Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “East Asia”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

Natives or immigrants: modern human origin in east Asia.

East Asia is one of the few regions in the world where a relatively large number of human fossils have been unearthed--a discovery that has been taken as evidence for an independent local origin of modern humans outside of Africa. However, genetic studies conducted in the past ten years, especially using Y chromosomes, have provided unequivocal evidence for an African origin of East Asian populations. The genetic signatures present in diverse East Asian populations mark the footsteps of prehistoric migrations that occurred tens of thousands of years ago.

Africa↗

Triple therapy in the eradication of Helicobacter pylori in patients with duodenal ulcer disease: results of a multicentre study in South-East Asia. South-East Asia Multicenter Study Group.

BACKGROUND: The efficacy of proton pump inhibitor based triple therapy in patients from South-East Asia, where metronidazole resistance is reportedly high, has not been formally assessed in randomized, multicentre trials. AIM: To compare the eradication rates of Helicobacter pylori, ulcer healing rates and side-effects of three regimens of omeprazole triple therapy in patients with duodenal ulcer from South-East Asia and to study the impact of metronidazole resistance. METHODS: A single blind, randomized parallel group, comparative multicentre study. A total of 246 patients from 15 centres in four South-East Asian countries were randomized to receive OAC (omeprazole 20 mg b.d., amoxycillin 1 g b. d., clarithromycin 500 mg b.d.), OAM (omeprazole 20 mg b.d., amoxycillin 1 g b.d., metronidazole 400 mg b.d.) or OMC (omeprazole 20 mg b.d., metronidazole 400 mg b.d., clarithromycin 500 mg b.d.) for 7 days. After triple therapy, the patients were further randomized to receive either omeprazole or placebo for 7 days. Upper gastrointestinal endoscopy was performed before treatment and 4 weeks after treatment. Biopsies for culture and for histopathological examination for H. pylori were taken from corpus and antrum before treatment and 4 weeks after treatment. RESULTS: The eradication rates were intention-to-treat/per protocol (95% CI): OAC 87% (79-94%)/94% (89-100%); OAM 80% (70-89%)/91% (83-98%); OMC 85% (77-93%)/94% (88-100%). The difference in eradication rates between the three groups was not statistically significant (P=0.419). Pre-treatment metronidazole resistance, was found in 34% of isolates and was a significant prognostic factor in patients receiving OAM (odds ratio 5.26) but not in patients receiving OAC or OMC. CONCLUSIONS: All three treatment regimens were safe, well tolerated and highly effective for eradication of H. pylori and ulcer healing. Pre-treatment metronidazole resistance reduced the efficacy of OAM but did not affect the efficacy of OMC.

Adolescent↗

[Geographic inequality of death in South Asia, Southeast Asia and East Asia].

The geography of mortality in South, Southeast and East Asia presents considerable disparities. The range is particularly large between Japan, where life expectancy is one of the highest in the world and Afghanistan or Cambodia, where it reaches only 40 years approximately. Male overmortality varies extensively from one country to another. Male undermortality still occurs in Bhutan (1.5 years); male overmortality reaches 6.4 years in the two Koreas. As elsewhere, the difference between male and female life expectancy increases with life spans. Various levels of development of the countries under consideration (examined through three variables: income per capita, urbanization and education) do not explain spatial inequality of mortality very well. In order to understand the disparities better, the macro-approach should be supplemented by a micro-approach.

Adult↗

Shift in Japanese encephalitis virus (JEV) genotype circulating in northern Vietnam: implications for frequent introductions of JEV from Southeast Asia to East Asia.

This study analyses the evolutionary relatedness of 16 Japanese encephalitis virus (JEV) isolates (nine from Vietnam and seven from Japan) to previously published JEV strains using E gene sequence data. Vietnamese and Japanese strains isolated between 1986 and 1990 were found to cluster in genotype 3. However, more recent Vietnamese and Japanese strains isolated between 1995 and 2002 grouped within genotype 1, now a dominant though previously unreported genotype in Vietnam. In addition, in this study, strains isolated between 1995 and 2002 were more closely related to those isolated in the 1990s than to the older genotype 1 strains. Recently, the introduction of JEV genotype 1 into Japan and Korea has also been reported. Hence this genotype shift phenomenon may be occurring throughout all East Asia. Further studies on JEV ecology are needed to clarify the mechanism of JEV genotype 1 spread to new territories.

