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Mohammed Rashid Akhtar, Jimmy Kyaw Tun, Riad Alchanan, Ounali Jaffer, Snehal Patel, Joo-Young Chun, Nicholas Bunker, Tim Fotheringham
There has been increasing use of a novel combined femoral venous sheath, catheter and retrievable self-expanding and collapsible diamond-shaped IVC filter (Angel® Catheter, BiO2 Medical), in severely injured patients who cannot receive anticoagulation. As the filter is not detached from the catheter/sheath, it should be easily retrieved. Outcomes included in large registries demonstrate a high safety profile and a 100% retrieval rate. However, at our institution-a Level 1 major UK trauma centre with 4 years of substantial experience in using this device-we've encountered three cases of device fracture and subsequent complicated retrieval dating from Dec 2016 to March 2017...
March 14, 2018: Cardiovascular and Interventional Radiology
Phyo Kyaw Myint, Stephanie Owen, Kathryn McCarthy, Lyndsay Pearce, Susan J Moug, Michael J Stechman, Jonathan Hewitt, Ben Carter
AIM: The determinants of cognitive impairment and delirium during acute illness are poorly understood, despite being common among older people. Anemia is common in older people, and there is ongoing debate regarding the association between anemia, cognitive impairment and delirium, primarily in non-surgical patients. METHODS: Using data from the Older Persons Surgical Outcomes Collaboration 2013 and 2014 audit cycles, we examined the association between anemia and cognitive outcomes in patients aged ≥65 years admitted to five UK acute surgical units...
March 1, 2018: Geriatrics & Gerontology International
Maria O'Connell, Kyaw Sint, Robert Rosenheck
Supported housing, combining rent subsidies with intensive case management, is associated with improvements in quality of life of homeless adults, but factors mediating their impact on quality of life have not been studied. Twelve-month outcome data from a randomized trial of the Housing and Urban Development- Veterans Affairs Supported Housing program (HUD-VASH) showed that access to a housing rent subsidy plus intensive case management (ICM) was associated with greater improvement in subjective quality of life than ICM alone...
March 1, 2018: American Journal of Community Psychology
Joel Wl Lau, Tao Yang, Kyaw Kyar Toe, Weimin Huang, Stephen Ky Chang
Surgical traineeship has traditionally been based on a master apprentice model where learning takes place in the operating theatre. This approach has changed over the past few years with greater emphasis on surgical training taking place within the surgical skills laboratory. We developed a high fidelity simulator, the Image-guided Robotic Assisted Surgical simulator (IRAS) with an incorporated robotic guidance feature. The robot system is developed to mimic the process of an experienced surgeon physically holding a trainee's hands to demonstrate maneuvering of the laparoscopic instruments...
January 2018: Annals of the Academy of Medicine, Singapore
Eliza Schioldann, Mohammad Afzal Mahmood, Mya Myitzu Kyaw, Dale Halliday, Khin Thida Thwin, Nyein Nyein Chit, Robert Cumming, David Bacon, Sam Alfred, Julian White, David Warrell, Chen Au Peh
BACKGROUND: Snakebite is a major public health problem in many developing countries. Farmers are particularly exposed to snakes, and due to their rural location often experience delays in accessing formal healthcare. The reasons to use traditional healers may include difficulties in accessing formal healthcare, certain beliefs about snakes and snake venom, tradition, and trust in the capacity of traditional healers. Traditional healing, however, may have serious consequences in terms of delays or added complications...
February 28, 2018: PLoS Neglected Tropical Diseases
Sandar Aye, Suman S Majumdar, Myo Minn Oo, Jaya Prasad Tripathy, S Satyanarayana, Nang Thu Thu Kyaw, Khine Wut Yee Kyaw, Nay Lynn Oo, Saw Thein, Myat Kyaw Thu, Kyaw Thu Soe, Si Thu Aung
OBJECTIVES: We assessed the effect of an active case finding (ACF) project on tuberculosis (TB) case notification and the yields from a household and neigbourhood intervention (screening contacts of historical index TB patients diagnosed >24months ago) and a community intervention (screening attendants of health education sessions/mobile clinics). DESIGN: Cross-sectional analysis of project records, township TB registers and annual TB reports. RESULTS: In the household and neigbourhood intervention, of 56,709 people screened, 1,076 were presumptive TB and 74 patients were treated for active TB with a screening yield of 0...
February 21, 2018: International Journal of Infectious Diseases: IJID
Kyaw Kyaw, Htun Latt, Sammy San Myint Aung, Nay Min Tun, Wut-Yi Phoo, Htwe Htwe Yin
BACKGROUND Acute coronary syndrome (ACS) is a common and potentially life-threatening condition encountered in emergency departments. Despite its dreaded nature, nearly one-third of ACS present without chest pain and may mislead clinicians. Additionally, Wellens' syndrome is a pre-infarction stage of significant proximal left anterior descending (LAD) artery stenosis, which can lead to extensive anterior wall myocardial infarction without timely intervention.  CASE REPORT We report the case of a 74-year-old woman presenting with isolated throat pain and Wellens' pattern in the initial EKG, which prompted the proper workup and management...
