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1.
Macromol Rapid Commun ; 43(12): e2100620, 2022 Jun.
Article in English | MEDLINE | ID: mdl-34874586

ABSTRACT

A kinetic model based on fundamentals of radical polymerization and literature known rate parameters for the polymerization of n-butyl acrylate is validated against molecular analysis and rheological data. The model is used to predict conversion, molar mass distribution, and branching densities in form of short and long chain branching. Rheological measurements of synthesized model polymers are evaluated along the Carreau-Yasuda and Van Gurp-Palmen presentations, allowing to detect small differences in the degree of long chain branching. Contributions of anharmonics to viscoelastic response in large amplitude oscillations are small and differences between the products are dominated by the differences in molar mass.


Subject(s)
Acrylates , Laos , Polymers , Rheology
2.
Ann Hepatol ; 22: 100282, 2021.
Article in English | MEDLINE | ID: mdl-33217587

ABSTRACT

INTRODUCTION AND OBJECTIVES: Hepatitis B virus (HBV) is endemic in Lao PDR, with up to 10% chronic infections in adults. Dentists have high risk of exposure and transmission to their patients. The aim was to investigate the serological profiles of vaccination, exposure and susceptibility to HBV. In addition, we determined the knowledge, attitude and practice (KAP) of Lao dentists toward HBV. MATERIALS AND METHODS: Dentists and dental assistants were recruited from 186 private dental clinics in Vientiane Capital. They completed a KAP questionnaire and serum was tested by ELISA for HBV markers (anti-HB surface antigen, anti-core antigen, HBV surface antigen). RESULTS: 206 dentists and 111 dental workers aged between 18-63 years were included. Serology data showed that 37.8% had previous exposure (49.0% of males and 32.4% of females) and 5.0% were chronically infected (7.7% of males and 3.8% of females). Less than 15% had serological evidence of vaccination and 66.8% were unprotected against infection. Knowledge of HBV was mostly low, for example 61.8% were aware of the childhood HBV vaccine. Just over half said that they should give dental care to HBV carriers. About one quarter reported accidental blood exposure during the last 6 months but knowledge about procedures after exposure was low. CONCLUSIONS: Lao dentists are at high risk of occupational exposure to HBV but have low awareness and serological protection. There is a need to introduce mandatory vaccination, to strengthen occupational health in health care providers and to further develop the academic curricula of dental students.


Subject(s)
Dental Staff/statistics & numerical data , Dentists/statistics & numerical data , Hepatitis B virus/isolation & purification , Hepatitis B/diagnosis , Hepatitis B/epidemiology , Adult , Cross-Sectional Studies , Dental Staff/psychology , Dentists/psychology , Female , Health Knowledge, Attitudes, Practice , Hepatitis B/prevention & control , Hepatitis B Antibodies/blood , Hepatitis B Surface Antigens/blood , Humans , Laos , Male , Middle Aged , Surveys and Questionnaires , Young Adult
3.
Trop Anim Health Prod ; 53(2): 303, 2021 May 02.
Article in English | MEDLINE | ID: mdl-33934210

ABSTRACT

Foot and Mouth Disease (FMD) is a high-impact, contagious transboundary animal disease that is endemic in Southeast Asia. Abattoir samples were routinely collected in six selected provinces between March and December 2019. A total of 1280 samples of abattoir animals were tested for FMD Non-Structural Protein (NSP) antibodies to indicate natural infections. Overall, 22.8% were seropositive for FMD NSP antibodies while seroprevalence of cattle (n = 469), buffalo (n = 214), and pigs (n = 597) were 44.6%, 35.0%, and 1.3%, respectively. The highest seroprevalence destination province was Xiengkhouang (35.3% of 272 samples), followed by Savannakhet (27.0% of 244 samples). Risk factors for evidence of natural infection identified by a multivariate logistic regression model included age groups (p-value = 0.02) and origin provinces (p-value = 2.8 × 10-5) of the animals. There were significant differences of FMD NSP seroprevalence between age groups and origin provinces of the animals. The odds ratio of a seropositive result in the less than 1 year old group was 2.5 (95% CI; 1.4, 4.4) when compared to the 3-4 years old group, while the odds ratios for animals that originated from Khammouane and Xiengkhouang provinces were 4.5 (95% CI; 1.1, 18.7) and 2.4 (95% CI; 1.4, 4.1), respectively, when compared to Champasak province. Serotype-specific antibody ELISA for 44 NSP antibody-positive samples revealed evidence of FMD serotypes O and A virus circulation in some provinces. Despite the passive abattoir survey providing useful information on FMD virus previous exposure and geographic locations of the animals, timely information on FMD virus circulation and distribution is also crucial to an effective control program. Alternative approaches to increase the cost-effectiveness of the surveillance network are also discussed.


