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[Comparison of the concept of forensic medicine in Southeastern Asia and Central Europe].

Differences in conception of forensic medicine in the central Europe and south-eastern Asia are consisted in both legislative difference and different view of religion as well in fact, that forensic medicine is a very young subject in Vietnam and in some nearby countries that dispose of not enough professional workplaces and specialists. In this point, an intense reverse is coming about, especially owning to possibility of an abroad study of this subject in countries that have longer tradition.

Asia, Southeastern↗

Ambulatory medical visits among anthrax-vaccinated and unvaccinated personnel after return from southwest Asia.

The Department of Defense launched a mandatory anthrax immunization program for military personnel in December 1997. This program has been criticized for many reasons, including concern over side effects. This study was designed to give a quick answer to the question of whether vaccinated persons who deployed to southwest Asia were more likely to seek medical care upon their return than their unvaccinated counterparts. The results demonstrated that there was no greater risk for vaccinated persons to have a diagnosis recorded in the Ambulatory Data System (0.96 RR) than unvaccinated persons. In addition, there was no significant increased risk for a recorded diagnosis in any 1 of the 17 International Classification of Diseases, Ninth Revision, categories or for 16 specific adverse health conditions.

Adult↗

[Molecular identification of sibling Anopheles species: example of the Anopheles minimus and Anopheles dirus complexes, major malarial vectors in Southeast Asia].

Effective control of malaria vectors requires precise identification of species. This is especially important within complexes of species that cannot be distinguished based on morphological features. Two methods based on polymerase chain reaction (PCR) analysis have been developed to identify 2 species in the Anopheles minimus complex and 5 species of the Minimums group as well as 4 species of the Anopheles dirus complex. Association of oligonucleotide couples in the form of multiplex PCR has allowed development of two simple, reliable PCR techniques adapted to each one of these species complexes that comprise the major vectors of malaria in Southeast Asia. Specifically designed to meet the needs of entomologist working in the field for reliable, cost-effective tests, these techniques will facilitate assessment of the geographical distribution of each vector. These data will help to better target vector control measures.

Animals↗

An inventory of riverine biodiversity in monsoonal Asia: present status and conservation challenges.

There are few parts of the planet where human impacts on riverine biodiversity are more apparent than in monsoonal Asia. Flow regulation, drainage-basin degradation and conversion of riverine wetlands to agriculture have been occurring for centuries, while pollution and over-harvesting have become important in recent decades. Concomitant species loss appears both ongoing and rampant. Uncertainty over rates of loss is imposed by the fact that the extremely rich biodiversity of Asian rivers has not been inventoried adequately. It is nevertheless evident that some taxa are gravely threatened. Specialist riverine birds have declined, turtles are highly endangered, and over-harvesting has severely impacted fishes--an effect that is exacerbated by pollution and flow regulation. A particular conflict that constrains biodiversity conservation is the tendency for dam construction, which damages river ecosystems, to produce tangible benefits for humans through hydropower generation and relief from floods and droughts. Resolution of such conflicts requires changes in perception: for instance, realistic economic valuations of the ecosystem goods and services provided by rivers, and promotion of flagship species as conservation icons to increase citizen awareness. Translation of awareness and knowledge to action, however, remains the essential prerequisite for societal commitment to the conservation of freshwater ecosystems.

Animals↗

Population distribution problems and policies in Asia.

"The main purposes of this paper are (1) to identify the primary population distribution problems in Asia, and (2) to identify the range of explicit population policy instruments or packages designed to alleviate or solve existing maldistribution. As a corollary to these main goals, attempts are made to classify types of spatial population problems and policies and to compare them across nations. Additionally, a qualitative analysis is made to assess the effectiveness of population distribution policies in those cases where there are reasonable data available."

Asia↗

Australia to fund HIV / AIDS projects in Southeast Asia.

