and affordable field methods provide a practical means of rapidly monitoring drug quality in circumstances where more advanced techniques are not available. Therefore, we have evaluated refractometry, colorimetry and a technique combining both processes as simple and accurate field assays to rapidly test the quality of the commonly available antimalarial drugs; artesunate, chloroquine, quinine, and sulfadoxine. Method bias, sensitivity, specificity and accuracy relative to high-performance liquid chromatographic (HPLC) analysis of drugs collected in the Lao PDR were assessed for each technique. The HPLC method for each drug was evaluated in terms of assay variability and accuracy. The accuracy of the combined method ranged from 0.96 to 1.00 for artesunate tablets, chloroquine injectables, quinine capsules, and sulfadoxine tablets while the accuracy was 0.78 for enterically coated chloroquine tablets. These techniques provide a generally accurate, yet simple and affordable means to assess drug quality in resource-poor settings.

Agrosilvopastoral Systems in Northern Thailand and Northern Laos: Minority Peoples’ Knowledge versus Government Policy

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Chalathon Choocharoen

2014-05-01

Full Text Available Traditional agrosilvopastoral systems have been an important component of the farming systems and livelihoods of thousands of ethnic minority people in the uplands of Mainland Southeast Asia. Drawing on a combination of qualitative and participatory inquiries in nine ethnic minority communities, this study emphasizes the complex articulation of local farmers’ knowledge which has been so far excluded from governmental development and conservation policies in the northern uplands of Thailand and Laos. Qualitative analysis of local knowledge systems is performed using the Agroecological Knowledge Toolkit (AKT5 software. Results show that ethnic minorities in the two countries perceive large ruminants to be a highly positive component of local forest agro-ecosystems due to their contribution to nutrient cycling, forest fire control, water retention, and leaf-litter dispersal. The knowledge and perceptions of agrosilvopastoral farmers are then contrasted with the remarkably different forestry policy frameworks of the two countries. We find that the knowledge and diversity of practices exercised by ethnic minority groups contrasts with the current simplified and negative image that government officials tend to construct of agrosilvopastoral systems. We conclude that local knowledge of forest-livestock systems can offer alternative or complementary explanations on ecological cause-and-effect relationships which may need further scientific investigation and validation.

From Slash-and-burn to Disk Ploughing: The Land Policy and Tractors Behind Erosion and Forest Pioneer Farming in Southern Xayabury Province (Laos

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Marc Dufumier

2013-02-01

Full Text Available Bordering Thailand, the southern part of Xayabury province is engaged in international trade and has experienced agricultural growth like nowhere else in Laos. The rapid transformation from manual slash-and-burn agriculture to mechanized, chemical-based cropping systems is often cited by Laotian authorities as a model of development. But a careful study of changes underway indicates that the reality is far less encouraging than it would appear at first. If many farmers have indeed bolstered their incomes over the last twenty years, it is no less true that some of the poorest peasants have become increasingly poorer and that the new techniques cause serious erosion, as they have not been able to prevent the expansion of cultivated areas on sloping lands.

Fatal Chromobacterium violaceum septicaemia in northern Laos, a modified oxidase test and post-mortem forensic family G6PD analysis

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Mayxay Mayfong

2009-07-01

Full Text Available Abstract Background Chromobacterium violaceum is a Gram negative facultative anaerobic bacillus, found in soil and stagnant water, that usually has a violet pigmented appearance on agar culture. It is rarely described as a human pathogen, mostly from tropical and subtropical areas. Case presentation A 53 year-old farmer died with Chromobacterium violaceum septicemia in Laos. A modified oxidase method was used to demonstrate that this violacious organism was oxidase positive. Forensic analysis of the glucose-6-phosphate dehydrogenase genotypes of his family suggest that the deceased patient did not have this possible predisposing condition. Conclusion C. violaceum infection should be included in the differential diagnosis in patients presenting with community-acquired septicaemia in tropical and subtropical areas. The apparently neglected but simple modified oxidase test may be useful in the oxidase assessment of other violet-pigmented organisms or of those growing on violet coloured agar.

王弼《老子注》的詮釋辨證/ Interpretative Dialectics of Wang Bi’s Exegesis of Lao-Tzu

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Jung-Tao TSAI

2012-09-01

Wang Bi, the most prominent scholar of metaphysics of the Wei and Jin Dynasties, was an unprecedented genius throughout the history of Chinese philosophy. In this article, the author examines the brilliant contributions made by Lin Li Zhen, Yu Dun Kang and Rudolf G. Wagner, who are noticed for their research of Exegesis of Lao-Tzu. It is a synthesis of the directions of investigation, approaches, and significant findings they have come up with. Among the three interpretations, Lin focuses on the explanation of Wang’s metaphysic thinking while Yu emphasizes Wang’s secular concerns by proposing the “philosophy of thoroughness” and political holism. As for Wagner, he approaches this work with the views of linguistic philosophy and suggests refined stylistics as interpretative strategy, which functions to enrich the textual contents.

Stable Forest Cover under Increasing Populations of Swidden Cultivators in Central Laos: the Roles of Intrinsic Culture and Extrinsic Wildlife Trade

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William G. Robichaud

2009-06-01

Full Text Available Swidden agriculture, or shifting cultivation, is variously viewed as a great environmental threat or a sustainable system of land use. In Laos, swidden has long been considered the primary driver of forest loss nationwide, but the assessment is based exclusively on studies from the north of country, where deforestation is most severe. National policies to control swidden have percolated down to management of one of the largest nature reserves in the region, Nakai-Nam Theun National Protected Area (NNT NPA in the Annamite Mountains of central Laos. In NNT NPA, swidden's presumed unsustainability and deleterious impact on forest cover is an untested assumption. We tested it by methods of historical ecology, tracing the patterns of NNT's forest cover and human settlement over the past several decades. Principal sources of data were topographical maps dating to 1943, and Landsat images from 1976, 1989, and 2001. The analysis shows that, although NNT has been inhabited by swidden cultivators for hundreds of years, it retained more than 95% forest cover until the 1960s-early 1970s. Subsequently, a post-Vietnam War release of human population, possibly coupled with government encouragement of agricultural expansion, precipitated a decline in forest of 0.5%/year until the 1980s. Curiously, this was followed by stability or an increase (ca. 0.3%/year in forest cover into the current century, even as NNT's human population continued to grow and as forest declined in Laos overall at 1.7%/year, and in two protected areas near NNT at more than 3%/year. A combination of intrinsic and extrinsic factors probably account for the stability of NNT's forest cover despite recent population growth. First are cultural propensities for sedentariness and livelihoods with relatively low environmental impact among the ethnic groups inhabiting NNT. Since at least the 1940s, there have been remarkably few changes in the number or location of villages in NNT (and despite

Identification of a cluster IV pleiotropic drug resistance transporter gene expressed in the style of Nicotiana plumbaginifolia.

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Trombik, Tomasz; Jasinski, Michal; Crouzet, Jérome; Boutry, Marc

2008-01-01

ATP-binding cassette transporters of the pleiotropic drug resistance (PDR) subfamily are composed of five clusters. We have cloned a gene, NpPDR2, belonging to the still uncharacterized cluster IV from Nicotiana plumbaginifolia. NpPDR2 transcripts were found in the roots and mature flowers. In the latter, NpPDR2 expression was restricted to the style and only after pollination. A 1.5-kb genomic sequence containing the putative NpPDR2 transcription promoter was fused to the beta-glucuronidase reporter gene. The GUS expression pattern confirmed the RT-PCR results that NpPDR2 was expressed in roots and the flower style and showed that it was localized around the conductive tissues. Unlike other PDR genes, NpPDR2 expression was not induced in leaf tissues by none of the hormones typically involved in biotic and abiotic stress response. Moreover, unlike NpPDR1 known to be involved in biotic stress response, NpPDR2 expression was not induced in the style upon Botrytis cinerea infection. In N. plumbaginifolia plants in which NpPDR2 expression was prevented by RNA interference, no unusual phenotype was observed, including at the flowering stage, which suggests that NpPDR2 is not essential in the reproductive process under the tested conditions.

Barriers to Local Residents’ Participation in Community-Based Tourism: Lessons from Houay Kaeng Village in Laos

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Kim Sangkyun

2014-01-01

Full Text Available This study aims to identify the barriers to local residents’ participation in the process of community-based tourism planning and development in a developing country. Focusing on the case of Houay Kaeng Village in Sayabouly Province, Laos, a qualitative exploratory study was conducted by adopting in-depth interviews with the various levels of local community’s members. The key barriers to local community participation identified in this research include: (1 low education levels and lack of knowledge about tourism; (2 poor living conditions and lack of financial support; (3 busy daily routine and lack of time for tourism participation; (4 local community’s perception of tourism as a seasonal business with low income; and (5 power disparities, institutional disincentives and local’s distrust in authorities. The results suggest that only a small number of the local residents in the village were satisfied with their current and on-going participation expressing their strong willingness to continue in participating in the process of tourism planning and development, whereas a large group of the residents were not willing to do it at all in the future. The paper further discusses implications for the government and communities in regard to community-based sustainable tourism development.