Subject(s)
Cattle Diseases , Foot-and-Mouth Disease Virus , Foot-and-Mouth Disease , Swine Diseases , Animals , Antibodies, Viral , Cattle , Cattle Diseases/epidemiology , Disease Outbreaks , Enzyme-Linked Immunosorbent Assay/veterinary , Foot-and-Mouth Disease/epidemiology , Laos/epidemiology , Seroepidemiologic Studies , Swine , Swine Diseases/epidemiology
4.
Trop Anim Health Prod ; 52(3): 1103-1114, 2020 May.
Article in English | MEDLINE | ID: mdl-31729631

ABSTRACT

In Xayaboury province, located in the northern region of Lao PDR, the foot and mouth disease (FMD) vaccination campaign just began in 2009. Up until now, a small number of farms have been vaccinated. When FMD outbreaks occur, it is interesting to determine the risk factors of FMD, especially in the area where vaccination rates are low. The questionnaire survey, using a case-control design at the household level, was carried out. From 59 villages with a total number of 434 households, 181 households who experienced FMD were assigned as case households, 146 households without FMD occurrence inside the outbreak villages as inside control households, and 107 households without FMD occurrence outside the outbreak villages as outside control households. Household owners were interviewed. The logistic regression model was used to identify the relationship between FMD occurrence (dependent variable) and the collected data (independent variables), including the social status of livestock owners, FMD prevention strategies, and farm locations. A non-parametric test was performed to determine the association of FMD and network parameters of animal movements among villages. In general, results show that a limited number of holders did vaccinate animals before the outbreaks (13.8-17.8%). The results indicated that livestock owners who had known information about FMD before the outbreaks had been less severely affected by the FMD outbreak than the owners who had not known information about FMD (P < 0.01, OR 0.16, 95% CI 0.09-0.29). Before the outbreaks, higher FMD risk was observed in owners who sold the livestock through animal traders (P < 0.01, OR 4.76, 95% CI 1.68-13.50). Spatial data show that households in the community closer to the main roads had higher FMD risk (P < 0.01, OR 4.76, 95% CI 1.68-13.50). In addition, the network parameters including in-degree, out-degree, and betweenness indicated that the villages with high movements of livestock were at high risk of FMD (P < 0.05). The present study emphasized the importance of the government units to distribute the information about FMD to all livestock farmers in Xayaboury. Disease awareness and prevention strategy should be prioritized in areas close to high density communities and in the trading of livestock.


Subject(s)
Cattle Diseases/epidemiology , Farmers/statistics & numerical data , Foot-and-Mouth Disease/epidemiology , Health Knowledge, Attitudes, Practice , Vaccination/veterinary , Adult , Animals , Case-Control Studies , Cattle , Cattle Diseases/virology , Farmers/psychology , Female , Foot-and-Mouth Disease/virology , Foot-and-Mouth Disease Virus/physiology , Humans , Laos/epidemiology , Male , Middle Aged , Risk Factors
5.
J Interprof Care ; 33(4): 356-360, 2019.
Article in English | MEDLINE | ID: mdl-31431108

ABSTRACT

Lao People's Democratic Republic (Lao PDR) with a population of 6.8 million is a low middle-income country in Southeast Asia. Despite economic development, Lao PDR is still characterized by a weak health system. The Ministry of Health has launched health reforms to provide better health services and University of Health Sciences (UHS) plays an essential role in Human Resources for Health (HRH) reform. Especially, the importance of its role in training health professionals from entry-level to continuing education has been increased. In 2016, the UHS embedded an Interprofessional Education (IPE) concept into a pre-qualifying course, in collaboration with the World Health Organization and the Gunma University Centre for Research and Training on IPE. As a pilot study, some students from faculties of Medicine, Pharmacy, Dentistry, Nursing, and Medical Technology participated in a community-based IPE program. Results suggested that students participating in the IPE program showed more positive attitudes toward collaborative practice than students who did not participate in the IPE program. Based on the results, the UHS is planning to develop an IPE program for health workers. In this article, we describe the strategic international collaboration and discuss the keys to successful IPE planning and implementation in line with HRH reform.


