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Cancer epidemiology in the Far East--contrast with the United States.

Cancer incidence is rising rapidly in the Far East. Liver and lung cancers are the dominant neoplasms, but the incidence of breast and colorectal cancers has been increasing over the past 30 years, as Asians gradually adopt Western diet and lifestyle. Over the same period, the incidence of gastric cancer declined, although it remains a major health problem in many Asian countries. Malignancies presumed to be virus associated, such as liver cancer, nasopharyngeal cancer, cervical cancer, and adult T-cell leukemia, are far more common in Asia than in the United States and other parts of the world. Preventive measures, such as hepatitis B immunization to prevent liver cancer, may prove effective for some of these malignancies in the years to come. Meanwhile, cancers that are related to smoking and diet, such as, cancer of the lung, breast, and colorectum, will become increasingly common in the Far East.

Asia, Eastern↗

Genetic characterization of hantaviruses transmitted by the Korean field mouse (Apodemus peninsulae), Far East Russia.

In an epizootiologic survey of 122 rodents captured in Vladivostok, Russia, antibodies positive for hantavirus were found in Apodemus peninsulae (4/70), A. agrarius (1/39), and Clethrionomys rufocanus (1/8). The hantavirus sequences identified in two seropositive A. peninsulae and two patients with hemorrhagic fever with renal syndrome (HFRS) from the Primorye region of Far East Russia were designated as Solovey and Primorye, respectively. The nucleotide sequences of the Solovey, Primorye, and Amur (obtained through GenBank) sequences were closely related (>92% identity). Solovey and Primorye sequences shared 84% nucleotide identity with the prototype Hantaan 76-118. Phylogenetic analysis also indicated a close relationship between Solovey, Primorye, Amur, and other viruses identified in Russia, China, and Korea. Our findings suggest that the Korean field mouse (A. peninsulae) is the reservoir for a hantavirus that causes HFRS over a vast area of east Asia, including Far East Russia.

Animals↗

Changing disease burden of hepatocellular carcinoma in the Far East and Southeast Asia.

Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world, and has a marked difference in geographic distribution. More than 80% of HCC cases occur in developing countries, especially the Far East and Southeast Asia. Although immunization has been successful against hepatitis B virus (HBV), a changing disease burden of HCC has been observed in many parts of the world because of the increasing prevalence and duration of hepatitis C virus (HCV) infection in these countries. In addition, the age-specific incidence of HCC has progressively shifted toward younger people. Hepatitis B genotypes B and C are prevalent in the Far East and Southeast Asia, and the clinical relevance of HBV genotypes has become increasingly recognized. Compared with genotype C, genotype B is associated with earlier hepatitis B e antigen seroconversion, slower progression to cirrhosis and less frequent development of HCC. By using periodic examinations of serum alfa-fetoprotein levels and abdominal ultrasonography, small HCC can be detected and treated earlier. However, prevention of HBV and HCV infections as well as effective treatment of the chronic viral infections with timely interventions are still needed for the global control of HCC, particularly in the Far East and Southeast Asia.

Asia, Southeastern↗

Molecular phylogenetic relationship of toads distributed in the Far East and Europe inferred from the nucleotide sequences of mitochondrial DNA genes.

The toads of the Bufo bufo species group are widely distributed in the Eurasian continent and Japanese Archipelago. In this study, we analyzed the mtDNA gene sequences of this species group and estimated the divergence time to clarify the evolutionary relationships and biogeography of toads distributed in the Far East and Europe. The phylogenetic tree indicated that this group produced Bufo bufo in Europe, whereas it produced B. japonicus in the Far East. B. japonicus was divided into three major clades corresponding to a group consisting of B. j. gargarizans in China, B. j. bankorensis in Taiwan, and B. j. miyakonis on Miyako Isl. and eastern and western groups of Japanese B. j. japonicus subspecies group. The eastern and western groups were divided into several subclades which tended to reflect the region-specific geographic distribution of all localities except B. j. japonicus from Hakodate. The estimated branching times of these clades suggest that geological events may have influenced the divergence of the toads distributed in the Far East and Europe.

Animals↗

Global perspectives on animal welfare: Asia, the Far East, and Oceania.

