Science.gov

Sample records for ninth asia pacific

  1. OCLC in Asia Pacific.

    ERIC Educational Resources Information Center

    Chang, Min-min

    1998-01-01

    Discusses the Online Computer Library Center (OCLC) and the changing Asia Pacific library scene under the broad headings of the three phases of technology innovation. Highlights include WorldCat and the OCLC shared cataloging system; resource sharing and interlibrary loan; enriching OCLC online catalog with Asian collections; and future outlooks.…

  2. Asia-Pacific energy database

    SciTech Connect

    1997-06-01

    Statistical data is presented in graphic and tabular form on the petroleum market in Asia and Pacific nations. Seven major categories are reported: (1) primary energy production and consumption; (2) historical petroleum product demand and forecasts; (3) crude oil production and exports; (4) import dependence; (5) crude and product pricing assumptions; (6) market share of refined products by suppliers in selected countries; and (7) refining margins. Petroleum demand and forecasts and crude oil production and exports are reported by country. Historical data are presented from 1970 through 1996, and forecasts are made through 2010.

  3. Forestry research in Asia and Pacific

    Treesearch

    Jim Chamberlain; Erin Moore

    1992-01-01

    Much research has been done in Asia and the Pacific that might help Pacific Island countries produce more biomass and better manage their natural resources. National forestry research institutes throughout the region have examined many important aspects of forestry. Not all research findings are directly transferable between countries, but research methods and results...

  4. Asia-Pacific Economic Cooperation (APEC) - Center for Global Health

    Cancer.gov

    As the leading economic forum in the Asia-Pacific region, APEC facilitates economic growth and prosperity in the Asia-Pacific region through trade and investment liberalization, business facilitation, and economic and technical cooperation.

  5. Rehabilitation in Asia and the Pacific, 1988.

    ERIC Educational Resources Information Center

    Rehabilitation International, New York, NY.

    The current state of rehabilitation for persons with disabilities in the Asia and Pacific Region is outlined in a series of national or regional descriptions. The descriptions focus on such aspects as the incidence of disabilities, education, demographic and economic factors, attitudes, government policy and initiatives, non-government initiatives…

  6. Education Indicators for East Asia and Pacific.

    ERIC Educational Resources Information Center

    Acedo, Clementina; Uemura, Mitsue

    This set of education indicators for the World Bank's East Asia and Pacific Region is designed to provide key policy-oriented data for World Bank staff and clients. The framework is divided into six main chapters: (1) the demographic, social and economic context of education; (2) financial and human resources invested in education; (3) access to…

  7. Distance Education in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Cahill, Bruce, Ed.

    1985-01-01

    Issues related to the use of distance education are discussed in this bulletin, which also summarizes the status of distance education in 26 countries of Asia and the Pacific. Section 1 contains a rationale for distance education and points out possibilities offered by advances in communication technologies. Section 2 gives country-by-country…

  8. Rehabilitation in Asia and the Pacific, 1988.

    ERIC Educational Resources Information Center

    Rehabilitation International, New York, NY.

    The current state of rehabilitation for persons with disabilities in the Asia and Pacific Region is outlined in a series of national or regional descriptions. The descriptions focus on such aspects as the incidence of disabilities, education, demographic and economic factors, attitudes, government policy and initiatives, non-government initiatives…

  9. Assistance Focus: Asia/Pacific Region (Brochure)

    SciTech Connect

    Not Available

    2015-01-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to governments in the Asia/Pacific region, including the benefits of that assistance.

  10. Newborn screening in the Asia Pacific region.

    PubMed

    Padilla, Carmencita D; Therrell, Bradford L

    2007-08-01

    The success of blood spot newborn screening in the USA led to early screening efforts in parts of the Asia Pacific Region in the mid-1960s. While there were early screening leaders in the region, many of the countries with depressed and developing economies are only now beginning organized screening efforts. Four periods of screening growth in the Asia Pacific region were identified. Beginning in the 1960s, blood spot screening began in New Zealand and Australia, followed by Japan and a cord blood screening programme for G6PD deficiency in Singapore. In the 1980s, established programmes added congenital hypothyroidism and new programmes developed in Taiwan, Hong Kong, China (Shanghai), India and Malaysia. Programmes developing in the 1990s built on the experience of others developing more rapidly in Korea, Thailand and the Philippines. In the 2000s, with limited funding support from the International Atomic Energy Agency, there has been screening programme development around detection of congenital hypothyroidism in Indonesia, Mongolia, Sri Lanka, Myanmar and Pakistan. Palau has recently contracted with the Philippine newborn screening programme. There is little information available on newborn screening activities in Nepal, Cambodia, Laos and the other Pacific Island nations, with no organized screening efforts apparent. Since approximately half of the births in the world occur in the Asia Pacific Region, it is important to continue the ongoing implementation and expansion efforts so that these children can attain the same health status as children in more developed parts of the world and their full potential can be realized.

  11. Ocular allergy in the Asia Pacific region.

    PubMed

    Katelaris, Constance H

    2011-10-01

    Allergic conjunctivitis (AC) represents a spectrum of disorders, comprising seasonal allergic conjunctivitis (SAC), perennial allergic conjunctivitis (PAC), atopic keratoconjunctivitis (AKC), vernal keratoconjunctivitis (VKC) and giant papillary conjunctivitis. Of these ocular allergy types, SAC and PAC are the most common.The most striking difference within this group of ocular diseases is that SAC and PAC remain self-limited without ocular surface damage, while AKC and VKC can compromise the cornea, causing ulcers and scarring and can ultimately lead to vision loss. Data on AC in the Asia Pacific is scarce however some understanding of prevalence of the condition has been obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) studies and more recently from the Allergies in Asia Pacific study as well as some information from individual country surveys. Unfortunately none of this data has been collected using validated survey instruments specifically designed for AC. Surveys such as ISAAC have been predominantly concerned with respiratory allergic symptoms with questions added that incorporate some ocular symptoms. These questionnaires do not detect individuals who may have AC in the absence of allergic rhinitis. Using hospital ophthalmology outpatient populations for prevalence studies of ocular allergy immediately introduces a bias towards the more severe, complex forms of the condition as patients with the milder forms of SAR and PAR will rarely present to a hospital outpatient clinic. There is a real need for the development of validated questionnaires specifically addressing ocular allergy. There are no widely accessible studies examining prevalence of the complex forms of ocular allergy (AKC, VKC) in Asia Pacific region. This review will provide an overview of ocular allergy, its classification, clinical presentation and differential diagnosis, and will also discuss what is known about the epidemiology of ocular allergy in the

  12. Guam USA: America’s Forward Fortress in Asia Pacific

    DTIC Science & Technology

    2002-04-09

    AMERICA’S FORWARD FORTRESS IN ASIA PACIFIC BY COLONEL JERRY M. RIVERA United States Army DISTRIBUTION STATEMENT A: Approved for public release...STRATEGY RESEARCH PROJECT GUAM USA: AMERICA’S FORWARD FORTRESS IN ASIA PACIFIC By Colonel Jerry M. Rivera United States Army Colonel (Ret) Donald W. Boose...withdraw all its foreign bases in the Asia Pacific region and return to Guam and possibly, the Marianas which are United States soil and make it their hub

  13. Leptospirosis in the Asia Pacific region

    PubMed Central

    2009-01-01

    Background Leptospirosis is a worldwide zoonotic infection that has been recognized for decades, but the problem of the disease has not been fully addressed, particularly in resource-poor, developing countries, where the major burden of the disease occurs. This paper presents an overview of the current situation of leptospirosis in the region. It describes the current trends in the epidemiology of leptospirosis, the existing surveillance systems, and presents the existing prevention and control programs in the Asia Pacific region. Methods Data on leptospirosis in each member country were sought from official national organizations, international public health organizations, online articles and the scientific literature. Papers were reviewed and relevant data were extracted. Results Leptospirosis is highly prevalent in the Asia Pacific region. Infections in developed countries arise mainly from occupational exposure, travel to endemic areas, recreational activities, or importation of domestic and wild animals, whereas outbreaks in developing countries are most frequently related to normal daily activities, over-crowding, poor sanitation and climatic conditions. Conclusion In the Asia Pacific region, predominantly in developing countries, leptospirosis is largely a water-borne disease. Unless interventions to minimize exposure are aggressively implemented, the current global climate change will further aggravate the extent of the disease problem. Although trends indicate successful control of leptospirosis in some areas, there is no clear evidence that the disease has decreased in the last decade. The efficiency of surveillance systems and data collection varies significantly among the countries and areas within the region, leading to incomplete information in some instances. Thus, an accurate reflection of the true burden of the disease remains unknown. PMID:19732423

  14. Mineral facilities of Asia and the Pacific

    USGS Publications Warehouse

    Baker, Michael S.; Elias, Nurudeen; Guzman, Eric; Soto-Viruet, Yadira

    2010-01-01

    This map displays over 1,500 records of mineral facilities throughout the continent of Asia and the countries of the Pacific Ocean. Each record represents one commodity and one facility type at a single geographic location. Facility types include mines, oil and gas fields, and plants, such as refineries, smelters, and mills. Common commodities of interest include aluminum, cement, coal, copper, gold, iron and steel, lead, nickel, petroleum, salt, silver, and zinc. Records include attributes, such as commodity, country, location, company name, facility type and capacity (if applicable), and latitude and longitude geographical coordinates (in both degrees-minutes-seconds and decimal degrees). The data shown on this map and in table 1 were compiled from multiple sources, including (1) the 2008 U.S. Geological Survey Minerals Yearbook (Asia and the Pacific volume), (2) minerals statistics and information from the U.S. Geological Survey Minerals Information Web site (http://minerals.usgs.gov/minerals/), and (3) data collected by U.S. Geological Survey minerals information country specialists. Other sources include statistical publications of individual countries, annual reports and press releases of operating companies, and trade journals. Due to the sensitivity of some energy commodity data, the quality of these data should be evaluated on a country-by-country basis. Additional information is available from the country specialists listed in table 2.

  15. Health Care for the International Student: Asia and the Pacific.

    ERIC Educational Resources Information Center

    Naughton, June C., Ed.; And Others

    This handbook consists of 24 papers addressing various aspects on health care and health care systems and services for foreign students from the Asia Pacific Region. The papers are: "Providing Health Care for International Students" (Donald F. B. Char); "Major Health Care Systems in Asia and the Pacific: Mainland China, Taiwan, Hong…

  16. Health Care for the International Student: Asia and the Pacific.

    ERIC Educational Resources Information Center

    Naughton, June C., Ed.; And Others

    This handbook consists of 24 papers addressing various aspects on health care and health care systems and services for foreign students from the Asia Pacific Region. The papers are: "Providing Health Care for International Students" (Donald F. B. Char); "Major Health Care Systems in Asia and the Pacific: Mainland China, Taiwan, Hong…

  17. Shaping Education Policy Research in an Asia-Pacific Context

    ERIC Educational Resources Information Center

    Jeong, Dong Wook; Lee, Ho Jun; Lee, Seung Ho; Wi, Eunjoo

    2014-01-01

    Globalization increasingly calls for comparing educational policies across countries. In this study, we assemble and analyze academic journal publications of the past decade in order to shape education policy research within an Asia-Pacific context. After examining Asia-Pacific research publication data from the Web of Science, we find a few…

  18. Education Standards in the Asia-Pacific Region.

    ERIC Educational Resources Information Center

    Garcia, Lenore Yaffee

    This report presents an overview of some of the similarities and differences in education standards in the Asia-Pacific region that are revealed in survey responses of members of APEC (Asia-Pacific Economic Cooperation). All 14 member states of APEC submitted responses to the survey; the members are: Australia, Brunei, Darussalam, Canada, People's…

  19. The Asia/Pacific chemical industry

    SciTech Connect

    Tattum, L.

    1993-02-03

    The year of the Rooster may herald interesting change for the Asia/Pacific region. Local dynamics are shifting away from Japan, the traditional motor of the region, now in recession toward China, which is increasingly catching the imagination of investors. Japan's lead in major petrochemicals has eroded since restructuring of domestic industry. Ten years ago Japan was the location for 76% of Asian ethylene capacity, according to Chem Systems. It also held 89% of styrene capacity, 69% of polyolefins, and 62% of polyvinyl chloride (PVC). Today it accounts for only 46% of Asian ethylene, 53% of styrene, 40% of polyolefin, and 37% of PVC capacity. Another country to watch is Vietnam many companies are waiting for sanctions to lift on US investment. When they do, this country of rich oil reserves but per capita income of only $200, will look to petrochemicals as a source of foreign investment.

  20. Emerging strengths in Asia Pacific bioinformatics

    PubMed Central

    Ranganathan, Shoba; Hsu, Wen-Lian; Yang, Ueng-Cheng; Tan, Tin Wee

    2008-01-01

    The 2008 annual conference of the Asia Pacific Bioinformatics Network (APBioNet), Asia's oldest bioinformatics organisation set up in 1998, was organized as the 7th International Conference on Bioinformatics (InCoB), jointly with the Bioinformatics and Systems Biology in Taiwan (BIT 2008) Conference, Oct. 20–23, 2008 at Taipei, Taiwan. Besides bringing together scientists from the field of bioinformatics in this region, InCoB is actively involving researchers from the area of systems biology, to facilitate greater synergy between these two groups. Marking the 10th Anniversary of APBioNet, this InCoB 2008 meeting followed on from a series of successful annual events in Bangkok (Thailand), Penang (Malaysia), Auckland (New Zealand), Busan (South Korea), New Delhi (India) and Hong Kong. Additionally, tutorials and the Workshop on Education in Bioinformatics and Computational Biology (WEBCB) immediately prior to the 20th Federation of Asian and Oceanian Biochemists and Molecular Biologists (FAOBMB) Taipei Conference provided ample opportunity for inducting mainstream biochemists and molecular biologists from the region into a greater level of awareness of the importance of bioinformatics in their craft. In this editorial, we provide a brief overview of the peer-reviewed manuscripts accepted for publication herein, grouped into thematic areas. As the regional research expertise in bioinformatics matures, the papers fall into thematic areas, illustrating the specific contributions made by APBioNet to global bioinformatics efforts. PMID:19091008

  1. EPA Efforts in the Asia-Pacific Region

    EPA Pesticide Factsheets

    EPA’s engagement in Asia and the Pacific Islands helps safeguard our domestic environment; protect the health of our citizens; address global environmental issues; and improve the safety of products and food.

  2. Advanced Technologies Addressing Asia-Pacific Infectious Diseases

    DTIC Science & Technology

    2011-01-01

    0073 Advanced Technologies Addressing Asia-Pacific Infectious Diseases Dr. Duane Gubler dgubler@hawaii.edu University of Hawaii Honolulu, HI 96822 The...purpose of this program is to develop early warning disease detection systems for emerging zoonotic diseases in the Asia-Pacific, using the latest...these illnesses will be newly recognized diseases that have epidemic potential such as SARS, Nipah encephalitis, dengue and avian influenza. The tasks

  3. Asia-Pacific Center for Security Studies Annual Report 2010

    DTIC Science & Technology

    2010-01-01

    value added contributor to advancing focused Asia-Pacific security collaboration and cooperation among a diverse and influential network of program...courses and workshops in ways that focus on producing the results our customers and stakeholders intend; exploring new workplace flexibilities that...particular, with stakeholders as wide and diverse as the Asia Pacific itself, APCSS can and does bring unique value added toward fostering a truly multi

  4. Asia-Pacific Responses to U.S. Security Policies

    DTIC Science & Technology

    2003-03-01

    leaders in Southeast Asia , including those in Malaysia , Indonesia, the Philippines and Thailand, who assumed that the Australian government had... Asia were to be discouraged in the long term (long-standing criticisms of the Five Power Defence Arrangements, which tie Singapore and Malaysia into...MAR 2003 2. REPORT TYPE 3. DATES COVERED 00-00-2003 to 00-00-2003 4. TITLE AND SUBTITLE Asia -Pacific Responses to U.S. Security Policies 5a

  5. UNESCO in Asia and the Pacific: 40 Years On.

    ERIC Educational Resources Information Center

    Cahill, Bruce, Ed.

    1986-01-01

    Articles focusing on UNESCO's role in educational development in Asian and Pacific countries are gathered in this issue commemorating UNESCO's 40th anniversary and the 25th anniversary of the Regional Office for Education in Asia and the Pacific. Following an overview of educational needs and achievements, current activities of four UNESCO offices…

  6. UNESCO in Asia and the Pacific: 40 Years On.

    ERIC Educational Resources Information Center

    Cahill, Bruce, Ed.

    1986-01-01

    Articles focusing on UNESCO's role in educational development in Asian and Pacific countries are gathered in this issue commemorating UNESCO's 40th anniversary and the 25th anniversary of the Regional Office for Education in Asia and the Pacific. Following an overview of educational needs and achievements, current activities of four UNESCO offices…

  7. Bolster Ground Force Capabilities in the Asia-Pacific Region

    DTIC Science & Technology

    2016-05-12

    Bolster Ground Force Capabilities in the Asia- Pacific Region 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT...aggressively contested America’s ability to project power in an area of global economic importance: the Western Pacific . Notable Chinese efforts in this...capabilities, this research paper examines how U.S. Pacific Command (USPACOM) can shape the theater and assure the U.S. and its allies maintain access to the

  8. Endemic fungal infections in the Asia-Pacific region.

    PubMed

    Chakrabarti, A; Slavin, M A

    2011-05-01

    Endemic mycoses are important fungal infections in their respective habitats. In the Asia-Pacific region, an accurate epidemiological picture of endemic mycoses is elusive; few epidemiological surveys have been performed, and limited laboratory facilities and experience with fungal infections have further hampered recognition of infection. However, pockets of endemicity do indeed exist, and endemic fungal infections can have a significant impact on public health. This article reviews the most common endemic mycoses in the Asia-Pacific region: histoplasmosis, penicilliosis, and sporotrichosis. Blastomycosis, which has been infrequently reported within the region, is also briefly discussed. Certain areas of the Asia-Pacific region are endemic for histoplasmosis; however, the ecologic niche for this infection remains unclear. Penicilliosis is restricted to Southeast and Eastern Asia, whereas sporotrichosis is encountered in tropical areas of the Asia-Pacific region linked to environmental reservoirs distinct from those seen in the Western world. Before the advent of acquired immune deficiency syndrome (AIDS), histoplasmosis and penicilliosis were only occasionally reported; however, the incidence of both mycoses has increased with the rise in the incidence of AIDS. Comprehensive studies are needed to fully assess the areas of endemicity and the impact of endemic mycoses in the Asia-Pacific region.