Health policy evolution in Lao People's Democratic Republic: context, processes and agency.

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Jönsson, Kristina; Phoummalaysith, Bounfeng; Wahlström, Rolf; Tomson, Göran

2015-05-01

During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective implementation of a health policy is highly dependent on both structures and agency of those involved in the policy process. The National Drug Policy was formulated and adopted in a short period of time in a resource-scarce setting, but with dedicated policy entrepreneurs and support of concerned international collaborators. Timely introduction of operational health systems research played a crucial role to support the implementation, as well as the subsequent revision of the policy. The development of the Health Care Law took several years and once adopted, the implementation was delayed by institutional legacies and issues concerning the choice of institutional design and financing, despite strong support of the law among the policymakers. Among many factors, timing of the implementation appeared to be of crucial importance, in combination with strong leadership. These two examples show that more research, that problematizes the complex policy environment in combination with improved communication between researchers and policymakers, is necessary to inform about measures for effective implementation. A way forward can be to strengthen the domestic research capacity and the international research collaboration regionally as well as globally. Published by Oxford University Press

Genetic Diversity and Population Structure in Native Chicken Populations from Myanmar, Thailand and Laos by Using 102 Indels Markers

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A. A. Maw

2015-01-01

Full Text Available The genetic diversity of native chicken populations from Myanmar, Thailand, and Laos was examined by using 102 insertion and/or deletion (indels markers. Most of the indels loci were polymorphic (71% to 96%, and the genetic variability was similar in all populations. The average observed heterozygosities (HO and expected heterozygosities (HE ranged from 0.205 to 0.263 and 0.239 to 0.381, respectively. The coefficients of genetic differentiation (Gst for all cumulated populations was 0.125, and the Thai native chickens showed higher Gst (0.088 than Myanmar (0.041 and Laotian (0.024 populations. The pairwise Fst distances ranged from 0.144 to 0.308 among populations. A neighbor-joining (NJ tree, using Nei’s genetic distance, revealed that Thai and Laotian native chicken populations were genetically close, while Myanmar native chickens were distant from the others. The native chickens from these three countries were thought to be descended from three different origins (K = 3 from STRUCTURE analysis. Genetic admixture was observed in Thai and Laotian native chickens, while admixture was absent in Myanmar native chickens.

Dietary exposure to aflatoxin B-1, ochratoxin A and fuminisins of adults in Lao Cai province, Viet Nam: A total dietary study approach

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Bui, Huong Mai; Le Danh Tuyen; Do Huu Tuan

2016-01-01

Aflatoxins, fumonisins and ochratoxin A that contaminate various agricultural commodities are considered of significant toxicity and potent human carcinogens. This study took a total dietary study approach and estimated the dietary exposure of these mycotoxins for adults living in Lao Cai province...... higher than recommended provisional tolerable daily intake (PTDI) values mainly due to contaminated cereals and meat. The exposure to total fumonisins (1400 ng/kg bw/day) was typically lower than the PTDI value (2000 ng/kg bw/day). The estimated risk of liver cancer associated with exposure to aflatoxin...... B1 was 2.7 cases/100,000 person/year. Margin of exposure (MOE) of renal cancer linked to ochratoxin A and liver cancer associated with fumonisins were 1124 and 1954, respectively indicating risk levels of public health concern. Further studies are needed to evaluate the efficiency of technical...

Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos

DEFF Research Database (Denmark)

Jürgensen, Nanna; Petersen, Poul Erik

2009-01-01

BACKGROUND: In recent decades low-income countries experienced an increasing trend in dental caries among children, particularly recorded in 12-year olds, which is the principal WHO indicator age group for children. This increases the risks of negative affects on children's life. Some data exist...... on the oral health status of children in low-income countries of Southeast Asia. However, information on how oral health is associated with socio-behavioural factors is almost not available. The aims of this study were to: assess the level of oral health of Lao 12-year-olds in urban and semi-urban settings...... was found for children with good or average perception of own oral health. High risk for gingival bleeding was seen in semi-urban children and boys. CONCLUSION: Although the caries level is low it causes considerable negative impact on daily life. School based health promotion should be implemented...

A role for FACT in repopulation of nucleosomes at inducible genes.

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Warren P Voth

Full Text Available Xenobiotic drugs induce Pleiotropic Drug Resistance (PDR genes via the orthologous Pdr1/Pdr3 transcription activators. We previously identified the Mediator transcription co-activator complex as a key target of Pdr1 orthologs and demonstrated that Pdr1 interacts directly with the Gal11/Med15 subunit of the Mediator complex. Based on an interaction between Pdr1 and the FACT complex, we show that strains with spt16 or pob3 mutations are sensitive to xenobiotic drugs and display diminished PDR gene induction. Although FACT acts during the activation of some genes by assisting in the nucleosomes eviction at promoters, PDR promoters already contain nucleosome-depleted regions (NDRs before induction. To determine the function of FACT at PDR genes, we examined the kinetics of RNA accumulation and changes in nucleosome occupancy following exposure to a xenobiotic drug in wild type and FACT mutant yeast strains. In the presence of normal FACT, PDR genes are transcribed within 5 minutes of xenobiotic stimulation and transcription returns to basal levels by 30-40 min. Nucleosomes are constitutively depleted in the promoter regions, are lost from the open reading frames during transcription, and the ORFs are wholly repopulated with nucleosomes as transcription ceases. While FACT mutations cause minor delays in activation of PDR genes, much more pronounced and significant defects in nucleosome repopulation in the ORFs are observed in FACT mutants upon transcription termination. FACT therefore has a major role in nucleosome redeposition following cessation of transcription at the PDR genes, the opposite of its better-known function in nucleosome disassembly.

Sister cities and easy passage: HIV, mobility and economies of desire in a Thai/Lao border zone.

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Lyttleton, Chris; Amarapibal, Amorntip

2002-02-01

It is recognised that people movement can increase potential risk of HIV transmission. In recent years, mobile populations moving across national borders have become a focus for HIV/AIDS prevention campaigns. These programs generally target border "hot zones" that produce high levels of HIV vulnerability due to the degree of mobility and the risk behaviours fostered by these marginal environments. However, high degrees of movement and social exploitation need not be the only criteria for borders to exacerbate HIV vulnerability. The types of social interactions promoted by mobility take many forms. In this paper we consider a border zone between Thailand and Laos to show that the links between movement and HIV vulnerability are not confined to stereotypical instances of coercion and exploitation. Rather we demonstrate that HIV risk in this area is a product of both a sense of community and a sense of difference that together foster a range of interactions based on mobility back and forth across the border. As HIV/AIDS prevention programs increasingly control forms of sexual interaction, the border provides a practical and symbolic opportunity to establish new forms of sexual relationship falling outside these constraints. This tendency to move outside bounds is not limited to border areas but has implications for prevention programs everywhere.

Geographic distributions and ecology of ornamental Curcuma (Zingiberaceae) in Northeastern Thailand.

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Khumkratok, Sutthira; Boongtiang, Kriangsuk; Chutichudet, Prasit; Pramaul, Pairot

2012-10-01

The genus Curcuma is a very important economic plant. Members of this genus were used as food, medicine and ornament plants. The objectives of this study were to examine the geographic distributions and ecological conditions in the natural habitats of Curcuma in Northeastern Thailand. Species diversity was examined using the line transect method. Ecological conditions of the species were examined using a sampling plot of 20 x 20 m. A total of five species were found including Curcuma angustifolia Roxb., C. alismatifolia Gagnep., C. gracillima Gagnep., C. parviflora Wall. and C. rhabdota. These species were in an altitudinal range between 290 m and 831 m above sea level. Four species (C. angustifolia, C. alismatifolia, C. gracillima and C. rhabdota) were distributed in open gaps in dry dipterocarp forest. One species, C. parviflora was found in the contact zone between dry dipterocarp and bamboo (Gigantochloa sp.) forest. C. rhabdota was found only in a habitat with high humidity and shading along the Thailand-Lao PDR border. Significant ecological conditions of the natural habitats of these Curcuma species were identified. Altitude is the most important factor when determining the geographic distributions of these Curcuma species in Northeastern Thailand.

SCHISTOSOMICIDAL ACTIVITY OF THE CRUDE EXTRACT OF ARTOCARPUS LAKOOCHA.

