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1.
Braz. j. biol ; 82: e240219, 2022. tab
Article in English | MEDLINE, LILACS, VETINDEX | ID: biblio-1285585

ABSTRACT

Abstract Snow leopard (Panthera unica) is a felid which lives in the highly rugged areas of alpine regions in different mountain ranges of South and Central Asia. This solitary animal needs large spaces for its ranges but due to climate change and relatively faster rate of global warming in South Asian mountain ranges, its habitat is going to shrink and fragment by tree-line shifts and change in hydrology of the area. Vegetative modification of montane flora and competition with domestic goats will create its prey's population to decline along with a chance of a direct conflict and competition with the common leopard. Common leopard being more adaptable, grouped, and larger in size can be a significant stressor for a smaller and solitary snow leopard. Habitat would shrink, and snow leopard can possibly move upslope or northward to central Asian ranges and their predicted migratory patterns are unknown.


Resumo O leopardo-das-neves (Panthera uncia) é um felídeo que vive nas áreas altamente acidentadas das regiões alpinas, em diferentes cadeias de montanhas do sul e do centro da Ásia. A revisão atual tem o objetivo de abordar a questão da possível perda de hábitat do leopardo da neve em razão da interferência humana nas montanhas do sul e do centro da Ásia. Esse animal solitário precisa de grandes espaços para suas faixas, mas, devido às mudanças climáticas e à taxa relativamente mais rápida de aquecimento global nas cadeias montanhosas do sul da Ásia, seu hábitat vai encolher e fragmentar-se por mudanças nas linhas de árvores e na hidrologia da área. Este artigo teve o objetivo de rever vários estudos sobre os impactos das mudanças climáticas em um futuro próximo e distante sobre os hábitats do leopardo-da-neve. O estudo revelou que a modificação vegetativa da flora da montanha e a competição com cabras domésticas poderiam ocasionar na diminuição da população de suas presas, com a chance de um conflito direto e competição com leopardo comum. Leopardo comum sendo mais adaptável, agrupado e maior em tamanho pode ser um estressor significativo para um leopardo-da-neve menor e solitário. Conclusão: devido ao encolhimento do hábitat, o leopardo-da-neve pode, possivelmente, mover-se para cima ou para o norte, para faixas da Ásia Central com padrões migratórios não previstos.


Subject(s)
Animals , Felidae , Panthera , Asia , Climate Change , Ecosystem , Conservation of Natural Resources
2.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 10(2): 286-294, abri.-jun.2021.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1253876

ABSTRACT

Objectivo: analisar a influência da legislação na estratégia de eliminação da pandemia COVID-19 na região da Ásia-Pacífico, utilizando como exemplo o ordenamento jurídico da Nova Zelândia. Metodologia: análise da legislação e jurisprudência situadas no seu contexto epidemiológico e político. Resultados: a execução da estratégia tem tido sucesso, tendo a legislação existente sido alterada para adaptação às exigências da evolução da pandemia. Conclusão: a legislação e as medidas adoptadas vêm sendo aceites pelos tribunais judiciais e são pertinentes para a eficiente execução da estratégia de eliminação.


Objective: to analyse the bearing of legislation in the COVID-19 Pandemic management elimination strategy in Asia-Pacific, using the legal system of New Zealand as an illustration. Methods: legislation and case law analysis, within their epidemiological and politicalcontext. Results: the strategy has been successfully implemented and existent legislation amended to adapt to the evolution of the Pandemic. Conclusion: the legislation and the adopted measures have been generally accepted by courts and are relevant to the efficient execution of the elimination strategy.


Objetivo: analizar la influencia de legislación en el desarrollo de una estrategia de eliminación de la pandemia COVID-19 en la región de Asia-Pacífico, empleando como ejemplo el derecho de Nueva Zelandia. Metodología: análisis de legislación y jurisprudencia bajo su contexto epidemiológico y político. Resultados: la ejecución de la estrategia ha logrado suceso, aunque la legislación existente haya sufrido alteraciones para adaptarse a las exigencias de la evolución de la pandemia. Conclusión: la legislación y las medidas adoptadas fueran aceptadas por los tribunales y son proclives a una ejecución eficiente de la estrategia de eliminación.