  9. The funding landscape for HIV in Asia and the Pacific.

    PubMed

    Stuart, Robyn M; Lief, Eric; Donald, Braedon; Wilson, David; Wilson, David P

    2015-01-01

    Despite recent and robust economic growth across the Asia-Pacific region, the majority of low- and middle-income countries in the region remain dependent on some donor support for HIV programmes. We describe the availability of bilateral and multilateral official development assistance (ODA) for HIV programmes in the region. The donor countries considered in this analysis are Australia, Canada, Denmark, France, Germany, Netherlands, Norway, Sweden, the United Kingdom and the United States. To estimate bilateral and multilateral ODA financing for HIV programmes in the Asia-Pacific region between 2004 and 2013, we obtained funding data from the Organisation for Economic Co-operation and Development Creditor Reporting System database. Where possible, we checked these amounts against the funding data available from government aid agencies. Estimates of multilateral ODA financing for HIV/AIDS were based on the country allocations announcement by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) for the period 2014 to 2016. Countries in the Asia-Pacific region receive the largest share of aid for HIV from the Global Fund. Bilateral funding for HIV in the region has been relatively stable over the last decade and is projected to remain below 10% of the worldwide response to the epidemic. Bilateral donors continue to prioritize ODA for HIV to other regions, particularly sub-Saharan Africa; Australia is an exception in prioritizing the Asia-Pacific region, but the United States is the bilateral donor providing the greatest amount of assistance in the region. Funding from the Global Fund has increased consistently since 2005, reaching a total of US$1.2 billion for the Asia-Pacific region from 2014 to 2016. Even with Global Fund allocations, countries in the Asia-Pacific region will not have enough resources to meet their epidemiological targets. Prevention funding is particularly vulnerable and requires greater domestic leadership and coordination

  10. Advancing Research on Comparative and International Education in Asia: Contribution of the "Asia Pacific Education Review"

    ERIC Educational Resources Information Center

    Gok, Enes; Weidman, John C.

    2015-01-01

    This article explored the contribution of Asia Pacific Education Review (APER) to expanding the scope of research on comparative and international education in Asia. We developed a rubric based on extensive studies (Rust et al. in "Comp Educ Rev," 43(1):86-109, 1999; Foster et al. in "Int J Educ Dev" 32:711-732, 2012) of…

  11. Advancing Research on Comparative and International Education in Asia: Contribution of the "Asia Pacific Education Review"

    ERIC Educational Resources Information Center

    Gok, Enes; Weidman, John C.

    2015-01-01

    This article explored the contribution of Asia Pacific Education Review (APER) to expanding the scope of research on comparative and international education in Asia. We developed a rubric based on extensive studies (Rust et al. in "Comp Educ Rev," 43(1):86-109, 1999; Foster et al. in "Int J Educ Dev" 32:711-732, 2012) of…

  12. Combination therapy in hypertension: an Asia-Pacific consensus viewpoint.

    PubMed

    Abdul Rahman, Abdul Rashid; Reyes, Eugenio B; Sritara, Piyamitr; Pancholia, Arvind; Van Phuoc, Dang; Tomlinson, Brian

    2015-05-01

    Hypertension incurs a significant healthcare burden in Asia-Pacific countries, which have suboptimal rates of blood pressure (BP) treatment and control. A consensus meeting of hypertension experts from the Asia-Pacific region convened in Hanoi, Vietnam, in April 2013. The principal objectives were to discuss the growing problem of hypertension in the Asia-Pacific region, and to develop consensus recommendations to promote standards of care across the region. A particular focus was recommendations for combination therapy, since it is known that most patients with hypertension will require two or more antihypertensive drugs to achieve BP control, and also that combinations of drugs with complementary mechanisms of action achieve BP targets more effectively than monotherapy. The expert panel reviewed guidelines for hypertension management from the USA and Europe, as well as individual Asia-Pacific countries, and devised a treatment matrix/guide, in which they propose the preferred combination therapy regimens for patients with hypertension, both with and without compelling indications. This report summarizes key recommendations from the group, including recommended antihypertensive combinations for specific patient populations. These strategies generally entail initiating therapy with free drug combinations, starting with the lowest available dosage, followed by treatment with single-pill combinations once the BP target has been achieved. A single reference for the whole Asia-Pacific region may contribute to increased consistency of treatment and greater proportions of patients achieving BP control, and hence reducing hypertension-related morbidity and mortality.

  13. Food irradiation: regulatory aspects in the Asia and Pacific region

    NASA Astrophysics Data System (ADS)

    Luckman, Gary James

    2002-03-01

    Irradiation treatment of food is becoming an increasingly accepted processing option for countries in the Asia Pacific region wishing to meet growing sanitary and phytosanitary requirements in international trade. There remain however, large differences between the regulatory requirements in the countries in this region. This paper gives an outline on existing food irradiation regulations in the separate countries of the Asia Pacific region. New developments such as the recent decision by the Australia New Zealand Food Authority to start assessing applications for food irradiation treatment are discussed. Australia's intention to regulate the export of food treated by irradiation will also be outlined. Details of the decision to harmonise food irradiation regulations by 13 countries in the Asia Pacific region based on conformance with Codex requirements is outlined. The likelihood of other Asia Pacific countries enacting similar harmonisation of their regulations will be examined. Future development such as certification of irradiation as a sanitary treatment for food are discussed. The expected result of these initiatives is a likely increase in irradiated foods traded within the Asia Pacific region.

  14. Prevalence of illicit drug use in Asia and the Pacific.

    PubMed

    Devaney, Madonna L; Reid, Gary; Baldwin, Simon

    2007-01-01

    This paper reports on the prevalence of drug use in Asia and the Pacific. It is based on the report "Situational analysis of illicit drug issues and responses in Asia and the Pacific", commissioned by the Australian National Council on Drugs Asia Pacific Drug Issues Committee. Review of existing estimates of the prevalence of people who use illicit drugs from published and unpublished literature and information from key informants and regional institutions was undertaken for the period 1998 - 2004. Estimates of the prevalence of people who use illicit drugs were conducted for 12 Asian and six Pacific Island countries. The estimated prevalence of those using illicit drugs ranges from less than 0.01% to 4.6%. Countries with estimated prevalence rates higher than 2% are Cambodia, Hong Kong, Philippines, Thailand, Indonesia, Laos and Malaysia. China, Myanmar and Vietnam have estimated prevalence rates ranging between less than 0.01% and 2%. Data to estimate prevalence rates was not available for Pacific Island countries and Brunei. Estimates of the prevalence of drug use are critical to policy development, planning responses and measuring the coverage of programs. However, reliable estimates of the numbers of people using illicit drugs are rare in Asia, particularly the Pacific.

  15. Shellfish allergy--an Asia-Pacific perspective.

    PubMed

    Lee, Alison Joanne; Gerez, Irvin; Shek, Lynette Pei-Chi; Lee, Bee Wah

    2012-03-01

    Shellfish forms a common food source in the Asia-Pacific and is also growing in the West. This review aims to summarize the current literature on the epidemiology and research on shellfish allergy with particular focus on studies emerging from the Asia-Pacific region. A PubMed search using search strategies "Shellfish AND Allergy", "Shellfish Allergy Asia", and "Shellfish AND anaphylaxis" was made. In all, 244 articles written in English were reviewed. Shellfish allergy in the Asia-Pacific ranks among the highest in the world and is the most common cause of food-induced anaphylaxis. Shellfish are classified into molluscs and arthropods. Of the arthropods, the crustaceans in particular Penaeid prawns are the most common cause of allergy and are therefore most extensively studied. Several classes of allergens have been identified. The tropomyosins (class 1 allergens) are the best defined. Despite the establishment of molecular homology and allergenic cross reactivity between allergens of the same class, clinical cross-reactivity is more variable between patients and less clearly defined. There are two relatively unique clinical manifestations of IgE-mediated prawn allergy: (1) isolated oral allergy symptoms; and (2) wide spectrum of severity and sometimes even within the same individual. Shellfish allergy is common in the Asia Pacific. More research including food challenge-proven subjects are required to establish the true prevalence, as well as to understand clinical cross reactivity and variations in clinical features.

  16. Satellite broadcasting and communications in the Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    Bonzon, S.

    1985-12-01

    Against the general context of worldwide developments in satellite communications and broadcasting, and the recent ORB'85 Conference, this paper assesses the future for satellite communication and broadcasting in the Asia-Pacific region. While most attention focusses on satellite developments for the industrialized world, the Asia-Pacific region is expected to play an increasingly significant role, and the needs of its population will be satisfied by development of satellite communications and broadcasting systems. Particular emphasis is placed in this paper on the broadcasting aspects, and their relationship to cultural and economic development.

  17. 77 FR 44582 - Applications To Serve as Accountability Agents in the Asia Pacific Economic Cooperation (APEC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... Applications To Serve as Accountability Agents in the Asia Pacific Economic Cooperation (APEC) Cross Border Privacy Rules (CBPR) System AGENCY: International Trade Administration, Department of Commerce. ACTION... Asia Pacific Economic Cooperation (APEC) Cross Border Privacy Rules (CBPR) System. SUMMARY: The...

  18. Co-operation in Environmental Education at the Tertiary Level in the Asia-Pacific Region.

    ERIC Educational Resources Information Center

    Sato, Masahisa; Bhandari, Bishnu; Abe, Osamu

    2001-01-01

    Analyzes the co-operation in environmental education at the tertiary level with regard to sub-regions, which include North-East Asia, South-East Asia, South Asia, and the South Pacific. (Contains 17 references.) (YDS)

  19. New Partnerships and Education Policy in Asia and the Pacific

    ERIC Educational Resources Information Center

    Cassity, Elizabeth

    2010-01-01

    Forming more effective partnerships with national governments in the Asia-Pacific region has been an important policy focus for the Australian Agency for International Development (AusAID) since 2006. AusAID is increasingly engaging in sector-wide approaches and working through partner government systems. This paper explores how new partnerships…

  20. Epidemiology of Hepatocellular Carcinoma in the Asia-Pacific Region.

    PubMed

    Zhu, Ran Xu; Seto, Wai-Kay; Lai, Ching-Lung; Yuen, Man-Fung

    2016-05-23

    Hepatocellular carcinoma (HCC) is the predominant primary liver cancer in many countries and is the third most common cause of cancer-related death in the Asia-Pacific region. The incidence of HCC is higher in men and in those over 40 years old. In the Asia-Pacific region, chronic hepatitis B virus and hepatitis C virus infections are the main etiological agents; in particular, chronic hepatitis B infection (CHB) is still the major cause in all Asia-Pacific countries except for Japan. Over the past two decades, the incidence of HCC has remained stable in countries in the region except for Singapore and Hong Kong, where the incidence for both sexes is currently decreasing. Chronic hepatitis C infection (CHC) is an important cause of HCC in Japan, representing 70% of HCCs. Over the past several decades, the prevalence of CHC has been increasing in many Asia-Pacific countries, including Australia, New Zealand, and India. Despite advancements in treatment, HCC is still an important health problem because of the associated substantial mortality. An effective surveillance program could offer early diagnosis and hence better treatment options. Antiviral treatment for both CHB and CHC is effective in reducing the incidence of HCC.

  1. Population Education in Asia and the Pacific Newsletter, Number 23.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    This UNESCO newsletter contains six sections concerned with various aspects of population education. Section 1 deals with workshops for monitoring and evaluating population education programs. Section 2 evaluates the programs of six Asia-Pacific countries (China, Democratic People's Republic of Korea, India, Pakistan, Philippines, and Thailand).…

  2. Education in Asia and the Pacific. Retrospect: Prospect.

    ERIC Educational Resources Information Center

    Singh, Raja Roy

    Offered as a tribute to the growing and fruitful spirit of regional cooperation in education in Asia and the Pacific, this volume provides a retrospective and prospective view of cooperative efforts and conditions in the 28 countries of the region. Part One outlines landmark efforts accomplished through a series of UNESCO regional conferences…

  3. The Asia Pacific Rebalance: Tipping the Scale with Landpower

    DTIC Science & Technology

    2013-04-01

    partners from the more important discussion of an overall military strategy for the Asia-Pacific. As Michael O ” Hanlon and James Steinberg noted, 4...13 Ibid. 14 Michael O ” Hanlon and James Steinberg, “How Air-Sea Battle Fits in U.S. Planning,” Washington Post, August 24, 2012, http

  4. Asia-Pacific Partnership for Human Development through TVET.

    ERIC Educational Resources Information Center

    Basu, C. K.

    Despite their great geographic, economic, and demographic diversity, Asia-Pacific countries share many common challenges and pose many common issues that are fundamental to improving the quality and relevance of technical-vocational education and training (TVET) as a means of human resource development (HRD). Because of their great need for…

  5. New Partnerships and Education Policy in Asia and the Pacific

    ERIC Educational Resources Information Center

    Cassity, Elizabeth

    2010-01-01

    Forming more effective partnerships with national governments in the Asia-Pacific region has been an important policy focus for the Australian Agency for International Development (AusAID) since 2006. AusAID is increasingly engaging in sector-wide approaches and working through partner government systems. This paper explores how new partnerships…

  6. The 2015 CASE Asia-Pacific Alumni Relations Survey Report

    ERIC Educational Resources Information Center

    Kroll, Judith A.; Bakerman, Philip

    2015-01-01

    The Council for Advancement and Support of Education (CASE) launched the volunteer-led Asia-Pacific Alumni Relations Survey in 2014 to provide a resource for alumni relations professionals to benchmark performance internally and against fellow institutions of higher education. That was the first survey CASE has done on alumni relations programmes…

  7. Asia and the Pacific in 2020: Scenarios for Educational Research

    ERIC Educational Resources Information Center

    Power, Colin

    2009-01-01

    By 2020 our world will have changed and with it the shape and role of education and of educational research. One cannot predict the future, but in this paper three possible scenarios are outlined reflecting alternative approaches of government to the economic, political, social and environmental challenges facing the Asia Pacific region. For each…

  8. The Asia Pacific LNG trade: Status and technology development

    SciTech Connect

    Hovdestad, W.R.

    1995-10-01

    The Asia Pacific Region is experiencing a period of sustained economic expansion. Economic growth has led to an increasing demand for energy that has spurred a rapid expansion of baseload liquefied natural gas (LNG) facilities in this region. This is illustrated by the fact that seven of the ten baseload facilities in existence provide LNG for markets in the Asia Pacific region. With the three exceptions having been initially commissioned in 1972 and earlier, it is fair to observed that most advances in LNG technology have been developed and applied for this market. The paper presents the current status and identified future trends for the Asia Pacific LNG trade. Technology development in terms of application to onstream production, processing and transportation facilities, including LNG tankers, is presented. The potential of future advances to applied technology and operational practices to improve the cost-effectiveness of new and existing facilities is discussed. Current design data and methods as actually used are examined in terms of identifying where fundamental research and basic physical data are insufficient for optimization purposes. These findings are then summarized and presented in terms of the likely evolution of future and existing LNG projects in the Asia Pacific region.

  9. Inventory of Educational Innovations in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Asian Centre of Educational Innovation for Development, Bangkok (Thailand).

    Fourteen innovative educational programs implemented by countries in Asia and the Pacific region are described to aid other educators engaged in planning and implementing innovative programs. The programs are: faculty-oriented breakfast programme (Australia); farm school on the air (India); multimedia, inservice teacher training for primary…

  10. The funding landscape for HIV in Asia and the Pacific

    PubMed Central

    Stuart, Robyn M; Lief, Eric; Donald, Braedon; Wilson, David; Wilson, David P

    2015-01-01

    Introduction Despite recent and robust economic growth across the Asia-Pacific region, the majority of low- and middle-income countries in the region remain dependent on some donor support for HIV programmes. We describe the availability of bilateral and multilateral official development assistance (ODA) for HIV programmes in the region. Methods The donor countries considered in this analysis are Australia, Canada, Denmark, France, Germany, Netherlands, Norway, Sweden, the United Kingdom and the United States. To estimate bilateral and multilateral ODA financing for HIV programmes in the Asia-Pacific region between 2004 and 2013, we obtained funding data from the Organisation for Economic Co-operation and Development Creditor Reporting System database. Where possible, we checked these amounts against the funding data available from government aid agencies. Estimates of multilateral ODA financing for HIV/AIDS were based on the country allocations announcement by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) for the period 2014 to 2016. Results Countries in the Asia-Pacific region receive the largest share of aid for HIV from the Global Fund. Bilateral funding for HIV in the region has been relatively stable over the last decade and is projected to remain below 10% of the worldwide response to the epidemic. Bilateral donors continue to prioritize ODA for HIV to other regions, particularly sub-Saharan Africa; Australia is an exception in prioritizing the Asia-Pacific region, but the United States is the bilateral donor providing the greatest amount of assistance in the region. Funding from the Global Fund has increased consistently since 2005, reaching a total of US$1.2 billion for the Asia-Pacific region from 2014 to 2016. Conclusions Even with Global Fund allocations, countries in the Asia-Pacific region will not have enough resources to meet their epidemiological targets. Prevention funding is particularly vulnerable and requires greater

  11. Adult Education in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Bulletin of the Unesco Regional Office for Education in Asia and the Pacific, 1982

    1982-01-01

    This issue reproduces articles adapted from country reports presented to a Regional Seminar on Adult Education and Development in Asia and Oceania, Bangkok, November 1980. A summary of adult and nonformal education in the region forms section 1. Highlights of the country articles in section 2 include Afghanistan--national literacy campaign;…

  12. Environmental Education in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Bulletin of the Unesco Regional Office for Education in Asia and the Pacific, 1981

    1981-01-01

    Environmental education issues and programs in Asian and Pacific countries are examined in four sections. Section One presents a general overview of environmental education in the region. Topics discussed include environmental problems, goals and objectives for environmental education, legislation, the nature of environmental education, curriculum…

  13. Satellite outreach in Asia and the Pacific.

    PubMed

    1977-01-01

    Communication by satellite is rapidly changing information exchange in Asia, especially for rural areas. The integrated education planned for satellite networks includes family planning as part of general development. A series of conferences has already been held successfully via satellite for family planning associations who are members of the East and Southeast Asia and Oceania Region of the International Planned Parenthood Federation. These included a conference on nursing training. In India the Satellite Instructional Television Experiment (SITE) made history during its 1-year trial. By 1981 the entire nation is to be linked by satellite. The question is whether the television education will truly change rural life or whether it will become merely a diversion. In Indonesia, satellites were chosen as the fastest way to obtain interisland communication. The Domsat system links the entire 13,000-island archipelago and is already being used for emergency communications. The system, which was developed in 1 1/2 years by the Hughes Aircraft Corporation will be used for teaching basic health, hygiene, and family planning. It will be several years before Domsat is fully operational, but it bears watching.