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Preyavichyapugdee, Narin; Sangfuang, Manaw; Chaiyapum, Saowapark; Sriburin, Suwatcharaporn; Pootaeng-on, Yupa; Chusongsang, Phiraphol; Jiraungkoorskul, Wannee; Preyavichyapugdee, Mananya; Sobhon, Prasert

2016-01-01

Puag-Haad is a traditional anthelmintic drug used to treat taeniasis in Thailand and Lao PDR. It is derived from the aqueous extract of the plant Artocarpus lakoocha. We investigated the in vitro anthelmintic properties of Puag-Haad against Schistosoma mansoni. Adult worms were incubated in M-199 medium containing 250, 500 and 750 μg/ml of Puag-Haad or praziquantel (PZQ) at a concentration of 175 μg/ml for 3, 6, 12 and 24 hours. The relative motility (RM value), survival index (SI) and tegument alterations seen under scanning electron microscope were assessed at each incubation time. The results showed the crude extract of A. lakoocha at a concentration of 250 μg/ml was more effective in causing damage than PZQ at a concentration of 175 μg/ml using RM and SI values. The major target organ affected by Puag-Haad was the tegument. The damage was greater at higher concentrations of the crude extract. It is likely tetrahydroxystilbene (THS), the main compound in Puag-Haad, caused the damage. THS could be a future candidate as a schistosomal drug. Further studies are needed to explore its mechanism, efficiency and safety in vivo.

Integrating spatial support tools into strategic planning-SEA of the GMS North-South Economic Corridor Strategy and Action Plan

International Nuclear Information System (INIS)

Ramachandran, Pavit; Linde, Lothar

2011-01-01

The GMS countries, supported by the Asian Development Bank, have adopted a holistic, multidimensional approach to strengthen infrastructural linkages and facilitate cross border trade through (i) the establishment of a trans-boundary road connecting two economic nodes across marginalised areas, followed by 2) facilitation of environmentally and socially sound investments in these newly connected areas as a means to develop livelihoods. The North-South Economic Corridor is currently in its second phase of development, with investment opportunities to be laid out in the NSEC Strategy and Action Plan (SAP). It targets the ecologically and culturally sensitive border area between PR China's Yunnan Province, Northern Lao PDR, and Thailand. A trans-boundary, cross-sectoral Strategic Environmental Assessment was conducted to support the respective governments in assessing potential environmental and social impacts, developing alternatives and mitigation options, and feeding the findings back into the SAP writing process. Given the spatial dimension of corridor development-both with regard to opportunities and risks-particular emphasis was put in the application of spatial modelling tools to help geographically locate and quantify impacts as a means to guide interventions and set priorities.

Vietnamese Migrant Workers in Thailand - Implications for Leveraging Migration for Development

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Nancy HUYEN NGUYEN

2014-05-01

Full Text Available A greater flow of people to and from each of the Mekong countries is catching the attention of the general public and academic researchers. As one of the fastest growing countries in the GMS, Thailand is attracting the majority of migrant workers from its neighbours. At a smaller scale, when compared with those from Lao PDR, Cambodia and Myanmar, Vietnamese workers are also joining this increasing trend in immigration to Thailand. By analyzing information from secondary data sources, this research paper attempts to provide further insights into the social and economic impacts generated by the Vietnamese migrant workers in Thailand both at home and the host country. The study discovers that moving to Thailand for work has eased the pressures of rural unemployment and underemployment that have plagued Vietnam recently. Meanwhile, Vietnamese workers are helping soothe the stress caused by the increasing demand for unskilled and low skilled labourers in Thailand. The study further learns that the long-established community of Vietnamese migrants in Thailand is encouraging the increasing movement of Vietnamese workers to Thailand. The study findings suggest meaningful implications for future policies in leveraging labour migration for development.

Armigeres subalbatus colonization of damaged pit latrines: a nuisance and potential health risk to residents of resettlement villages in Laos.

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Hiscox, A; Hirooka, R; Vongphayloth, K; Hill, N; Lindsay, S W; Grandadam, M; Brey, P T

2016-03-01

During the resettlement of 6500 persons living around the Nam Theun 2 hydroelectric project in Laos, more than 1200 pour-flush latrines were constructed. To assess the role of these latrines as productive larval habitats for mosquitoes, entomological investigations using Centers for Disease Control (CDC) light traps, visual inspection and emergence trapping were carried out in over 300 latrines during the rainy seasons of 2008-2010. Armigeres subalbatus (Diptera: Culicidae) were nine times more likely to be found in latrines (mean catch: 3.09) than in adjacent bedrooms (mean catch: 0.37) [odds ratio (OR) 9.08, 95% confidence interval (CI) 6.74-15.11] and mosquitoes were active in and around 59% of latrines at dusk. Armigeres subalbatus was strongly associated with latrines with damaged or improperly sealed septic tank covers (OR 5.44, 95% CI 2.02-14.67; P resettlement villages. The scale-up of this simple, cheap intervention would have global impact in preventing the colonization of septic tanks by nuisance biting and disease-transmitting mosquitoes. © 2015 The Royal Entomological Society.

'Health is wealth and wealth is health'--perceptions of health and ill-health among female sex workers in Savannakhet, Laos.

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Phrasisombath, Ketkesone; Thomsen, Sarah; Sychareun, Vanphanom; Faxelid, Elisabeth

2013-01-02

Female sex workers (FSWs) are vulnerable to sexually transmitted infections (STIs) and other types of health problems and they also encounter socio-economic difficulties. Efforts to develop effective health intervention programs for FSWs have been hampered by a lack of information on why FSWs do not seek or delay seeking treatment for STIs. To further understand their reasons, our study applied a qualitative approach to explore perceptions of health and ill-health among FSWs in Savannakhet province in Laos. Fifteen in-depth interviews were conducted with FSWs in Savannakhet province. Latent content analysis was used for analysis. Sex workers' definitions of health and wealth are intertwined. Thus, good health was described as strongly related to wealth, and wealth was needed in order to be healthy. This is explained in two sub-themes: health is necessary for work and income and ill-health creates social and economic vulnerability. Female sex workers' beliefs and perceptions about health and ill-health were dominated by their economic need, which in turn was influenced by expectations and demands from their families.

Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania.

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Hoffman, Steven J; Guindon, G Emmanuel; Lavis, John N; Ndossi, Godwin D; Osei, Eric J A; Sidibe, Mintou Fall; Boupha, Boungnong

2011-12-13

Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs). This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140), Laos (136), Senegal (100) and Tanzania (121). Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. The survey achieved a 75% response rate (372/497) across Ghana (107/140), Laos (136/136), Senegal (51/100) and Tanzania (78/121). Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13%) or self-reported performing all five clinical practices according to established evidence (2%). Statistically significant factors associated with higher knowledge within each country included: 1) training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73); and 2) ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70). Statistically significant factors associated with better clinical practices within each country include: 1) reading scientific journals from their own country (OR 1.67, 95% CI 1.10-2.54); 2) working

Pupil responses and pain ratings to heat stimuli: Reliability and effects of expectations and a conditioning pain stimulus.

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Eisenach, James C; Curry, Regina; Aschenbrenner, Carol A; Coghill, Robert C; Houle, Timothy T

2017-03-01

The locus coeruleus (LC) signals salience to sensory stimuli and these responses can modulate the experience of pain stimuli. The pupil dilation response (PDR) to noxious stimuli is thought to be a surrogate for LC responses, but PDR response to Peltier-controlled noxious heat stimuli, the most commonly used method in experimental pain research, has not been described. Healthy volunteers were presented with randomly presented heat stimuli of 5 sec duration and provided pain intensity ratings to each stimulus. Pupillometry was performed and a method developed to quantify the PDR relevant to these stimuli. The stimulus response, reliability, and effect of commonly used manipulations on pain experience were explored. A method of artifact removal and adjusting for lag from stimulus initiation to PDR response was developed, resulting in a close correlation between pain intensity rating and PDR across a large range of heat stimuli. A reliable assessment of PDR within an individual was achieved with fewer presentations as heat stimulus intensity increased. The correlation between pain rating and PDR was disrupted when cognitive load is increased by manipulating expectations or presenting a second pain stimulus. The PDR began later after skin heating than electrical stimuli and this is the first examination of the PDR using standard nociceptive testing and manipulations of expectations and competing noxious stimulation. A method is described applying PDR to standard heat nociceptive testing, demonstrating stimulus response, reliability, and disruption by cognitive manipulation. Copyright © 2017 Elsevier B.V. All rights reserved.