Subject(s)
Clinical Competence/standards , Health Occupations/education , Health Personnel/education , Interprofessional Relations , Curriculum , Developing Countries , Humans , Laos , Pilot Projects , Program Development , Students, Health Occupations/statistics & numerical data , Universities/organization & administration
6.
Epidemiol Infect ; 146(16): 2086-2095, 2018 12.
Article in English | MEDLINE | ID: mdl-30136645

ABSTRACT

This study assessed smallholder finances and their attitudes towards the Foot and Mouth Disease (FMD) vaccination programme, when 1 620 000 vaccine doses were provided for strategic administration in large ruminants in FMD 'high-risk' areas in Laos between 2012 and 2016. Farmers (n = 168) in the provinces of Xayyabouli (XYL), Xiengkhoung (XK) and Huaphan (HP), were interviewed. Over 91% of the farmers responded that their livestock were vaccinated for FMD, with over 86% ranking FMD vaccination as a good or very good intervention. No FMD cases were reported from the vaccinated provinces after May 2013. Examination of the total income per household in XYL, XK and HP indicated earnings of US$5060(±650), US$4260(±294) and US$1691(±676), respectively (P = 0.001), with 23%, 28% and 68% of the total incomes from annual sales of large ruminant, respectively. Of the farmers in XYL, XK and HP, 83%, 93% and 70% (P = 0.009) said their annual income increased compared with 2012, and 47%, 64% and 41%, respectively (P = 0.005), indicated this increase was from additional large ruminant sales. The study indicated that this large FMD vaccination programme was well regarded by participating farmers and may have provided satisfactory suppression of the disease in Laos, despite not achieving the preferred vaccination coverage. Continuation of the vaccination programme in FMD high-risk areas is suggested as desirable.


Subject(s)
Farmers/psychology , Foot-and-Mouth Disease/prevention & control , Health Knowledge, Attitudes, Practice , Immunization Programs/organization & administration , Livestock , Patient Acceptance of Health Care , Viral Vaccines/administration & dosage , Adult , Animals , Family Characteristics , Female , Humans , Income/statistics & numerical data , Interviews as Topic , Laos , Male , Middle Aged
7.
BMC Public Health ; 17(1): 302, 2017 04 05.
Article in English | MEDLINE | ID: mdl-28381246

ABSTRACT

BACKGROUND: The Fit for School (FIT) programme integrates school health and Water, Sanitation and Hygiene interventions, which are implemented by the Ministries of Education in four Southeast Asian countries. This paper describes the findings of a Health Outcome Study, which aimed to assess the two-year effect of the FIT programme on the parasitological, weight, and oral health status of children attending schools implementing the programme in Cambodia, Indonesia and Lao PDR. METHODS: The study was a non-randomized clustered controlled trial with a follow-up period of two years. The intervention group consisted of children attending public elementary schools implementing the FIT programme, including daily group handwashing with soap and toothbrushing with fluoride toothpaste, biannual school-based deworming; as well as construction of group handwashing facilities. Control schools implemented the regular government health education curriculum and biannual deworming. Per school, a random selection of six to seven-year-old grade-one students was drawn. Data on parasitological infections, anthropometric measurements, dental caries, odontogenic infections and sociodemographic characteristics were collected at baseline and at follow-up (24 months later). Data were analysed using the χ2-test, Mann Whitney U-test and multilevel logistic and linear regression. RESULTS: A total of 1847 children (mean age = 6.7 years, range 6.0-8.0 years) participated in the baseline survey. Of these, 1499 children were available for follow-up examination - 478, 486 and 535 children in Cambodia, Indonesia and Lao PDR, respectively. In all three countries, children in intervention schools had a lower increment in the number of decayed, missing and filled permanent teeth between baseline and follow-up, in comparison to children in controls schools. The preventive fraction was 24% at average. The prevalence of soil-transmitted helminth infection (which was unexpectedly low at baseline), the prevalence of thinness and the prevalence of odontogenic infections did not significantly differ between baseline and follow-up, nor between intervention and control schools. CONCLUSIONS: The study found that the FIT programme significantly contributed to the prevention of dental caries in children. This study describes the challenges, learnings and, moreover, the importance of conducting real-life implementation research to evaluate health programmes to transform school settings into healthy learning environments for children. The study is retrospectively registered with the German Clinical Trials Register, University of Freiburg (Trial registration number: DRKS00004485, date of registration: 26th of February, 2013).