  14. Tuberculosis and mental health in the Asia-Pacific

    PubMed Central

    Mason, Paul H; Sweetland, Annika C; Fox, Greg J; Halovic, Shaun; Nguyen, Thu Anh; Marks, Guy B

    2017-01-01

    Objective This opinion piece encourages mental health researchers and clinicians to engage with mental health issues among tuberculosis patients in the Asia-Pacific region in a culturally appropriate and ethical manner. The diversity of cultural contexts and the high burden of tuberculosis throughout the Asia-Pacific presents significant challenges. Research into tuberculosis and mental illness in this region is an opportunity to develop more nuanced models of mental illness and treatment, while simultaneously contributing meaningfully to regional tuberculosis care and prevention. Conclusions We overview key issues in tuberculosis and mental illness co-morbidity, highlight ethical concerns and advocate for a regional approach to tuberculosis and mental health that is consistent with the transnational challenges presented by this airborne infectious disease. Integrating tuberculosis and mental health services will go a long way to addressing the needs of vulnerable populations and stopping the transmission of one of the world’s biggest infectious killers. PMID:27206468

  15. Radiocontrast media hypersensitivity in the Asia Pacific region.

    PubMed

    Lee, Suh-Young; Lim, Kyoung-Whan; Chang, Yoon-Seok

    2014-04-01

    Radiocontrast media (RCM) is a major cause of drug hypersensitivity reactions as the medical application of RCM is increasing recently. RCM induced hypersensitivity reactions are considered as unpredictable type B reactions. Underlying mechanism of RCM induced hypersensitivity was previously regarded as nonimmunological mechanisms but recent studies suggest that immunological mechanisms could also be involved. As a result, the roles of skin tests and premedication are revisiting. As there has been no report that comprehensively summarized and analyzed the results of the studies on RCM hypersensitivity in the Asia Pacific region, we aimed to review the literatures on hypersensitivity reactions to RCM in terms of prevalence clinical manifestations, diagnostic approach, and preventive measures in the Asia Pacific region.

  16. Radiocontrast media hypersensitivity in the Asia Pacific region

    PubMed Central

    Lee, Suh-Young; Lim, Kyoung-Whan

    2014-01-01

    Radiocontrast media (RCM) is a major cause of drug hypersensitivity reactions as the medical application of RCM is increasing recently. RCM induced hypersensitivity reactions are considered as unpredictable type B reactions. Underlying mechanism of RCM induced hypersensitivity was previously regarded as nonimmunological mechanisms but recent studies suggest that immunological mechanisms could also be involved. As a result, the roles of skin tests and premedication are revisiting. As there has been no report that comprehensively summarized and analyzed the results of the studies on RCM hypersensitivity in the Asia Pacific region, we aimed to review the literatures on hypersensitivity reactions to RCM in terms of prevalence clinical manifestations, diagnostic approach, and preventive measures in the Asia Pacific region. PMID:24809018

  17. The Asia pacific cohort studies collaboration: a decade of achievements.

    PubMed

    Woodward, Mark; Huxley, Rachel; Ueshima, Hirotsugu; Fang, Xianghua; Kim, Hyeon Chang; Lam, Tai-Hing

    2012-12-01

    The Asia Pacific Cohort Studies Collaboration (APCSC) was established in the late 1990s when there was a distinct shortfall in evidence of the importance of risk factors for cardiovascular disease in Asia. With few exceptions, most notably from Japan, most of the published reports on cardiovascular disease in the last century were from Western countries, and there was uncertainty how far etiological associations found in the West could be assumed to prevail in the East. Against this background, APCSC was set up as a pooling project, combining individual participant data (about 600,000 subjects) from all available leading cohort studies (36 from Asia and 8 from Australasia) in the region, to fill the knowledge gaps. In the past 10 years, APCSC has published 50 peer-reviewed publications of original epidemiological research, primarily concerned with coronary heart disease, stroke, and cancer. This work has established that Western risk factors generally act similarly in Asia and in Australasia, just as they do in other parts of the world. Consequently, strategies to reduce the prevalence of elevated blood pressure, obesity, and smoking are at least as important in Asia as elsewhere- and possibly more important when the vast size of Asia is considered. This article reviews the achievements of APCSC in the past decade, with an emphasis on coronary heart disease.

  18. Asia Pacific Center for Security Studies 2007 Annual Report

    DTIC Science & Technology

    2007-01-01

    PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Asia-Pacific Center for Security Studies,2058 Maluhia Road,Honolulu,HI,96815 8. PERFORMING ORGANIZATION...improv- ing what we contribute have worked diligently to transform systems to meet needs and expectations. 2007 has been a year of refocusing...development of a collaborative international institutional and leadership capacity, and willingness, to addresses complex security-related systems in

  19. Progress in island health in the Asia-Pacific region.

    PubMed

    Hokama, Tomiko; Binns, Colin

    2015-01-01

    The Asia-Pacific region contains many islands, perhaps up to 100 000. The provision of public health and health care to small isolated groups poses particular challenges in the 21st century. The health of island populations has improved over the past 3 decades, but maintaining and improving current levels of health is made more difficult by emigration and the difficulty of maintaining communications.

  20. Dependence values of Asia-Pacific stock markets

    NASA Astrophysics Data System (ADS)

    Razak, Ruzanna Ab; Ismail, Noriszura

    2014-06-01

    Return series of stock markets tend to have leptokurtic distribution thus making linear correlation an inappropriate measure of dependence. Copula theory can be used as an alternative to show the dependencies between return series. In this paper, we study the dependence structure of extreme returns between several Asia-Pacific stock markets by applying the Copula based marginal GARCH approach. The results of our study are discussed in this paper.

  1. Cysticercosis/taeniasis in Asia and the Pacific.

    PubMed

    Ito, Akira; Wandra, Toni; Yamasaki, Hiroshi; Nakao, Minoru; Sako, Yasuhito; Nakaya, Kazuhiro; Margono, Sri S; Suroso, Thomas; Gauci, Charles; Lightowlers, Marshall W

    2004-01-01

    Three taeniid tapeworms infect humans in Asia and the Pacific: Taenia solim, Taenia saginata, and Taenia asiatica. Although there is continuing debate about the definition of a new species, phylogenetic analyses of these parasites have provided multiple lines of evidence that T. asiatica is an independent species and the sister species of T. saginata. Here we review briefly the morphology, pathology, molecular biology, distribution and control options of taeniasis/cysticercosis in Asia and the Pacific and comment on the potential role which dogs may play in the transmission of T. solium. Special attention is focused on Indonesia: taeniasis caused by T. asiatica in North Sumatra, taeniasis/cysticercosis of T. solium and taeniasis of T. saginata in Bali, and taeniasis/cysticercosis of T. solium in Papua (formerly Irian Jaya). Issues relating to the spread of taeniasis/cysticercosis caused by T. solium in Papua New Guinea are highlighted, since serological evidence suggests that cysticercosis occurs among the local residents. The use of modern techniques for detection of taeniasis in humans and cysticercosis in humans, pigs and dogs, with the possible adoption of new control measures will provide a better understanding of the epidemiology of taeniasis/cysticercosis in Asia and the Pacific and lead to improved control of zoonotic and simultaneously meat-borne disease transmission.

  2. Drug production, trafficking and trade in Asia and Pacific Island countries.

    PubMed

    Reid, Gary; Devaney, Madonna L; Baldwin, Simon

    2006-11-01

    We report here on illicit drug production, trafficking and transit routes found in the Asia Pacific region. The report is based on the 'Situational analysis of illicit drug issues and responses in Asia and the Pacific', commissioned by the Australian National Council on Drugs Asia Pacific Drug Issues Committee. The situational analysis was a comprehensive desk based review; data sources included published and unpublished literature and key informant reports. It was found that Myanmar was the main producer of opium, heroin and amphetamine-type stimulants (ATS) in the Asia-Pacific region. China is now considered a major producer of methamphetamines, but other Asia-Pacific nations are also involved in production. Cannabis production was found throughout most of the Asia-Pacific region, in particular Cambodia and the Philippines. Drug trafficking and transit routes of Asia and the Pacific were proliferating and dynamic. The Pacific is mainly known as a trans-shipment point for drugs entering other countries in the region. Drug cultivation and production in Asia is substantial. The expansion of ATS production in the Asia Pacific region is causing much concern. Most drug traffickers change routes and tactics to exploit available vulnerable points along international borders. Responding effectively to the complexity and scale of drug production and trafficking in the Asia-Pacific region will remain a major challenge.

  3. AIDS in Asia and the Pacific.

    PubMed

    Karel, S G; Robey, B

    1988-09-01

    Acquired immune deficiency syndrome (AIDS) has been an African and Western concern due to its epidemic nature. Although nearly 99% of all reported cases occurred in these regions, Asia has reported cases, and the potential for devastation of Asia's already strained health care reserves are undeniable. This review compiled by analysis of 1986-88 articles on AIDS research, demographics, official statements from government and health organizations, news reports, and public statements describe how AIDS has spread in well documented regions like America, Europe, and Africa, and how the Asian regions have attempted to handle the AIDS epidemic before it becomes as serious as in the West. The topics covered include a clinical overview of how human immunodeficiency virus (HIV) causes AIDS, how it is transmitted, and what are the primary forms of transmission in well documented regions. The report briefly documents what policies China, Hong Kong, Japan, Republic of Korea, Taiwan, Philippines, Thailand, Singapore, Malaysia, Indonesia, India, Sri Lanka, Bangladesh, Nepal, Pakistan, Australia, and New Zealand have individually instituted to stem the flow of AIDS into their country, and/or stop the spread of AIDS already found there. The efforts to combat AIDS globally by the World Health Organization/United Nations Development Program alliance (WHO-UNDP) along with the US Agency for International Development (USAID), and UNICEF are highlighted. The available research and aid programs are contrasted with how the Asian nations are preparing to deal with the AIDS epidemic. 1) AIDS has an incubation time wherein an infected individual is not AIDS symptomatic, but is capable of infecting others, and this hidden infected population makes it essential that containment policies are also enforced in countries with few reported cases. 2) A committee should be established in all Asian countries to coordinate education on safe sexual behaviors with specific programs for prostitutes

  4. Obesity and liver cancer mortality in Asia: the Asia Pacific Cohort Study Collaboration

    PubMed Central

    Batty, G. David; Barzi, Federica; Huxley, Rachel; Chang, Charissa Y.; Jee, Sun Ha; Jamrozik, Konrad; Whitlock, Gary; Kim, Hyeon Chang; Fang, Xianghua; Lam, Tai H.; Woodward, Mark

    2014-01-01

    While obesity is associated with liver cancer in studies from western societies, the paucity of data from Asia limits insights into its aetiological role in this population. We examined the relationship between body mass index (BMI) and liver cancer using data from the Asia Pacific Cohort Studies Collaboration. In 309,203 Asian study members, four years of follow-up gave rise to 11,135 deaths from all causes, 420 of which were ascribed to liver cancer. BMI, whether categorised according to current guidelines for Asian groups or World Health Organisation recommendations, was not associated with liver cancer in any of our analyses. PMID:19900847

  5. Asia-Pacific Region Water Boosted Rocket Events

    NASA Astrophysics Data System (ADS)

    Oyama, K.-I.; Hidayat, A.; Sofyan, E.; Sinha, H. S. S.; Herudi, K.; Kubota, T.; Sukkarieh, S.; Arban, J. L.; Chung, D. M.; Medagangoda, I.; Mohd, Z. B.; Pitan, S.; Chin, C.; Sarkar, F. R.

    2010-05-01

    Space Education and Awareness Working Group, which is one of four working groups of Asia-Pacific Regional Space Agency Forum, had organized water boosted rocket competition in Japan in 2005, in Indonesia in 2006, and in 2007 in India. One junior high school student (12-15 years old) and one leader from 9 and 13 Asian/Pacific countries attended the 1st, 2nd, and 3rd water rocket events, respectively. The 4th event is planned in Vietnam, in December 2008. The manuscript introduces the structure and activities of Space Education and Awareness Working Group, which is working under Asia-Pacific Regional Space Agency Forum sponsored by Ministry of Education, Culture, Sports, and Technology of Japan; and application of water-boosted rocket to other field is described. Details of the water boosted rocket events, such as the purpose, competition rules, and the schedules are provided. Finally we discuss the issues to be taken into account for the future event.

  6. Social security in Asia and the Pacific: a brief overview.

    PubMed

    Turner, John

    2002-01-01

    In terms of numbers of people, the global challenges facing social security systems are largely Asian. Because of rapid population aging in Asia, while it accounted for 28% of the world's population aged 60 and older in 1985, that percentage will more than double to 58% in 2050. Provident funds are a prominent feature of retirement income systems in the region-Asia and the Pacific contain the majority of the world's countries with provident funds. These programs typically provide lump-sum benefits, and thus, do not provide annuity protection against outliving one's resources. Because of the influence of Confucian philosophy with its emphasis on family responsibility for elders, countries in the region have been relatively slow in developing social security programs. China does not have a social security program for workers who do not work for the government or in government-owned enterprises.

  7. An updated Asia Pacific Consensus Recommendations on colorectal cancer screening.

    PubMed

    Sung, J J Y; Ng, S C; Chan, F K L; Chiu, H M; Kim, H S; Matsuda, T; Ng, S S M; Lau, J Y W; Zheng, S; Adler, S; Reddy, N; Yeoh, K G; Tsoi, K K F; Ching, J Y L; Kuipers, E J; Rabeneck, L; Young, G P; Steele, R J; Lieberman, D; Goh, K L

    2015-01-01

    Since the publication of the first Asia Pacific Consensus on Colorectal Cancer (CRC) in 2008, there are substantial advancements in the science and experience of implementing CRC screening. The Asia Pacific Working Group aimed to provide an updated set of consensus recommendations. Members from 14 Asian regions gathered to seek consensus using other national and international guidelines, and recent relevant literature published from 2008 to 2013. A modified Delphi process was adopted to develop the statements. Age range for CRC screening is defined as 50-75 years. Advancing age, male, family history of CRC, smoking and obesity are confirmed risk factors for CRC and advanced neoplasia. A risk-stratified scoring system is recommended for selecting high-risk patients for colonoscopy. Quantitative faecal immunochemical test (FIT) instead of guaiac-based faecal occult blood test (gFOBT) is preferred for average-risk subjects. Ancillary methods in colonoscopy, with the exception of chromoendoscopy, have not proven to be superior to high-definition white light endoscopy in identifying adenoma. Quality of colonoscopy should be upheld and quality assurance programme should be in place to audit every aspects of CRC screening. Serrated adenoma is recognised as a risk for interval cancer. There is no consensus on the recruitment of trained endoscopy nurses for CRC screening. Based on recent data on CRC screening, an updated list of recommendations on CRC screening is prepared. These consensus statements will further enhance the implementation of CRC screening in the Asia Pacific region. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  8. India: Asia-Pacific energy series country report

    SciTech Connect

    Gazdar, M.N.

    1992-03-01

    As part of our continuing assessment of Asia-Pacific energy markets, the Resources Programs of the East-West Center series of country studies that discuss in detail the structure of the energy sector. To date, our reports to the US Department of Energy, Assistant Secretary for International Affairs and Energy Emergencies, have covered Australia, China, India, Indonesia, Japan, Malaysia, New Zealand, Pakistan, the Philippines, Singapore, South Korea, Taiwan, and Thailand. The country studies provide an overview of the economic and political situation in the various countries. We have highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. To the greatest extent possible, we have provided the latest available statistics. Staff members have traveled extensively in-and at times have lived in-the countries under review and have held discussions with senior policymakers in government and industry. Thus, these reports provide not only information but also the latest thinking on energy issues in the various countries. Over the next few years these country studies can be updated and will provide a continuous, long-term source of energy sector analysis for the Asia-Pacific region. This India Asia-Pacific Energy Series Country Report is the follow-on to a study by Victor Lobo, Energy in India: The Oil Sector, which was published by the East-West Center in December 1989. The study focused on the petroleum industry, particularly refining, infrastructure, marketing and distribution, specifications of products, demand structure and pricing. This current study, must be seen as a supplement to our 1989 study and, as such, does not cover the petroleum sector in depth.

  9. Food crisis in the Asia-Pacific region.

    PubMed

    Weinberger, Katinka M; Easdown, Warwick J; Yang, Ray-yu; Keatinge, John Donough H

    2009-01-01

    The Asia-Pacific region was on track to achieve the Millennium Development Goal of halving the prevalence of extreme poverty by 2015, but recent dramatic rises in the price of rice and other staples have pushed millions of people back into hunger and poverty. This indicates that the region's food supply system is more fragile and imbalanced than what was previously believed. Proximate causes of the rise in staple prices can be found in market forces such as export restrictions and rising energy prices but the ultimate causes are policies that have led to under-investment in agricultural research and emergency mitigation. Large numbers of people in the Asia-Pacific were already undernourished prior to the recent price rises, relying on monotonous diets dominated by a few staples. Pushed into reducing their dietary diversity even further, many more millions are now suffering from hunger and deteriorating health. The most fundamental food crisis in the Asia-Pacific is one of poor diets, and this affects the obese just as much as the undernourished. The solution lies in a food system that focuses on producing balanced diets, developing safe production practices, increasing food supplies by reducing losses, and investing in the research that make it all happen. Improving food systems is a fundamental community expectation and can be a matter of government survival, but if the urgency to improve food supplies overrides improving diets, the long-term impact on national health will be severe. Proactive policies, regional responses, and more integrated scientific approaches are needed.

  10. India: Asia-Pacific energy series country report

    SciTech Connect

    Gazdar, M.N.

    1992-03-01

    As part of our continuing assessment of Asia-Pacific energy markets, the Resources Programs of the East-West Center series of country studies that discuss in detail the structure of the energy sector. To date, our reports to the US Department of Energy, Assistant Secretary for International Affairs and Energy Emergencies, have covered Australia, China, India, Indonesia, Japan, Malaysia, New Zealand, Pakistan, the Philippines, Singapore, South Korea, Taiwan, and Thailand. The country studies provide an overview of the economic and political situation in the various countries. We have highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. To the greatest extent possible, we have provided the latest available statistics. Staff members have traveled extensively in-and at times have lived in-the countries under review and have held discussions with senior policymakers in government and industry. Thus, these reports provide not only information but also the latest thinking on energy issues in the various countries. Over the next few years these country studies can be updated and will provide a continuous, long-term source of energy sector analysis for the Asia-Pacific region. This India Asia-Pacific Energy Series Country Report is the follow-on to a study by Victor Lobo, Energy in India: The Oil Sector, which was published by the East-West Center in December 1989. The study focused on the petroleum industry, particularly refining, infrastructure, marketing and distribution, specifications of products, demand structure and pricing. This current study, must be seen as a supplement to our 1989 study and, as such, does not cover the petroleum sector in depth.

  11. Asthma control in adults in Asia-Pacific.

    PubMed

    Zainudin, Bin M Zin; Lai, Christopher Kai Wei; Soriano, Joan B; Jia-Horng, Wang; De Guia, Teresita S

    2005-11-01

    The Asthma Insights and Reality in Asia-Pacific (AIRIAP) survey collected detailed information on asthma severity and management in the urban centres of eight areas of the Asia-Pacific region. This study compared asthma morbidity and management practices in these areas. Following recruitment, face-to-face interviews were completed with 2323 adults with diagnosed asthma, who had current symptoms or were using asthma medication. Comparisons between areas were made for asthma severity, asthma burden and management practices. RESULTS Asthma severity varied significantly between areas (P < 0.01), with Vietnam and mainland China reporting the most cases with severe, persistent symptoms. Severity of asthma was significantly associated with advancing age and a lower level of education in a multivariate analysis (P < 0.001). The total use of acute healthcare for asthma was significantly associated with increased asthma severity. Work absence due to asthma was highest in the Philippines (46.6%) and lowest in South Korea (7.5%). The use of inhaled corticosteroids was associated with age in a non-linear manner. There was significant variation among countries in usage of inhaled corticosteroids, from 1.3% in South Korea to 29.0% in Taiwan (P < 0.00001). A peak flow meter was owned by a total of 7.7% of respondents, and overall, 17.9% of adults had a written action plan for asthma management. Within the Asia-Pacific region, asthma in adults differs significantly in disease severity, management and treatment according to area of residence. International recommendations on the management of asthma are generally not being followed.