Serum MiRNA Biomarkers serve as a Fingerprint for Proliferative Diabetic Retinopathy

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Shao Qing

2014-11-01

Full Text Available Background: Diabetic retinopathy (DR is a retinopathy resulting from diabetes mellitus (DM which was classified into non-proliferative DR (NPDR and proliferative DR (PDR. Without an early screening and effective diagnosis, patients with PDR will develop serious complications. Therefore, we sought to identify special serum microRNAs (miRNAs that can serve as a novel non-invasive screening signature of PDR and test its specificity and sensitivity in the early diagnosis of PDR. Methods: In total, we obtained serum samples from 90 PDR cases, 90 matched NPDR patients and 20 controls. An initial screening of miRNA expression was performed through TaqMan Low Density Array (TLDA. The candidate miRNAs were validated by individual reverse transcription quantitative real-time PCR (RT-qPCR arranged in an initial and a two-stage validation sets. Moreover, additional double-blind testing was performed in 20 patients clinically suspected of having DR to evaluate the diagnostic value and accuracy of the serum miRNA profiling system in predicting PDR. Results: Three miRNAs were significantly increased in patients with PDR compared with NPDR after the multiple stages. The areas under the receiver operating characteristic (ROC curves of the validated three-serum miRNAs signature were 0.830, 0.803 and 0.873 in the initial and two validation sets, respectively. Combination of miR-21, miR-181c, and miR-1179 possessed a moderate ability to discrimination between PDR and NPDR with an area under ROC value of 0.89. The accuracy rate of the three-miRNA profile as PDR signature was 82.6%. Conclusions: These data provide evidence that serum miRNAs have the potential to be sensitive, cost-effective biomarkers for the early detection of PDR. These biomarkers could serve as a dynamic monitoring factor for detecting the progression of PDR from NPDR.

Elevated Levels of Cytokines Associated with Th2 and Th17 Cells in Vitreous Fluid of Proliferative Diabetic Retinopathy Patients.

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Masaru Takeuchi

Full Text Available Macrophages are involved in low-grade inflammation in diabetes, and play pathogenic roles in proliferative diabetic retinopathy (PDR by producing proinflammatory cytokines. T cells as well as other cells are also activated by proinflammatory cytokines, and infiltration into the vitreous of patients with PDR has been shown. In this study, we measured helper T (Th cell-related cytokines in the vitreous of PDR patients to define the characteristics of Th-mediated immune responses associated with PDR. The study group consisted of 25 type 2 diabetic patients (25 eyes with PDR. The control group consisted of 27 patients with epiretinal membrane (ERM, 26 patients with idiopathic macular hole (MH, and 26 patients with uveitis associated with sarcoidosis. Vitreous fluid was obtained at the beginning of vitrectomy, and centrifuging for cellular removals was not performed. Serum was also collected from PDR patients. IL-1β, IL-4, IL-6, IL-10, IL-17A, IL-17F, IL-21, IL-22, IL-23, IL-25, IL-31, IL-33, IFN-γ, soluble sCD40L, and TNFα in the vitreous and serum samples were measured. Both percent detectable and levels of IL-4, IL-6, IL-17A, IL-21, IL-22, and TNFα in the vitreous were significantly higher than those in the serum in PDR patients. Vitreous levels of these cytokines and IL-31 were significantly higher in PDR than in ERM or MH patients. Vitreous levels of IL-4, IL-17A, IL-22, IL-31, and TNFα in PDR patients were also significantly higher than those of sarcoidosis patients. In PDR patients, vitreous IL-17A level correlated significantly with vitreous levels of IL-22 and IL-31, and especially with IL-4 and TNFα. Although it is unclear whether these cytokines play facilitative roles or inhibitory roles for the progression of PDR, the present study indicated that Th2- and Th17-related immune responses are involved in the pathogenesis of PDR.

The VIMOS Public Extragalactic Redshift Survey (VIPERS). Full spectroscopic data and auxiliary information release (PDR-2)

Science.gov (United States)

Scodeggio, M.; Guzzo, L.; Garilli, B.; Granett, B. R.; Bolzonella, M.; de la Torre, S.; Abbas, U.; Adami, C.; Arnouts, S.; Bottini, D.; Cappi, A.; Coupon, J.; Cucciati, O.; Davidzon, I.; Franzetti, P.; Fritz, A.; Iovino, A.; Krywult, J.; Le Brun, V.; Le Fèvre, O.; Maccagni, D.; Małek, K.; Marchetti, A.; Marulli, F.; Polletta, M.; Pollo, A.; Tasca, L. A. M.; Tojeiro, R.; Vergani, D.; Zanichelli, A.; Bel, J.; Branchini, E.; De Lucia, G.; Ilbert, O.; McCracken, H. J.; Moutard, T.; Peacock, J. A.; Zamorani, G.; Burden, A.; Fumana, M.; Jullo, E.; Marinoni, C.; Mellier, Y.; Moscardini, L.; Percival, W. J.

2018-01-01

We present the full public data release (PDR-2) of the VIMOS Public Extragalactic Redshift Survey (VIPERS), performed at the ESO VLT. We release redshifts, spectra, CFHTLS magnitudes and ancillary information (as masks and weights) for a complete sample of 86 775 galaxies (plus 4732 other objects, including stars and serendipitous galaxies); we also include their full photometrically-selected parent catalogue. The sample is magnitude limited to iAB ≤ 22.5, with an additional colour-colour pre-selection devised as to exclude galaxies at z automated pipeline; all redshift determinations were then visually validated and assigned a quality flag. Measurements with a quality flag ≥ 2 are shown to have a confidence level of 96% or larger and make up 88% of all measured galaxy redshifts (76 552 out of 86 775), constituting the VIPERS prime catalogue for statistical investigations. For this sample the rms redshift error, estimated using repeated measurements of about 3000 galaxies, is found to be σz = 0.00054(1 + z). All data are available at http://vipers.inaf.it and on the ESO Archive. Based on observations collected at the European Southern Observatory, Cerro Paranal, Chile, using the Very Large Telescope under programmes 182.A-0886 and partly 070.A-9007. Also based on observations obtained with MegaPrime/MegaCam, a joint project of CFHT and CEA/DAPNIA, at the Canada-France-Hawaii Telescope (CFHT), which is operated by the National Research Council (NRC) of Canada, the Institut National des Sciences de l'Univers of the Centre National de la Recherche Scientifique (CNRS) of France, and the University of Hawaii. This work is based in part on data products produced at TERAPIX and the Canadian Astronomy Data Centre as part of the Canada-France-Hawaii Telescope Legacy Survey, a collaborative project of NRC and CNRS. The VIPERS web site is http://www.vipers.inaf.it/

Assessment of temperatures in the vaccine cold chain in two provinces in Lao People's Democratic Republic: a cross-sectional pilot study.

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Kitamura, Tomomi; Bouakhasith, Viraneth; Phounphenghack, Kongxay; Pathammavong, Chansay; Xeuatvongsa, Anonh; Norizuki, Masataro; Okabayashi, Hironori; Mori, Yoshio; Machida, Munehito; Hachiya, Masahiko

2018-04-27

All childhood vaccines, except the oral polio vaccine, should be kept at 2-8 °C, since the vaccine potency can be damaged by heat or freezing temperature. A temperature monitoring study conducted in 2008-2009 reported challenges in cold chain management from the provincial level downwards. The present cross-sectional pilot study aimed to assess the current status of the cold chain in two provinces (Saravan and Xayabouly) of Lao People's Democratic Republic between March-April 2016. Two types of temperature data loggers recorded the temperatures and the proportions of time exposed to  8 °C were calculated. The temperature remained within the appropriate range in the central and provincial storages. However, the vaccines were frequently exposed to > 8 °C in Saravan and  8 °C during the transportation in Saravan and to both > 8 and cold chain in the district storage and during transportation remain, despite improvements at the provincial storage. A detailed up-to-date nationwide analysis of the current situation of the cold chain is warranted to identify the most appropriate intervention to tackle the remaining challenges.

Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

Directory of Open Access Journals (Sweden)

Hoffman Steven J

2011-12-01

Full Text Available Abstract Background Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs. Methods This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140, Laos (136, Senegal (100 and Tanzania (121. Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. Results The survey achieved a 75% response rate (372/497 across Ghana (107/140, Laos (136/136, Senegal (51/100 and Tanzania (78/121. Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13% or self-reported performing all five clinical practices according to established evidence (2%. Statistically significant factors associated with higher knowledge within each country included: 1 training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73; and 2 ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70. Statistically significant factors associated with better clinical practices within each country include: 1 reading scientific journals from their own country (OR

Mitochondrial Haplogroups Modify the Effect of Diabetes Duration and HbA1c on Proliferative Diabetic Retinopathy Risk in Patients With Type 2 Diabetes.

