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https://www.readbyqxmd.com/read/28632491/lessons-learned-on-health-adaptation-to-climate-variability-and-change-experiences-across-low-and-middle-income-countries
#1
Kristie L Ebi, Mariam Otmani Del Barrio
BACKGROUND: There is limited published evidence of the effectiveness of adaptation in managing the health risks of climate variability and change in low- and middle-income countries. OBJECTIVES: To document lessons learned and good practice examples from health adaptation pilot projects in low- and middle-income countries to facilitate assessing and overcoming barriers to implementation and to scaling up. METHODS: We evaluated project reports and related materials from the first five years of implementation (2008-2013) of multinational health adaptation projects in Albania, Barbados, Bhutan, China, Fiji, Jordan, Kazakhstan, Kenya, Kyrgyzstan, Philippines, Russian Federation, Tajikistan, and Uzbekistan...
June 20, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28612235/bio-logging-new-technologies-to-study-conservation-physiology-on-the-move-a-case-study-on-annual-survival-of-himalayan-vultures
#2
Sherub Sherub, Wolfgang Fiedler, Olivier Duriez, Martin Wikelski
Bio-logging, the on-animal deployment of miniaturised electronic data recorders, allows for the study of location, body position, and physiology of individuals throughout their ontogeny. For terrestrial animals, 1 Hz GPS-position, 3D-body acceleration, and ambient temperature provide standard data to link to the physiology of life histories. Environmental context is added at ever finer scales using remote sensing earth observation data. Here we showcase the use of such bio-logging approaches in a conservation physiology study on endangered Himalayan vultures (Gyps himalayensis)...
June 13, 2017: Journal of Comparative Physiology. A, Neuroethology, Sensory, Neural, and Behavioral Physiology
https://www.readbyqxmd.com/read/28610338/revision-of-the-genus-doryscus-jacoby-coleoptera-chrysomelidae-galerucinae
#3
Chi-Feng Lee
The genus Doryscus Jacoby, 1887 is revised. Twelve new species are described: D. indochinensis sp. nov. from China (Yunnan), India, Laos, Thailand, Vietnam; D. krausi sp. nov. from Laos and Thailand; D. kubani sp. nov., from China (Yunnan); D. geiseri sp. nov. from Singapore and Thailand; D. nepalensis sp. nov. from Bhutan, north India, and Nepal; D. luzonensis sp. nov., and D. mindanaoensis sp. nov. from Philippines; D. barclayi sp. nov., D. boreri sp. nov., D. javanensis sp. nov., and D. sumatrensis sp. nov...
May 19, 2017: Zootaxa
https://www.readbyqxmd.com/read/28610104/honouring-his-royal-highness-the-crown-prince-of-bhutan-i-megalestes-i-i-gyalsey-i-odonata-synlestidae
#4
T Gyeltshen, V J Kalkman, A G Orr
Megalestes gyalsey spec. nov. is described from a single male from Trongsa District in Bhutan. The species was discovered during field work conducted in 2015 for the Bhutan invertebrate biodiversity project. The species is named in honour of His Royal Highness Crown Prince Jigme Namgyel Wangchuck, the Gyalsey of Bhutan, on the occasion of his first birthday.
March 22, 2017: Zootaxa
https://www.readbyqxmd.com/read/28607239/scrub-typhus-in-bhutan-a-synthesis-of-data-from-2009-to-2014
#5
REVIEW
Tshokey Tshokey, Tashi Choden, Ragunath Sharma
Scrub typhus is an acute, febrile illness, caused by the bacterium Orientia tsutsugamushi, that affects millions annually in the endemic Asia-Pacific region. In untreated cases, the case-fatality rates range from 6% to 35%. In Bhutan, there was a probable outbreak in Gedu in 2009, which resulted in heightened awareness of the disease. Nevertheless, information on scrub typhus in Bhutan is limited and scattered and the epidemiology has yet to be established. To report the current picture of scrub typhus in Bhutan, this review gathered data from scholarly databases, surveillance reports, the Annual health bulletin, research publications and laboratory test reports from hospitals...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28606809/animal-derived-natural-products-used-in-the-bhutanese-sowa-riga-medicine
#6
Karma Yeshi, Paolo Morisco, Phurpa Wangchuk
ETHNOPHARMACOLOGICAL RELEVANCE: Bhutan has two traditional healing systems: a folklore medicine and the Bhutanese Sowa Rigpa medicine (BSM). Three different types of ingredients namely plants, animals (and their derived products) and minerals are used for the preparation of various formulations in combined form. Animals and their derived products are vital ingredients in the preparation of numerous traditional remedies. Unlike medicinal plants, research on medicinal animals has remained largely untouched...