  12. 2011 Asia Pacific Few-Body Conference Summary Remarks

    NASA Astrophysics Data System (ADS)

    Gibson, B. F.

    2013-03-01

    These remarks represent the author's personal perspective regarding ideas presented at this fifth Asia Pacific Conference on Few-Body Problems in Physics. They are not intended as a comprehensive summary of what we witnessed during this week of stimulating presentations and intense discussions. However, these remarks do characterize some of the physics we heard and some of the key questions raised. The ideas presented will hopefully outlive the rapporteurs who brought their work and that of others to our attention here in the International Hall of the Sungkyunkwan University in Seoul, Republic of Korea. Finally, we bid adieu to our friend, colleague, and mentor, John A. Tjon.

  13. New Zealand Asia-Pacific energy series country report

    SciTech Connect

    Yamaguchi, N.D.; Keevill, H.D.

    1992-03-01

    This report on New Zealand is one of a series of country studies intended to provide a continuous, long-term source of energy sector analysis for the Asia-Pacific region. This report addresses significant changes occurring due to the reform, deregulation, and privatization of the economy in general and the energy sector in particular; provides the reader with an overview of the economic and political situation; petroleum and gas issues are highlighted, particularly the implications of foreign trade in oil and gas; provides the latest available statistics and insights to energy policy that are not generally available elsewhere.

  14. Quality of Life and Economic Burden of Respiratory Disease in Asia-Pacific-Asia-Pacific Burden of Respiratory Diseases Study.

    PubMed

    Wang, De Yun; Ghoshal, Aloke Gopal; Bin Abdul Muttalif, Abdul Razak; Lin, Horng-Chyuan; Thanaviratananich, Sanguansak; Bagga, Shalini; Faruqi, Rab; Sajjan, Shiva; Brnabic, Alan J M; Dehle, Francis C; Cho, Sang-Heon

    2016-05-01

    Asia-Pacific Burden of Respiratory Diseases is a cross-sectional, observational study examining the burden of disease in adults with respiratory diseases across six countries. The aim of this study was to describe health care resource use (HCRU), work impairment, cost burden, and health-related quality of life (HRQOL) associated with respiratory disease in the Asia-Pacific. Consecutive participants aged 18 years or older with a primary diagnosis of asthma, allergic rhinitis, chronic obstructive pulmonary disease, or rhinosinusitis were enrolled. Participants completed a survey detailing respiratory symptoms, HCRU, work productivity and activity impairment, and HRQOL. Locally sourced unit costs for each country were used in the calculation of total costs. The study enrolled 5250 patients. Overall, the mean annual cost for patients with a respiratory disease was US $4191 (SGD 8489) per patient. For patients who reported impairment at work, the mean annual cost was US $7315 (SGD 10,244), with productivity loss being the highest cost component for all four diseases (US $6310 [SGD 9100]). On average, patients were impaired for one-third of their time at work and 5% of their work time missed because of respiratory disease, which resulted in a 36% reduction in productivity. Patients with a primary diagnosis of chronic obstructive pulmonary disease had the greatest impact on HRQOL. In the Asia-Pacific, respiratory diseases have a significant impact on HCRU and associated costs, along with work productivity. Timely and effective management of these diseases has the potential to reduce disease burden and health care costs and improve work productivity and HRQOL. Copyright © 2015 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  15. Asthma control in the Asia-Pacific region: the Asthma Insights and Reality in Asia-Pacific Study.

    PubMed

    Lai, Christopher K W; De Guia, Teresita S; Kim, You-Young; Kuo, Sow-Hsong; Mukhopadhyay, Amartya; Soriano, Joan B; Trung, Pham Long; Zhong, Nan Shan; Zainudin, Norzila; Zainudin, B M Z

    2003-02-01

    Few data on asthma management are available for the Asia-Pacific region. This study examined asthma symptoms, health care use, and management in the Asia-Pacific region. We performed a cross-sectional survey, followed by administration of a questionnaire in a face-to-face setting in the respondents' homes in their language of choice. Urban centers in 8 areas were surveyed: China, Hong Kong, Korea, Malaysia, The Philippines, Singapore, Taiwan, and Vietnam. A population sample of 3207 respondents with physician-diagnosed asthma was identified by screening 108,360 households. Daytime asthma symptoms were reported by 51.4% of respondents, and 44.3% reported sleep disturbance caused by asthma in the preceding 4 weeks. At least 2 in every 5 respondents (43.6%) had been hospitalized, attended a hospital emergency department, or made unscheduled emergency visits to other health care facilities for treatment of asthma during the previous 12 months. Overall, 15.3% of respondents reported that they had required admission to the hospital for asthma treatment. Asthma severity correlated with the frequencies of hospitalizations and emergency visits for asthma in the past year. Even in those patients with severe persistent asthma, 34.3% regarded their disease as being well or completely controlled. Current use of an inhaled corticosteroid was reported by only 13.6% of respondents, and 56.3% used quick-relief bronchodilators. Absence from school and work in the past year was reported by 36.5% of children and 26.5% of adults. As reported for other regions, current levels of asthma control in the Asia-Pacific region fall markedly short of goals specified in international guidelines for asthma management.

  16. Natural disasters and dialysis care in the Asia-Pacific.

    PubMed

    Gray, Nicholas A; Wolley, Martin; Liew, Adrian; Nakayama, Masaaki

    2015-12-01

    The impact of natural disasters on the provision of dialysis services has received increased attention in the last decade following Hurricane Katrina devastating New Orleans in 2005. The Asia-Pacific is particularly vulnerable to earthquakes, tsunami, typhoons (also known as cyclones and hurricanes) or storms and flooding. These events can seriously interrupt provision of haemodialysis with adverse effects for patients including missed dialysis, increased hospitalization and post-traumatic stress disorder. Furthermore, haemodialysis patients may need to relocate and experience prolonged periods of displacement from family and social supports. In contrast to haemodialysis, most literature suggests peritoneal dialysis in a disaster situation is more easily managed and supported. It has become apparent that dialysis units and patients should be prepared for a disaster event and that appropriate planning will result in reduced confusion and adverse outcomes should a disaster occur. Numerous resources are now available to guide dialysis units, patients and staff in preparation for a possible disaster. This article will examine the disaster experiences of dialysis units in the Asia-Pacific, the impact on patients and staff, methods employed to manage during the disaster and suggested plans for reducing the impact of future disasters.

  17. Sustainability in Business Education in the Asia Pacific Region: A Snapshot of the Situation

    ERIC Educational Resources Information Center

    Naeem, Malik; Neal, Mark

    2012-01-01

    Purpose: The purpose of this paper is to provide information about the extent to which sustainability is integrated into business school education and learning in the Asia Pacific region. Design/methodology/approach: A survey was developed, and administered to business schools in the Asia Pacific region. In addition to measuring the number of…

  18. Sustainability in Business Education in the Asia Pacific Region: A Snapshot of the Situation

    ERIC Educational Resources Information Center

    Naeem, Malik; Neal, Mark

    2012-01-01

    Purpose: The purpose of this paper is to provide information about the extent to which sustainability is integrated into business school education and learning in the Asia Pacific region. Design/methodology/approach: A survey was developed, and administered to business schools in the Asia Pacific region. In addition to measuring the number of…

  19. An Inventory of Documents on Educational Planning and Management in Asia and the Pacific, Volume 2.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    This inventory of documents on educational planning and management includes from 20 UNESCO (United Nations Educational Scientific and Cultural Organization) member countries in Asia and the Pacific. A new section in this edition, the Asia and Pacific region, includes citations that address trends and conceptual issues affecting member states of…

  20. Snapshots of Primary and Secondary Education in Asia-Pacific. Educational Innovation for Development.

    ERIC Educational Resources Information Center

    Wilson, John Dewar

    In responding to the emerging challenges to education in Asia and the Pacific in this new century, this Asia-Pacific Programme of Educational Innovation for Development (APEID) book series, "Educational Innovation for Development," is launched to reflect a knowledge base of rethinking on roles of education in development. The series…

  1. EGFR Mutation Testing Practices within the Asia Pacific Region

    PubMed Central

    Kerr, Keith M.; Utomo, Ahmad; Rajadurai, Pathmanathan; Tran, Van Khanh; Du, Xiang; Chou, Teh-Ying; Enriquez, Ma. Luisa D.; Lee, Geon Kook; Iqbal, Jabed; Shuangshoti, Shanop; Chung, Jin-Haeng; Hagiwara, Koichi; Liang, Zhiyong; Normanno, Nicola; Park, Keunchil; Toyooka, Shinichi; Tsai, Chun-Ming; Waring, Paul; Zhang, Li; McCormack, Rose; Ratcliffe, Marianne; Itoh, Yohji; Sugeno, Masatoshi; Mok, Tony

    2015-01-01

    Introduction: The efficacy of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors in EGFR mutation-positive non–small-cell lung cancer (NSCLC) patients necessitates accurate, timely testing. Although EGFR mutation testing has been adopted by many laboratories in Asia, data are lacking on the proportion of NSCLC patients tested in each country, and the most commonly used testing methods. Methods: A retrospective survey of records from NSCLC patients tested for EGFR mutations during 2011 was conducted in 11 Asian Pacific countries at 40 sites that routinely performed EGFR mutation testing during that period. Patient records were used to complete an online questionnaire at each site. Results: Of the 22,193 NSCLC patient records surveyed, 31.8% (95% confidence interval: 31.2%–32.5%) were tested for EGFR mutations. The rate of EGFR mutation positivity was 39.6% among the 10,687 cases tested. The majority of samples were biopsy and/or cytology samples (71.4%). DNA sequencing was the most commonly used testing method accounting for 40% and 32.5% of tissue and cytology samples, respectively. A pathology report was available only to 60.0% of the sites, and 47.5% were not members of a Quality Assurance Scheme. Conclusions: In 2011, EGFR mutation testing practices varied widely across Asia. These data provide a reference platform from which to improve the molecular diagnosis of NSCLC, and EGFR mutation testing in particular, in Asia. PMID:25376513

  2. Population Education in Asia and the Pacific. Bulletin of the Unesco Regional Office for Education in Asia and the Pacific. Number 23, June, 1982.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    The necessity of successfully managing population and development to ensure the quality of life in Asia in the coming decade is emphasized in this bulletin, which is arranged into four sections. Section one contains an article dealing with change and development of population education in Asia and the Pacific and a demographic analysis. Section…

  3. Fossil Energy participates in Asia-Pacific partnership

    SciTech Connect

    2006-01-01

    Department of Energy's Office of Fossil Energy (FE) is co-chairing one, and participating in two other, key task forces under the Asia-Pacific Partnership on Clean Development and Climate (APP), a major public-private effort aimed at accelerating deployment of cleaner, more energy-efficient technologies and practices. Six countries comprise the APP (United States, Australia, China, India, Japan and the Republic of Korea). These countries are responsible for 49% of the world's electricity generation and over 64% of the world's coal production. US membership was announced by the White House in June 2005, and the APP inaugural meeting was held in Sydney, Australian in January 2006. APP has been organised into eight task forces. AEP hosted the first activity under the Power Generation and Transmission (PG & T) Task Force in October 2006. The article describes the event. More information on APP can be found at www.asiapacificpartnership.org. 2 photos., 1 tab.

  4. Emerging viral diseases of Southeast Asia and the Western Pacific.

    PubMed

    Mackenzie, J S; Chua, K B; Daniels, P W; Eaton, B T; Field, H E; Hall, R A; Halpin, K; Johansen, C A; Kirkland, P D; Lam, S K; McMinn, P; Nisbet, D J; Paru, R; Pyke, A T; Ritchie, S A; Siba, P; Smith, D W; Smith, G A; van den Hurk, A F; Wang, L F; Williams, D T

    2001-01-01

    Over the past 6 years, a number of zoonotic and vectorborne viral diseases have emerged in Southeast Asia and the Western Pacific. Vectorborne disease agents discussed in this article include Japanese encephalitis, Barmah Forest, Ross River, and Chikungunya viruses. However, most emerging viruses have been zoonotic, with fruit bats, including flying fox species as the probable wildlife hosts, and these will be discussed as well. The first of these disease agents to emerge was Hendra virus, formerly called equine morbillivirus. This was followed by outbreaks caused by a rabies-related virus, Australian bat lyssavirus, and a virus associated with porcine stillbirths and malformations, Menangle virus. Nipah virus caused an outbreak of fatal pneumonia in pigs and encephalitis in humans in the Malay Peninsula. Most recently, Tioman virus has been isolated from flying foxes, but it has not yet been associated with animal or human disease. Of nonzoonotic viruses, the most important regionally have been enterovirus 71 and HIV.

  5. Emerging viral diseases of Southeast Asia and the Western Pacific.

    PubMed Central

    Mackenzie, J. S.; Chua, K. B.; Daniels, P. W.; Eaton, B. T.; Field, H. E.; Hall, R. A.; Halpin, K.; Johansen, C. A.; Kirkland, P. D.; Lam, S. K.; McMinn, P.; Nisbet, D. J.; Paru, R.; Pyke, A. T.; Ritchie, S. A.; Siba, P.; Smith, D. W.; Smith, G. A.; van den Hurk, A. F.; Wang, L. F.; Williams, D. T.

    2001-01-01

    Over the past 6 years, a number of zoonotic and vectorborne viral diseases have emerged in Southeast Asia and the Western Pacific. Vectorborne disease agents discussed in this article include Japanese encephalitis, Barmah Forest, Ross River, and Chikungunya viruses. However, most emerging viruses have been zoonotic, with fruit bats, including flying fox species as the probable wildlife hosts, and these will be discussed as well. The first of these disease agents to emerge was Hendra virus, formerly called equine morbillivirus. This was followed by outbreaks caused by a rabies-related virus, Australian bat lyssavirus, and a virus associated with porcine stillbirths and malformations, Menangle virus. Nipah virus caused an outbreak of fatal pneumonia in pigs and encephalitis in humans in the Malay Peninsula. Most recently, Tioman virus has been isolated from flying foxes, but it has not yet been associated with animal or human disease. Of nonzoonotic viruses, the most important regionally have been enterovirus 71 and HIV. PMID:11485641

  6. Nutrition and cardiovascular disease: an Asia Pacific perspective.

    PubMed

    Khor, G L

    1997-06-01

    Changes in the dietary intake patterns of countries in the Asia Pacific region are considered in relation to trends of cardiovascular disease mortality. Cardiovascular disease now constitutes the major cause of mortality in many of the countries of the region. The mortality rate for coronary heart disease (CHD) has been on the decline since the mid-1960s in countries such as Australia, New Zealand and Japan, while a decline in other countries, including Singapore and Hong Kong, appears to be occurring about two decades later after a delayed increase. In contrast, countries like Malaysia and China have had and continue an upward trend for CHD mortality. Nonetheless, the mortality rates due to CHD in New Zealand, Australia, Singapore followed by Hong Kong rank among the highest in the region. In China, Taiwan and Japan, death due to cerebrovascular disease remains a major cause of death, although the latter two countries have undergone a significant decline in stroke death rates since 1970. The intakes of fat from land animal products, fish and vegetable oils, depending on fatty acid patterns and, possibly other constituents, are candidate contributors to the different atherogenic and thrombotic effects. Countries which have a higher mortality from CHD tend to have a higher intake of energy from fat and proportion of fat from animal products. These fat intakes may operate to increase hypercholesterolemia and overweight in various countries. Again, intakes of other food items and constituents used in the region such as soybeans, dietary antioxidants in fruits, vegetables, seeds, cereals, nuts and tea and alcohol consumption are candidate cardio-protectants. The wide dietary scope of Asia Pacific populations, from diverse socio-cultural backgrounds, and at different levels of economic and technological development poses several analytic challenges and opportunities. Future research should improve the datasets and think laterally about pathogenesis and intervention.

  7. Recommendations for cervical cancer prevention in Asia Pacific.

    PubMed

    Garland, Suzanne M; Cuzick, Jack; Domingo, Efren J; Goldie, Sue J; Kim, Young-Tak; Konno, Ryo; Parkin, D Maxwell; Qiao, You-Lin; Sankaranarayanan, Rengaswamy; Stern, Peter L; Tay, Sun Kuie; Bosch, F Xavier

    2008-08-19

    Asia Oceania includes countries from both the Asia Pacific region and Australasia, which cover very diverse geographical areas and populations as well as bearing 52% of the cervical cancer burden in the world. Human papillomavirus (HPV) genotype distribution in women with normal cytology varies between countries in this region, as well as with the distribution typically observed in worldwide estimates or in Western countries. HPV-16 remains the predominant oncogenic type for high-grade cervical dysplasia and cervical cancer across the region, and HPV-18 is generally among the five most common types. HPV-58 is commonly found in cervical cancer as well as in women with normal cytology, and HPV-31, 33 and 35 are relatively less frequent in these regions compared to the West. While screening programmes have been proposed and implemented in several populations, successful programmes are rather limited and the majority of countries still have no or minimal screening services. Prophylactic HPV vaccination will only be feasible when it becomes affordable, thus the current priority and the short-term goal for cervical cancer control is to identify feasible and effective screening measures, and to find the most effective way to combine vaccination with sustainable screening programmes. This Regional Report has carefully described the disease burden of HPV and cervical cancer and the current situations in cervical cancer prevention for many countries in the Asia Oceania region. These data identify the many challenges and opportunities to be considered for policy decisions for cervical cancer control. Furthermore, this report presents the results of advanced decision analytic models calibrated to countries in the region that provide early insight into what strategies are most promising and those likely to be cost-effective and affordable. It thus provides a synthesis of the available evidence-based scientific information, in the context of a significant and systematic

  8. Asia-Pacific consensus statements on Crohn's disease. Part 2: Management.

    PubMed

    Ooi, Choon Jin; Makharia, Govind K; Hilmi, Ida; Gibson, Peter R; Fock, Kwong Ming; Ahuja, Vineet; Ling, Khoon Lin; Lim, Wee Chian; Thia, Kelvin T; Wei, Shu-chen; Leung, Wai Keung; Koh, Poh Koon; Gearry, Richard B; Goh, Khean Lee; Ouyang, Qin; Sollano, Jose; Manatsathit, Sathaporn; de Silva, H Janaka; Rerknimitr, Rungsun; Pisespongsa, Pises; Abu Hassan, Muhamad Radzi; Sung, Joseph; Hibi, Toshifumi; Boey, Christopher C M; Moran, Neil; Leong, Rupert W L

    2016-01-01

    The Asia Pacific Working Group on Inflammatory Bowel Disease was established in Cebu, Philippines, at the Asia Pacific Digestive Week conference in 2006 under the auspices of the Asian Pacific Association of Gastroenterology (APAGE) with the goal of developing best management practices, coordinating research and raising awareness of IBD in the region. The consensus group previously published recommendations for the diagnosis and management of ulcerative colitis (UC) with specific relevance to the Asia-Pacific region. The present consensus statements were developed following a similar process to address the epidemiology, diagnosis and management of Crohn's disease (CD). The goals of these statements are to pool the pertinent literature specifically highlighting relevant data and conditions in the Asia-Pacific region relating to the economy, health systems, background infectious diseases, differential diagnoses and treatment availability. It does not intend to be all-comprehensive and future revisions are likely to be required in this ever-changing field.