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Mitchell, Sabrina L; Neininger, Abigail C; Bruce, Carleigh N; Chocron, Isaac M; Bregman, Jana A; Estopinal, Christopher B; Muhammad, Ayesha; Umfress, Allison C; Jarrell, Kelli L; Warden, Cassandra; Harlow, Paula A; Wellons, Melissa; Samuels, David C; Brantley, Milam A

2017-12-01

We previously demonstrated an association between European mitochondrial haplogroups and proliferative diabetic retinopathy (PDR). The purpose of this study was to determine how the relationship between these haplogroups and both diabetes duration and hyperglycemia, two major risk factors for diabetic retinopathy (DR), affect PDR prevalence. Our population consisted of patients with type 2 diabetes with (n = 377) and without (n = 480) DR. A Kruskal-Wallis test was used to compare diabetes duration and hemoglobin A1c (HbA1c) among mitochondrial haplogroups. Logistic regressions were performed to investigate diabetes duration and HbA1c as risk factors for PDR in the context of European mitochondrial haplogroups. Neither diabetes duration nor HbA1c differed among mitochondrial haplogroups. Among DR patients from haplogroup H, longer diabetes duration and increasing HbA1c were significant risk factors for PDR (P = 0.0001 and P = 0.011, respectively). Neither diabetes duration nor HbA1c was a significant risk factor for PDR in DR patients from haplogroup UK. European mitochondrial haplogroups modify the effects of diabetes duration and HbA1c on PDR risk in patients with type 2 diabetes. In our patient population, longer diabetes duration and higher HbA1c increased PDR risk in patients from haplogroup H, but did not affect PDR risk in patients from haplogroup UK. This relationship has not been previously demonstrated and may explain, in part, why some patients with nonproliferative DR develop PDR and others do not, despite similar diabetes duration and glycemic control.

Evaluation of an antimicrobial L-amino acid oxidase and peptide derivatives from Bothropoides mattogrosensis pitviper venom.

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Brunna M Okubo

Full Text Available Healthcare-associated infections (HAIs are causes of mortality and morbidity worldwide. The prevalence of bacterial resistance to common antibiotics has increased in recent years, highlighting the need to develop novel alternatives for controlling these pathogens. Pitviper venoms are composed of a multifaceted mixture of peptides, proteins and inorganic components. L-amino oxidase (LAO is a multifunctional enzyme that is able to develop different activities including antibacterial activity. In this study a novel LAO from Bothrops mattogrosensis (BmLAO was isolated and biochemically characterized. Partial enzyme sequence showed full identity to Bothrops pauloensis LAO. Moreover, LAO here isolated showed remarkable antibacterial activity against Gram-positive and -negative bacteria, clearly suggesting a secondary protective function. Otherwise, no cytotoxic activities against macrophages and erythrocytes were observed. Finally, some LAO fragments (BmLAO-f1, BmLAO-f2 and BmLAO-f3 were synthesized and further evaluated, also showing enhanced antimicrobial activity. Peptide fragments, which are the key residues involved in antimicrobial activity, were also structurally studied by using theoretical models. The fragments reported here may be promising candidates in the rational design of new antibiotics that could be used to control resistant microorganisms.

Jc enhancement by La-Al-O doping in Y-Ba-Cu-O films both in self-field and under magnetic field

DEFF Research Database (Denmark)

Xu, Yan; Suo, Hong-Li; Yue, Zhao

2016-01-01

a good epitaxial growth relationship with LAO. Compared with a pure YBCO film, the Jc value of a 5.0% LAO-doped sample is enhanced more than three times in self-field 77 K and seven times at 77 K and 1.5 T, respectively. These results indicate that LAO doping can effectively enhance the Jc of YBCO films...... toward YBCO. A series of YBCO films with different LAO doping contents was fabricated on LAO single-crystal substrates by metal organic deposition. We observed by X-ray diffractometer measurements and scanning electron microscopy observations that although a large amount of LAO is added, YBCO still keeps...

The costs of uncoordinated infrastructure management in multi-reservoir river basins

International Nuclear Information System (INIS)

Jeuland, Marc; Baker, Justin; Bartlett, Ryan; Lacombe, Guillaume

2014-01-01

Though there are surprisingly few estimates of the economic benefits of coordinated infrastructure development and operations in international river basins, there is a widespread belief that improved cooperation is beneficial for managing water scarcity and variability. Hydro-economic optimization models are commonly-used for identifying efficient allocation of water across time and space, but such models typically assume full coordination. In the real world, investment and operational decisions for specific projects are often made without full consideration of potential downstream impacts. This paper describes a tractable methodology for evaluating the economic benefits of infrastructure coordination. We demonstrate its application over a range of water availability scenarios in a catchment of the Mekong located in Lao PDR, the Nam Ngum River Basin. Results from this basin suggest that coordination improves system net benefits from irrigation and hydropower by approximately 3–12% (or US$12-53 million/yr) assuming moderate levels of flood control, and that the magnitude of coordination benefits generally increases with the level of water availability and with inflow variability. Similar analyses would be useful for developing a systematic understanding of the factors that increase the costs of non-cooperation in river basin systems worldwide, and would likely help to improve targeting of efforts to stimulate complicated negotiations over water resources. (paper)

Determining The Optimal Mix of Institutional Geopolitical Power And ASEAN Corporate Governance on the Firm Value of Malaysia’s Multinational Corporations (MNCs

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Wan Sallha Yusoff

2018-01-01

Full Text Available The purpose of this paper is to examine the relationship between institutional geopolitics, ASEAN corporate governance quality and the firm value of Malaysia’s multinational corporation (MNC. We used the data of MNCs in Malaysia that were active from 2009 to 2013 as an evidence of MNCs from emerging market economies. Descriptive analysis, factor analysis and panel data analysis have been utilized to test the equation model. We also propose optimization analysis by using differential evolution method to capture the optimal mix of institutional geopolitics and ASEAN_CG on the firm value of MNC. Results reveal that the geopolitics of G7(Canada, France, German, Italy, Japan, Europe, and the United States, BRICS (Brazil, Russia, India, China, and South Africa, and ASEAN (Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Myanmar, Philippines, Singapore, Thailand, Vietnam, and Malaysia are highly correlated with the firm value of Malaysia’s MNC. The power of institutional geopolitics, namely, military, material, and social power, influences firm value negatively and ASEAN_CG moderate the negative influence of institutional geopolitics on the firm value of MNC. Thus, it is importance for corporate management to understand the geopolitical changes of host countries’ and increase the compliance of ASEAN_CG in formulating their market value and segmentation strategies.

Myeloid-Related Protein-14/MRP-14/S100A9/Calgranulin B is Associated with Inflammation in Proliferative Diabetic Retinopathy.

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Abu El-Asrar, Ahmed M; Alam, Kaiser; Siddiquei, Mohammad M; Van den Eynde, Kathleen; Mohammad, Ghulam; De Hertogh, Gert; Opdenakker, Ghislain

2018-01-01

To investigate the expression of the leukocyte proteins myeloid-related protein (MRP)-8 and MRP-14 in proliferative diabetic retinopathy (PDR) and the effect of MRP-8/MRP-14 (calprotectin) heterodimer on induction of proinflammatory factors in human retinal microvascular endothelial cells (HRMEC). Epiretinal membranes from 20 patients with PDR and 10 patients with proliferative vitreoretinopathy (PVR), vitreous fluid samples from PDR and non-diabetic subjects and HRMEC were studied by immunohistochemistry and Western blot analysis. MRP-14 expression was localized in endothelial cells, leukocytes and myofibroblasts in all PDR membranes. MRP-8 expression was limited to intravascular leukocytes in 42% of the studied membranes. In PVR membranes, MRP-14 was expressed in leukocytes and myofibroblasts, whereas MRP-8 immunoreactivity was limited to leukocytes. MRP-14 was significantly upregulated in vitreous from PDR patients. MRP-8/MRP-14 (calprotectin) increased expression of intercellular adhesion molecule-1, but attenuated vascular cell adhesion molecule-1 expression in HRMEC. Increased MRP-14 levels are associated with inflammation in PDR.

Design, Intervention Fidelity, and Behavioral Outcomes of a School-Based Water, Sanitation, and Hygiene Cluster-Randomized Trial in Laos

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Anna N. Chard

2018-03-01

Full Text Available Evidence of the impact of water, sanitation, and hygiene (WASH in schools (WinS interventions on pupil absence and health is mixed. Few WinS evaluations rigorously report on output and outcome measures that allow for comparisons of effectiveness between interventions to be made, or for an understanding of why programs succeed. The Water, Sanitation, and Hygiene for Health and Education in Laotian Primary Schools (WASH HELPS study was a randomized controlled trial designed to measure the impact of the United Nations Children’s Fund (UNICEF Laos WinS project on child health and education. We also measured the sustainability of intervention outputs and outcomes, and analyzed the effectiveness of group hygiene activities on behavior change and habit formation. Here, we present the design and intermediate results from this study. We found the WinS project improved the WASH environment in intervention schools; 87.8% of schools received the intervention per design. School-level adherence to outputs was lower; on average, schools met 61.4% of adherence-related criteria. The WinS project produced positive changes in pupils’ school WASH behaviors, specifically increasing toilet use and daily group handwashing. Daily group hygiene activities are effective strategies to improve school WASH behaviors, but a complementary strategy needs to be concurrently promoted for effective and sustained individual handwashing practice at critical times.