Australia will fund 23 new HIV-AIDS projects in Southeast Asian countries, the government announced. "Asia is predicted to be the major growth area for human immunodeficiency virus (HIV) infections over the next decade, " Minister for Development Cooperation Gordon Bilney said. "These projects, worth some $4.35 million over three years, will help meet the challenge of preventing the spread of the disease in the region." The projects--in Thailand, Vietnam, the Philippines, Indonesia, Malaysia and Cambodia--emphasize education and prevention activities as well as programs which focus on the care and support of people living with HIV, Bilney said. He also said a variety of Australian and overseas organizations will implement the projects, many of which will feature the significant involvement of communities at risk and people with HIV. "It is in keeping with the fundamental spirit of the aid program that we should seek to share this expertise with our neighbors in the region." Bilney said one Australian success story--the creative "Streetwize comics" (publications in Australia which help street kids and under privileged kids understand HIV/AIDS problems)--will be piloted in Vietnam in conjunction with the Vietnam Youth Federation. He said Vietnamese staff will be trained in the production of a series of bilingual mini-comics on HIV-AIDS prevention for youth. "This project will receive funding of $187,500 over three years," Bilney said. Bilney said the projects would help minimize the individual and social impact of the epidemic in the targeted countries.

Asia↗

Population growth and economic development revisited with reference to Asia.

"This article takes another look at the old issue of population growth and economic development in the context of recent developments and with the benefit of the increasing stock of knowledge on the subject. It first presents a demographic perspective; then it analyzes the implications of population growth with respect to such integral aspects of economic development as human capital accumulation, income distribution and poverty, the environment, and sustainable economic growth. The approach in each case is to review the theoretical considerations, survey the empirical evidence, and then draw policy implications. An overall conclusion with implications for policy caps the paper." The geographical focus is on Asia.

Asia↗

Data on international migration in Asia: 1990-1994.

The author reports on a project to compile and publish a comprehensive source of data on migration in Asia. The project "is the result of cooperation among editors in identifying correspondents and in designing the tables that they would ideally provide." Information is provided on workers deployed, 1990-1994; intra-regional migration flows; number of nationals abroad; foreign population; occupations of international migrants; and limitations and improvements of data collection.

Asia↗

Social and economic support systems for the elderly in Asia: an introduction.

This is an introduction to a special issue on aspects of demographic aging in Asia. It provides "an overview of the issues related to the rapid increase in the number of elderly in some Asian countries. It describes how the articles contained in this special issue...demonstrate that the familial system of support for the elderly has persisted despite major social and economic change. It also briefly highlights the findings of the country studies."

Adult↗

[The geographical parallels of lithorheophil biotic community organisation of small streams of eastern Europe and northern Asia].

The influence of geographical position on taxonomical composition and structure of communities inhabited stony riffles is considered on a material from 79 small streams situated in four regions of Eastern Europe (Moscow region, Southern Ural, Northern Caucasus and Mountain Crimea), as well as on publishing data on Asia and Northern Ural regions. Litoreophil communities of mentioned regions include different but closely allied species with similar habits. Eight basic living forms of litoreophils are common practically everywhere irrespective of geographical position and taxonomical composition of the community. The average number of species in a sample is also constant and includes 13-14 species. Local relief and climate influence the abundance of living forms and species diversity.

Animals↗

Epidemiology of glaucoma in Asia-Pacific.

Primary open angle glaucoma is the second most important cause of permanent blindness in the Asia Pacific region. Thus it is very important to identify epidemiological and other risk factore which are associated with open angle glaucoma. The risk for glaucoma optic nerve damage increases with the age and with the level of the intraocular pressure. In this paper, I will highlight our study of several risk factors for development of the open angle glaucoma like (1) elevated intraocular pressure, (2) myopia, (3) suspicious large optic disc cup, (4) cupping with disc haemorrhages and (5) nerve fibre defect. The general and systemic conditions which are implicated as risk factore are (1) family history of glaucoma, (2) increase in age, (3) diabetes mellitus, (4) cardio vascular conditions like central retinal vein occlusion etc. (5) the endocrine disorders with increased thyroid and increased cortico steroids responsiveness in patients with glaucoma will be discussed.

Adult↗

Mapping soil-transmitted helminths in Southeast Asia and implications for parasite control.

Establishing the current status and distribution of soil-transmitted helminths is essential for developing and implementing parasite control. Although Southeast Asia is known to have a high prevalence of infection, a precise estimate of the total disease burden has not been fully described. Here, we use Geographical Information Systems (GIS) to collate and map recent published surveys on soil-transmitted helminth epidemiology and distribution for this region. Distinct geographical variation was observed, which is suggested to reflect climatic variation, as well as behavioral differences. However, for much of the region few data are available, and therefore it proved necessary to generate predictions of the distribution of soil-transmitted helminths using remotely sensed (RS) satellite sensor environmental variables. A significant finding was the importance of land surface temperature in influencing the distribution of Ascaris lumbricoides and Trichuris trichiura. Spatial analyses using RS satellite sensor data were then used to generate predictive maps of infection risk. This information provided the basis for an estimate of the population at risk of infection and the numbers requiring treatment. These applications of GIS and remote sensing provide a good basis for developing control of soil-transmitted helminths in the region.