Subject(s)
Dental Caries/prevention & control , Helminthiasis/prevention & control , Oral Hygiene , Sanitation , Water Supply , Cambodia/epidemiology , Child , Child Health Services , Cohort Studies , Dental Caries/epidemiology , Female , Helminthiasis/epidemiology , Humans , Indonesia/epidemiology , Interviews as Topic , Laos/epidemiology , Longitudinal Studies , Male , School Health Services , Surveys and Questionnaires
8.
Am J Phys Anthropol ; 160(3): 519-28, 2016 07.
Article in English | MEDLINE | ID: mdl-27061813

ABSTRACT

OBJECTIVES: A detailed assessment of intentional incisor ablation among the Late Upper Paleolithic people of Tam Hang (northern Laos) was undertaken to understand how this cultural practice, in addition to age and sex, influenced an individual's inclusion in the mortuary context. The covariation of ablation status with occlusal variation and anterior dental pathology was addressed to study the implications of this cultural practice on oral health. MATERIALS AND METHODS: Sex, age, caries, antemortem tooth loss, and occlusal variation were assessed through standard osteological methods for 12 individuals. An observational protocol to identify intentional ablation was developed specifically for this sample. RESULTS: Four ablation states were identified that range from no ablation to the removal of two, three, or four lateral (I2) incisors. The timing of ablation was attributed to ritual extractions during early adolescence. Adult age-at-death was the strongest indicator of inclusion in the main burial context and a child burial was isolated from those of adults. Ablation status does not strongly influence inclusion in the mortuary context. Individuals lacking ablation tended to have a higher incidence of anterior caries, pathological tooth loss, incisor crowding, and canine rotation. CONCLUSIONS: This study identifies the oldest case of intentional incisor ablation in Late Pleistocene Mainland Southeast Asia. We conclude that ablation does not always "compromise" the dentition; instead, it may have unintentional oral health benefits in some contexts. Am J Phys Anthropol 160:519-528, 2016. © 2016 Wiley Periodicals, Inc.


Subject(s)
Body Modification, Non-Therapeutic , Incisor/surgery , Tooth Loss , Adult , Anthropology, Cultural , Child , Dental Caries , Female , Humans , Laos , Male , Mortuary Practice , Oral Health , Social Identification
9.
J Interprof Care ; 30(3): 401-3, 2016 May.
Article in English | MEDLINE | ID: mdl-27152546

ABSTRACT

An interprofessional education (IPE) initiative was recently launched at the University of Health Sciences in the Lao People's Democratic Republic, a country located in southeast Asia. During the process of reviewing the current curriculum, it was realised that the university has been providing a kind of IPE programme for more than a decade. Medical, pharmacy, dentistry, and nursing students were participating together in a community education programme. After identifying the programme's strengths and challenges, a 4-year plan for embedding the IPE concept into the programme was developed. The plan was divided into four phases-sharing the key concepts of IPE, designing the programme, organising the interprofessional programme committee, and evaluating the effectiveness of the programme. In this short article, we describe the process that led to the plan's creation and the experiences from the first two phases already completed.


Subject(s)
Health Personnel/education , Interprofessional Relations , Cooperative Behavior , Humans , Laos , Program Development
10.
Proc Natl Acad Sci U S A ; 109(36): 14375-80, 2012 Sep 04.
Article in English | MEDLINE | ID: mdl-22908291

ABSTRACT

Uncertainties surround the timing of modern human emergence and occupation in East and Southeast Asia. Although genetic and archeological data indicate a rapid migration out of Africa and into Southeast Asia by at least 60 ka, mainland Southeast Asia is notable for its absence of fossil evidence for early modern human occupation. Here we report on a modern human cranium from Tam Pa Ling, Laos, which was recovered from a secure stratigraphic context. Radiocarbon and luminescence dating of the surrounding sediments provide a minimum age of 51-46 ka, and direct U-dating of the bone indicates a maximum age of ~63 ka. The cranium has a derived modern human morphology in features of the frontal, occipital, maxillae, and dentition. It is also differentiated from western Eurasian archaic humans in aspects of its temporal, occipital, and dental morphology. In the context of an increasingly documented archaic-modern morphological mosaic among the earliest modern humans in western Eurasia, Tam Pa Ling establishes a definitively modern population in Southeast Asia at ~50 ka cal BP. As such, it provides the earliest skeletal evidence for fully modern humans in mainland Southeast Asia.


Subject(s)
Emigration and Immigration/history , Fossils , Skull/anatomy & histology , Skull/chemistry , Carbon Radioisotopes/analysis , History, Ancient , Humans , Laos , Luminescence , Species Specificity
11.
Trop Anim Health Prod ; 46(2): 439-46, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24310441