February 22, 2018: American Journal of Case Reports
Karen Seiter, Kyaw Htun, Paul Baskind, Zach Liu
Background: Myelodysplastic syndromes and acute myeloid leukemia usually occur sporadically in older adults. More recently cases of familial acute myeloid leukemia and/or myelodysplastic syndrome have been reported. Case presentation: Currently we report a father and son who both developed myelodysplastic syndrome that progressed to acute myeloid leukemia. Both patients were found to have the identical mutation of ASXL1 on nextgen sequencing of both hematologic and nonhematologic tissues...
2018: Biomarker Research
Yuichi Kasai, Tetsutaro Mizuno, Toshihiko Sakakibara, Si Thu, Thein Aung Kyaw, Kyaw Aung Htun
OBJECTIVE: Workplace violence in hospitals is recently becoming a major global concern in many countries. However, in Myanmar, we have felt that patients and their families have rarely made unreasonable complaints in hospitals, and then, the purpose of this study is to report the current state of workplace violence in hospitals in Myanmar. Participants are 196 physicians (108 males and 88 females) in hospitals in Myanmar. RESULTS: A descriptive survey was conducted in regard to verbal abuse and physical violence from patients or the people concerned...
February 15, 2018: BMC Research Notes
Yohei Hamada, Manami Kitamura, Yasuhiro Yamada, Yoshinori Sanada, Takamitsu Sugihara, Saneatsu Saito, Kyaw Moe, Takehiro Hirose
A new method for evaluating the in situ rock strength beneath the seafloor is proposed and applied to the Nankai Trough accretionary prism. The depth-continuous in situ rock strength is a critical parameter for numerous studies in earth science, particularly for seismology and tectonics at plate convergence zones; yet, measurements are limited owing to a lack of drilled cores. Here, we propose a new indicator of strength, the equivalent strength (EST), which is determined only by drilling performance parameters such as drill string rotational torque, bit depth, and string rotational speed...
February 14, 2018: Scientific Reports
Kyaw Zwar Myint, Pornparn Kongpracha, Panthip Rattanasinganchan, Kawin Leelawat, Penpak Moolthiya, Kittipong Chaiyabutr, Rutaiwan Tohtong
Growth arrest and DNA damage-inducible-β (Gadd45β) is a stress-response protein involved in a number of processes, including cell cycle control, DNA repair, survival and death control, and stress signaling, depending on its interactions. Gadd45β expression is dysregulated in numerous types of cancer, functioning as either a tumor promoter or a tumor suppressor. However, the functions of Gadd45β in cholangiocarcinoma (CCA), particularly in metastasis, has not been studied. The immunohistochemical analysis of Gadd45β expression revealed that 75% of histological specimens from patients with CCA expressed high levels of Gadd45β, and that high Gadd45β expression was associated with metastasis...
March 2018: Oncology Letters
Alain Amstutz, Bienvenu Lengo Nsakala, Fiona Vanobberghen, Josephine Muhairwe, Tracy Renée Glass, Beatrice Achieng, Mamorena Sepeka, Katleho Tlali, Lebohang Sao, Kyaw Thin, Thomas Klimkait, Manuel Battegay, Niklaus Daniel Labhardt
BACKGROUND: The World Health Organization (WHO) recommends viral load (VL) measurement as the preferred monitoring strategy for HIV-infected individuals on antiretroviral therapy (ART) in resource-limited settings. The new WHO guidelines 2016 continue to define virologic failure as two consecutive VL ≥1000 copies/mL (at least 3 months apart) despite good adherence, triggering switch to second-line therapy. However, the threshold of 1000 copies/mL for defining virologic failure is based on low-quality evidence...
February 12, 2018: BMC Infectious Diseases
Elkin Hernán Bermúdez-Aza, Sharmila Shetty, Janet Ousley, Nang Thu Thu Kyaw, Theint Thida Soe, Kyipyar Soe, Phyu Ei Mon, Kyaw Tin Tun, Iza Ciglenecki, Susanna Cristofani, Marcelo Fernandez
OBJECTIVE: To study the long-term clinical, immunological and virological outcomes among people living with HIV on antiretroviral therapy (ART) in Myanmar. METHODS: A retrospective analysis of people on ART for >9 years followed by a cross-sectional survey among the patients in this group who remained on ART at the time of the survey. Routinely collected medical data established the baseline clinical and demographic characteristics for adult patients initiating ART between 2004 and 2006...