In Asia and the Far East, livestock undergo major suffering due to malnutrition, overloading, and ill-treatment. At slaughter animals are handled roughly and watch other animals being killed; stunning is not practised. Cruelty to other animals such as elephants, horses, donkeys, bears, dogs, and circus animals has largely been prevented through the efforts of animal welfare organisations. Governments have taken initiatives to establish Animal Welfare Boards and enact laws for the prevention of cruelty to animals, but their efforts are far too limited to be of any significance and financial constraints and lack of personnel inhibit the implementation of the laws that do exist. In New Zealand and Australia, legislation and strong consultation procedures at governmental and community level strive to regulate and improve the welfare of animals in all spheres, but in other Oceanic countries there is a need for both an update in, or establishment of, legislation covering animal welfare. Limited progress has been made due to the status of the Veterinary Services and a lack of resources. Although some public and educational awareness programmes are carried out, increasing exposure to international media and attitudes of visiting tourists suggest that further awareness work needs to be undertaken. To address the problems of animal welfare in developing countries, it would be inappropriate to adopt the international standards that are implemented in the developed countries. Each developing country should evolve its own standards based on its own individual priorities.

Animal Diseases↗

[The first case of granulocytic ehrlichiosis in the Far East of the Russian Federation].

A serological survey of a patient admitted to the Clinic of Infectious Diseases, Far-East State Medical University, for suspected North Asian tick-borne rickettsiosis (NATBR) revealed antibodies in the increasing titers to Ehrlichia phagocytophila and no antibodies to other causative agents of natural and focal infections in the Far East. The disease presented with significant intoxication and maculopapular eruption. This disease differed from the standard NATBR in that there was neither primary affect at the site of pathogen entry, regional lymphadenitis, nor involvement of the liver in the pathological process (elevated levels of AIAT, AsAT, pigment metabolic disturbance), and that there was a steady-state tendency to leukopenia.

Adult↗

Family planning, obstetrical and gynecological health care provision in the Soviet Far East.

The Soviet model for both obstetrical and gynecological care and family planning provision seems entrenched in the Soviet Far East as found during a July 1991 visit to the Magadan and Chukotka Regions. Modern birth control is minimally practiced, but does include use of the older Soviet Loop intrauterine contraceptive device (IUD), recent introduction of the new Soviet Copper-T IUD and sporadic availability of condoms and foreign made birth control pills. Without male or female surgical sterilizations being performed, the consequence is that the major form of family planning is first trimester abortion. During this visit, I introduced the use of the NORPLANT Subdermal Contraceptive System and the Copper-T380A IUD to physicians at Anadry and Pevek regional hospitals. Gynecological surgery was also performed and fairly typical ob-gyn care units were toured. Ob-Gyn physicians in the Soviet Far East were found to be highly motivated. They look to the West for help in upgrading family planning and ob-gyn health care in the face of severe shortages after a half decade of perestroika.

Contraception Behavior↗

Mutation screening of phenylketonuria in the Far East of Russia.

We analyzed mutant genotypes at the human phenylalanine hydroxylase (PAH) locus among phenylketonuria (PKU) patients in the Far East of Russia. A total of 60 variant alleles from 30 PKU families were analyzed for prevalent Caucasian mutations and restriction fragment length polymorphism/variable number of tandem repeats (RFLP/VNTR) haplotypes. Seventy-eight percent of all variant alleles carried six mutations. The most prevalent mutation was R408W (63%), with a haplotype background of 2.3. It also showed a very high degree of homozygosity (43%). The other five mutations (R158Q, R261Q, R252W, R261X, and IVS12nt-1) accounted for 1.7%-6.7% of all PKU alleles, and a single haplotype was associated with each genotype, except for R261Q. The genetic structure of PKU patients in the Far East of Russia seems to be relatively homogeneous, compared with that in the other Slavic and Oriental populations of surrounding countries. Prediction of a clinical phenotype and carrier detection will be feasible using DNA tests.

Child↗

Environmental conditions in the Rudnaya River watershed--a compilation of Soviet and post-Soviet era sampling around a lead smelter in the Russian Far East.