3.
Article in English | WPRIM | ID: wpr-881429

ABSTRACT

@#Sarcopenia refers to the age-associated progressive and generalized loss of skeletal muscle mass plus loss of muscle strength and/or reduced physical performance. Described as the biological substrate that antecedes physical frailty, sarcopenia is associated with adverse health outcomes in older adults. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code for sarcopenia represents a major step forward in translating sarcopenia to clinical practice. The Asian Working Group for Sarcopenia (AWGS) 2019 consensus provides an algorithm for identifying and diagnosing older adults with or at-risk for sarcopenia. “Possible sarcopenia” is defined by low muscle strength or reduced physical performance, and is applicable for primary health care and community settings. Accurate case finding and assessment requires proper administration using the correct instruments. Older adults with or at-risk for sarcopenia should be evaluated for reversible causes (using the ‘4D’ mnemonic). Currently, the mainstay of treatment is non-pharmacological, comprising resistance exercise and adequate protein intake.

4.
Singapore medical journal ; : 199-203, 2021.
Article in English | WPRIM | ID: wpr-877436

ABSTRACT

INTRODUCTION@#Pulmonary arterial hypertension (PAH) is associated with high medical and pharmaceutical costs. Phosphodiesterase type 5 (PDE5) inhibitors have been found to be beneficial but costly. They are not subsidised in Singapore except via the Medication Assistance Fund (MAF) Plus scheme. In this study, we described the help-seeking behaviour of patients and funding strategies for Singaporean patients on PDE5 inhibitors in our registry.@*METHODS@#We consecutively recruited all patients with PAH who presented to our pulmonary hypertension specialty centre between 1 January 2003 and 29 December 2016. Singaporean patients on PDE5 inhibitors were included. Data recorded and analysed for this study included baseline demographics, whether the patients received MAF Plus funding, percentage of funding, and any additional source of subsidies.@*RESULTS@#114 (77.0%) of 148 patients in the registry were Singapore citizens on PDE5 inhibitors. 75 (65.8%) of these 114 patients had been seen by a medical social worker, of whom 16 were on MAF Plus funding. 14 of the remaining 59 patients were subsidised by MediFund, whereas the remainder were self-paying. 30 (26.3%) patients in total were on some form of subsidy, and 28 (24.6%) patients were on combination therapy. Of this group, nine were receiving MAF Plus subsidies.@*CONCLUSION@#Fewer than expected patients were found to be receiving drug subsidies for PAH. This was partly due to insufficient referrals and lack of requests for financial assistance. Patients on combination therapy had greater financial challenges. This study should spur us on to study funding gaps further and address them.

5.
Rev. argent. reumatolg. (En línea) ; 31(4): 40-43, dic. 2020. ilus, tab
Article in Spanish | LILACS, BINACIS | ID: biblio-1288210

ABSTRACT

El síndrome autoinmune/inflamatorio inducido por adyuvantes (ASIA) es una condición en la cual la exposición a un adyuvante lleva a una respuesta inmune aberrante dando como resultado signos y síntomas de enfermedades autoinmunes. Se presenta el caso de una paciente con artritis y púrpura palpable luego de inyección labial de ácido hialurónico.


Autoimmune/inflammatory syndrome induced by adjuvant (ASIA) is a condition in which exposure to an adjuvant leads to an aberrant immune response resulting in signs and symptoms of autoimmune diseases. We present the case of a patient with arthritis and palpable purpura after hyaluronic acid lip injection.


Subject(s)
Vasculitis , Autoimmune Diseases , Adjuvants, Pharmaceutic , Hyaluronic Acid
6.
Article | IMSEAR | ID: sea-202823

ABSTRACT

Introduction: Thoraco-lumbar spine fractures form majorityof spine fractures and is an important cause of morbidity.However, comprehensive data regarding epidemiologicalpattern of trauma patients with spinal fractures are scarce.Many epidemiological reports about spinal fractures focus onosteoporosis as an etiologic factor. But in Indian populationmore important etiological factors are road traffic accidentsand falls from height. Studies concerning only operativelytreated patients with spinal fractures show selective andbiased data that might be useful for capacity planning inhospitals or evaluating results of operative treatment, but notfor epidemiological purposesMaterial and Methods: 86 consecutive patients with thoracicor lumbar fractures attending the out-patient department orEmergency department of Sree Gokulam Medical CollegeHospital, Trivandrum were enrolled in the study. All patientswith fractures of the thoracic or lumbar spine were enrolledin this study.Result: Distribution of fracture pattern in thoracolumbarspine injuries were studied. And the methods to prevent thosefractures are listed in this study.Conclusion: This study is a prospective cohort study of theepidemiological aspects and pattern of injury and treatment inthoraco-lumbar spine fractures at a tertiary care referral center.A total of 86 patients were enrolled in the study.The mostcommon fracture pattern seen in this study was compressionfractures (24.4%) which are stable. This was followed bystable burst fractures (23.2%, unstable burst fractures (18.6%),translational injuries (fracture-dislocations)(16.3%), flexiondistraction injuries(13.9%) and chance fractures(3.5%).