2018: PloS One
Hong-Bo Ding, Bin Yang, Shi-Shun Zhou, Ren Li, Mya Bhone Maw, Win Maung Kyaw, Yun-Hong Tan
Hedychium putaoense Y.H. Tan & H.B. Ding, a new species of Zingiberaceae from Putao, Kachin state, Northern Myanmar, is described and illustrated. It is similar to H. densiflorum Wall. and H. longipedunculatum A.R.K. Sastry & D.M. Verma, but differs by its very small bract (4-6 × 2.5-3 mm vs. 18-19 × 5-5.5 mm and ca. 11 × 7 mm, respectively), semicircle and dark red bracteole, orange flower and broadly falcate to lanceolate lateral staminodes.
2018: PhytoKeys
Qiang Liu, Shi-Shun Zhou, Xiao-Hua Jin, Bo Pan, Kyaw Win Maung, Myint Zyaw, Ren Li, Rui-Chang Quan, Yun-Hong Tan
Dendrobium naungmungense, a new species from Naungmung, Kachin State, North Myanmar, is described and illustrated. It is morphologically similar to D. ciliatilabellum and D. vexabile, but the epichile is oblong with three long-ciliate laminae and the column wing has significant denticulation. A preliminary risk-of-extinction assessment shows that the new species should be regarded as Critically Endangered (CR) according to the IUCN Red List Categories and Criteria.
2018: PhytoKeys
Bin Yang, Shi-Shun Zhou, Hong-Bo Ding, Ren Li, Kyaw Win Maung, Yun-Hong Tan
Trivalvaria rubra and Trivalvaria casseabriae, two new species of Annonaceae from Putao, Kachin State, Myanmar, are here described and illustrated. They are morphologically similar to T. costata and T. macrophylla. The major differences between them are outlined and discussed. A diagnostic key to the species of Trivalvaria is provided.
2018: PhytoKeys
Jung-Mi Kang, Jinyoung Lee, Mya Moe, Hojong Jun, Hương Giang Lê, Tae Im Kim, Thị Lam Thái, Woon-Mok Sohn, Moe Kyaw Myint, Khin Lin, Ho-Joon Shin, Tong-Soo Kim, Byoung-Kuk Na
BACKGROUND: Plasmodium falciparum apical membrane antigen-1 (PfAMA-1) is one of leading blood stage malaria vaccine candidates. However, genetic variation and antigenic diversity identified in global PfAMA-1 are major hurdles in the development of an effective vaccine based on this antigen. In this study, genetic structure and the effect of natural selection of PfAMA-1 among Myanmar P. falciparum isolates were analysed. METHODS: Blood samples were collected from 58 Myanmar patients with falciparum malaria...
February 7, 2018: Malaria Journal
Aung Kyaw Kyaw, Mya Myat Ngwe Tun, Corazon C Buerano, Takeshi Nabeshima, Miako Sakaguchi, Tsuyoshi Ando, Shingo Inoue, Yi Yi Mya, Daisuke Hayasaka, Hlaing Myat Thu, Kyaw Zin Thant, Kouichi Morita
An entomological surveillance of arboviruses was conducted in Myanmar in 2014. A total of 8357 Culex mosquito vectors were collected in the Mandalay area and virus isolation was done by using the mosquito cell line C6/36 E2. A total of eighteen strains of Culex flavivirus (CxFV) were isolated from Cx. tritaeniorhynchus, Cx. vishnui and Cx. fuscocephala. Like other insect-specific flaviviruses, CxFV can replicate only in mosquito cells but not in mammalian cells. These CxFV strains that were isolated in Japan from mosquitoes collected in Myanmar were closely related to the Wang Thong virus detected from Cx fusocephalus in Thailand and Cx...
February 3, 2018: Virus Research
Somedeb Ball, Kyaw Zin Thein, Abhishek Maiti, Kenneth Nugent
Thrombosis is common in cancer patients and is associated with increased morbidity and mortality. Myeloproliferative neoplasms (MPN) are common malignancies in elderly individuals and are known for a high incidence of thrombotic complications. Different risk factors have been identified in studies, and risk models have been developed to identify patients with MPN at higher risk for thrombosis. Several pathophysiological mechanisms help explain the increased likelihood of thrombosis in these patients. Factors, such as leukocyte and platelet activation leading to the formation of leukocyte-platelet aggregates, activation of the coagulation cascade by microparticles, high levels of inflammatory cytokines, and endothelial dysfunction have a crucial role in thrombosis in MPN patients...
February 6, 2018: Journal of Thrombosis and Thrombolysis
David Clark, Kyaw Dino Maw, Hesham Eldaly, Jason Smith, Joseph Padayatty
No abstract text is available yet for this article.
January 2018: Indian Journal of Hematology & Blood Transfusion
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