June 9, 2017: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/28598446/construction-of-multiple-choice-questions-before-and-after-an-educational-intervention
#7
K Tenzin, T Dorji, T Tenzin
INTRODUCTION: Khesar Gyalpo University of Medical Sciences of Bhutan, established in 2014, has ushered in a new era in medical education in Bhutan. Multiple Choice Questions are a common means of written assessment in medical education. METHODS: This was a quasi-experimental study conducted at the Faculty of Postgraduate Medicine, KGUMSB, Thimphu in December 2016. A total of 8 MCQs were prepared by four teaching faculties from different fields who had no prior training on construction of MCQs...
January 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/28597858/policy-and-governance-to-address-depression-and-suicide-in-bhutan-the-national-suicide-prevention-strategy
#8
Gampo Dorji, Sonam Choki, Kinga Jamphel, Yeshi Wangdi, Tandin Chogyel, Chencho Dorji, Damber Kumar Nirola
Suicide and mental disorders are a growing public health issue in Bhutan, due in part to a rapidly transitioning society. The burden of suicide has been recognized by the Royal Government of Bhutan and, as a result, it introduced the country's first ever national suicide-prevention plan in 2015. The 3-year action plan takes a holistic approach to making suicide-prevention services a top social priority, through strengthening suicide-prevention policies, promoting socially protective measures, mitigating risk factors and reaching out to individuals who are at risk of suicide or affected by incidents of suicide...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28579510/an-examination-of-stroke-risk-and-burden-in-south-asians
#9
Vineeta Singh, Shyam Prabhakaran, Seemant Chaturvedi, Aneesh Singhal, Jeyaraj Pandian
BACKGROUND: South Asians (India, Pakistan, Sri Lanka, Bangladesh, Nepal, and Bhutan) are at a disproportionately higher risk of stroke and heart disease due to their cardiometabolic profile. Despite evidence for a strong association between diabetes and stroke, and growing stroke risk in this ethnic minority-notwithstanding reports of higher stroke mortality irrespective of country of residence-the explanation for the excess risk of stroke remains unknown. METHODS: We have used extensive literature review, epidemiologic studies, morbidity and mortality records, and expert opinions to examine the burden of stroke among South Asians, and the risk factors identified thus far...
June 1, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28525348/obesity-prevalence-and-contributing-factors-among-adolescents-in-secondary-schools-in-pemagatshel-district-bhutan
#10
Wang Norbu, Ugyen Wangdi, Desang Dorji, Dumrongkiet Arthan, Ngamphol Soonthornworasiri, Pannamas Maneekan, Pimpimon Thongthien, Nantaporn Viravathana, Pattaneeya Prangthip
Background The prevalence of obesity has increased globally, with childhood and adolescent obesity being more common in developed countries. There has been no study on teenage obesity in Bhutan. In this study, we aimed to assess the prevalence of obesity in Bhutan for the first time in order to provide a baseline for future researchers. Methods The investigation, which included 392 adolescents, aimed to identify the prevalence of overweight and obesity and its contributing factors. Anthropometric measurements, food recall and knowledge, attitude, behaviour and environment questionnaires were administered...