7.
Article | IMSEAR | ID: sea-212081

ABSTRACT

Background: Thoraco-lumbar spine fractures form majority of spine fractures and is an important cause of morbidity. However, comprehensive data regarding epidemiological pattern of trauma patients with spinal fractures are scarce. Many epidemiological reports about spinal fractures focus on osteoporosis as an etiologic factor. But in Indian population more important etiological factors are road traffic accidents and falls from height. Studies concerning only operatively treated patients with spinal fractures show selective and biased data that might be useful for capacity planning in hospitals or evaluating results of operative treatment, but not for epidemiological purposes. Methods: Among 86 consecutive patients with thoracic or lumbar fractures attending the out-patient department or Emergency department of Sree Gokulam Medical College, Trivandrum were enrolled in the study.  All patients with fractures of the thoracic or lumbar spine were enrolled in this study.Results: Flexion distraction injuries are the second commonest unstable thoracolumbar spine injuries.Conclusions: This study is a prospective cohort study of the epidemiological aspects and pattern of injury and treatment in thoraco-lumbar spine fractures at a tertiary care referral center. A total of 86 patients were enrolled in the study. The most common fracture pattern seen in this study was compression fractures (24.4%) which are stable. This was followed by stable burst fractures (23.2%, unstable burst fractures (18.6%), translational injuries (fracture-dislocations) (16.3%), flexion-distraction injuries (13.9%) and chance fractures (3.5%).

8.
Rev. panam. salud pública ; 44: e2, 2020. tab
Article in English | LILACS | ID: biblio-1101776

ABSTRACT

ABSTRACT Alzheimer's disease and related dementias (ADRD) affect over 50 million persons globally, and the number is expected to rise. In response, health ministries are developing and implementing policies and programs to systemically address the needs of individuals and families affected by ADRD. While national plans of action on ADRD are advancing among European Member States of World Health Organization (WHO), those in the Asia-Pacific and Americas are lagging behind. Since previous studies have largely ignored the Americas and Asia-Pacific—where approximately two-thirds of the global ADRD population resides—this study sought to identify (a) the socioeconomic factors associated with the likelihood of having a national dementia policy, and (b) to examine common and differing features among the national plans in these regions. Employing the dementia policy guidelines of WHO and the Pan American Health Organization as an extraction guide for data collection and analysis, the national dementia plans and available socioeconomic data of 10 Member States were analyzed with comparative and qualitative analyses. Findings suggested at least a 14-fold increase in the likelihood of having a national dementia plan if a Member State had one of the following: a universal health care system, more than 14% of the population 65 years of age or older, or high-income. All the Member States in the study identified dementia as a public health priority, but priorities differed. Inconsistencies included development of information systems, training for health care professionals, and long-term care systems.(AU)


RESUMEN La enfermedad de Alzheimer y otras demencias relacionadas afectan a más de 50 millones de personas a nivel mundial y se espera que esta cifra aumente. En respuesta, los ministerios de salud están elaborando y ejecutando políticas y programas para abordar de manera sistemática las necesidades de las personas y familias afectadas. Si bien los planes nacionales de acción sobre la enfermedad de Alzheimer y otras demencias progresan en los Estados Miembros europeos de la Organización Mundial de la Salud (OMS), los de las regiones de Asia y el Pacífico y las Américas están a la zaga. Puesto que en anteriores estudios se ha pasado por alto en gran parte a las regiones de las Américas y Asia y el Pacífico, donde residen aproximadamente dos terceras partes de la población mundial con estas enfermedades, en este estudio se ha tratado de: a) determinar los factores socioeconómicos relacionados con la probabilidad de contar con una política nacional en materia de demencia, y b) examinar las características comunes y distintas de los planes nacionales en esas regiones. Se examinaron los planes nacionales sobre demencia y los datos socioeconómicos disponibles de diez Estados Miembros mediante análisis comparativos y cualitativos en los que se emplearon las directrices para la formulación de políticas en materia de demencia de la OMS y la Organización Panamericana de la Salud a modo de guía de extracción para la recopilación y el análisis de datos. Los resultados indicaron que había un aumento de las probabilidades de al menos 14 veces de disponer de un plan nacional en materia de demencia siempre que el estado miembro contase con al menos uno de los siguientes elementos: un sistema de atención de salud universal, más de 14% de su población en la edad de 65 años o más, o ingresos elevados. Todos los Estados Miembros del estudio establecían la demencia como una cuestión prioritaria de salud pública, si bien las prioridades diferían. Entre las diferencias se encontraban el desarrollo de los sistemas de información, la capacitación de los profesionales de la salud y los sistemas de cuidados a largo plazo.(AU)