ABSTRACT

Surveys of smallholder farmer knowledge, attitude, practice (KAP) and income were conducted in 2011 and 2012 in five northern provinces of Lao People's Democratic Republic (Lao PDR; n = 200 farmers). Participating villages were classified as either from a livelihood development project (LV; n = 80 farmers) or a livestock research project that contained both 'high-intervention' (HI; n = 60 farmers) or 'low-intervention' (LI; n = 60 farmers) villages. Farmer training plus a suite of health and productivity interventions were implemented in HI sites; only vaccination was implemented in LI sites, whilst various interventions and limited vaccination were introduced to LV sites. Farmer interviews were conducted with survey questions on socioeconomic variables and KAP of large ruminant health and disease risk management, enabling determination of quantitative and dichotomous qualitative traits and comparison of results from HI, LI and LV villages. The average farmer income from sales of large ruminants in HI was USD 621, in LI was USD 547 and in LV was USD 225 (p < 0.001). The predicted mean of total knowledge scores (/42) in the 2012 survey in HI was 28, in LI was 22 and in LV was 17 (p < 0.001). We conclude that improved KAP of large ruminant health and production can be achieved by intensive training, although with some farmers yet to apply their knowledge on husbandry and biosecurity practices, continued learning support and closed linkage of research and development projects to improve extension capacity is recommended. This multiple participatory approach promoting biosecurity in addition to vaccination may provide a more sustainable pathway for the advancement of Lao PDR on the Progressive Control Pathway for foot and mouth disease control.


Subject(s)
Animal Husbandry/methods , Cattle Diseases/prevention & control , Communicable Disease Control/methods , Communicable Diseases/veterinary , Adult , Animal Husbandry/education , Animals , Cattle , Data Collection , Female , Health Knowledge, Attitudes, Practice , Humans , Laos/epidemiology , Male , Middle Aged , Socioeconomic Factors , Surveys and Questionnaires
12.
Rural Remote Health ; 14: 2530, 2014.
Article in English | MEDLINE | ID: mdl-24495216

ABSTRACT

INTRODUCTION: The Lao People's Democratic Republic (PDR), like almost all countries, is faced with a shortage of qualified health workers in rural and remote areas. The situation has worsened due to the unbalanced distribution of the health workforce, resulting from a tendency to gravitate to more central areas. METHODS: This cross-sectional study aimed to assess the proportion and associated factors affecting intention to work in a rural area among health science students in Vientiane, Lao PDR. All 403 final-year undergraduate and postgraduate students at the University of Health Sciences (UHS) in Vientiane - the only tertiary education facility that produces medical, family medicine, dentistry, pharmacy, medical technology, and nursing students - were asked to fill out self-administered questionnaires. In total, 356 respondents returned the completed questionnaires, yielding a response rate of 88.3%. RESULTS: Of the respondents, 40.7% (145/356) reported an intention to work in a rural area; 90.0% (131/145) preferred to work at district level; 21.3% reported high self-efficacy, whereas 79.8% reported low perceived social support for working in a rural area. Multiple logistic regression analysis revealed four variables were associated with intention to work in a rural area: hometown in a rural area; moderate/high self-efficacy; father having a secondary/high school education; and being a medical, family medicine/dentistry/pharmacy student. CONCLUSIONS: To increase the proportion of UHS graduates intending to work in a rural area, improved recruitment of students from rural areas, and enhanced self-efficacy and social support, are required.


Subject(s)
Career Choice , Rural Health Services , Self Efficacy , Social Support , Students, Health Occupations/psychology , Adult , Attitude of Health Personnel , Cross-Sectional Studies , Female , Humans , Intention , Laos , Male , Middle Aged
13.
Zootaxa ; 3774: 165-82, 2014 Mar 05.
Article in English | MEDLINE | ID: mdl-24871413

ABSTRACT

Two specimens, a male and a female, of the genus Opisthotropis Günther, 1872 were collected in a karst formation of northern Louangphabang (or Luang Prabang) Province, North Laos. These specimens are assigned to the genus Opisthotropis on the basis of their morphology, dentition and cephalic scalation. However, they differ from all other known species of Opisthotropis by a combination of the following characters: (1) 21-19 scale rows on the fore part of the body, (2) 17 scale rows at midbody, (3) 22/23 maxillary teeth, (4) 177-181 ventrals, (5) 1 loreal on each side, in contact with internasal, (6) 7 supralabials, 4th entering orbit, (7) dorsum dark bronze-brown, with upper part of dorsum darker than lateral sides, without bands or crossbars, and (8) chin and throat blackish-brown with a sharp, transversal limit with the ventral colour crossing the posterior part of the throat. As a consequence, these specimens are here referred to a new species, Opisthotropis durandi spec. nov. The new species is compared with other species of the genus, especially the most similar species O. spenceri Smith, 1918 and O. atra Günther, 1872, the type species of the genus. An updated key to the genera Opisthotropis is provided. Opisthotropis durandi spec. nov. represents the first confirmed record of a species of Opisthotropis sensu stricto from Laos and it is the 108th snake species currently recorded from the Lao People's Democratic Republic.