May 18, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28498961/range-wide-snow-leopard-phylogeography-supports-three-subspecies
#11
Jan E Janecka, Jan E Janecka, Zhang Yu-Guang, Li Di-Qiang, Bariushaa Munkhtsog, Munkhtsog Bayaraa, Naranbaatar Galsandorj, Tshewang R Wangchuk, Dibesh Karmacharya, Thomas McCarthy, Juan Li, Lu Zhi, Kubanychbek Zhumabai Uulu, Ajay Gaur, Satish Kumar, B Kesav Kumar, Shafqat Hussain, Ghulam Muhammad, Matthew Jevit, Charlotte Hacker, Pamela Burger, Claudia Wultsch, Mary J Janecka, Kristofer Helgen, William J Murphy, Rodney Jackson
The snow leopard, Panthera uncia, is an elusive high-altitude specialist that inhabits vast, inaccessible habitat across Asia. We conducted the first range-wide genetic assessment of snow leopards based on noninvasive scat surveys. Thirty-three microsatellites were genotyped and a total of 683-bp of mitochondrial DNA sequenced in 70 individuals. Snow leopards exhibited low genetic diversity at microsatellites (AN = 5.8, HO = 0.433, HE = 0.568), virtually no mtDNA variation, and underwent a bottleneck in the Holocene (~8,000 years ago) coinciding with increased temperatures, precipitation, and upward treeline shift in the Tibetan Plateau...
May 4, 2017: Journal of Heredity
https://www.readbyqxmd.com/read/28493142/sampling-strategy-and-climatic-implication-of-tree-ring-cellulose-oxygen-isotopes-of-hippophae-tibetana-and-abies-georgei-on-the-southeastern-tibetan-plateau
#12
Chenxi Xu, Haifeng Zhu, Takeshi Nakatsuka, Masaki Sano, Zhen Li, Feng Shi, Eryuan Liang, Zhengtang Guo
The tree-ring cellulose oxygen isotopes (δ(18)O) for four trees of Hippophae tibetana and four trees of Abies georgei growing in different locations around the terminal moraine in Xincuo from 1951 to 2010 were measured to explore its potential for reconstructing climatic variations in the southeastern Tibetan Plateau. The mean and standard deviation of tree-ring δ(18)O at different heights do not have significant differences, and there are no significant differences in the mean and standard deviation of tree-ring δ(18)O between trees near the brook and trees at the top of moraine, indicating that we can collect samples for tree-ring δ(18)O analysis regardless of sampling heights and that the micro-environment does not affect tree-ring δ(18)O significantly...
May 10, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28477292/healthcare-utilization-bypass-and-multiple-visits-the-case-of-bhutan
#13
Kannika Damrongplasit, Tshering Wangdi
This paper uses the Bhutan Living Standards Survey 2012 to assess factors that affect the decision to use outpatient care when ill, outpatient utilization choice, and bypassing decision. Our attention is placed on geographical factors because of the unique geographical landscape in Bhutan, which may act as an important barrier for access to care in the country. We further analyze the pattern of multiple healthcare visits of individuals with the same health symptom. The methods employed for this study consist of binary logit and multinomial logit regressions as well as descriptive statistical approach...
March 2017: International Journal of Health Economics and Management
https://www.readbyqxmd.com/read/28470633/-anxiety-depression-and-posttraumatic-stress-disorder-in-refugees-a-systematic-review
#14
Jutta Lindert, Ondine S von Ehrenstein, Annette Wehrwein, Elmar Brähler, Ingo Schäfer
Anxiety, depression and posttraumatic stress disorder are the main psychopathological symptoms shown by refugees. We conducted a systematic review. First, we identified key-words for a systematic search in PUBMED. We included original articles since 2009 with 1) a non-clinical sample of refugees, 2) refugees living at maximum 5 years in the host country, 4) with the outcomes anxiety, depression, and PTSD and 5) a sample with >100 participants. Then we read titles, abstracts and fulltexts. We identified 1 877 studies...
May 3, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28460742/revisiting-an-old-disease-risk-factors-for-bovine-enzootic-haematuria-in-the-kingdom-of-bhutan
#15
Arata Hidano, Basant Sharma, Karma Rinzin, Narapati Dahal, Kinzang Dukpa, Mark A Stevenson
Bovine enzootic haematuria (BEH) is a debilitating disease of cattle caused by chronic ingestion of bracken fern. Control of BEH is difficult when bracken fern is abundant and fodder resources are limited. To fill a significant knowledge gap on modifiable risk factors for BEH, we conducted a case-control study to identify cattle management practices associated with BEH in the Bhutanese cattle population. A case-control study involving 16 of the 20 districts of Bhutan was carried out between March 2012 and June 2014...