  9. Clinical nutrition in East Asia and the Pacific.

    PubMed

    Darnton-Hill, I; Cavalli-Sforza, L T; Volmanen, P V

    1992-03-01

    Identifying the nutrition problems of Asia and the Pacific is made difficult by the enormous geographic, socioeconomic and cultural diversity that exists in these areas. With increasing longevity and reduced infant mortality, the more chronic diseases are becoming increasingly important. For almost 90% of the countries that keep such data in the Western Pacific Region of WHO, at least three of the five leading causes of death are noncommunicable diseases. Nevertheless undernutrition is still the most important nutritional problem in the Region. Even though there have been some encouraging declines in the proportion of malnourished under 5-year-olds, increasing populations have meant the actual numbers have not declined. Vitamin A deficiency, iodine deficiency disorders and iron deficiency anaemia remain major public health problems in many countries. There is evidence that vitamin A deficiency is appearing in countries in which it has not previously been a problem. New challenges are occurring, such as childhood obesity, the susceptibility of undernourished populations to the human immunodeficiency virus and the increase in noncommunicable diseases. The three arms of clinical nutrition: therapeutic, research and public health will need to work closely to meet the considerable and continuing threat posed by the nutrition-related diseases.

  10. Asia Pacific Consensus Statements on Crohn's disease. Part 1: Definition, diagnosis, and epidemiology: (Asia Pacific Crohn's Disease Consensus--Part 1).

    PubMed

    Ooi, Choon Jin; Makharia, Govind K; Hilmi, Ida; Gibson, Peter R; Fock, Kwong Ming; Ahuja, Vineet; Ling, Khoon Lin; Lim, Wee Chian; Thia, Kelvin T; Wei, Shu-chen; Leung, Wai Keung; Koh, Poh Koon; Gearry, Richard B; Goh, Khean Lee; Ouyang, Qin; Sollano, Jose; Manatsathit, Sathaporn; de Silva, H Janaka; Rerknimitr, Rungsun; Pisespongsa, Pises; Abu Hassan, Muhamad Radzi; Sung, Joseph; Hibi, Toshifumi; Boey, Christopher C M; Moran, Neil; Leong, Rupert W L

    2016-01-01

    Inflammatory bowel disease (IBD) was previously thought to be rare in Asia, but emerging data indicate rising incidence and prevalence of IBD in the region. The Asia Pacific Working Group on Inflammatory Bowel Disease was established in Cebu, Philippines, at the Asia Pacific Digestive Week conference in 2006 under the auspices of the Asian Pacific Association of Gastroenterology with the goal of developing best management practices, coordinating research, and raising awareness of IBD in the region. The consensus group previously published recommendations for the diagnosis and management of ulcerative colitis with specific relevance to the Asia-Pacific region. The present consensus statements were developed following a similar process to address the epidemiology, diagnosis, and management of Crohn's disease. The goals of these statements are to pool the pertinent literature specifically highlighting relevant data and conditions in the Asia-Pacific region relating to the economy, health systems, background infectious diseases, differential diagnoses, and treatment availability. It does not intend to be all comprehensive and future revisions are likely to be required in this ever-changing field.

  11. Report of the first Asia-Pacific Forum on antiviral treatment of influenza, Asia-Pacific Alliance for the Control of Influenza, Bangkok, 14 June 2012.

    PubMed

    Jennings, Lance C; Smith, David W; Chan, Paul K S

    2013-11-01

    On 14 June 2012, the Asia-Pacific Alliance for the Control of Influenza (APACI) convened the first Antiviral Forum jointly with the Influenza Foundation of Thailand and the Thailand Department of Disease Control. The goals of the meeting were to improve pandemic planning in the region from lessons learned during the 2009 pandemic, particularly with regard to the safety and efficacy of antiviral use; gain a better understanding of the therapeutic use of antivirals in seasonal influenza; review and analyse the official influenza control policies of Asia-Pacific countries and evidence gaps to support policy development; and to establish collaborative relationships to promote best practices in the use of antivirals for the treatment of influenza. The urgent need for education highlighting the importance of influenza and the benefits of antiviral drug use in the Asia-Pacific region was identified.

  12. Report of the first Asia-Pacific influenza summit, Asia-Pacific Alliance for the Control of Influenza (APACI), Bangkok, 12-13 June 2012.

    PubMed

    Jennings, Lance C; Smith, David W; Chan, Paul K S

    2013-11-01

    On June 12-13, 2012, the Asia-Pacific Alliance for the Control of Influenza (APACI) convened jointly with the Influenza Foundation of Thailand and the Thailand Department of Disease Control, the First Asia-Pacific Influenza Summit. The objectives of the meeting were to review the current state of official influenza control policies in Asia-Pacific countries; identify, summarize and communicate influenza control strategies that have successfully increased vaccine uptake in the region; develop policy and advocacy approaches to improve influenza vaccine uptake in high-risk groups and healthcare workers in the region; and establish collaborative relationships to promote best practices for the control of influenza. In moving forward, the challenge for the region will be establishing collaborations able to effectively communicate risk and key messages about influenza vaccination.

  13. Pakistan: Asia-Pacific energy series, country report

    SciTech Connect

    Gazdar, M.N.

    1992-03-01

    As part of our continuing assessment of Asia-Pacific energy markets, the Energy Program has embarked on a series of country studies that discuss in detail the structure of the energy sector in each major country in the region. The country studies also provide the reader with an overview of the economic and political situation in the various countries. We have particularly highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. Finally, to the greatest extent possible, we have provided the latest available statistics -- often from unpublished and disparate sources that are unavailable to most readers. Staff members have traveled extensively in -- and at times have lived in -- the countries under review and have held discussions with senior policymakers in government and industry. Thus, these reports provide not only information but also the latest thinking on energy issues in the various countries. This report summarizes the energy and economic situation in Pakistan.

  14. Myopia Genetics-The Asia-Pacific Perspective.

    PubMed

    Rong, Shi Song; Chen, Li Jia; Pang, Chi Pui

    2016-01-01

    Myopia is a major cause of visual impairment worldwide. In particular, high myopia is associated with serious blinding complications, including retinal detachment, chorioretinal degeneration, and choroidal neovascularization. Myopia is multifactorial in etiology, resulting from the interaction of environmental and genetic risk factors. During the past 2 decades, a large number of gene loci and variants have been identified for myopia. There are more than 20 myopia-associated loci spanning all chromosomes. Earlier findings were obtained mainly from family linkage analyses and candidate gene studies, and more recent results are principally from genome-wide association studies and exome sequencing. Some genetic associations have been successfully validated and replicated in populations of different geographic localities and ethnicities, but some have not. Compared with Whites, Asian populations-in particular Japanese, Korean, and Chinese-have a much higher prevalence of myopia, especially high myopia. Both genetic and environmental factors contribute to such ethnic variations. This review attempts to summarize and compare the allelic frequencies of gene variants known to be associated with myopia in different ethnic groups, especially in the Asia-Pacific region.

  15. Indonesia: Asia-Pacific energy series, country report

    SciTech Connect

    Prawiraatmadja, W.; Yamaguchi, N.; Breazeale, K.; Basari, S.R.

    1991-04-01

    As part of our continuing assessment of Asia-Pacific energy markets, the Energy Program has embarked on a series of country studies that discuss in detail the structure of the energy sector in each major country in the region. To date, our reports to the US Department of Energy have covered Australia, China, Indonesia, Japan, Malaysia, the Philippines, Singapore, South Korea, Taiwan, and Thailand. The country studies also provide the reader with an overview of the economic and political situation in the various countries. We have particularly highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. Finally, to the greatest extent possible, we have provided the latest available statistics -- often from unpublished and disparate sources that are unavailable to most readers. Staff members have traveled extensively in -- and at times have lived in -- the countries under review and have held discussions with senior policymakers in government and industry. Thus, these reports provide not only information but also the latest thinking on energy issues in the various countries. This report covers Indonesia. 37 refs., 36 figs., 64 tabs.

  16. Pakistan: Asia-Pacific energy series, country report

    SciTech Connect

    Gazdar, M.N.

    1992-03-01

    As part of our continuing assessment of Asia-Pacific energy markets, the Energy Program has embarked on a series of country studies that discuss in detail the structure of the energy sector in each major country in the region. The country studies also provide the reader with an overview of the economic and political situation in the various countries. We have particularly highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. Finally, to the greatest extent possible, we have provided the latest available statistics -- often from unpublished and disparate sources that are unavailable to most readers. Staff members have traveled extensively in -- and at times have lived in -- the countries under review and have held discussions with senior policymakers in government and industry. Thus, these reports provide not only information but also the latest thinking on energy issues in the various countries. This report summarizes the energy and economic situation in Pakistan.

  17. Food and health considerations in Asia-Pacific regional security.

    PubMed

    McKay, John

    2009-01-01

    Recent dramatic increases in food prices in much of the world have caused much concern, and have even resulted in some public protests and riots. This is easy to understand given the large percentages of incomes that the poor devote to food purchases. Many commentators have predicted that food supplies in the Asia-Pacific region will become much more limited in the future as the result of population growth, the rapid growth of cities, new food demands by a growing middle class, the impacts of climate change, and the growth of a global food industry. But will these possible shortages of food result in pressures that will destabilise the security situation in the region? Recent work of the whole concept of security has resulted in some redefinition of the term to include issues of human security, but it could also be argued that severe strains on the human security situation could even result in increased instability in the more traditional kind of security regime. The extreme case of North Korea is used as an example of how this might happen. But we really do not know if such dangers are real ones for the region as a whole, and it is suggested that much more research is needed in this area. The whole concept of resilience has been used in some studies elsewhere and this may be useful starting point for new work in this area.

  18. Food industry and economic development in the Asia Pacific.

    PubMed

    McKay, John

    2007-01-01

    The food industry in the Asia Pacific region is gigantic in size, and is therefore a key element in the economic development prospects for the region. It is estimated that in 2000, for example, total expenditure on food and beverages in China was worth $US 188.5 billion, second only to that in Japan at $322 billion. Yet it is clear that given the expansion of both populations and incomes in the region this market will expand rapidly over the next few years. Particularly important will be the continued growth of cities and of the share of employment in industrial and service activities. Much of this growth in food purchases will be supplied from local sources, but this will demand some fundamental changes in domestic food production systems. There will also be a substantial growth in the food trade, with ever increasing levels of national and regional specialisation. These developments will put increasing pressures on quality standards at all levels, with a growing emphasis on food safety, integrity, quality, and nutritional and health impacts. This paper reviews the current status of the food industry and the food trade in the region, and presents some projections for future developments. Particular emphasis is given to policy choices that must be made to ensure that the food system in the region develops in ways that are sustainable and most beneficial to the population as a whole.

  19. Trends in childhood asthma hospitalisation in three Asia Pacific countries.

    PubMed

    Chua, Kun Lin; Ma, Stefan; Prescott, Susan; Ho, Marco Hk; Ng, Daniel K; Lee, Bee Wah

    2011-10-01

    The study aims to examine recent childhood asthma hospitalisation rates in the Asia Pacific countries of Australia, Hong Kong and Singapore. On the background of reported decline in many countries with high asthma prevalence during late 1990s. Annual asthma hospitalisation (ICD9-CM: 493 or ICD10-AM: J45-46)* and population data from 1994 to 2008, of children aged 0-14 years old, were obtained from the Australian National Hospital Morbidity Database, from the Hospital Authority in Hong Kong and from the Ministry of Health in Singapore. Data were stratified in two age groups: 0-4 and 5-14 years old, and also in different periods of calendar years. Time-series regression analyses were used to examine temporal trends. Diagnostic transfer was addressed by examining bronchitis hospitalisations. Significant decreases of up to 6.5% per annum in childhood asthma hospitalisation rates were found over the study period. However, the latter half of the study period showed increases in hospitalisation rates in all countries studied. No evidence of diagnostic transfer was found. Although there has been a decrease in childhood asthma hospitalisation rates since the 1990s, a modest increase was observed from 2003 to 2008. Ongoing monitoring is required. © 2011 The Authors. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  20. Seronegative spondyloarthropathy--studies from the Asia Pacific region.

    PubMed

    Howe, Hwee Siew; Zhao, Like; Song, Yeong Wook; Springer, Lauren; Edmonds, John; Gu, Jieruo; Yu, David T Y

    2007-02-01

    Recent therapeutic advances, in particular the use of anti-tumour necrosis factor (anti-TNF) agents, have revived interest in the seronegative spondyloarthropathies (SpA), a group of arthritides characterised by axial skeletal involvement and the absence of rheumatoid factor. The purpose of this article is to review the studies that have been done in the Asia Pacific region, as a broad understanding of the scope and severity of this group of diseases would enable rheumatologists and physicians in this part of the world to better manage their patients. The majority of genetic studies have focused on the associations of HLA-B27 with ankylosing spondylitis (AS) and SpA, while a few studies examined the associations of the CARD, IL-1, LMP2, TAP and TGF with AS. There are a handful of studies on the immunological responses to bacteria and cytokine levels in AS. The onset and clinical features of SpA have been reported from most countries in the region, but no data on patient outcomes, using current measurement tools such as the Bath Ankylosing Spondylitis Disease Activity index (BASDAI), is available. Validation of these instruments of measurement as well as classification criteria in different ethnic populations is necessary where no prior data exist. Future studies will likely be focused on better clinical characterisation of patient cohorts, particularly with regard to the use of currently used measurement tools for disease activity and spinal function and mobility, and the identification of the need for biologic therapy in each country.

  1. Sponsoring Asia-Pacific Security: PACOM’s Role in Reconciling Bilateral and Multilateral Security Structures

    DTIC Science & Technology

    2016-05-13

    Because it represented the first time a president convened such a meeting within the continental US, the US Assistant Secretary of State for East...Asian security order." East Asia Forum. February 23, 2016. Shekhar, Vibhanshu. "Realist Indonesia’s Drift away from ASEAN." Asia Pacific Bulletin 323

  2. Vocational Training in Asia and the Pacific: A Profile of Bangladesh.

    ERIC Educational Resources Information Center

    International Labour Office, Islamabad (Pakistan). Asian and Pacific Skill Development Programme.

    This country profile of Bangladesh is one of a series of country profiles intended to give the user a graphic view of the structure, outputs, and legal basis of the vocational training system of individual countries in the Asia-Pacific region. The data, gathered by the Asian and Pacific Skill Development Programme in Pakistan, generally cover the…

  3. Education in Asia and the Pacific: Reviews, Reports, and Notes. Number 25.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This volume consists of report summaries, literature reviews, and document annotations on the subject of education in Asia and the Pacific. The reviewed literature includes the following: "Reorientation and Reform of Secondary Education in the Asian and Pacific Region: A Status Report," edited by R.S. Adams; Unesco's "Primary…

  4. Education in Asia and the Pacific: Reviews, Reports, and Notes. Number 25.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This volume consists of report summaries, literature reviews, and document annotations on the subject of education in Asia and the Pacific. The reviewed literature includes the following: "Reorientation and Reform of Secondary Education in the Asian and Pacific Region: A Status Report," edited by R.S. Adams; Unesco's "Primary…

  5. Palliative care development in the Asia-Pacific region: an international survey from the Asia Pacific Hospice Palliative Care Network (APHN).

    PubMed

    Yamaguchi, Takashi; Kuriya, Meiko; Morita, Tatsuya; Agar, Meera; Choi, Youn Seon; Goh, Cynthia; Lingegowda, K B; Lim, Richard; Liu, Rico K Y; MacLeod, Roderick; Ocampo, Rhodora; Cheng, Shao-Yi; Phungrassami, Temsak; Nguyen, Yen-Phi; Tsuneto, Satoru

    2017-03-01

    Although palliative care is an important public healthcare issue worldwide, the current situation in the Asia-Pacific region has not been systematically evaluated. This survey aimed to clarify the current status of palliative care in the Asia-Pacific region. Questionnaires were sent to a representative physician of each member country/region of the Asia Pacific Hospice Palliative Care Network (APHN). The questionnaire examined palliative care service provision, information regarding physician certification in palliative care, the availability of essential drugs for palliative care listed by the International Association for Hospice and Palliative Care (IAHPC) and the regulation of opioid-prescribing practice. Of the 14 member countries/regions of the APHN, 12 (86%) responded. Some form of specialist palliative care services had developed in all the responding countries/regions. Eight member countries/regions had physician certifications for palliative care. Most essential drugs for palliative care listed by the IAHPC were available, whereas hydromorphone, oxycodone and transmucosal fentanyl were unavailable in most countries/regions. Six member countries/regions required permission to prescribe and receive opioids. The development of palliative care is in different stages across the surveyed countries/regions in the Asia-Pacific region. Data from this survey can be used as baseline data for monitoring the development of palliative care in this region. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  6. Health Professional Workforce Education in the Asia Pacific.

    PubMed

    Lees, Jessica; Webb, Gillian; Coulston, Frances; Smart, Aidan; Remedios, Louisa

    2016-04-26

    aims to contribute to the capacity building of a health workforce that is capable of working effectively in cross cultural and interprofessional health care teams. A shared public health focused global placement has the potential to catalyse collaborative relationships between educational institutions in the Asia Pacific region.

  7. New Zealand: Asia-Pacific energy series, country report

    SciTech Connect

    Yamaguchi, N.D.; Keevill, H.D.

    1992-03-01

    The New Zealand energy sector has undergone significant changes in the past few years. Reform and deregulation came to New Zealand in large doses and at a rapid pace. Unlike Japan where deregulation was designed for a five-year phase-in period or even Australia where the government was fully geared up to handle deregulation, deregulation occurred in New Zealand almost with no phase-in period and very little planning. Under fast-paced Rogernomics,'' the energy sector was but one more element of the economy to be deregulated and/or privatized. While the New Zealand energy sector deregulation is generally believed to have been successful, there are still outstanding questions as to whether the original intent has been fully achieved. The fact that a competent energy bureaucracy was mostly lost in the process makes it even more difficult to find those with long enough institutional memories to untangle the agreements and understandings between the government and the private sector over the previous decade. As part of our continuing assessment of Asia-Pacific energy markets, the Resources Programs at the East-West Center has embarked on a series of country studies that discuss in detail the structure of the energy sector in each major country in the region. To date, our reports to the US Department of Energy, Assistant Secretary for International Affairs and Energy Emergencies, have covered Australia, China, India, Indonesia, Japan, Malaysia, New Zealand, Pakistan, the Philippines, Singapore, South Korea, Taiwan, and Thailand. The country studies also provide the reader with an overview of the economic and political situation in the various counties. We have particularly highlighted petroleum and gas issues in the country studies and have attempted to show the foreign trade implications of oil and gas trade. Finally, to the greatest extent possible, we have provided the latest available statistics.