Subject(s)
Colubridae/anatomy & histology , Colubridae/classification , Animals , Ecosystem , Female , Laos , Male
14.
J Med Assoc Thai ; 96 Suppl 4: S98-106, 2013 Sep.
Article in English | MEDLINE | ID: mdl-24386748

ABSTRACT

BACKGROUND: Cleft lip and cleft palate or both are the most common orofacial congenital malformations found among live births. The causes of which are not clear but have a trend that includes 2 etiological factors, genetic and environmental. The incidence rate of cleft lip and palate is similar in every country worldwide and it stands at approximately 1-2/1,000 newborn. For instance, it is 1.09/1,000 in India, South Korea and Thailand. Estimate, in Lao PDR could be 0.02/1,000 newborn. Cleft lip and cleft palate and craniofacial anomalies are congenital defects with numerous sequels in dental, speech, hearing, body-image and psychosocial realms. Cleft lip and palate operation is still limited in many parts of Lao PDR. OBJECTIVE: To study the outcome of patients with cleft lip and cleft palate, particularly the nasolabial appearance and quality of life, who were operated in Lao People 's Democratic Republic. MATERIAL AND METHOD: The present study was reviewed and approved by the Ethics for Human Research, Khon Kaen University in Thailand and National Ethics Committee for Health Research in Lao PDR. This was a cross-sectional study of 50 persons who were chosen as samples and were divided into two age groups, group A, which included subjects between 5 and 15 years of age (31 persons) and group B composed of those above 15 years (19 persons). Data collection was done by means of a questionnaire and the latter was divided into three main headings: demographic characteristics, quality of life and nasolabial appearance. The list of patients with cleft lip and palate was obtained from the 3 Hospitals in Vientiane, the capital, and then entered directly as samples. Demographic data and quality of life were analyzed by means of percentage, frequency, mean and standard deviation with the help of SPSS for Window. Similarly, inter-rater reliability using kappa statistics was done for the evaluation of nasolabial appearance. RESULTS: The inter-rater reliability for Nasolabial appearance was 0.2044 or 20.44% (p-value <0.0001). Average score in each dimension of nasolabial appearance (nasal form, nasal symmetry, vermillion border nasolabial profile) are scored 3.15, 3.13, 3.35 and 3.06 respectively. This placed it on fair level (3.17point). The quality of life: group (A) and (B) were whose have the quality of life on fair to good level for mentalities and satisfaction on fair level that is comparable. CONCLUSION: The result of the research revealed that the rating of reliability of inter-rater was rather low. However each dimension of quality of life of both groups was at fair level.


Subject(s)
Cleft Lip/surgery , Cleft Palate/surgery , Adolescent , Adult , Child , Child, Preschool , Cohort Studies , Cross-Sectional Studies , Female , Humans , Laos , Male , Middle Aged , Patient Satisfaction , Quality of Life , Thailand , Treatment Outcome , Young Adult
15.
Rinsho Byori ; 61(9): 838-45, 2013 Sep.
Article in Japanese | MEDLINE | ID: mdl-24369598

ABSTRACT

The Faculty of Medicine, University of the Ryukyus, started a "Public Health Project in Lao P.D.R.", which is one of the JICA projects, in 1992, and has been carrying out the "Sethathirath Hospital Improvement Project" since 1999 to improve medical treatment and health care in Lao P.D.R. Marked progress has been made. In addition, the projects of "Medical support for cleft lip and palate patients" performed by both the Oral and Maxillofacial Surgery Department of the University of the Ryukyus Hospital and Okinawa-Laos Cleft Lip and Palate Support Center have continued since 2001. So far, 231 cleft lip and palate patients have benefited from these projects, and favorable effects of medical education and technology transfer for medical staff in Laos have been obtained. Furthermore, during the 3-year period of another JICA project, called "From tooth brushing to oral health--Oral care education for Laos children", the dental caries rate of children in Donkoi Elementary School in Laos reduced from 92.5 to 61.8%, showing a decrease of 30.7%. Based on these encouraging results, in 2012, the JICA started a larger partnership project named 'Cha-ganzyu', which is from the dialect of Okinawa meaning health forever, focusing on oral health improvement of school children and local people of Laos.