The Rudnaya River valley in the Russian Far East contains a rich reserve of lead, zinc and boron and has been mined for nearly 100 years. Environmental contamination related to the area's mines and lead smelter was studied for over 30 years during the Soviet era, by members of the Pacific Geographic Institute (PGI). Due to government restrictions, much of the sampling focused on contamination of the river, the air, forests, vegetation, agricultural products and soil. Source-specific samples, such as stack emissions from the smelter, and blood lead levels from the residents and smelter workers could not be obtained or were classified as State secrets. However, the data do describe the extent and severity of the environmental contamination and related public health concerns. Water discharged from the smelter averages 2900 m(3)/day (containing 100 kg of lead (Pb) and 20 kg of arsenic (As)) and leachate from area mine dumps and other industrial processes contaminates the Rudnaya River. Annual air emissions include 85 tonnes of particulates (containing 50 tonnes of Pb and 0.5 tonnes of As) and 250000 m(3) of gases high in sulfur dioxide (SO(2)), carbon monoxide (CO) and carbon dioxide (CO(2)). Vegetative stress is severe and much of this area is denuded. Pb and other metals in agricultural products suggest local produce may be dangerous for human consumption, although it is a major food source for the community. Public and occupational health indicators of basophilic stippling, respiratory disease and hair lead levels further suggest the severity of the problem. Although, descriptions of complete methodologies and procedures are often lacking, these data describe how sampling was conducted during the Soviet era and document a site with severe heavy metals contamination, especially lead, and the likelihood of related public health problems. They are relevant today as investigators employ state-of-the-art-sampling techniques and explore cleanup options under a new governmental system and challenging economic times. In the post-Soviet era, a Russian/US team sampled area soils and dusts and confirmed the severity of the environmental problems using commonly employed sampling and analysis techniques. Lead concentrations in residential gardens (476-4310 mg/kg, Gx=1626 mg/kg) and in roadside soils (2020-22900 mg/kg, Gx=4420 mg/kg) exceed USEPA guidance for remediation. Preliminary biokinetic estimates of mean blood levels (average 13-27 microg/dl) suggest pre-school children are at significant risk of lead poisoning from soil/dust ingestion. Today, the PGI, in cooperation with the industrial owners and the local health and environmental authorities, is attempting to establish long-term monitoring and pollution abatement within the constraints of their difficult economic situation.

Adult↗

[Karyological and allozyme variability of far eastern voles Microtus fortis Büchner, 1889 (Cricetidae, Rodentia) from the Russian Far East].

Karyological (G-, C-, and NOR-banding) and allozyme analyses were carried out for island and continental populations of the vole Microtus fortis from the Far East of Russia. Variability of the autosome pair 7 was found. The presence of variation in the number of telomere heterochromatin blocks in the populations of Far Eastern voles was confirmed. NOR-staining of the Far Eastern vole chromosomes was carried out, showing stability of the number and the positions of the nucleolus organizer regions. Ten enzyme systems and three non-enzyme proteins (controlled in total by 25 interpretable loci) were examined in the Far Eastern vole from the island and continental populations. All of the loci were shown to be monomorphic, except for one esterase locus, which exhibited polymorphism at the intrapopulation and interpopulation levels. The issue of distribution of the Far Eastern vole subspecies is discussed. It is suggested that M. fortis pelliceus occurs not only in the Russian Far East, but also in Northern Transbaikalia.

Animals↗

Airway assessment by volumetric computed tomography in snorers and subjects with obstructive sleep apnea in a Far-East Asian population (Chinese).

OBJECTIVES: To evaluate the airway dimension of simple snorers and subjects with obstructive sleep apnea (OSA) in a Far-East Asian population (Chinese). STUDY DESIGN: Prospective study of 117 near-consecutive patients evaluated for snoring and possible OSA from January 1998 to December 1998 in a sleep laboratory. Overnight polysomnography (PSG) was performed on all patients and the sleep parameters, including respiratory disturbance index (RDI), snoring index, minimal oxygen saturation (min O2), percentage of slow wave sleep (SWS), and rapid eye movement (REM) were recorded. Three-dimensional computerized tomography (CT) during awake periods was performed. The anteroposterior (AP) and the lateral distance of the retropalatal (RP) region in the oropharynx, the smallest area of RP, and retroglossal (RG) regions, and the total volume of the oropharynx were measured. RESULT: Ninety-eight patients were diagnosed with OSA (mean RDI, 41.48 +/- 26.45 events per hour; min O2, 72.82 +/- 12.86%), whereas 19 were simple snorers. The AP and the lateral distance of the RP region, as well as the smallest area of the RP region, are significantly smaller in subjects with OSA. However, no differences in the RG region and the total volume of the oropharynx were found between the two groups. Linear regression analysis demonstrated that the lateral dimension and the smallest RP area in overweight subjects inversely correlated with the RDI, but only the AP dimension of the RP area was found to have an inverse correlation with the RDI in the underweight subjects. CONCLUSION: In Far-East Asians (Chinese), the RP airway was found to be the primary site of narrowing in subjects with OSA, and the narrowest RP area was inversely correlated with RDI. Furthermore, weight may influence the pattern of RP narrowing by contributing to lateral collapse.

Adult↗

Slavic ethnomedicine in the Soviet Far East. Part I: Herbal remedies among Russians/Ukrainians in the Sukhodol Valley, Primorye.