RESUMO A doença de Alzheimer e demências relacionadas (DADR) afetam mais de 50 milhões de pessoas em todo o mundo, e este número deverá aumentar no futuro. Em resposta, os ministérios da saúde estão desenvolvendo e implementando políticas e programas para atender sistematicamente às necessidades das pessoas e famílias afetadas pela DADR. Embora os planos de ação nacionais para a DADR estejam avançando entre os Estados Membros europeus da Organização Mundial da Saúde (OMS), os das regiões das Américas e Ásia-Pacífico estão ficando para trás. Estudos anteriores ignoraram amplamente as regiões das Américas e Ásia-Pacífico, onde encontram-se aproximadamente dois terços da população mundial com DADR; por isso, este estudo procurou (a) identificar os fatores socioeconômicos associados à probabilidade de que um país conte com uma política nacional para demência e (b) examinar as características comuns e diferentes dos planos nacionais existentes nessas regiões. Empregando as diretrizes para políticas sobre demência da OMS e da Organização Pan-Americana da Saúde como um guia para a coleta e análise de dados, examinamos os planos nacionais para demência e os dados socioeconômicos disponíveis em 10 Estados Membros, realizando análises comparativas e qualitativas. Os resultados sugeriram um aumento de pelo menos 14 vezes na probabilidade de que um Estado Membro conte com um plano nacional para demência quando esse Estado Membro apresenta um dos seguintes fatores: um sistema de atenção universal à saúde, mais de 14% da população com 65 anos de idade ou mais, ou alta renda. Todos os Estados Membros incluídos no estudo identificaram a demência como uma prioridade de saúde pública, mas com prioridades distintas. As diferenças incluíram o desenvolvimento de sistemas de informação, a formação oferecida aos profissionais da saúde e os sistemas de atenção à saúde de longa duração.(AU)


Subject(s)
Humans , Alzheimer Disease/epidemiology , Universal Health Care , Health Policy/trends , Asia/epidemiology , Americas/epidemiology
9.
Article in English | WPRIM | ID: wpr-886420

ABSTRACT

@#BACKGROUND: Falls are common in older people and a leading cause of injury. Exercise programmes are available for falls prevention, including the Otago Exercise Programme (OEP). The Southeast Asia region has a rapidly ageing population with unique aspects to consider in falls prevention. This systematic review aims to explore the effectiveness of OEP in Southeast Asia for falls prevention. METHODS: A literature search conducted in April 2020 of PubMed and Google Scholar databases was performed to identify randomised controlled trials on OEP in Southeast Asia. RESULTS: Three studies met inclusion criteria for the systematic review. The studies in Malaysia and Thailand did not identify any differences in the rate of falls with the modified OEP intervention compared to conventional treatment. The study from Indonesia inferred a reduced fall risk with improved Timed Up and Go with the intervention, but did not quantify fall rates. CONCLUSION: The three studies identified used a modified OEP, with limited evidence of efficacy or reduction in fall rates. Further research is required, particularly randomized controlled trials to evaluate OEP for falls prevention in Southeast Asia.