Animals↗

Dental and cranial affinities among populations of east Asia and the Pacific: the basic populations in east Asia, IV.

The origins of the four major geographical groups recognized as Australomelanesians, Micronesians, Polynesians, and East and Southeast Asians are still far from obvious. The earliest arrivals in Sahulland may have migrated from Sundaland about 40,000-50,000 years B.P. and begun the Australomelanesian lineage. The aboriginal populations in Southeast Asia may have originated in the tropical rain forest of Sundaland, and their direct descendants may be the modern Dayaks of Borneo and Negritos of Luzon. These populations, the so-called "Proto-Malays," are possible representatives of the lineage leading to not only modern Southeast Asians, but also the Neolithic Jomon populations in Japan. The present study suggests, moreover, that the Polynesians and western Micronesians have closer affinities with modern Southeast Asians than with Melanesians or Jomonese.

Humans↗

Population prehistory of east Asia and the Pacific as viewed from craniofacial morphology: the basic populations in east Asia, VII.

Distance analyses were applied to 11 craniofacial measurements recorded in samples from East and Southeast Asia, Australia, Melanesia, Polynesia, and Micronesia for the purpose of assessing the biological affinities and possible origins of these populations. A clear separation between Australomelanesians and other populations from East and Southeast Asia and the Pacific is evident. The craniofacial variations suggest that the generalized Asian populations (Negritos, Dayaks, Lesser Sunda Islands, etc.) represent at least part of the morphological background of not only the majority of present Southeast Asians, but also the Neolithic Jomon people and their lineage in Japan, Polynesians, and western Micronesians. The original craniofacial features of Southeast Asians may have occurred as the result of convergent microevolution due to similar environmental conditions such as tropical rain forest. This supports the local-evolution hypothesis for modern Southeast Asian craniofacial features.

Adult↗

Factors influencing recruitment and retention of academic staff in South-East Asia.

South-East Asia has a number of developing and developed countries. The economic standings of these countries are different and influence the number of staff in each academic department. The quantum of clinical work they are expected to perform and the remuneration vary enormously. The retirement age, facilities for research and criteria for promotion are different. The health care delivery system, the financial status and outlook of the universities also differ. These factors operate differently in the South-East Asian countries and determine the recruitment and retention of academic staff.

Asia, Southeastern↗

Recent human evolution in East Asia and Australasia.

In both East Asia and Australasia arguments for evolutionary continuity between middle-late Pleistocene hominid populations and modern Homo sapiens are of long standing. In both regions, however, problems of chronological distribution, dating and preservation of hominid skeletal materials provide an effective barrier to extending regional sequences back to 'archaic' Homo sapiens or Homo erectus. The earliest securely dated modern Homo sapiens in East Asia are currently represented by Zhoukoudian Upper Cave at a minimum of 29 ka BP. In Australia skeletal remains of modern Homo sapiens have been dated to 26 ka BP, with archaeological materials at 38 to 50 ka BP. Late Pleistocene human skeletons from sites like Coobool Creek are morphologically and metrically outside the range of recent Australian Aboriginal populations. Similarly Liujiang and the Upper Cave crania can be distinguished from recent East Asian 'Mongoloids'. Evolutionary change within the Holocene needs to be taken into consideration when the evidence for regional evolutionary continuity is considered.

Animals↗

Viral hepatitis in East Asia.

Viral hepatitis has a high prevalence in East Asia and is an important problem. Identification of the individual hepatitis viruses. A-E, has enabled researches to investigate the epidemiology and pathogenesis of viral hepatitis and its sequelae, and possible means of prevention. Because of improvement in hygiene in East Asia in recent decades, hepatitis A virus infection has decreased markedly. However, this has resulted in the younger population being susceptible to hepatitis A. Fortunately, effective active immunization for hepatitis A has become available. Hepatitis B is still rampant, especially in the southern part of East Asia where chronic infection is common. Patients who are chronic hepatitis B virus carriers are reservoirs for the virus and have a much higher risk of chronic liver disease and hepatocellular carcinoma (HGC). Currently, hepatitis B infection is being brought under control in East Asia through mass immunization. Serologic and molecular epidemiologic studies have also revealed that Hepatitis C is prevalent in the region. Hepatitis C virus also contributes to the development of cirrhosis and HCC. No effect immunization is currently available, and hepatitis C can only be controlled by preventative measures. The epidemiology and pathogenesis of viral hepatitis is discussed in this review, including new viral hepatitis agents possibly responsible for non-A-E hepatitis.