This paper is the first of a series of publications on Slavic ethnomedicine in the Soviet Far East. Field studies were carried out among Russian and Ukrainian residents of the Sukhodol Valley in Primorye, USSR. Primorye is the southernmost region of the Soviet Far East and the extreme southeastern area of the Soviet Union. The region is interesting because of its nature, climate and rich flora. Informants have shown broad knowledge of pharmacological properties of wild and cultivated plants of the area. The study has recorded 93 plants in 41 families. The use of six species had not been described before.

Ethnicity↗

[A new type of pleurocercoids in the genus Diphyllobothrium from smelts in the Far East of the USSR].

The research has demonstrated that 35.8% of Hypomesus pretiosus Girard and 55.9% of Osmerus eperlanus dentex Steindachner in various regions of the Far East of the USSR (Khabarovsk and Primorye territories and Sakhalin) are affected by diphyllobothriid larvae of a hitherto unknown type, indicated as the G type. Parasites are localized on the internal organs of a intermediate host such as esophagus, stomach, liver and genital organs. Diphyllobothriid larvae of the G type do not invade man, thus the indicated fishes are not epidemiologically significant in spreading diphyllobathriasis among the population in the Far East of the USSR.

Animals↗

Molecular evidence of Coxiella-like microorganism harbored by Haemaphysalis concinnae ticks in the Russian Far East.

Twenty female imago of Haemaphysalis concinnae ticks collected from wild vegetation in May of 2001 in the Obor region near Khabarovsk in the Russian Far East were studied. DNA was extracted with commercially available kits following manufacturer's instructions. We used broad range primers SFG3 and SFG6 proposed for amplification of 16S ribosomal RNA gene's portion of spotted fever group Rickettsia. Initial amplification resulted in positive results in all 20 ticks. Direct sequencing of five randomly chosen amplicons showed that obtained sequences belong to a new species. Closest homology was found in Coxiella burnetii 16S rDNA. Using the obtained sequence as a basis, we designed internal primers highly specific for that sequence. Then we confirmed our results by nested PCR amplification with newly designed primers Cox1 and Cox2-all 20 samples also were positive. Having combined these primers with universal eubacterial primers fD1 and rP2 we retrieved a 1,043 bp portion of the 16S rRNA gene. Consecutive homology search demonstrated that the closest sequence similarity belongs to new Coxiella sp. recently found in Rhipicephalus sanguineus ticks (95.2% of homology) and Coxiella burnetii (94% of homology). So, our results suggest that a novel Coxiella-like microorganism, provisionally called here "Cenerentola," is harbored by Haemaphysalis concinnae ticks in the Russian Far East.

Animals↗

[On longevity among the population of Siberia and the Far East].

Demographic values of longevity have been calculated on the basis of population census data and mortality tables. Analysis of the present-day level of longevity in Siberia and Far East and its time course in 1979-1993 is presented. Regular reduction of longevity parameters from West to East and lower values of these parameters in comparison with the rest of Russia have been revealed. Negative shifts in the levels of longevity over the period of 1979 to 1993 have been observed for all regions of Siberia and Far East.

Aged↗

The Soviet Far East: a report on urban and rural settlement and population change, 1966-1989.

"This article provides a general overview of trends in urban-rural population change and evolution of the settlement system in the Soviet Far East since 1966, incorporating data published in the recent national statistical yearbooks and the preliminary 1989 census report....Total population in the Soviet Far East increased from 5,435,000 in 1966 to 7,941,000 by January 12, 1989, with the share of the urban population now comprising over three-quarters of the total. Migration patterns into and out of the region are discussed and cities planned for expansion are identified."

Demography↗

[Synonyms among the species names for mosquitoes of the genus Aedes (subspecies Finlaya and Neomelaniconion) of the Far East fauna].

The name Aedes (Finlaya) kobayashii Nakata, 1956 for the mosquitoes from Japan and South Korea is a synonym of A. (F.) alektorovi Stackelberg, 1943 from the south of the Soviet Far East as well as A. (F.) bunanoki Sasa et Ishimura, 1951 from Japan is a synonym of A. (F.) oreophilus Edwards, 1916 spread in Pakistan, India, China and related to Chinese--Himalayan subregion of the Palaearctic Region; therefore it may be spread also in Nepal, North Burma and in the south of the Soviet Far East. It is proposed to consider A. (Neomelaniconion) aureus Gutvsevich, 1955 from the Primorye Territory of the USSR as a subspecies of A. (N.) lineatopennis Ludlow, 1905 widely spread in the tropics of the Old World, i. e. A. (N.) lineatopennis aureus Gutsevich, 1955, stat. nov.

Aedes↗