Subject(s)
Accidental Falls , Secondary Prevention , Asia, Southeastern
10.
Article in English | WPRIM | ID: wpr-881320

ABSTRACT

@#This review describes national plans of action for nutrition (NPANs) in six Southeast Asia countries (Indonesia, Malaysia, Myanmar, Philippines, Thailand and Vietnam) in order to provide an understanding of the approach and framework undertaken by these countries in the formulation and implementation of NPANs, as well as the similarities and differences in various NPAN components. The six countries recognised the persistent undernutrition and escalating rates of obesity and other diet-related chronic diseases as the key drivers for nutrition action plan implementation. The prioritisation of nutrition interventions outlined in these NPANs are based on respective country context and needs. Although differing in strategies and targets set, these countries show similarities in several components including objectives, stakeholder involvement, nutritional issues to be addressed, implementation, monitoring and evaluation mechanism, programme/ activities identified and challenges in implementing NPANs. Countries have recognised that effective implementation, monitoring and evaluation are essential to successfully address both extremes of the challenging nutrition situation. Several important similarities in the NPANs studied suggest that closer collaboration among countries and stakeholders on NPANs would be beneficial. Opportunities should be created for periodic exchanges to enable sharing of experiences in the development and implementation of NPANs among the countries. Recommendations and conclusions drawn from this review could serve as useful reference for nutrition policy and planning in the future.

11.
China Pharmacy ; (12): 1260-1265, 2020.
Article in Chinese | WPRIM | ID: wpr-821617

ABSTRACT

OBJECTIVE:To syst ematically evaluate the effectiveness and safety of ticagrelor versus clopidogrel in the treatment of acute coronary syndrome (ACS)patients in East Asia ,and to provide evidence-based references for clinical drug use. METHODS:Retrieved from Cochrane Library ,PubMed,Embase,CNKI,Wanfang database ,etc.,randomized controlled trials (RCTs)about ticagrelor (trial group )versus clopidogrel (control group )in the treatment of ACS patients in east Asia were collected. After literature screening and data extraction ,the quality of included literatures was evaluated by using biasrisk evaluation tool recommended by Co chrane system evaluation manual 5.1.0,and Meta-analysis was performed by using Rev Man 5.3 statistical software. RESULTS :A total of 5 RCTs were included ,with a total of 4 511 cases. Meta-analysis showed that the incidence of major adverse cardiovascular events [OR =0.85,95%CI(0.68,1.04),P=0.12],the incidence of death from cardiovascular causes [OR =0.76,95%CI(0.57,1.03),P=0.08] and the incidence of stroke [OR =0.77,95%CI(0.48,1.24),P=0.28], without statistical significance. The incidence of major bleeding events [OR =1.54,95%CI(1.19,1.99),P=0.001] and minor bleeding events [OR =1.80,95% CI(1.40,2.32),P<0.000 01] in trial group were significantly higher than control group. CONCLUSIONS:Ticagrelor is comparable to clopidogrel in reduce the major adverse cardiovascular events,death from cardiovascular causes and stroke in ACS patients in East Asian ,but it can increase the risk of major and minor bleeding events.

12.
Singapore medical journal ; : 287-296, 2020.
Article in English | WPRIM | ID: wpr-827315

ABSTRACT

Preoperative anaemia is common in the Asia-Pacific. Iron deficiency anaemia (IDA) is a risk factor that can be addressed under patient blood management (PBM) Pillar 1, leading to reduced morbidity and mortality. We examined PBM implementation under four different healthcare systems, identified challenges and proposed several measures: (a) Test for anaemia once patients are scheduled for surgery. (b) Inform patients about risks of preoperative anaemia and benefits of treatment. (c) Treat IDA and replenish iron stores before surgery, using intravenous iron when oral treatment is ineffective, not tolerated or when rapid iron replenishment is needed; transfusion should not be the default management. (d) Harness support from multiple medical disciplines and relevant bodies to promote PBM implementation. (e) Demonstrate better outcomes and cost savings from reduced mortality and morbidity. Although PBM implementation may seem complex and daunting, it is feasible to start small. Implementing PBM Pillar 1, particularly in preoperative patients, is a sensible first step regardless of the healthcare setting.