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

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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

Hydrology and human behavior: two key factors of diarrhea incidence in montane tropical humid areas

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Boithias, Laurie; Choisy, Marc; Souliyaseng, Noy; Jourdren, Marine; Quet, Fabrice; Buisson, Yves; Thammahacksa, Chanthamousone; Silvera, Norbert; Latsachack, Keooudone; Sengtaheuanghoung, Oloth; Pierret, Alain; Rochelle-Newall, Emma; Becerra, Sylvia; Ribolzi, Olivier

2017-04-01

The global burden of diarrhea is a leading cause of morbidity and mortality worldwide. In montane areas of South-East Asia such as northern Laos, recent changes in land use have induced increased runoff, soil erosion and in-stream suspended sediment loads, and potential pathogen dissemination. In this study we hypothesized that climate factors combined with human behavior control diarrhea incidence, either because higher rainfall, leading to higher stream discharges, suspended sediment loads and Fecal Indicator Bacteria (FIB) counts, are associated with higher numbers of reported diarrhea cases during the rainy season, or because water shortage leads to the use of less safe water sources during the dry season. For this mixed methods approach, we conducted a retrospective time series analysis of meteorological variables (rainfall, air temperature), hydrological variables (discharge, suspended sediments, FIB counts, water temperature) at the outlet of 2 catchments in Northern Lao PDR, and the number of diarrheal disease cases reported in 6 health centers located in the Luang Prabang Province. We also examined the socio-behavioral factors potentially affecting vulnerability to the effect of the climate factors, such as drinking water sources and hygiene habits. We found the FIB Escherichia coli to be present all year long (100-1,000 MPN 100 mL-1) indicating that fecal contamination is ubiquitous and constant. We found that populations switch their water supply from wells to surface water during drought periods, the latter of which appear to be at higher risk of bacterial contamination than municipal water fountains. We thus found that water shortage in the Luang Prabang area triggers diarrhea peaks during the dry and hot season and that rainfall and aquifer refill ends the epidemic during the wet season. We thus found that anthropogenic drivers, such as hygiene practices, were at least as important as environmental drivers in determining the seasonal pattern of a

Determination of regional relationships among Salmonella spp. isolated from retail pork circulating in the Chiang Mai municipality area using a WGS data approach.

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Patchanee, Prapas; Eiamsam-Ang, Thanaporn; Vanaseang, Juntakarn; Boonkhot, Phacharaporn; Tadee, Pakpoom

2017-08-02

Salmonella is recognized as a significant zoonotic foodborne pathogen, and pork products are involved in one-fifth of infections. Whole genome sequencing data of Salmonella isolated from retail's pork circulating in the Chiang Mai Municipality area between April 2013 and September 2014, were used to focus on genetic diversity and proven in pig-human transmission based on Multilocus Sequence Typing (MLST). Additionally, WGS data were used to investigate virulence genes, to assess the hazard or pathogenic potential transferred into the food production chain. In this study, all 32 Salmonella strains were classified into 11 Sequence Types (STs). ST469 accounted for the majority (41%). The sequence types of two other strains, 6% of the total, could not be identified. All tested strains carried at least 15 virulence genes. The most frequent gene profile was "sfm-fim-sop-inv.-org-sip-spa-sif-fli-flg-hil-spr-ssa-sse-pag-bss" (47%). Salmonella circulating in the study area demonstrated competence in biofilm production, host cell adhesion, host cell invasion, and host cell survival. Based on the phenotypic and genotypic findings, as well as pathogen source, it appears possible that a common supply chain or common infection source might be presented in the retail pork system in the study area. In addition, an epidemiological comparison of the Salmonella genotypes from the current study with those from other areas such as People's Republic of China (PR China) and the Lao People's Democratic Republic (Lao PDR) was generated by Minimum spanning tree (MST). Identical strains originating from humans, animals and food were found. The findings indicate that contamination can be occured at all levels including pre-harvest, the farm-slaughterhouse-retail chain and consumers over different geographical areas. Acquiring information about infection sources and transmission routes will hopefully motivate all sectors to enforce strict sanitation controls at all production stages including

The incidence of malaria in travellers to South-East Asia: is local malaria transmission a useful risk indicator?

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Jänisch Thomas

2010-10-01

Full Text Available Abstract Background The presence of ongoing local malaria transmission, identified though local surveillance and reported to regional WHO offices, by S-E Asian countries, forms the basis of national and international chemoprophylaxis recommendations in western countries. The study was designed to examine whether the strategy of using malaria transmission in a local population was an accurate estimate of the malaria threat faced by travellers and a correlate of malaria in returning travellers. Methods Malaria endemicity was described from distribution and intensity in the local populations of ten S-E Asian destination countries over the period 2003-2008 from regionally reported cases to WHO offices. Travel acquired malaria was collated from malaria surveillance reports from the USA and 12 European countries over the same period. The numbers of travellers visiting the destination countries was based on immigration and tourism statistics collected on entry of tourists to the destination countries. Results In the destination countries, mean malaria rates in endemic countries ranged between 0.01 in Korea to 4:1000 population per year in Lao PDR, with higher regional rates in a number of countries. Malaria cases imported into the 13 countries declined by 47% from 140 cases in 2003 to 66 in 2008. A total of 608 cases (27.3% Plasmodium falciparum (Pf were reported over the six years, the largest number acquired in Indonesia, Thailand and Korea. Four countries had an incidence > 1 case per 100,000 traveller visits; Burma (Myanmar, Indonesia, Cambodia and Laos (range 1 to 11.8-case per 100,000 visits. The remaining six countries rates were Conclusion The intensity of malaria transmission particularly sub-national activity did not correlate with the risk of travellers acquiring malaria in the large numbers of arriving visitors. It is proposed to use a threshold incidence of > 1 case per 100,000 visits to consider targeted malaria prophylaxis

Anticardiolipin antibodies in proliferative diabetic retinopathy: An additional risk factor

International Nuclear Information System (INIS)

Shahin, Maha; ElDiasty, Amany M; Mabed, Mohamed

2009-01-01

To report the prevalence of anticardiolipin antibodies in patients with proliferative diabetic retinopathy (PDR) having high-risk criteria (HRC). Diabetic patients having PDR with HRC and diabetics free of retinopathy were compared for the presence of anticardiolipin antibodies. Among the 34 patients, 6 (17.7%) of diabetics having PDR with HRC were positive for anticardiolipin antibodies. There was no significant association of aCL antibodies with sex or type of diabetes. Using Pearson's correlation test, no significant associations of aCL antibodies with duration of diabetes or age of patients were found. All patients who were positive for anticardiolipin antibodies had PDR with HRC. The difference was statistically significant. Presence of anticardiolipin antibodies may represent an additional risk factor for PDR. (author)

Social well-being of young adults with type 1 diabetes since childhood. The Oulu cohort study of diabetic retinopathy.

Science.gov (United States)

Hannula, Virva; Hautala, Nina M; Tossavainen, Päivi; Falck, Aura A K

2015-08-01

To evaluate the social performance of young adults with type 1 diabetes (T1D) since childhood with particular interest in its relation to the severity of diabetic retinopathy (DR). The prevalence of DR was evaluated in a population-based Finnish cohort of children with T1D during 1989-1990. The subjects were contacted 18 years later for evaluation of DR, education, employment, and family relations. 136 of 216 subjects participated in the study in 2007 (mean age 30 ± 3 years, mean diabetes duration 23 ± 4 years, 78 men). There were 42 subjects (31%) with proliferative diabetic retinopathy (PDR). A university degree was held by 9%, a degree from a university of applied sciences by 33%, and 45% had a vocational school education; 7% were full-time students while 4% had received no education after comprehensive school. PDR was associated with lower education. Sixty percent of the subjects with PDR and 68% of those with non-PDR held full-time jobs. Four percent of the non-PDR group were unemployed while 26% of subjects with PDR were outside working life because of either unemployment or retirement. Seventy-one percent of the subjects had a spouse, and 60 subjects had a total of 119 children. PDR did not compromise the likelihood of having a spouse and children. The majority of young adults with T1D take active roles in society by working and raising families. However, patients with PDR lacked secondary education significantly more often and were less likely to work than those with non-PDR. © 2015 the Nordic Societies of Public Health.