Animals↗

[Epidemiology of glaucoma in Asia-Pacific].

Primary open angle glaucoma is the second most important cause of permanent blindness in the Asia-Pacific region. Thus it is very important to identify epidemiological and other risk factors which are associated with open angle glaucoma. The risk for glaucoma optic nerve damage increases with the age and with the level of the intraocular pressure. In this paper, I will highlight our study of several risk factors for development of the open angle glaucoma like (1) elevated intraocular pressure, (2) myopia, (3) suspicious large optic disc cup, (4) cupping with disc haemorrhages and (5) nerve fibre defect. The general and systemic conditions which are implicated as risk factors are (1) family history of glaucoma. (2) increase in age, (3) diabetes mellitus, (4) cardiovascular conditions like central retinal vein occlusion etc. (5) the endocrine disorders with increased thyroid and increased corticosteroids responsiveness in patients with glaucoma will be discussed.

Adult↗

Overview: epidemiology of malaria and its control in countries of the WHO South-East Asia region.

The malaria situation in the WHO South-East Asia Region is reviewed in terms of its epidemiological diversity, problems encountered and implications for control. Varying host-parasite-vector interrelationships are shown to be influenced significantly by prevailing environmental conditions (eg topographic, climatic) as well as behavioral and socio-economic determinants. Drug-resistant falciparum malaria and vector resistance to insecticides are the main biological deterrents to the success of control programs. Thus, the potential for malaria transmission remains high in many places. The malaria control strategy includes Primary Health Care and integration with basic health services. However, operational research is needed in many of the countries in the Region.

Asia, Southeastern↗

Rapid prenatal diagnosis of Hb Bart's hydrops fetalis in southeast Asia area by polymerase chain reaction.

We used the polymerase chain reaction (PCR) to amplify the breakpoint area of alpha-thalassemia-1 of Southeast Asia type and several parts of the alpha-globin gene cluster to make a differential diagnosis between alpha-thalassemia-1 and Hb Bart's hydrops fetalis. The procedure involved three primers to detect the homozygote of alpha-thalassemia-1, then amplifies the other alpha-globin gene cluster with three other pairs of primers to double check the results. The PCR products were checked again by allele specific probes. Twenty-two cases were diagnosed prenatally, two were normal, 17 were alpha-thalassemia-1, and three Hb Bart's hydrops fetalis. All cases were confirmed either by Southern blot hybridization or follow-up by sonography or after delivery. No false positive or false negative results were obtained by our strigent procedure. We conclude it to be a rapid, accurate and economic method.

Asia, Southeastern↗

[The spread of Phlebotomus papatasi Scop., 1786 through the territory of Central Asia and southern Kazakhstan].

The data on distribution of the main vector of zoonotic cutaneous leishmaniasis (ZCL) Phlebotomus papatasi through Central Asia and southern Kazakhstan are presented. The highest indices of density of this species (100 and more specimen per stick trap) were observed only in the Tejen oasis, rather high ones (1-10, 10-100) in the river valleys and at the foothill, and the lowest one (0.01-0.1)--over the desert territory where ZCL was not practically found. Using these data 2 maps were prepared. The first map shows the pattern of Ph. papatasi geographical distribution with the use of a relative density index. This map can be useful for determining ZCL danger in areas where Ph. papatasi occurs. The second indicates sandfly distribution over Karshi steppe territory the where Ph. papatasi density depends on soil moisture. This map can serve as a model for forecasting Ph. papatasi density under anthropogenic influence.

Animals↗

Good progress with DOTS in the South-East Asia Region.

The South-East Asia Region (SEAR) accounts for 38% of the global tuberculosis (TB). Encouraging progress has been made since the DOTS strategy was introduced in all SEAR Member States between 1993-94. Operational guidelines for and joint plans of action for disease control activities in the border districts of Bangladesh, Bhutan, India and Nepal have been drawn up. The key issues involved in the good progress with DOTS are: Resource mobilisation, case detection, case management, drugs and logistics, supervision, monitoring and surveillance, preventing emergence of multidrug resistant TB and lastly health sector reform. Given the current momentum and commitment, it is expected that the region will active the set targets of universal coverage by 2006.

Antitubercular Agents↗