13.
Neurology Asia ; : 425-438, 2020.
Article in English | WPRIM | ID: wpr-877294

ABSTRACT

@#The last review on epilepsy in Southeast Asian (SEA) countries was reported in 1997. This review aimed to update the understanding of epilepsy management in this region over the past 23 years. There has been significant increase in the epidemiological studies which reported a prevalence of 4.3-7.7 per 1,000 populations in this region. Reversible aetiologies of epilepsy such as head injury, birth trauma, cerebrovascular disease, and intracranial infections (neurocysticercosis or meningoencephalitis) are still prevalent, with a surge in autoimmune encephalitis. There was a surge in genetic studies which suggest ethnic variation. Treatment gap is still high especially in the rural and less developed areas, and the availability and affordability of newer anti-epileptic drugs (AEDs) is still a major challenge in SEA. Alternative medicine is a common practice but varies among different ethnic groups. AEDs hypersensitivity especially on the association between HLA-B*1502 and carbamazepine-related severe cutaneous reaction had been extensively studied and proven in nearly all SEA countries. However, HLA-B*1502 screening is not widely available in SEA and the cost-effectiveness of the screening is questionable. Stigma and its psychosocial consequences are still a major concern despite enormous efforts to study the public attitudes towards epilepsy and change of epilepsy naming in a few countries. The number and complexity of epilepsy surgery are progressing, but it is still under-utilized in many SEA countries, related to cost, cultural perception and lack of facilities. More resources should also be channelled in training adequate number of epileptologists who can spearhead epilepsy care around the region, as well as public education and research in epilepsy. In conclusion, there is an increase in epilepsy research in this region, gradual increase in trained neurologists and facilities, and efforts to reduce the knowledge and treatment gap, but the epilepsy management gap is still a battle to fight.

14.
Neurology Asia ; : 203-206, 2020.
Article in English | WPRIM | ID: wpr-877215

ABSTRACT

@#Neuroschistosomiasis is an infection of the central nervous system caused by Schistosoma species and constitute a severe manifestation of the disease. Schistosoma japonicum is well-known cause of cerebral schistosomiasis and Schistosoma mansoni for spinal schistosomiasis. Although neuroschistosomiasis is not rare, reports on cerebral vasculitis associated with Schistosoma mansoni infection is scarce. With regards to schistosomiasis in Asia, most of the published literature has been on Schistosoma japonicum and the prevalence of Schistosoma mansoni in Asia is not well established. We report here a 54-yearold Rakhine woman with history of diabetes mellitus for more than ten years presenting with three recurrent stroke occurring over 2 months, twelve months after returning to Yangon from Rakhine, an endemic area for Schistosoma mansoni infection. Cerebral MRA revealed beaded appearance along left ACA and segmental narrowing beyond terminal ICA both sides, and contrast enhancement was noted at left frontal lobe with restricted diffusion on MRI brain. Serum serology testing for Schistosoma mansoni infection was positive. With oral praziquantel and high dose corticosteroid, aphasia and swallowing improved. This is the first report of delayed onset cerebral vasculitis associated with chronic Schistosoma mansoni infection in Asia.

17.
Asia Pacific Allergy ; (4): 6-2020.
Article in English | WPRIM | ID: wpr-785459

ABSTRACT

BACKGROUND: The prevalence of peanut allergy (PA) among children has increased significantly over the past decade. Even though the prevalence of PA in Singapore is considered low, peanut is the top trigger for food-induced anaphylaxis in Singaporean children.OBJECTIVE: To describe the demographic characteristics and clinical features of children with PA.METHODS: This is a 5-year retrospective review of children diagnosed with PA based on clinical history coupled with a positive skin prick test to peanut or positive oral food challenge results.RESULTS: There were 269 patients (53.9% males) with a clinical diagnosis of PA. The median age at first allergic presentation for the PA group was 24 months old, with interquartile range of 13–39 months. The most common form of peanut introduced was roasted peanut. The rate of peanut anaphylaxis was 7.1%. Concomitant tree nut sensitization was found in 32.3% of this cohort, predominantly to cashew nut. Majority of them have a personal history of atopy – 75.8% with eczema, 63.6% with allergic rhinitis, and 19.7% with asthma.CONCLUSION: This is the first large review of peanut-allergic children in Singapore. Prospective population-based studies are needed to establish the true prevalence and risk factors associated with the development of this potentially life-threatening condition.