Chronic Disease↗

Irritable bowel syndrome in the 21st century: perspectives from Asia or South-east Asia.

Asian irritable bowel syndrome (IBS) studies not only confirm the truth of this functional disorder but also describe the current disease situation of this continent, with its variable socioeconomic backgrounds. Most Asian community IBS prevalence is within 5-10%, regardless of gender or ethnic character. As well as meeting the main Rome II criteria, Asian IBS subjects also have many minor symptoms. Thus this recommendation remains useful to diagnose Asian IBS. Also, female patients commonly express constipation-predominant (C-) symptoms. Extra-colonic symptoms are common in Asia, for example dyspepsia, insomnia and irritable urinary bladder. Asian IBS subjects do experience psychological disturbances including anxiety, depression, agoraphobia and neuroticism. Accordingly, their quality of life is poor and there is absenteeism leading to excessive physician visits. Abnormal gut motor and sensory functions have been indicated among the Asian IBS subjects. Now, there is evidence of altered colonic neuroimmune function leading to gut hypersensitivity and dysmotility. An Asia-Pacific trial also confirmed tegaserod efficacy on female C-IBS subjects. More than 90% of nurses have very limited IBS knowledge, and are unable even to explain it clearly. In conclusion, Western recommended criteria clearly diagnose Asian IBS and many factors are mutual leading to IBS. Current IBS treatments remain useful but additional reeducation for medical professionals appears to be needed.

Asia↗

Validation of MODIS aerosol retrievals and evaluation of potential cloud contamination in East Asia.

MODIS aerosol retrievals onboard Terra/Aqua and ground truth data obtained from AERONET (Aerosol Robtic Network) solar direct radiance measurements are collocated to evaluate the quality of the former in East Asia. AERONET stations in East Asia are separated into two groups according to their locations and the preliminary validation results for each station. The validation results showed that the accuracy of MODIS aerosol retrievals in East Asia is a little worse than that obtained in other regions such as Eastern U.S., Western Europe, Brazil and so on. The primary reason is due to the improper aerosol model used in MODIS aerosol retrieval algorithm, so it is of significance to characterize aerosol properties properly according to long-term ground-based remote sensing or other relevant in situ observations in order to improve MODIS retrievals in East Asia. Cloud contamination is proved to be one of large errors, which is demonstrated by the significant relation between MODIS aerosol retrievals versus cloud fraction, as well as notable improvement of linear relation between satellite and ground aerosol data after potential cloud contamination screened. Hence, it is suggested that more stringent clear sky condition be set in use of MODIS aerosol data. It should be pointed out that the improvement might be offset by other error sources in some cases because of complex relation between different errors. Large seasonal variation of surface reflection and uncertainties associated with it result in large intercepts and random error in MODIS aerosol retrievals in northern inland of East Asia. It remains to be a big problem to retrieve aerosols accurately in inland characterized by relatively larger surface reflection than the requirement in MODIS aerosol retrieval algorithm.

Aerosols↗

Microbiological quality of frozen precooked and peeled shrimp from South-East Asia and from the North Sea.

The microbiological quality of frozen precooked and peeled shrimp is largely dependent upon the method of processing. The investigations were carried out in order to study the difference between the microbiological quality of shrimp from South-East Asia and from the North Sea and to determine whether both can meet draft FAO/WHO and ICMSF-specifications; 100 samples of frozen precooked and peeled shrimp from South-East Asia and 50 samples of shrimp from the North Sea were examined. In 45% of the shrimp samples from South-East Asia and in 78% of the samples of North Sea shrimp the number of aerobic mesophiles was over 10(6) per g. The number of Staph. aureus was higher in the samples of shrimp from South-East Asia than in those from the North Sea: 34% of the samples from South-East Asia had over 2 x 10(3) Staph. aureus per g., whereas only 6% of the samples of North Sea shrimp exceeded this number. Gram-positive mesophilic cocci were predominant in shrimp from South-East Asia. Gram-negative psychrophilic bacteria were predominant in North Sea shrimp. This difference in bacterial flora is caused by a difference in processing. The number of Enterobacteriaceae was usually low (less than 2 x 10(2) per g) in both kinds of shrimp. In three lots of South-East Asian shrimp Salmonella was detected. Vibrio parahaemolyticus was not found. On the basis of draft FAO/WHO endproduct specifications all lots of both South-East Asian and North Sea shrimp would have been rejected. On the basis of ICMSF specifications the rejection amounted to 90 and 80% of the lots, for the two types of shrimp respectively. Preservatives were not detected in shrimp from South-East Asia, whereas benzoic acid was present in all samples of North Sea shrimp. It was concluded that the ammonia content is a valuable objective quality index only in case of North Sea shrimp.