  8. Dioxins and organohalogen contaminants in the Asia-Pacific region.

    PubMed

    Tanabe, Shinsuke; Minh, Tu Binh

    2010-03-01

    This article reviews the outcome of comprehensive investigations conducted in our laboratory at CMES, Ehime University over the past three decades on the distribution, sources, temporal trends and toxic impacts of the persistent and bioaccumulative organohalogen contaminants in Asia-Pacific region with a particular emphasis on developing countries. Results of multi-media monitoring studies were compiled and discussed to provide in-depth understanding on various issues of dioxins and organohalogen contamination in both ambient environment and animals including humans. Prominent contaminations were found in the regions where they have been heavily used. The eastern Asian region is probably a potential source of pollution, particularly by the new contaminants such as polybrominated diphenyls ethers. These groups of contaminants, together with polychlorinated biphenyls, exhibited either decreasing or increasing trends depending on the extent of industrialization in Asian developing region, indicating the necessity for long term monitoring. The open dumping sites for municipal wastes in major cities are significant sources of many toxic chemicals, and these areas are probably one of the challenges for future research due to the long term impacts on the environmental quality and human health. The formation of dioxins and related compounds in such dumping sites and their elevated residues found in breast milk of residents living in and around warrant long term impacts of dioxins upon next generations. Comprehensive and long term monitoring programs are urgently needed with close collaboration and proper capacity building in Asian developing countries in order to mitigate dioxin and organohalogen emission and their risk on ecosystems and human health.

  9. Updates in the epidemiology of eating disorders in Asia and the Pacific.

    PubMed

    Thomas, Jennifer J; Lee, Sing; Becker, Anne E

    2016-11-01

    This review summarizes and contextualizes the recent epidemiologic data on eating disorders in the Asia and Pacific regions. Gaps in epidemiologic data on eating disorders from the Asia and Pacific regions stem, in part, from omission of eating disorder-specific assessments in large nationally representative cohort studies of mental disorders. Available data - often from clinical and school-going cohorts - support that the prevalence of both eating disorders and associated attitudes and behaviors in many Asian and Pacific regions studied may be comparable to those reported in Europe and North America. Moreover, the prevalence of eating disorders in some regions of Asia may be increasing. Some of the national and subnational regions with the highest annual percent increases in disability-adjusted life years per 100 000 caused by eating disorders over the past two decades are located in Asia. Notwithstanding sparse epidemiologic data concerning eating disorders in Asia and the Pacific, available evidence supports comparable prevalence to other global regions and that associated health burdens in some regions of Asia may be rising. This further supports that eating disorders are trans-national in distribution and challenges the previous understanding that they were primarily culture-bound to the Global North.

  10. Asthma research performance in Asia-Pacific: a bibliometric analysis by searching PubMed database.

    PubMed

    Klaewsongkram, Jettanong; Reantragoon, Rangsima

    2009-12-01

    Countries in the Asia-Pacific region have experienced an increase in the prevalence of asthma, and they have been actively involved in asthma research recently. This study aimed to analyze asthma research from Asia-Pacific in the last decade by bibliometric method. Asthma articles from Asia-Pacific countries published between 1998 and 2007 were retrieved from PubMed by searching MeSH for "asthma." Most of published asthma articles in Asia-Pacific are from affluent countries in northeast Asia and Oceania. Australia and Japan have been the regional powerhouses since they contributed more than half of regional articles on asthma. Asthma publications from emerging economies in Asia such as South Korea, Taiwan, Hong Kong, and Singapore, have dramatically increased in the last decade in terms of quantity and quality aspects and were considerable sources of basic and translational research in the region. Mainland China and India have significantly increased their research capacity as well, but quality needs to be improved. Asthma publications from New Zealand and Australia, countries with the highest asthma prevalence rates in the world, yielded highest citation counts per articles and were published in journals with high impact factor. Asthma research parameters per million population correlate well with gross domestic product per capita. Almost half (41%) of total articles were produced from only 25 institutions in the region and almost half of them (47%) were published in 20 journals. Asthma research in Asia-Pacific were mainly conducted in countries in Oceania and Northeast Asia and research performance strongly correlated with the nation's wealth. Interesting asthma research projects in the region were recommended.

  11. Sustainability Issues of the Association for Engineering Education in Southeast Asia, East Asia and the Pacific (AEESEAP) Activities

    NASA Astrophysics Data System (ADS)

    Rahim, Nasrudin Abdul; Said, Suhana Mohd

    The Association for Engineering Education in Southeast Asia, East Asia and the Pacific was established with the aim to improve the education of engineers and technologists in its member countries. This paper will give an overview of AEESEAP objectives and its current activities, coordinated by the current secretariat based in Malaysia. The main issue being dealt with throughout the existence of AEESEAP is the issue of sustainability of the association. This paper will highlight the objectives and current activities of AEESEAP, with regards to sustaining this association.

  12. Migration and Singapore: implications for the Asia Pacific.

    PubMed

    Low, L

    1994-01-01

    Regarding immigration and emigration issues, there is a need for greater and more detailed data collection, an emphasis on data on illegal as well as legal migration, an examination of the impact of direct foreign investment on job creation and new labor market entrants, and a strengthening of international conventions for protection of foreign workers. The Pacific Economic Cooperation Council (PECC), Human Resource Development Task Force, is the source for projections of labor demand and supply for 18 PECC countries in 1993 and 1994. These projections indicate labor shortages in 1993 in Canada, Taiwan, Hong Kong, Malaysia, Singapore, and Thailand. The greatest labor supplier will be China. Japan and Korea are expected to have economic downturns, which will increase excess labor. The extent of excess labor is estimated to be 8.01 million in 1993 and 12.43 in 1994. The nature of the calculations could potentially exaggerate existing demand. A variety of theories are used to determine the direction and flow of migration, capital, goods and services, and technology. Estimates of migration flows indicate an increase to 100 million migrants in 1992, or 1.8% of world population (35 million in Sub-Saharan Africa, 15 million in Asia and the Middle East, and almost 13 million in Western Europe and North America). The value of remittances is estimated at $66 million (US dollars), which is slightly less than the value of oil trade and exceeds the $46 million in foreign aid. It is hypothesized that wider spatial and income inequalities with expanding globalization will increase migration flows. The case of Singapore illustrates how manipulation of the labor market reduces potential problems. Immigration policy historically encouraged migration of skilled and professional workers. In 1990 foreign workers in Singapore constituted 12% of the labor force. Since 1982 a monthly foreign worker levy has been imposed. The levy is increased when needed in order to slow demand. In 1992

  13. Health Professional Workforce Education in the Asia Pacific

    PubMed Central

    Lees, Jessica; Webb, Gillian; Coulston, Frances; Smart, Aidan; Remedios, Louisa

    2016-01-01

    . Significance for public health The Global Learning Partnership model aims to contribute to the capacity building of a health workforce that is capable of working effectively in cross cultural and interprofessional health care teams. A shared public health focused global placement has the potential to catalyse collaborative relationships between educational institutions in the Asia Pacific region. PMID:27190976

  14. Consensus guidelines for the management of atopic dermatitis: an Asia-Pacific perspective.

    PubMed

    Rubel, Diana; Thirumoorthy, Thiru; Soebaryo, Retno W; Weng, Steven C K; Gabriel, Teresita M; Villafuerte, Lillian L; Chu, Chia-Yu; Dhar, Sandipan; Parikh, Deepak; Wong, Li-Chuen; Lo, Kuen-Kong

    2013-03-01

    Atopic dermatitis (AD) is a relatively common disease in patients in the Asia-Pacific region. It presents a particular clinical challenge and requires careful clinical management. The chronic nature of AD characterized by flares, exacerbations and periods of quiescence requires a multipronged approach aimed at reducing itch, inflammation and the appearance of secondary lesions. In addition, varying levels of maintenance therapy may be required to avoid exacerbations. Survey data from the region indicate that there is significant variation across the Asia-Pacific with regard to current treatment practices. The management of AD may also be influenced by differing health-care systems, variable climate, access to medical care and cultural diversity. The current consensus guidelines have been developed to provide up-to-date and concise evidence- and experience-based recommendations directed towards general practitioners and general dermatologists in the Asia-Pacific region on the management of pediatric and adult AD. © 2013 Japanese Dermatological Association.

  15. Consolidating newborn screening efforts in the Asia Pacific region : Networking and shared education.

    PubMed

    Padilla, Carmencita David; Therrell, Bradford L

    2012-01-01

    Many of the countries in the Asia Pacific Region, particularly those with depressed and developing economies, are just initiating newborn screening programs for selected metabolic and other congenital disorders. The cultural, geographic, language, and economic differences that exist throughout the region add to the challenges of developing sustainable newborn screening systems. There are currently more developing programs than developed programs within the region. Newborn screening activities in the Asia Pacific Region are particularly important since births there account for approximately half of the world's births. To date, there have been two workshops to facilitate formation of the Asia Pacific Newborn Screening Collaboratives. The 1st Workshop on Consolidating Newborn Screening Efforts in the Asia Pacific Region occurred in Cebu, Philippines, on March 30-April 1, 2008, as a satellite meeting to the 7th Asia Pacific Conference on Human Genetics. The second workshop was held on June 4-5, 2010, in Manila, Philippines. Workshop participants included key policy-makers, service providers, researchers, and consumer advocates from 11 countries with 50% or less newborn screening coverage. Expert lectures included experiences in the United States and the Netherlands, international quality assurance activities and ongoing and potential research activities. Additional meeting support was provided by the U.S. National Institutes of Health, the Centers for Disease Control and Prevention, the U.S. National Newborn Screening and Genetics Resource Center, the International Society for Neonatal Screening, and the March of Dimes. As part of both meeting activities, participants shared individual experiences in program implementation with formal updates of screening information for each country. This report reviews the activities and country reports from two Workshops on Consolidating Newborn Screening Efforts in the Asia Pacific Region with emphasis on the second workshop. It

  16. Accreditation of public health education in the Asia-Pacific region.

    PubMed

    Karunathilake, Indika M; Liyanage, Chiranthi K

    2015-01-01

    There has been dramatic advancement in health status in the Asia-Pacific region (APR) over the past 50 years. This ever-changing paradigm of public health calls for continuous review and quality improvement of public health education (PHE). Since its founding in 1984, the mission of the Asia-Pacific Academic Consortium for Public Health (APACPH) has been to improve the quality and relevance of PHE to combat the diverse, dynamic, and unique challenges in the APR. Prof Walter Patrick was a forerunner in this movement and played an instrumental role in establishing APACPH's position in accreditation and improvement of PHE.

  17. Promoting National Book Strategies in Asia and the Pacific--Problems and Perspectives. Studies on Books and Reading No. 4.

    ERIC Educational Resources Information Center

    Hasan, Abul

    Focusing on the present state of book development in the Asia-Pacific region, where countries are separated by vast distances, this report examines measures that might improve local book industries and meet the needs for endogenous literature. The various sections of the report discuss (1) the book situation and needs in the Asia-Pacific region;…

  18. Promoting National Book Strategies in Asia and the Pacific--Problems and Perspectives. Studies on Books and Reading No. 4.

    ERIC Educational Resources Information Center

    Hasan, Abul

    Focusing on the present state of book development in the Asia-Pacific region, where countries are separated by vast distances, this report examines measures that might improve local book industries and meet the needs for endogenous literature. The various sections of the report discuss (1) the book situation and needs in the Asia-Pacific region;…

  19. Assessment of Educational Achievement in Asia and the Pacific. Report of a Seminar (Tokyo, Japan, January 20-February 1, 1986).

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    The High Level Seminar on Educational Achievement in Asia and the Pacific was organized in collaboration with the UNESCO Regional Office for Education in Asia and the Pacific (Bangkok, Thailand). The objectives were to exchange information and experiences on educational assessment at the primary and secondary school levels; to review major…

  20. Aerosol Characterization Data from the Asian Pacific Regional Aerosol Characterization Project (ACE-Asia)

    DOE Data Explorer

    The Aerosol Characterization Experiments (ACE) were designed to increase understanding of how atmospheric aerosol particles affect the Earth's climate system. These experiments integrated in-situ measurements, satellite observations, and models to reduce the uncertainty in calculations of the climate forcing due to aerosol particles and improve the ability of models to predict the influences of aerosols on the Earth's radiation balance. ACE-Asia was the fourth in a series of experiments organized by the International Global Atmospheric Chemistry (IGAC) Program (A Core Project of the International Geosphere Biosphere Program). The Intensive Field Phase for ACE-Asia took place during the spring of 2001 (mid-March through early May) off the coast of China, Japan and Korea. ACE-Asia pursued three specific objectives: 1) Determine the physical, chemical, and radiative properties of the major aerosol types in the Eastern Asia and Northwest Pacific region and investigate the relationships among these properties. 2) Quantify the physical and chemical processes controlling the evolution of the major aerosol types and in particular their physical, chemical, and radiative properties. 3) Develop procedures to extrapolate aerosol properties and processes from local to regional and global scales, and assess the regional direct and indirect radiative forcing by aerosols in the Eastern Asia and Northwest Pacific region [Edited and shortened version of summary at http://data.eol.ucar.edu/codiac/projs?ACE-ASIA]. The Ace-Asia collection contains 174 datasets.

  1. Physical activity and obesity research in the Asia-Pacific: a review.

    PubMed

    Khoo, Selina; Morris, Tony

    2012-05-01

    Obesity is a global health concern and has a great impact on countries in the Asia-Pacific region. Physical inactivity is a major risk factor for obesity, but physical activity levels are declining in much of this region. Increasing physical activity is a priority in many countries. Considerable research has been conducted on physical activity related to obesity in Western countries, but populations in the Asia-Pacific region differ in physical, psychological, social, and cultural ways that warrant local and regional research. The authors reviewed research conducted in the Asia-Pacific region that examined either the impact of physical activity interventions on obesity-related outcomes or the effect of behavior-change interventions on physical activity participation. The number of studies found was limited, and their samples and methods varied too much to draw conclusions. The authors recommend further research in the Asia-Pacific region using systematic protocols to permit sound conclusions to be drawn and promote informed action at local levels.

  2. Continuing Professional Development in the Accounting Profession: Practices and Perceptions from the Asia Pacific Region

    ERIC Educational Resources Information Center

    De Lange, Paul; Jackling, Beverley; Suwardy, Themin

    2015-01-01

    Drawing on research in the sociology of professions as a reference point, this study examines the practices and perceptions of professional accountants towards the requirements of IES7 on continuing professional development (CPD). Responses from 1310 accountants in the Asia Pacific region suggest while increasing globalisation has led to more…

  3. An Analysis of Asia-Pacific Educational Technology Research Published Internationally in 2000-2013

    ERIC Educational Resources Information Center

    Jung, Insung; Yoo, Mina

    2014-01-01

    The past fourteen years have seen a significant rise in the percentage of Asia-Pacific papers on educational technology (ET) published internationally: from 13.7% in 2000 to 38.4% in 2013. This study seeks to identify the overall trends and gaps in this research. Of the 4,332 articles published in five selected international journals between 2000…

  4. Distance Education Regulatory Frameworks: Readiness for Openness in Southwest Pacific/South East Asia Region Nations

    ERIC Educational Resources Information Center

    Tynan, Belinda; James, Rosalind

    2013-01-01

    This paper reports in brief the pilot study, Distance Education Regulatory Frameworks, undertaken by the International Council for Open and Distance Education (ICDE) in 2010-2012 and the implications for openness for higher education in Southwest Pacific/South East Asia region nations. The project developed a methodological approach to…

  5. Online Learning and Information Technology in the Asia-Pacific Region: Perspectives, Issues, and Divides.

    ERIC Educational Resources Information Center

    Hung, David; Chen, Der-Thanq

    2003-01-01

    This special issue presents articles contributed by academics from the Asia-Pacific region on perspectives and progress made in online learning and information technology (IT). The articles discuss online learning and IT efforts in South Korea, Hong Kong, China, Taiwan, Japan, Singapore, Australia, Guam, and New Zealand. (AEF)

  6. Educational Psychology as an Evolving Discipline: Trends and Synthesis in Asia Pacific Education Review

    ERIC Educational Resources Information Center

    Kim, Dong-il; Koh, Hye-jung; Jo, Su-yeon; Nam, JeeEun Karin; Kim, Myeung-chan

    2014-01-01

    Educational psychology has seen rapid growth as an academic discipline in recent years. The current study reviewed research articles published in "Asia Pacific Education Review" ("APER"), a journal that has been gaining greater international recognition, to reveal recent trends in educational psychology research in Asia…

  7. Continuing Professional Development in the Accounting Profession: Practices and Perceptions from the Asia Pacific Region

    ERIC Educational Resources Information Center

    De Lange, Paul; Jackling, Beverley; Suwardy, Themin

    2015-01-01

    Drawing on research in the sociology of professions as a reference point, this study examines the practices and perceptions of professional accountants towards the requirements of IES7 on continuing professional development (CPD). Responses from 1310 accountants in the Asia Pacific region suggest while increasing globalisation has led to more…

  8. Design and Usability of Digital Libraries: Case Studies in the Asia Pacific

    ERIC Educational Resources Information Center

    Theng, Yin-Leng, Ed.; Foo, Schubert, Ed.

    2005-01-01

    This book showcases some of the best digital library practices from organizations in the Asia Pacific. Particular emphasis has been placed on the design, use and usability of digital libraries. Not only are digital libraries examined, but related technologies, the management of knowledge in digital libraries, and the associated usability and…

  9. Climate change in Asia and the Pacific: How can countries adapt?

    USDA-ARS?s Scientific Manuscript database

    The Asia Pacific (AP) region is more vulnerable to climate change risks than other regions, given its dependence on the natural resources and agricultural sector for economic development with densely populated coastal areas, weak institutions, and the poverty of a considerable proportion of its popu...

  10. Educational Reforms in the Asia-Pacific Region: Trends, Challenges and Research.

    ERIC Educational Resources Information Center

    Cheng, Yin Cheong

    This paper analyzes trends and challenges in recent educational reform and development in the Asia-Pacific region and explores related implications for educational research. There are numerous educational reforms in nearly all countries in the region as they respond to challenges of globalization, information technology, knowledge-based economy,…

  11. Feeding a Hungry World: Focus on Rice in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Mukai, Gary; And Others

    This unit introduces students to the diversity of rice culture and rice-based farming systems in Asia and the Pacific. Students examine issues related to the needs of the future global population. Six rice-producing countries are under study: Bangladesh, China, Indonesia, Japan, Philippines, and Thailand. The lessons include: (1) "Rice in…

  12. Promotion of Sustainability in Postgraduate Education in the Asia Pacific Region

    ERIC Educational Resources Information Center

    Naeem, Malik A.; Peach, Neil W.