Subject(s)
Anacardium , Anaphylaxis , Arachis , Asia , Asthma , Child , Cohort Studies , Diagnosis , Eczema , Humans , Nuts , Peanut Hypersensitivity , Prevalence , Prospective Studies , Retrospective Studies , Rhinitis, Allergic , Risk Factors , Singapore , Skin , Trees
18.
Asia Pacific Allergy ; (4): 11-2020.
Article in English | WPRIM | ID: wpr-785454

ABSTRACT

Air pollution, climate change, and reduced biodiversity are major threats to human health with detrimental effects on a variety of chronic noncommunicable diseases in particular respiratory and cardiovascular diseases. The extent of air pollution both outdoor and indoor air pollution and climate change including global warming is increasing-to alarming proportions particularly in the developing world especially rapidly industrializing countries worldwide. In recent years, Asia has experienced rapid economic growth and a deteriorating environment and increase in allergic diseases to epidemic proportions. Air pollutant levels in many Asian countries especially in China and India are substantially higher than are those in developed countries. Moreover, industrial, traffic-related, and household biomass combustion, indoor pollutants from chemicals and tobacco are major sources of air pollutants, with increasing burden on respiratory allergies. Here we highlight the major components of outdoor and indoor air pollutants and their impacts on respiratory allergies associated with asthma and allergic rhinitis in the Asia-Pacific region. With Asia-Pacific comprising more than half of the world's population there is an urgent need to increase public awareness, highlight targets for interventions, public advocacy and a call to action to policy makers to implement policy changes towards reducing air pollution with interventions at a population-based level.


Subject(s)
Administrative Personnel , Air Pollutants , Air Pollution , Air Pollution, Indoor , Allergy and Immunology , Asia , Asian Continental Ancestry Group , Asthma , Biodiversity , Biomass , Cardiovascular Diseases , China , Climate Change , Climate , Consumer Advocacy , Developed Countries , Economic Development , Family Characteristics , Global Warming , Humans , Hypersensitivity , India , Rhinitis, Allergic , Tobacco
19.
Article in English | WPRIM | ID: wpr-846747

ABSTRACT

Objective: To provide preliminary descriptions of the spread, burden and related medical capacity characteristics of the ASEAN countries. Methods: We utilized the data from four main official databases, including WHO reports, the Statistics and Research of the Coronavirus Disease, and the Southeast Asia Program of the Center for Strategic and International Study. The spread of the COVID- 19 pandemic, current burden and the COVID-19 medical response capacities were extracted before April 11, 2020. Results: As of April 13, 2020, the ASEAN countries reported 19 547 COVID-19 positive cases with 817 deaths (case-facility rate of 4.2%). Thailand was the first country in the region that reported having the COVID-19 cases, while Laos was the last to report confirmed COVID-19 cases. Durations for the number of deaths to double were between 8-12 days. For the testing and treatment capacities, the number of PCR tests provided to the populations was the highest in Vietnam, followed by Singapore, Malaysia, and Thailand. Meanwhile, the percentage of the population being tested was the highest in Brunei (2.31%), followed by Singapore (1.30%). Conclusions: A wide range of interventions were taken into practice in response to the outbreak with an effort of curbing the rise of this pandemic. However, special care should not be overlooked as the pandemic is placing a huge impact on the population and becomes increasingly unpredictable. To tackle the spread of the pandemic in the region, the ASEAN countries should work together as one community to provide better responses to future pandemics and other transboundary public health challenges.

20.
Rev. peru. biol. (Impr.) ; 26(4): 525-528, Oct.-Dec 2019. ilus, tab
Article in English | LILACS-Express | LILACS | ID: biblio-1144919

ABSTRACT

The Lesser bandicoot rat Bandicota bengalensis (Gray and Hardwicke, 1833) is a murid rodent distributed mostly in Asia that can cause substantial negative economic impact in urban and rural areas. Until now, the species has been mostly restricted to the Asian region; and no specimen has been captured or reported as a stowaway arriving to an American port. Here, I report on one specimen captured in Callao's maritime port, Peru, during sanitary inspection surveillance, identified based on external and cranial characteristics, and similar meristic reported values. This finding shows the potential threat of this species as an invasive alien species and highlights the need for strengthening invasive species protocols on ships.


La rata bandicota menor Bandicota bengalensis (Gray & Hardwicke, 1833) es un roedor múrido distribuido principalmente en Asia que puede causar un impacto económico negativo sustancial en las zonas urbanas y rurales. Hasta ahora, la especie se ha restringido principalmente a la región asiática y ningún espécimen ha sido capturado o reportado como polizón en un puerto americano. Aquí, reporto un espécimen capturado en el puerto marítimo del Callao, Perú, durante una inspección sanitaria, identificado en base a características externas y craneales, y valores morfométricos similares. Este hallazgo muestra la amenaza potencial de esta especie como especie exótica invasora y destaca la necesidad de fortalecer los protocolos de especies invasoras en los barcos.

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