Asia, Southeastern↗

Psychogeriatrics in South-East Asia.

A common phenomenon in South-East Asia is ageing of the population. This article describes the various stages of development of psychogeriatrics in Hong Kong, Singapore, Malaysia, Thailand, Indonesia and the Philippines. It is only in the last few years that more systematic development of psychogeriatric services has begun under the pressure of an ageing population. The model of service delivery in Hong Kong can serve as an example of development of psychogeriatric services in South-East Asia.

Aged↗

Palaeovegetation. Diversity of temperate plants in east Asia.

The exceptionally broad species diversity of vascular plant genera in east Asian temperate forests, compared with their sister taxa in North America, has been attributed to the greater climatic diversity of east Asia, combined with opportunities for allopatric speciation afforded by repeated fragmentation and coalescence of populations through Late Cenozoic ice-age cycles. According to Qian and Ricklefs, these opportunities occurred in east Asia because temperate forests extended across the continental shelf to link populations in China, Korea and Japan during glacial periods, whereas higher sea levels during interglacial periods isolated these regions and warmer temperatures restricted temperate taxa to disjunct refuges. However, palaeovegetation data from east Asia show that temperate forests were considerably less extensive than today during the Last Glacial Maximum, calling into question the coalescence of tree populations required by the hypothesis of Qian and Ricklefs.

Biological Evolution↗

Paternal population history of East Asia: sources, patterns, and microevolutionary processes.

Asia has served as a focal point for human migration during much of the Late Pleistocene and Holocene. Clarification of East Asia's role as a source and/or transit point for human dispersals requires that this region's own settlement history be understood. To this end, we examined variation at 52 polymorphic sites on the nonrecombining portion of the Y chromosome (NRY) in 1,383 unrelated males, representing 25 populations from southern East Asia (SEAS), northern East Asia (NEAS), and central Asia (CAS). The polymorphisms defined 45 global haplogroups, 28 of which were present in these three regions. Although heterozygosity levels were similar in all three regions, the average pairwise difference among haplogroups was noticeably smaller in SEAS. Multidimensional scaling analysis indicated a general separation of SEAS versus NEAS and CAS populations, and analysis of molecular variance produced very different values of Phi(ST) in NEAS and SEAS populations. In spatial autocorrelation analyses, the overall correlogram exhibited a clinal pattern; however, the NEAS populations showed evidence of both isolation by distance and ancient clines, whereas there was no evidence of structure in SEAS populations. Nested cladistic analysis demonstrated that population history events and ongoing demographic processes both contributed to the contrasting patterns of NRY variation in NEAS and SEAS. We conclude that the peopling of East Asia was more complex than earlier models had proposed-that is, a multilayered, multidirectional, and multidisciplinary framework is necessary. For instance, in addition to the previously recognized genetic and dental dispersal signals from SEAS to NEAS populations, CAS has made a significant contribution to the contemporary gene pool of NEAS, and the Sino-Tibetan expansion has left traces of a genetic trail from northern to southern China.

Animals↗

HIV-1 variants in South and South-East Asia.

HIV spread in South and South-East Asia is most alarming, and genetic variability of HIV-1 is an important consideration in vaccine development. In this study, we examined the third variable (V3) region of env gene of HIV-1 variants prevalent in Thailand, Malaysia, India, and the Philippines. By phylogenetic tree analyses, an HIV-1 variant from an injecting drug user (IDU) in Thailand belonged to subtype B, and HIV-1 variants from 2 IDUs in Malaysia were classified into 2 subtypes, B and E. One HIV-1 variant from a male homosexual in the Philippines belonged to subtype B. Out of 8 HIV-1 variants from sexually transmitted disease patients in India, 7 belonged to subtype C, and one to subtype A. Although the total number of individuals examined in this study was limited, 4 HIV-1 subtypes were found in South and South-East Asia and large international movements of HIV-1-infected individuals in this region could induce global dissemination of these HIV-1 variants.

Amino Acid Sequence↗