Subject(s)
Cleft Lip/surgery , Dental Caries/surgery , Palate/surgery , Age Distribution , Cooperative Behavior , Dental Caries/pathology , Humans , Japan , Laos , Palate/pathology , Treatment Outcome
16.
Nat Commun ; 14(1): 3193, 2023 06 13.
Article in English | MEDLINE | ID: mdl-37311788

ABSTRACT

The timing of the first arrival of Homo sapiens in East Asia from Africa and the degree to which they interbred with or replaced local archaic populations is controversial. Previous discoveries from Tam Pà Ling cave (Laos) identified H. sapiens in Southeast Asia by at least 46 kyr. We report on a recently discovered frontal bone (TPL 6) and tibial fragment (TPL 7) found in the deepest layers of TPL. Bayesian modeling of luminescence dating of sediments and U-series and combined U-series-ESR dating of mammalian teeth reveals a depositional sequence spanning ~86 kyr. TPL 6 confirms the presence of H. sapiens by 70 ± 3 kyr, and TPL 7 extends this range to 77 ± 9 kyr, supporting an early dispersal of H. sapiens into Southeast Asia. Geometric morphometric analyses of TPL 6 suggest descent from a gracile immigrant population rather than evolution from or admixture with local archaic populations.


Subject(s)
Caves , Mammals , Animals , Humans , Laos , Bayes Theorem , Africa , Asia, Eastern
17.
Parasite ; 30: 21, 2023.
Article in English | MEDLINE | ID: mdl-37294211

ABSTRACT

Phlebotomus betisi was described from Malaysia and classified after its description in the subgenus Larroussius. It was the only species to have a pharyngeal armature composed of dot-like teeth and an annealed spermatheca whose head is carried by a neck in females. Males were characterized by having a style bearing five spines and a simple paramere. The study of sandflies originating from a cave in Laos enabled us to discover and describe two sympatric species close to Ph. betisi Lewis & Wharton, 1963 and new for Science: Ph. breyi Vongphayloth & Depaquit n. sp., and Ph. sinxayarami Vongphayloth & Depaquit n. sp. They were characterized morphologically, morphometrically, geomorphometrically, molecularly, and proteomically (MALDI-TOF). All approaches converged to validate the individualization of these species whose morphological differential characters lay in the two genders by the observation of the interocular suture and by the length of the last two segments of the maxillary palps. In males, the length of the genital filaments discriminates these species. Females are distinguished by the length of the ducts of the spermathecae as well as by the narrow or enlarged shape of the neck bearing their head. Lastly, the particular position of the spines of the gonostyle coupled with molecular phylogeny led us to remove these three species from the subgenus Larroussius Nizulescu, 1931 and to classify them in a new subgenus: Lewisius Depaquit & Vongphayloth n. subg.


Title: Sur la systématique de Phlebotomus betisi et de deux nouvelles espèces apparentées du Laos avec proposition du nouveau sous-genre Lewisius. Abstract: Phlebotomus betisi a été décrit de Malaisie et fut classé après sa description dans le sous-genre Larroussius. C'était la seule espèce à posséder chez la femelle une armature pharyngienne composée de dents en forme de points et à avoir une spermathèque annelée dont la tête est portée par un cou. Les mâles se caractérisaient par un style porteur de cinq épines et par un paramère simple. L'étude de Phlébotomes originaires d'une grotte du Laos nous a permis de découvrir et de décrire deux espèces sympatriques proches de Ph. betisi Lewis & Wharton, 1963 et nouvelles pour la Science : Ph. breyi Vongphayloth & Depaquit n. sp., et Ph. sinxayarami Vongphayloth & Depaquit n. sp. Elles ont été caractérisées morphologiquement, morphométriquement, géomorphométriquement, moléculairement et protéomiquement (MALDI-TOF). Toutes ces approches convergent pour valider l'individualisation de chacune de ces espèces dont les caractères morphologiques différentiels reposent dans les deux sexes par l'observation de la suture interoculaire et par la longueur des deux derniers segments des palpes maxillaires. Chez les mâles, la longueur des filaments génitaux discrimine ces espèces. Les femelles sont distinguées par la longueur des conduits des spermathèques ainsi que par la forme étroite ou élargie du cou portant la tête de ces spermathèques. Enfin, la position particulière des épines sur le gonostyle couplée à une phylogénie moléculaire nous amène à extraire ces trois espèces du sous genre Larroussius Nitzulescu, 1931 pour les classer dans un nouveau sous-genre : Lewisius Depaquit & Vongphayloth n. subg.