May 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28431524/biosecurity-survey-in-relation-to-the-risk-of-hpai-outbreaks-in-backyard-poultry-holdings-in-thimphu-city-area-bhutan
#16
Tenzin Tenzin, Chador Wangdi, Purna Bdr Rai
BACKGROUND: A questionnaire survey was conducted to assess the biosecurity and other practices of backyard poultry holdings and knowledge and practices of poultry keepers following an outbreak of highly pathogenic avian influenza (H5N1) virus in poultry in Thimphu city area, Bhutan. RESULTS: The study identified 62 backyard poultry holdings in 12 settlement areas, and the owners were subsequently interviewed. The birds are kept in a low-input low-output system, fed locally available scavenging feed base, and supplemented with food scraps and some grain...
April 21, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28430978/culture-matters-indigenizing-patient-safety-in-bhutan
#17
Rinchen Pelzang, Megan-Jane Johnstone, Alison M Hutchinson
Studies show that if quality of healthcare in a country is to be achieved, due consideration must be given to the importance of the core cultural values as a critical factor in improving patient safety outcomes. The influence of Bhutan's traditional (core) cultural values on the attitudes and behaviours of healthcare professionals regarding patient care are not known. This study aimed to explore the possible influence of Bhutan's traditional cultural values on staff attitudes towards patient safety and quality care...
April 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28415972/community-based-survey-during-rabies-outbreaks-in-rangjung-town-trashigang-eastern-bhutan-2016
#18
Tenzin Tenzin, Jamyang Namgyal, Sangay Letho
BACKGROUND: Rabies is a highly fatal disease transmitted through the bite of a rabid animal. Human deaths can be prevented by prompt administering of rabies vaccine and rabies immunoglobulin following the exposure. An assessment of community knowledge, awareness and practices on rabies is important during outbreak to understand their preparedness and target educational messages and response activities by the rapid response team. METHODS: A rabies outbreak has occurred in Rangjung town, eastern Bhutan on 4 October 2016...
April 17, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28414028/culex-culiciomyia-sasai-diptera-culicidae-senior-synonym-of-cx-spiculothorax-and-a-new-country-record-for-bhutan
#19
Thanari Phanitchakun, Parinya Wilai, Jassada Saingamsook, Rinzin Namgay, Tobgyel Drukpa, Yoshio Tsuda, Catherine Walton, Ralph E Harbach, Pradya Somboon
Culex (Culiciomyia) spiculothorax was described from Thailand based on the presence of spiculation on the thorax of larvae. Adult females are characterized but are indistinguishable from those of related species, such as Cx. pallidothorax. Phylogenetic analysis of mitochondrial oxidase subunit I (COI) sequences revealed that specimens identified as Cx. spiculothorax from Thailand, Japan and Bhutan form a single clade with Cx. sasai from Japan (Kimura 2-parameter genetic distances 0-0.9%) that is clearly distinct from clades comprised of other species of subgenus Culiciomyia...
April 13, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28398164/genetic-differentiation-of-the-wheat-leaf-rust-fungus-puccinia-triticina-in-pakistan-and-genetic-relationship-to-other-worldwide-populations
#20
J A Kolmer, J I Mirza, M Imtiaz, S J A Shah
Collections of Puccinia triticina, the wheat leaf rust pathogen, were obtained from Pakistan in 2008, 2010, 2011, 2013, and 2014. Collections were also obtained from Bhutan in 2013. Single uredinial isolates were derived and tested for virulence phenotype to 20 lines of Thatcher wheat that differ for single leaf rust resistance genes, and for molecular genotype with 23 simple-sequence repeat (SSR) primers. Twenty-four virulence phenotypes were described among the 89 isolates tested for virulence. None of the isolates had virulence to Thatcher lines with Lr9, Lr24, or Lr18...
June 2017: Phytopathology
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