Spatial and temporal variability of 7Be and 210Pb wet deposition during four successive monsoon storms in a catchment of northern Laos

International Nuclear Information System (INIS)

Gourdin, E.; Evrard, O.; Huon, S.; Reyss, J.-L.; Ribolzi, O.; Bariac, T.; Sengtaheuanghoung, O.; Ayrault, S.

2014-01-01

Fallout radionuclides 7 Be and 210 Pb have been identified as potentially relevant temporal tracers for studying soil particles dynamics (surface vs. subsurface sources contribution; remobilization of in-channel sediment) during erosive events in river catchments. An increasing number of studies compared 7 Be: 210 Pb activity ratio in rainwater and sediment to estimate percentages of freshly eroded particles. However, the lack of data regarding the spatial and temporal variability of radionuclide wet deposition during individual storms has been identified as one of the main gaps in these estimates. In order to determine these key parameters, rainwater samples were collected at three stations during four storms that occurred at the beginning of the monsoon (June 2013) in the Houay Xon mountainous catchment in northern Laos. Rainwater 7 Be and 210 Pb activities measured using very low background hyperpure Germanium detectors ranged from 0.05 to 1.72 Bq L −1 and 0.02 to 0.26 Bq L −1 , respectively. Water δ 18 O were determined on the same samples. Total rainfall amount of the four sampled storms ranged from 4.8 to 26.4 mm (51 mm in total) at the time-fractionated collection point. Corresponding cumulative 7 Be and 210 Pb wet depositions during the sampling period were 17.6 and 2.9 Bq m −2 , respectively. The 7 Be: 210 Pb activity ratio varied (1) in space from 6 to 9 for daily deposition and (2) in time from 3 to 12 for samples successively collected. Intra-event evolution of rainwater 7 Be and 210 Pb activities as well as δ 18 O highlighted the progressive depletion of local infra-cloud atmosphere radionuclide stock with time (washout), which remains consistent with a Raleigh-type distillation process for water vapour. Intra-storm ratio increasing with time showed the increasing contribution of rainout scavenging. Implications of such variability for soil particle labelling and erosion studies are briefly discussed and recommendations are formulated for the

[Research on infrared radiation characteristics of skin covering two acupuncture points in the hand and forearm, NeiGuan and LaoGong points].

Science.gov (United States)

Wang, Zhen; Yu, Wenlong; Cui, Han; Shi, Huafeng; Jin, Lei

2013-06-01

In order to research the infrared radiation characteristics of the skin covering Traditional Chinese acupuncture points, which are NeiGuan in the forearm and LaoGong in the center of the palm, we detected continuously the infrared radiation spectra of the human body surface by using Fourier Transform Infrared Spectroscopy. The experimental results showed that firstly, the differences of the infrared radiation spectra of the human body surface were obvious between individuals. Secondly, the infrared radiation intensity of the human body surface changed with time changing. The infrared radiation intensity in two special wavelength ranges (wavelengths from 6. 79 microm to 6. 85 microm and from 13. 6 microm to 14. 0 microm) changed much more than that in other ranges obviously. Thirdly, the proportions of the infrared radiation spectra changed, which were calculated from the spectra of two different aupuncture points, were same in these two special wavelength ranges, but their magnitude changes were different. These results suggested that the infrared radiation of acupuncture points have the same biological basis, and the mechanism of the infrared radiation in these two special wavelength ranges is different from other tissue heat radiation.

Diabetic retinal pigment epitheliopathy: fundus autofluorescence and spectral-domain optical coherence tomography findings.

Science.gov (United States)

Kang, Eui Chun; Seo, Yuri; Byeon, Suk Ho

2016-10-01

To describe the characteristics of an unfamiliar disease entity, diabetic retinal pigment epitheliopathy (DRPE), using fundus autofluorescence (FAF) and spectral-domain optical coherence tomography (SD-OCT). This retrospective study included 17 eyes from 10 proliferative diabetic retinopathy (PDR) patients with granular hypo-autofluorescence and/or variable hyper-autofluorescence on FAF (DRPE group) and 17 eyes from 10 age- and sex-matched PDR patients without abnormal autofluorescence (PDR group). Eyes with diabetic macular edema were excluded. Visual acuity (VA), retinal thickness (RT), and choroidal thickness (CT) were compared between the groups. Eyes in the DRPE group had worse logMAR VA than eyes in the PDR group (0.369 ± 0.266 vs. 0.185 ± 0.119; P = 0.026). The thickness of the retinal pigment epithelium plus the inner segment/outer segment of the photoreceptors was reduced to a greater degree in the DRPE group than the PDR group (P retina showed no differences between the two groups. CT was significantly thicker in the DRPE group than in the PDR group (329.00 ± 33.76 vs. 225.62 ± 37.47 μm; P retina, and thicker choroid in comparison with eyes with PDR. Alterations of autofluorescence on FAF and changes in the outer retinal thickness and CT on SD-OCT can be helpful for differentiating DRPE in patients with PDR.

The Colonoscopist's Expertise Affects the Characteristics of Detected Polyps

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Da Kyoung Jung

2016-01-01

Full Text Available Background/Aims: The influence of the endoscopist on the polyp detection rate (PDR is underappreciated in clinical practice. Moreover, flat lesions or lesions of the proximal colon are more difficult to detect. Here, we evaluated the differences in the PDR and the characteristics of detected polyps according to the experience of the colonoscopist. Methods: We collected data on 2,549 patients who underwent screening colonoscopy performed by three fellows. The PDR was calculated according to the percentage of patients who had at least one polyp (method A and according to the percentage of detected lesions (method B. The primary outcome included the change in the PDR, and the secondary outcome included the change in the characteristics of the detected polyps with increasing experience of the colonoscopist. Results: No proportional correlation was found between the PDR and increasing experience in colonoscopy with method A; however, with method B, the PDR increased after 400 colonoscopies (p=0.0209. With method B, the detection rates of small polyps (<5 mm (p=0.0015 and polyps in proximal sites (p=0.0050 increased after 300 colonoscopies. Conclusions: Our study demonstrated that the quality of a colonoscopy, measured by using the PDR, may increase when performed by experienced fellows.

Diffusion of Drag-Reducing Polymers within a High-Reynolds-Number, Rough-Wall Turbulent Boundary Layer

Science.gov (United States)

Elbing, Brian; Perlin, Marc; Dowling, David; Solomon, Michael; Ceccio, Steven

2008-11-01

Two experiments were conducted to investigate polymer drag reduction (PDR) within high Reynolds number (to 200 million based on downstream distance), rough-wall turbulent boundary layers. The first experiment was conducted at the U.S. Navy's Large Cavitation Channel on a 12.9 m long flat-plate at speeds to 20 m/s with the surface hydraulically smooth and fully rough. Local skin-friction measurements on the smooth and rough surfaces had maximum PDR levels of 65 and 75 percent, respectively. However, PDR decreased with increasing downstream distance and flow speed more rapidly on the rough surface, and at the top speed no measureable level of PDR was observed. The roughness-induced increased diffusion was quantified with near-wall concentration measurements and the second experiment, which measured concentration profiles on a 0.94 m long flat-plate with three surface conditions: smooth, 240-grit, and 60-grit sandpaper. The increased diffusion does not fully explain the smooth-rough PDR differences observed in the first experiment. Rheological analysis of drawn samples from the first experiment indicates that polymer degradation (chain scission) could be responsible for the remaining loss of rough-wall PDR. These results have implications for the cost effectiveness of PDR for surface ships.

Temperature dependence of photoluminescence spectra of bilayer two-dimensional electron gases in LaAlO3/SrTiO3 superlattices: coexistence of Auger recombination and single-carrier trapping

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H. J. Harsan Ma

2015-06-01

Full Text Available We report emerging photoluminescence (PL of bilayer two-dimensional electron gases (2DEG in LaAlO3/SrTiO3 (LAO/STO systems. A strong blue PL emerges in bilayer-2DEGs in LAO/STO/LAO/STO which doesn’t show in LAO/STO. PL band in bilayer-2DEGs includes both nearly temperature independent Auger recombination and temperature dependent free electron trapping while it crossovers from Auger recombination to single carrier trapping in LAO/STO. The PL signal of free electron trapping appears at high temperatures and it is much stronger than Auger recombination in the conducting channel in bilayer 2DEGs. This observation shows that high mobility carriers dominate the carrier dynamics in bilayer-2DEGs in LAO/STO superlattices.

Pulsed dose rate and fractionated high dose rate brachytherapy: choice of brachytherapy schedules to replace low dose rate treatments

International Nuclear Information System (INIS)

Visser, Andries G.; Aardweg, Gerard J.M.J. van den; Levendag, Peter C.