Subject(s)
Phlebotomus , Psychodidae , Animals , Female , Male , Laos , Phylogeny , Genitalia
18.
Naturwissenschaften ; 99(5): 369-77, 2012 May.
Article in English | MEDLINE | ID: mdl-22528021

ABSTRACT

Spinosaurids are among the largest and most specialized carnivorous dinosaurs. The morphology of their crocodile-like skull, stomach contents, and oxygen isotopic composition of the bones suggest they had a predominantly piscivorous diet. Even if close relationships between spinosaurids and Middle Jurassic megalosaurs seem well established, very little is known about the transition from a generalized large basal tetanuran to the specialized morphology of spinosaurids. Spinosaurid remains were previously known from the Early to Late Cretaceous of North Africa, Europe, and South America. Here, we report the discovery of a new spinosaurid theropod from the late Early Cretaceous Savannakhet Basin in Laos, which is distinguished by an autapomorphic sinusoidal dorsosacral sail. This new taxon, Ichthyovenator laosensis gen. et sp. nov., includes well-preserved and partially articulated postcranial remains. Although possible spinosaurid teeth have been reported from various Early Cretaceous localities in Asia, the new taxon I. laosensis is the first definite record of Spinosauridae from Asia. Cladistic analysis identifies Ichthyovenator as a member of the sub-clade Baryonychinae and suggests a widespread distribution of this clade at the end of the Early Cretaceous. Chilantaisaurus tashouikensis from the Cretaceous of Inner Mongolia, and an ungual phalanx from the Upper Jurassic of Colorado are also referred to spinosaurids, extending both the stratigraphical and geographical range of this clade.


Subject(s)
Dinosaurs/anatomy & histology , Dinosaurs/classification , Fossils , Phylogeny , Animals , Laos , Species Specificity
19.
Int Dent J ; 62(4): 213-21, 2012 Aug.
Article in English | MEDLINE | ID: mdl-23017004

ABSTRACT

OBJECTIVES: This study assessed total and free fluoride concentrations in samples of toothpaste from Brunei, Cambodia, Laos, the Netherlands and Suriname, and investigated the labelling practices of the respective manufacturers. MATERIALS AND METHODS: Convenience samples were bought in the five countries and sent for analysis to the Netherlands. Levels of total and free available fluoride were measured. Details of the information declared on the packaging about type of fluoride and abrasives were recorded, and manufacturing and expiry dates were noted. RESULTS: A total of 119 samples of toothpaste were analysed. With one exception, all samples from the Netherlands complied with ISO (International Organisation for Standardisation) labelling requirements and there were no differences between the fluoride content declared and that found to be present on analysis. In samples purchased in the other countries, sodium monofluorophosphate (SMFP) toothpastes predominantly showed a low percentage of free available fluoride and the majority of toothpastes did not follow standard labelling guidelines. DISCUSSION: This study is not representative of any of the brands analysed, yet it highlights problematic discrepancies in products across countries. These may be related to the lack of a generally accepted methodology for analysing total and free fluoride content, absence of an agreement on the minimum concentration of fluoride required to ensure efficacy, weak regulating institutions that are unable to control labelling and consumer information, as well as a possible influx of counterfeit low-quality toothpaste. CONCLUSIONS: Renewed international focus should be directed towards closing gaps in guidelines and standards. Consumers should use only non-expired toothpaste, which should preferably be silica-based fluoride toothpaste that does not include abrasives containing calcium and that is properly labelled.


Subject(s)
Cariostatic Agents/analysis , Fluorides, Topical/analysis , Fluorides/analysis , Product Labeling/standards , Toothpastes/chemistry , Brunei , Cambodia , Cariostatic Agents/standards , Fluorides/standards , Fluorides, Topical/standards , Laos , Netherlands , Suriname , Toothpastes/standards
20.
Korean J Med Educ ; 34(4): 327-336, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36464903

ABSTRACT

Due to the short history of dental education in Laos, the educational system is still incomplete, with only a few faculty development (FD) programs. This study aims to identify the needs assessment for FD, in Lao dental education. A survey was conducted, with dentists from the Faculty of Dentistry, in 2022. Data on demographics, perceived importance, and ability, on the 13 roles and competencies of teachers, as well as the 26 FD items' needs assessment were collected. Data were compared between the two groups (lecturers and assistant teachers), and analyzed to identify different needs. Sixty-seven responses were included, after excluding inappropriate ones. Lecturers and assistant teachers expressed their needs for developing a syllabus, and teaching using simulation. Lecturers revealed the need to improve their roles as resource developers, followed by learning facilitators and lecturer in a classroom setting. Assistant teachers reported their prioritized needs for improving their role as on-the-job role models, followed by lecturer in a classroom setting, and mentor, personal adviser, or tutor. Assistant teachers showed higher educational needs scores than lecturers, in most questionnaire items. Although the needs assessment of FD indicates different needs, based on the differing roles and responsibilities, assistant teachers' needs scores are generally higher. An FD program could prioritize the most common needs of both groups at an early stage, but the topics most needed by each group should also be considered. This study can inform a future FD program, to improve Lao dental education.


Subject(s)
Faculty , Mentors , Humans , Laos , Needs Assessment , Education, Dental
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