    2011-01-01

    Purpose: The purpose of this paper is to describe how a consortium of universities in the Asia Pacific region are endeavouring to make a contribution to the implementation of education for sustainable development (ESD) through their participation with and the operation of the Promotion of Sustainability in Postgraduate Education and Research Net…

  13. Emerging University Student Experiences of Learning Technologies across the Asia Pacific

    ERIC Educational Resources Information Center

    Barrett, B. F. D.; Higa, C.; Ellis, R. A.

    2012-01-01

    Three hundred students across eight countries and eleven higher education institutions in the Asia Pacific Region participated in two courses on climate change and disaster management that were supported by learning technologies: a satellite-enabled video-conferencing system and a learning management system. Evaluation of the student experience…

  14. Directory of Scholarships and Grants for Students and Researchers in Asia and the Pacific.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This directory targets users in Asia and the Pacific who seek further study or research opportunities in which English is the medium of learning. Information gathered form various sources is compiled in three parts: (1) a brief account of fellowships offered or administered by the United Nations Educational, Scientific, and Cultural Organization;…

  15. Towards Education for a Sustainable Future in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Fien, John; Obe, Osamu; Bhandari, Bishnu

    2000-01-01

    Outlines initial steps toward education for a sustainable future in the Asia-Pacific Region. Presents results from over 10,000 secondary students in 13 countries on environmental interest and attitudes and willingness to adopt a sustainable lifestyle. Describes an international program to support teacher educators as they reorient teacher…

  16. Elementary/Primary School Curriculum in Asia and the Pacific. National Reports: Volume I.

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    This document comprises volume I of the national reports on the elementary/primary school curriculum in Asia and the Pacific sponsored by the National Institute for Educational Research (NIER) in Tokyo, Japan. Each nation's report is organized under the following topics: (1) general information on the geography and population, educational system,…

  17. Globalization and the Asia Pacific: An Exploration of Efficiency and Equality Aims of Education

    ERIC Educational Resources Information Center

    Engel, Laura C.; Rutkowski, David J.

    2008-01-01

    The paper aims to explore the relationship between globalization and education through an investigation of educational policy development in the specific context of the Asia Pacific. The paper's primary focus is on data collected from the World Bank, OECD, IMF and UNESCO to look primarily at three interrelated trends in education: increasing…

  18. United Nations Literacy Decade in Asia and the Pacific: Progress to Date

    ERIC Educational Resources Information Center

    Online Submission, 2005

    2005-01-01

    In December 2001, The United Nations General Assembly unanimously adopted a resolution to establish the United Nations Literacy Decade (UNLD), 2003-2012. The UNLD stresses "Literacy for All: A voice for all, learning for all." The publication records UNLD activities in the Asia and Pacific region during 2003 to 2004 and introduces…

  19. Educational Psychology as an Evolving Discipline: Trends and Synthesis in Asia Pacific Education Review

    ERIC Educational Resources Information Center

    Kim, Dong-il; Koh, Hye-jung; Jo, Su-yeon; Nam, JeeEun Karin; Kim, Myeung-chan

    2014-01-01

    Educational psychology has seen rapid growth as an academic discipline in recent years. The current study reviewed research articles published in "Asia Pacific Education Review" ("APER"), a journal that has been gaining greater international recognition, to reveal recent trends in educational psychology research in Asia…

  20. Case Studies on Technical and Vocational Education in Asia and the Pacific. An Overview.

    ERIC Educational Resources Information Center

    Haas, Adrian

    A project considered issues that might contribute toward raising the status of technical and vocational education (TVE) in Asia and the Pacific region. It also provided a review of TVE in Australia, Bangladesh, China, Fiji, India, Indonesia, Iran, Japan, Republic of Korea, Malaysia, Pakistan, Thailand, and Vietnam. Researchers involved in the…

  1. Design and Usability of Digital Libraries: Case Studies in the Asia Pacific

    ERIC Educational Resources Information Center

    Theng, Yin-Leng, Ed.; Foo, Schubert, Ed.

    2005-01-01

    This book showcases some of the best digital library practices from organizations in the Asia Pacific. Particular emphasis has been placed on the design, use and usability of digital libraries. Not only are digital libraries examined, but related technologies, the management of knowledge in digital libraries, and the associated usability and…

  2. Early Learning and Development Standards in East Asia and the Pacific: Experiences from Eight Countries

    ERIC Educational Resources Information Center

    Miyahara, Junko; Meyers, Cliff

    2008-01-01

    This paper analyses how countries in UNICEF's East Asia and Pacific Region (EAPR) have engaged in the Early Learning and Development Standards (ELDS) process. ELDS has been developed by the governments of Cambodia, China, Fiji, Lao PDR, Mongolia, Philippines, Thailand, and Vietnam over the last 3 years with technical and financial support from…

  3. Integration of Technology Education in Basic and General Education Curriculum in Asia-Pacific Countries.

    ERIC Educational Resources Information Center

    Basu, C. K.

    Despite the expansion of technical-vocational education and training (TVET) in nearly all Asia-Pacific countries during the past 10-15 years, many of the region's policymakers have called for greater and more effective integration of technical-vocational components in basic and general education curricula. The idea that technology education should…

  4. Taeniasis and cysticercosis in Asia and the Pacific: present state of knowledge and perspectives.

    PubMed

    Ito, Akira; Nakao, Minoru; Wandra, Toni; Suroso, Thomas; Okamoto, Munehiro; Yamasaki, Hiroshi; Sako, Yasuhito; Nakaya, Kazuhiro

    2005-01-01

    Several topics on taeniasis and cysticercosis in Asia and the Pacific are overviewed. In Asia and the Pacific, three human taeniid species have been recognized: Taenia solium, Taenia saginata and Taenia asiatica. The first topic is on evolution of T. solium. Mitochondrial DNA polymorphisms of T. solium worldwide are discussed with emphasis of two specific genotypes: American-African and Asian. The second topic is recent major advances in sero- and molecular-diagnosis of T. solium cysticercosis in humans, pigs and dogs. The third is the present situation of T. solium taeniasis/cysticercosis in Papua (Irian Jaya), Indonesia. The forth is the present situation of T. solium cysticercosis and T. saginata taeniasis in Bali, Indonesia. The fifth is the present situation of T. asiatica taeniasis in Asia and the Pacific and in North Sumatra, Indonesia. The sixth is on the debate of the exact definition of T. asiatica. Because T. asiatica can not be differentiated from T. saginata morphologically, it is time to re-evaluate T. saginata in Asia and the Pacific. New and broad-based surveys across this region are necessary from epidemiological and public health perspectives, based on evidence.

  5. Globalization and the Asia Pacific: An Exploration of Efficiency and Equality Aims of Education

    ERIC Educational Resources Information Center

    Engel, Laura C.; Rutkowski, David J.

    2008-01-01

    The paper aims to explore the relationship between globalization and education through an investigation of educational policy development in the specific context of the Asia Pacific. The paper's primary focus is on data collected from the World Bank, OECD, IMF and UNESCO to look primarily at three interrelated trends in education: increasing…

  6. Malaysia. National Studies. Asia-Pacific Programme of Education for All.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This study examines the work of the Asia-Pacific Programme of Education for All (APPEAL) since its 1987 inception. Efforts to assess educational achievement at the local, regional, and national levels in Malaysia are examined with a view to achieving universal primary education; eradicating illiteracy; and providing continuing education in support…

  7. Future Developments of Educational Research in the Asia-Pacific Region: Paradigm Shifts, Reforms, and Practice

    ERIC Educational Resources Information Center

    Cheng, Yin Cheong

    2007-01-01

    In facing up to the challenges and impacts of globalization, high technology, economic transformation, international competitions and local developments in the new century, there have been numerous educational reforms and initiatives in many countries in the Asia-Pacific Region (Cheng, 2005a, A new paradigm for re-engineering education:…

  8. Ocular Pathology: Role of Emerging Viruses in the Asia-Pacific Region-A Review.

    PubMed

    Ranjan, Ratnesh; Ranjan, Shikha

    2014-01-01

    The role of viral infections in ocular pathology varies greatly, involving all the components of the eye. Some viruses like herpes simplex, herpes zoster, adenovirus, enterovirus 70, influenza virus, human immunodeficiency virus, and cytomegalovirus are well-known for their role in ocular pathology. In recent years, emerging and resurging viral infections represent an important public health problem. The Asia-Pacific region has witnessed a number of pandemic and epidemic outbreaks caused by these viruses during the last 2 decades. The number of ocular complications being reported in patients of these viral infections has also increased significantly during this period. Ophthalmologists and physicians should be aware of ocular manifestations of newly emerging or resurging viral diseases. We conducted a review of the literature published during the last 20 years with the objectives of finding out outbreaks of emerging and reemerging viruses in the Asia-Pacific region and finding out any ocular involvement in these viral infections. An iterative search of the MEDLINE and the Google databases was made using the search terms emerging virus, ocular manifestations, ocular complications, Chikungunya, Dengue, Japanese encephalitis, West Nile fever, Kyasanur forest disease, Rift valley fever, Hantavirus, Henipavirus, Influenza virus, Enterovirus 71, and Asia-Pacific region, separately and with reported ocular involvement in combination. This review article discusses the epidemiology and the systemic and ocular manifestations of all emerging viral infections with reported ocular involvement in the Asia-Pacific region.

  9. Youth Driving Community Education: Testimonies of Empowerment from Asia and the Pacific

    ERIC Educational Resources Information Center

    UNESCO Institute for Lifelong Learning, 2014

    2014-01-01

    The case stories presented in this publication focus on young people from vulnerable communities that the Asia South Pacific Association for Basic and Adult Education (ASPBAE) members are actively engaged with and who have been mobilized in ASPBAE programs for youth leadership and capacity development. Their narratives showcase the successes of…

  10. New Challenges for Higher Education: Global and Asia-Pacific Perspectives

    ERIC Educational Resources Information Center

    Shin, Jung Cheol; Harman, Grant

    2009-01-01

    With rapid socio-economic changes, twenty-first century higher education is facing major challenges to its governance systems, curriculum, mission focus, external relations, research, and financing. A theoretical framework to analyze these post-massification challenges is suggested, with a focus on the Asia-Pacific region as well as global issues.…

  11. Future Developments of Educational Research in the Asia-Pacific Region: Paradigm Shifts, Reforms, and Practice

    ERIC Educational Resources Information Center

    Cheng, Yin Cheong

    2007-01-01

    In facing up to the challenges and impacts of globalization, high technology, economic transformation, international competitions and local developments in the new century, there have been numerous educational reforms and initiatives in many countries in the Asia-Pacific Region (Cheng, 2005a, A new paradigm for re-engineering education:…

  12. Promotion of Sustainability in Postgraduate Education in the Asia Pacific Region

    ERIC Educational Resources Information Center

    Naeem, Malik A.; Peach, Neil W.

    2011-01-01

    Purpose: The purpose of this paper is to describe how a consortium of universities in the Asia Pacific region are endeavouring to make a contribution to the implementation of education for sustainable development (ESD) through their participation with and the operation of the Promotion of Sustainability in Postgraduate Education and Research Net…

  13. Educational Developments in Asia and the Pacific--A Graphic Presentation.

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    This booklet reproduces 25 graphic panels designed to depict the development of education in Asia and the Pacific. The contents are divided into five sections. The population section includes data on total population; percentage distribution of population estimates (total and school-age), 1985; percentage illiterate, estimates and projections by…

  14. Sustainability in Higher Education in the Asia-Pacific: Developments, Challenges, and Prospects

    ERIC Educational Resources Information Center

    Ryan, Alexandra; Tilbury, Daniella; Corcoran, Peter Blaze; Abe, Osamu; Nomura, Ko

    2010-01-01

    Purpose: The purpose of this paper is to provide an overview of the contributions of the Asia-Pacific region to leading practice in sustainability in higher education (HE), as prelude and orientation to this special issue collection from different countries and regions. Design/methodology/approach: This is a critical review that includes…

  15. Educational Co-operation in Asia and the Pacific: 30 Years of NIER's Activities.

    ERIC Educational Resources Information Center

    Watanabe, Ryo, Ed.; Numano, Taro, Ed.; Nagata, Yoshiyuki, Ed.

    The history of the regional cooperation program of the National Institute for Educational Research (NIER) is recorded in this document. Specifically, the report outlines the past 30 years of the program in Asia and the Pacific. Throughout those years, 93 seminars, workshops, and symposia have been organized. In addition, information about the…

  16. An Analysis of Asia-Pacific Educational Technology Research Published Internationally in 2000-2013

    ERIC Educational Resources Information Center

    Jung, Insung; Yoo, Mina

    2014-01-01

    The past fourteen years have seen a significant rise in the percentage of Asia-Pacific papers on educational technology (ET) published internationally: from 13.7% in 2000 to 38.4% in 2013. This study seeks to identify the overall trends and gaps in this research. Of the 4,332 articles published in five selected international journals between 2000…

  17. New Challenges for Higher Education: Global and Asia-Pacific Perspectives

    ERIC Educational Resources Information Center

    Shin, Jung Cheol; Harman, Grant

    2009-01-01

    With rapid socio-economic changes, twenty-first century higher education is facing major challenges to its governance systems, curriculum, mission focus, external relations, research, and financing. A theoretical framework to analyze these post-massification challenges is suggested, with a focus on the Asia-Pacific region as well as global issues.…

  18. Emerging University Student Experiences of Learning Technologies across the Asia Pacific

    ERIC Educational Resources Information Center

    Barrett, B. F. D.; Higa, C.; Ellis, R. A.

    2012-01-01

    Three hundred students across eight countries and eleven higher education institutions in the Asia Pacific Region participated in two courses on climate change and disaster management that were supported by learning technologies: a satellite-enabled video-conferencing system and a learning management system. Evaluation of the student experience…

  19. Towards Education for a Sustainable Future in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Fien, John; Obe, Osamu; Bhandari, Bishnu

    2000-01-01

    Outlines initial steps toward education for a sustainable future in the Asia-Pacific Region. Presents results from over 10,000 secondary students in 13 countries on environmental interest and attitudes and willingness to adopt a sustainable lifestyle. Describes an international program to support teacher educators as they reorient teacher…

  20. Education in Asia and the Pacific: Reviews, Reports and Notes. Number 22.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    Special reports on educational developments, are presented. The first of three examines educational reform in Japan and education in Western Australia. Part 2 reviews eight recent publications and studies. The topics are: the core curriculum in selected countries of the Asia and Pacific region; schooling as a preparation for work in Australia and…

  1. Rethinking the Mission of Internationalization of Higher Education in the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Ng, Shun Wing

    2012-01-01

    This article adopts the critical theory approach to reflect and analyse the impacts of globalization on the internationalization process of higher education in the Asia-Pacific region. It argues that globalization forces many of the higher education institutions in the region to follow global practices and ideologies of the Anglo-American paradigm…

  2. Directory of Early Childhood Care and Education Organization in Asia and the Pacific.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    The care and education of children is a primary task of all societies, and the role of parents, families, and communities is essential in this process. This directory describes the major activities of 360 non-governmental and governmental organizations, based in 30 countries in Asia and the Pacific region (Australia; Bangladesh; Bhutan; Cambodia;…

  3. Sustainability in Higher Education in the Asia-Pacific: Developments, Challenges, and Prospects

    ERIC Educational Resources Information Center

    Ryan, Alexandra; Tilbury, Daniella; Corcoran, Peter Blaze; Abe, Osamu; Nomura, Ko

    2010-01-01

    Purpose: The purpose of this paper is to provide an overview of the contributions of the Asia-Pacific region to leading practice in sustainability in higher education (HE), as prelude and orientation to this special issue collection from different countries and regions. Design/methodology/approach: This is a critical review that includes…

  4. Rebalance to Asia and the Pacific: Leveraging Vietnam to Counter-Balance China

    DTIC Science & Technology

    2016-06-10

    REBALANCE TO ASIA AND THE PACIFIC: LEVERAGING VIETNAM TO COUNTER- BALANCE CHINA A thesis presented to the Faculty of the U.S......this dilemma. Vietnam appears to have the capabilities and willingness to provide the U.S. a counter- balance to China in the region. Relationships

  5. Retrospective seroepidemiological study of chikungunya infection in South Asia, Southeast Asia and the Pacific region.

    PubMed

    Ngwe Tun, M M; Inoue, S; Thant, K Z; Talemaitoga, N; Aryati, A; Dimaano, E M; Matias, R R; Buerano, C C; Natividad, F F; Abeyewickreme, W; Thuy, N T T; Mai, L T Q; Hasebe, F; Hayasaka, D; Morita, K

    2016-08-01

    Chikungunya virus (CHIKV) and Ross River virus (RRV) of the genus Alphavirus, family Togaviridae are mainly transmitted by Aedes mosquitoes and the symptoms they cause in patients are similar to dengue. A chikungunya (CHIK) outbreak re-emerged in several Asian countries during 2005-2006. This study aimed to clarify the prevalence of CHIKV infection in suspected dengue patients in six countries in South Asia and Southeast Asia. Seven hundred forty-eight serum samples were from dengue-suspected patients in South Asia and Southeast Asia, and 52 were from patients in Fiji. The samples were analysed by CHIKV IgM capture ELISA, CHIKV IgG indirect ELISA and focus reduction neutralization test against CHIKV or RRV. CHIK-confirmed cases in South Asia, particularly Myanmar and Sri Lanka, were 4·6%, and 6·1%, respectively; and in Southeast Asia, particularly Indonesia, the Philippines and Vietnam, were 27·4%, 26·8% and 25·0%, respectively. It suggests that CHIK was widely spread in these five countries in Asia. In Fiji, no CHIK cases were confirmed; however, RRV-confirmed cases represented 53·6% of suspected dengue cases. It suggests that RRV is being maintained or occasionally entering from neighbouring countries and should be considered when determining a causative agent for dengue-like illness in Fiji.

  6. Security of water, energy, and food nexus in the Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    Taniguchi, M.; Endo, A.; Fujii, M.; Shoji, J.; Baba, K.; Gurdak, J. J.; Allen, D. M.; Siringan, F. P.; Delinom, R.

    2014-12-01

    Water, energy, and food are the most important and fundamental resources for human beings and society. Demands for these resources are escalating rapidly because of increases in populations and changes in lifestyles. Therefore intensive demand for those resources makes conflicts between resources. Securities of water, energy, and food are treated separately, however they should be considered as one integrated matter, because water-energy-food are connected and it makes nexus and tradeoff. Security in terms of self-production, diversity of alternatives, and variability are evaluated for water, energy and food for thirty two countries in the Asia-Pacific region. The water and energy nexus includes water consumption for the cooling of power plant systems, water use for hydro power generation, and energy consumption for water allocation and pumping. The water and food nexus consists of water consumption for agriculture and aquaculture. The energy and food nexus includes energy consumption for food production and biomass for energy. Analyses of 11 countries within the Asia- Pacific region show that energy consumption for fish is the largest among foods in Japan, Philippines, and Peru, while energy consumption for cereals is the largest among foods in Canada, US, Indonesia, and others. Water consumption for different types of food and energy are also analyzed, including nexus ratio to total water consumption. The water-energy-food nexus at a local level in the Asia Pacific region are examined by the Research Institute for Humanity and Nature project "Human environmental security in Asia Pacific Ring of Fire". Themes including geothermal power plants for energy development and hot springs as water, shale gas for energy development and water consumption/contamination, aquaculture for food and water contamination are used to evaluate the water-energy-food nexus in the Asia-Pacific region.