1996-01-01

Purpose: Pulsed dose rate (PDR) brachytherapy is a new type of afterloading brachytherapy (BT) in which a continuous low dose rate (LDR) treatment is simulated by a series of 'pulses,' i.e., fractions of short duration (less than 0.5 h) with intervals between fractions of 1 to a few hours. At the Dr. Daniel den Hoed Cancer Center, the term 'PDR brachytherapy' is used for treatment schedules with a large number of fractions (at least four per day), while the term 'fractionated high dose rate (HDR) brachytherapy' is used for treatment schedules with just one or two brachytherapy fractions per day. Both treatments can be applied as alternatives for LDR BT. This article deals with the choice between PDR and fractionated HDR schedules and proposes possible fractionation schedules. Methods and Materials: To calculate HDR and PDR fractionation schedules with the intention of being equivalent to LDR BT, the linear-quadratic (LQ) model has been used in an incomplete repair formulation as given by Brenner and Hall, and by Thames. In contrast to earlier applications of this model, both the total physical dose and the overall time were not kept identical for LDR and HDR/PDR schedules. A range of possible PDR treatment schedules is presented, both for booster applications (in combination with external radiotherapy (ERT) and for BT applications as a single treatment. Because the knowledge of both α/β values and the half time for repair of sublethal damage (T (1(2)) ), which are required for these calculations, is quite limited, calculations regarding the equivalence of LDR and PDR treatments have been performed for a wide range of values of α/β and T (1(2)) . The results are presented graphically as PDR/LDR dose ratios and as ratios of the PDR/LDR tumor control probabilities. Results: If the condition that total physical dose and overall time of a PDR treatment must be exactly identical to the values for the corresponding LDR treatment regimen is not applied, there appears

Changes in retinal venular oxygen saturation predict activity of proliferative diabetic retinopathy 3 months after panretinal photocoagulation.

Science.gov (United States)

Torp, Thomas Lee; Kawasaki, Ryo; Wong, Tien Yin; Peto, Tunde; Grauslund, Jakob

2018-03-01

Proliferative diabetic retinopathy (PDR) is a severe blinding condition. We investigated whether retinal metabolism, measured by retinal oximetry, may predict PDR activity after panretinal laser photocoagulation (PRP). We performed a prospective, interventional, clinical study of patients with treatment-naive PDR. Wide-field fluorescein angiography (OPTOS, Optomap) and global and focal retinal oximetry (Oxymap T1) were performed at baseline (BL), and 3 months (3M) after PRP. Angiographic findings were used to divide patients according to progression or non-progression of PDR after PRP. We evaluated differences in global and focal retinal oxygen saturation between patients with and without progression of PDR after PRP treatment. We included 45 eyes of 37 patients (median age and duration of diabetes were 51.6 and 20 years). Eyes with progression of PDR developed a higher retinal venous oxygen saturation than eyes with non-progression at 3M (global: +5.9% (95% CI -1.5 to 12.9), focal: +5.4%, (95% CI -4.1 to 14.8)). Likewise, progression of PDR was associated with a lower arteriovenular (AV) oxygen difference between BL and 3M (global: -6.1%, (95% CI -13.4 to -1.4), focal: -4.5% (95% CI -12.1 to 3.2)). In a multiple logistic regression model, increment in global retinal venular oxygen saturation (OR 1.30 per 1%-point increment, p=0.017) and decrement in AV oxygen saturation difference (OR 0.72 per 1%-point increment, p=0.016) at 3M independently predicted progression of PDR. Development of higher retinal venular and lower AV global oxygen saturation independently predicts progression of PDR despite standard PRP and might be a potential non-invasive marker of angiogenic disease activity. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Complementary and alternative medicines for diabetes mellitus management in ASEAN countries.

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Pumthong, Ganniga; Nathason, Amornrat; Tuseewan, Musikorn; Pinthong, Pailin; Klangprapun, Supathra; Thepsuriyanon, Daracha; Kotta, Paiwan

2015-08-01

The aim of this study was to explore complementary or alternative practices used to promote health and reduce complications of patients with diabetes mellitus (DM). This qualitative, interpretative study recruited 30 adults including practitioners (n=15) and DM patients (n=15). The participants reside in the northeast of Thailand and in Vientiane of Lao People's Democratic Republic, and they have undergone treatment with at least a kind of complementary and alternative medicines (CAMs) for the care and management of DM. They were interviewed about their experiences, and the data were analyzed thematically. The study methodology was informed by hermeneutic phenomenology. After several years of ineffective treatments, practitioners looked for an alternative to conventional health care to treat patients on long-term antidiabetic drugs, yet the patients suffered from progressive complications. They sought out health care that would more effectively meet their self-perceived needs in treatment particularly of a chronic disease such as DM. The result suggested that CAMs such as acupuncture, massage, exercise, and herbalism were able to meet their requirement in terms of health-care effectiveness obtained from experiences, additional cheap cost and availability in their community, and in accordance with the culture and lifestyles in the context of the ASEAN (Association of Southeast Asian Nations) community. The study explored and revealed the social perceptions of practitioners and patients using Chinese acupuncture, Thai massage, stretching exercise, and herbalism, as CAMs for DM management. The perceptions attributed to patient-practitioner consensus can hold a key to a more comprehensive health care, as a means to expand the boundaries for contemporary health-care provision. However, more study is needed in the future clinical trial research. Copyright © 2015 Elsevier Ltd. All rights reserved.

Vitreous vascular endothelial growth factor concentrations in proliferative diabetic retinopathy versus proliferative vitreoretinopathy.

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Citirik, Mehmet; Kabatas, Emrah Utku; Batman, Cosar; Akin, Kadir Okhan; Kabatas, Naciye

2012-01-01

To assess vitreous vascular endothelial growth factor (VEGF) concentrations in proliferative diabetic retinopathy (PDR) in comparison to proliferative vitreoretinopathy (PVR). Vitreous samples were collected from 69 eyes of 69 patients with traumatic lens dislocation (n = 10), grade B PVR with rhegmatogenous retinal detachment (n = 13), grade C PVR with rhegmatogenous retinal detachment (n = 14), PDR with vitreous hemorrhage (n = 18), and PDR with vitreous hemorrhage and tractional retinal detachment (n = 14). Vitreous fluid samples were obtained at vitrectomy, and the levels of VEGF were measured by enzyme-linked immunosorbent assay. The mean vitreous level of VEGF was 15.14 ± 5.22 pg/ml in eyes with grade B PVR, 99.15 ± 38.58 pg/ml in eyes with grade C PVR, 4,534.01 ± 1,193.28 pg/ml in eyes with vitreous hemorrhage secondary to PDR, 5,157.29 ± 969.44 pg/ml in eyes with vitreous hemorrhage and tractional retinal detachment secondary to PDR, and 16.19 ± 5.76 pg/ml in eyes of the control group with traumatic lens dislocation. Vitreous VEGF concentrations were significantly higher in the patients with grade C PVR, PDR with vitreous hemorrhage and PDR with vitreous hemorrhage and tractional retinal detachment in comparison to the control patients (p < 0.05). A significant alteration was not observed in patients with grade B PVR (p = 0.55). Vitreous VEGF concentrations are increased in PDR and grade C PVR. The high VEGF concentrations could suggest a possible effect of VEGF on advanced PVR. Copyright © 2011 S. Karger AG, Basel.

Risk factors for the presence of Aedes aegypti and Aedes albopictus in domestic water-holding containers in areas impacted by the Nam Theun 2 hydroelectric project, Laos.

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Hiscox, Alexandra; Kaye, Angela; Vongphayloth, Khamsing; Banks, Ian; Piffer, Michele; Khammanithong, Phasouk; Sananikhom, Pany; Kaul, Surinder; Hill, Nigel; Lindsay, Steven W; Brey, Paul T

2013-06-01

We assessed risk factors for vectors of dengue and chikungunya viruses near a new hydroelectric project, Nam Theun 2, in Laos. Immature stages of Aedes aegypti were found only in sites within 40 km of the urban provincial capital, but Aedes albopictus was found throughout. Aedes aegypti pupae were most common in water storage jars (odds ratio [OR] = 4.72) and tires (OR = 2.99), and Ae. albopictus pupae were associated with tires in 2009 (OR = 10.87) and drums, tires, and jars in 2010 (drums OR = 3.05; tires OR = 3.45, jars OR = 6.59). Compared with water storage vessels, containers used for hygiene, cooking, and drinking were 80% less likely to harbor Ae. albopictus pupae in 2010 (OR = 0.20), and discarded waste was associated with a 3.64 increased odds of infestation. Vector control efforts should focus on source reduction of water storage containers, particularly concrete jars and tires.