  7. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients.

    PubMed

    Lim, Jeong Uk; Lee, Jae Ha; Kim, Ju Sang; Hwang, Yong Il; Kim, Tae-Hyung; Lim, Seong Yong; Yoo, Kwang Ha; Jung, Ki-Suck; Kim, Young Kyoon; Rhee, Chin Kook

    2017-01-01

    A low body mass index (BMI) is associated with increased mortality and low health-related quality of life in patients with COPD. The Asia-Pacific classification of BMI has a lower cutoff for overweight and obese categories compared to the World Health Organization (WHO) classification. The present study assessed patients with COPD among different BMI categories according to two BMI classification systems: WHO and Asia-Pacific. Patients with COPD aged 40 years or older from the Korean COPD Subtype Study cohort were selected for evaluation. We enrolled 1,462 patients. Medical history including age, sex, St George's Respiratory Questionnaire (SGRQ-C), the modified Medical Research Council (mMRC) dyspnea scale, and post-bronchodilator forced expiratory volume in 1 second (FEV1) were evaluated. Patients were categorized into different BMI groups according to the two BMI classification systems. FEV1 and the diffusing capacity of the lung for carbon monoxide (DLCO) percentage revealed an inverse "U"-shaped pattern as the BMI groups changed from underweight to obese when WHO cutoffs were applied. When Asia-Pacific cutoffs were applied, FEV1 and DLCO (%) exhibited a linearly ascending relationship as the BMI increased, and the percentage of patients in the overweight and obese groups linearly decreased with increasing severity of the Global Initiative for Chronic Obstructive Lung Disease criteria. From the underweight to the overweight groups, SGRQ-C and mMRC had a decreasing relationship in both the WHO and Asia-Pacific classifications. The prevalence of comorbidities in the different BMI groups showed similar trends in both BMI classifications systems. The present study demonstrated that patients with COPD who have a high BMI have better pulmonary function and health-related quality of life and reduced dyspnea symptoms. Furthermore, the Asia-Pacific BMI classification more appropriately reflects the correlation of obesity and disease manifestation in Asian COPD patients

  8. Reimbursement policies in the Asia-Pacific for chronic hepatitis B.

    PubMed

    Lim, Seng Gee; Amarapurkar, Deepak N; Chan, Henry Lik-Yuen; Crawford, Darrell H; Gane, Edward J; Han, Kwang-Hyub; Ahn, Sang Hoon; Jafri, Wasim; Jia, Jidong; Kao, Jia-Horng; Lesmana, Laurentius A; Lesmana, C Rinaldi A; Mohamed, Rosmawati; Phiet, Pham Hoang; Piratvisuth, Teerha; Sarin, Shiv K; Sollarno, Jose D; Eguchi, Yuichiro; Mahtab, Mamun-Al; Lee, Keat Hong

    2015-01-01

    There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region. A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy-its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described. Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5 years. The quantum of reimbursement varied from 50% in Singapore to 100% in the majority of other countries. The criteria for treatment reimbursement were based on doctor's opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir. Reimbursement policies differed from country to country, the

  9. Education for Women's Empowerment in Asia and South Pacific.

    ERIC Educational Resources Information Center

    Cruzada, Elizabeth, Ed.

    1995-01-01

    This issue contains an editorial, "Empowering Women through Education" (Elizabeth Cruzada), and eight articles. "Women and Education" (Swarna Jayaweera) presents the status of women and girls' education in Asia vis-a-vis the goals set in the Nairobi Forward Looking Strategies. "Education Reforms and Development of Chinese…

  10. Cautious Peace: Strategy and Circumstance in Asia-Pacific Security.

    DTIC Science & Technology

    1995-07-01

    Away Asia’s Security Bedrock," Asian Wall Street Journal, July 27, 1993 Simon Dalby , "A Climate of Conflict? Environment and Security in the...34 International Security, 8(1), 1983; Jessica Tuchman Mathews, "Redefining Security," Foreign Affairs, Spring 1989; and Simon Dalby , "A Climate of Conflict

  11. Model-informed risk assessment for Zika virus outbreaks in the Asia-Pacific regions.

    PubMed

    Teng, Yue; Bi, Dehua; Xie, Guigang; Jin, Yuan; Huang, Yong; Lin, Baihan; An, Xiaoping; Tong, Yigang; Feng, Dan

    2017-05-01

    Recently, Zika virus (ZIKV) has been recognized as a significant threat to global public health. The disease was present in large parts of the Americas, the Caribbean, and also the western Pacific area with southern Asia during 2015 and 2016. However, little is known about the factors affecting the transmission of ZIKV. We used Gradient Boosted Regression Tree models to investigate the effects of various potential explanatory variables on the spread of ZIKV, and used current with historical information from a range of sources to assess the risks of future ZIKV outbreaks. Our results indicated that the probability of ZIKV outbreaks increases with vapor pressure, the occurrence of Dengue virus, and population density but decreases as health expenditure, GDP, and numbers of travelers. The predictive results revealed the potential risk countries of ZIKV infection in the Asia-Pacific regions between October 2016 and January 2017. We believe that the high-risk conditions would continue in South Asia and Australia over this period. By integrating information on eco-environmental, social-economical, and ZIKV-related niche factors, this study estimated the probability for locally acquired mosquito-borne ZIKV infections in the Asia-Pacific region and improves the ability to forecast, and possibly even prevent, future outbreaks of ZIKV. Copyright © 2017 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  12. Safety Results of Docetaxel-(Taxotere®)-Based Chemotherapy in Early Breast Cancer Patients of Asia-Pacific Region: Asia-Pacific Breast Initiative II

    PubMed Central

    Kok, Yau Tsz; Thuan, Tran Van; Chao, Tsu-Yi; Shen, Zhen Zhou

    2015-01-01

    Purpose The goal of this registry was to collect patient characteristics and safety data from patients from the Asia-Pacific region with early breast cancer receiving adjuvant chemotherapy containing docetaxel (Taxotere®). Methods This registry was open-label, international, longitudinal, multicenter, and observational in design and included a prospective group of consecutive early breast cancer patients with an intermediate-to-high risk of recurrence being treated with various docetaxel-based (anthracycline and non-anthracycline) adjuvant chemotherapy regimens during 2009-2013 in real-world clinical settings. Results The analysis included 1,712 patients, 79% of whom received docetaxel-based, anthracycline-containing regimens, while 21% received non-anthracycline-containing regimens. Patients receiving adjuvant docetaxel-based chemotherapy were followed for 1.5 years. Chemotherapy-related adverse events (AEs) were reported by 76.2% of patients (anthracycline-containing vs. non-anthracycline-containing regimens: 76.8% vs. 74.1%). Serious AEs were reported in 12% of patients (12.3% vs. 10%). National Cancer Institute Common Terminology Criteria for Adverse Events grade 3 or higher neutropenia was reported in 20% of patients (21.6% vs. 13.9%), leukopenia in 7.4% of patients (5.4% vs. 14.8%), and vomiting in 1.6% of patients (1.8% vs. 0.6%). Treatment-related death was reported in 27 patients (1.6%), while only 3% of patients had a relapse. Low-density lipoprotein cholesterol/high-density lipoprotein cholesterol (HDL-C) and total cholesterol/HDL-C ratios increased after chemotherapy. A clinically insignificant reduction of 1.9% in left ventricular ejection fraction, from 66.43 to 64.53, was observed 1.5 years after therapy was completed. Conclusion The Asia-Pacific Breast initiative II registry identified a variety of important facts regarding patient population characteristics, disease epidemiology and treatment response for early breast cancer patients of the Asia-Pacific

  13. Persistence in rainfall occurrence over Tropical south-east Asia and equatorial Pacific

    NASA Astrophysics Data System (ADS)

    Dahale, S. D.; Panchawagh, N.; Singh, S. V.; Ranatunge, E. R.; Brikshavana, M.

    1994-03-01

    Daily rainfall observations during the principal rainy seasons over a large part of Tropical Asia and the equatorial Pacific are analysed for persistence by fitting Markov chains of various order. Daily rainfall data of 98 stations from India, Sri Lanka and Thailand falling in the monsoonal regime and 9 stations in the non-monsoonal regime of the equatorial Pacific are examined. The appropriate order of Markov chain is determined by analyzing wet and dry spell length characteristics and by applying the Schwarz Baysian Criterion to the arbitrary sequences of 5-day length. Markov chains of order greater than 1 are found to characterize the persistence in rainfall over India and to some extent over wet zones of Sri Lanka and central equatorial Pacific. Simple Markov chains are suggested for Thailand, the dry zone of Sri Lanka and the stations of central equatorial Pacific lying some what away from the equator.

  14. An assessment of national surveillance systems for malaria elimination in the Asia Pacific.

    PubMed

    Mercado, Chris Erwin G; Ekapirat, Nattwut; Dondorp, Arjen M; Maude, Richard J

    2017-03-21

    Heads of Government from Asia and the Pacific have committed to a malaria-free region by 2030. In 2015, the total number of confirmed cases reported to the World Health Organization by 22 Asia Pacific countries was 2,461,025. However, this was likely a gross underestimate due in part to incidence data not being available from the wide variety of known sources. There is a recognized need for an accurate picture of malaria over time and space to support the goal of elimination. A survey was conducted to gain a deeper understanding of the collection of malaria incidence data for surveillance by National Malaria Control Programmes in 22 countries identified by the Asia Pacific Leaders Malaria Alliance. In 2015-2016, a short questionnaire on malaria surveillance was distributed to 22 country National Malaria Control Programmes (NMCP) in the Asia Pacific. It collected country-specific information about the extent of inclusion of the range of possible sources of malaria incidence data and the role of the private sector in malaria treatment. The findings were used to produce recommendations for the regional heads of government on improving malaria surveillance to inform regional efforts towards malaria elimination. A survey response was received from all 22 target countries. Most of the malaria incidence data collected by NMCPs originated from government health facilities, while many did not collect comprehensive data from mobile and migrant populations, the private sector or the military. All data from village health workers were included by 10/20 countries and some by 5/20. Other sources of data included by some countries were plantations, police and other security forces, sentinel surveillance sites, research or academic institutions, private laboratories and other government ministries. Malaria was treated in private health facilities in 19/21 countries, while anti-malarials were available in private pharmacies in 16/21 and private shops in 6/21. Most countries use

  15. The future liver of the Asia pacific: fatter and firmer from more fructose and fortune?

    PubMed

    Mahady, Suzanne E; George, Jacob

    2013-06-01

    The Asia Pacific region is the most diverse and the most populous region in the world. Recent socioeconomic changes have resulted in an emerging epidemic of non-communicable diseases such as type 2 diabetes and nonalcoholic fatty liver disease. The prevalence of nonalcoholic fatty liver disease in Asian Pacific countries now approximates that seen in Western countries. This increase is fueled by rising obesity, partly due to adoption of Western style diets and exposure to compounds such as high fructose corn syrup that are not included in traditional diets. Furthermore, South Asian populations may be more genetically susceptible via the inheritance of polymorphisms in apolipoprotein 3 that increase insulin resistance and nonalcoholic fatty liver disease. Importantly, there remains a substantial lack of data on the incidence and natural history of nonalcoholic steatohepatitis and subsequent complications such as hepatocellular carcinoma in Asian Pacific populations. This information gap prevents estimation of current and future disease burden and impedes efforts to lobby health policymakers to improve public health measures, as given the size of Asian Pacific populations, prevention rather than treatment of non-communicable diseases remains key. This review article addresses these issues and highlights research priorities for nonalcoholic fatty liver disease within the Asia Pacific region.

  16. The Future Liver of the Asia Pacific: Fatter and Firmer from More Fructose and Fortune?

    PubMed Central

    Mahady, Suzanne E.; George, Jacob

    2012-01-01

    The Asia Pacific region is the most diverse and the most populous region in the world. Recent socioeconomic changes have resulted in an emerging epidemic of non-communicable diseases such as type 2 diabetes and nonalcoholic fatty liver disease. The prevalence of nonalcoholic fatty liver disease in Asian Pacific countries now approximates that seen in Western countries. This increase is fueled by rising obesity, partly due to adoption of Western style diets and exposure to compounds such as high fructose corn syrup that are not included in traditional diets. Furthermore, South Asian populations may be more genetically susceptible via the inheritance of polymorphisms in apolipoprotein 3 that increase insulin resistance and nonalcoholic fatty liver disease. Importantly, there remains a substantial lack of data on the incidence and natural history of nonalcoholic steatohepatitis and subsequent complications such as hepatocellular carcinoma in Asian Pacific populations. This information gap prevents estimation of current and future disease burden and impedes efforts to lobby health policymakers to improve public health measures, as given the size of Asian Pacific populations, prevention rather than treatment of non-communicable diseases remains key. This review article addresses these issues and highlights research priorities for nonalcoholic fatty liver disease within the Asia Pacific region. PMID:25755484

  17. Age of the subducting Pacific slab beneath East Asia and its geodynamic implications

    NASA Astrophysics Data System (ADS)

    Liu, Xin; Zhao, Dapeng; Li, Sanzhong; Wei, Wei

    2017-04-01

    We study the age of the subducting Pacific slab beneath East Asia using a high-resolution model of P-wave tomography and paleo-age data of ancient seafloor. Our results show that the lithosphere age of the subducting slab becomes younger from the Japan Trench (∼130 Ma) to the slab's western edge (∼90 Ma) beneath East China, and the flat (stagnant) slab in the mantle transition zone (MTZ) is the subducted Pacific plate rather than the proposed Izanagi plate which should have already collapsed into the lower mantle. The flat Pacific slab has been in the MTZ for no more than ∼10-20 million years, considerably less than the age of the big mantle wedge beneath East Asia (>110 million years). Hence, the present flat Pacific slab in the MTZ has contributed to the Cenozoic destruction of the East Asian continental lithosphere with extensive intraplate volcanism and back-arc spreading, whereas the destruction of the North China Craton during the Early Cretaceous (∼140-110 Ma) was caused by the subduction of the Izanagi (or the Paleo-Pacific) plate.

  18. Combined effect of the Arctic Oscillation and the Western Pacific pattern on East Asia winter temperature

    NASA Astrophysics Data System (ADS)

    Park, Hye-Jin; Ahn, Joong-Bae

    2016-05-01

    The combined effect of the Arctic Oscillation (AO) and Western Pacific (WP) teleconnection pattern on the temperature variation during the winter in the northern hemisphere and East Asia over the last 56 years (1958/1959-2013/2014) was investigated using NCEP/NCAR reanalysis data. The study results revealed that the effect of the AO on winter temperature in East Asia could be changed depending on the phase of the WP pattern in the North Pacific. The negative relationship between the temperature of East Asia (25-45°N, 110-145°E) and the AO increased when the AO and WP were in-phase with each other. Hence, when winter negative (positive) AO was accompanied by negative (positive) WP, negative (positive) temperature anomalies were dominant across the entire East Asia region. Conversely, when the AO and WP were out-of-phase, the winter temperature anomaly in East Asia did not show distinct changes. Furthermore, from the perspective of stationary planetary waves, the zonal wavenumber-2 patterns of sea level pressure and geopotential height at 500 hPa related to the East Asian winter monsoon (EAWM) circulation strengthened when the AO and WP were in-phase but were not significant for the out-of-phase condition. An index considering the effect of both AO and WP on East Asia winter temperature was proposed. The correlation between the index and the East Asia winter temperature was statistically significant at the 99 % confidence level. The index was correlated with synoptic characteristics of the EAWM, including the Siberian High, East Asian trough, East Asian jet stream and surface air temperature.

  19. Advances in translational bioinformatics and population genomics in the Asia-Pacific.

    PubMed

    Ranganathan, Shoba; Tongsima, Sissades; Chan, Jonathan; Tan, Tin Wee; Schönbach, Christian

    2012-01-01

    The theme of the 2012 International Conference on Bioinformatics (InCoB) in Bangkok, Thailand was "From Biological Data to Knowledge to Technological Breakthroughs." Besides providing a forum for life scientists and bioinformatics researchers in the Asia-Pacific region to meet and interact, the conference also hosted thematic sessions on the Pan-Asian Pacific Genome Initiative and immunoinformatics. Over the seven years of conference papers published in BMC Bioinformatics and four years in BMC Genomics, we note that there is increasing interest in the applications of -omics technologies to the understanding of diseases, as a forerunner to personalized genomic medicine.

  20. Pediatric asthma control in Asia: phase 2 of the Asthma Insights and Reality in Asia-Pacific (AIRIAP 2) survey.

    PubMed

    Wong, G W K; Kwon, N; Hong, J G; Hsu, J-Y; Gunasekera, K D

    2013-04-01

    We conducted Phase 2 of the Asthma Insights and Reality in the Asia-Pacific (AIRIAP 2) survey in 2006 to determine the level of asthma control in this region and the validity of the Asthma Control Test (ACT) and childhood ACT (C-ACT) in relation to asthma control. Pediatric participants (0 to <16 years; N = 988) with diagnosed asthma and current asthma symptoms or taking anti-asthma medications were recruited from 12 geographic areas in Asia. The survey consisted of the AIRIAP 2 questionnaire (asthma symptoms, use of urgent healthcare services and anti-asthma medication) and the ACT or C-ACT (English or Chinese translations only), both administered in the participant's preferred language. A symptom control index based on the Global Initiative for Asthma criteria (except lung function) was used to classify asthma control status. Most participants had inadequately controlled asthma ('uncontrolled' = 53.4%, 528/988; 'partly controlled' = 44.0%, 435/988). Only 2.5% (25/988) had 'controlled' asthma. Demand for urgent healthcare services (51.7%, 511/988) and use of short-acting beta-agonists (55.2%, 545/988) was high. The optimal ACT and C-ACT cutoff score for detecting uncontrolled asthma (compared with controlled or partly controlled asthma) was determined to be ≤19 (receiver operating characteristic analysis) with good agreement between the ACT and C-ACT and the symptom control index. Findings from this survey show that asthma control is suboptimal in many children in the Asia-Pacific region. Practical tools, such as the ACT or C-ACT, may help clinicians assess asthma control and facilitate adjustment of asthma medication. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  1. Application of radiation processing in asia and the pacific region: Focus on malaysia

    NASA Astrophysics Data System (ADS)

    Mohd Dahlan, Khairul Zaman HJ.

    1995-09-01

    Applications of radiation processing in Malaysia and other developing countries in Asia and the Pacific region is increasing as the countries move toward industrialisation. At present, there are more than 85 gamma facilities and 334 electron accelerators in Asia and the Pacific region which are mainly in Japan, Rep. of Korea and China. The main applications which are in the interest of the region are radiation sterilisation of medical products; radiation crosslinking of wire and cable, heat shrinkable film and tube, and foam; radiation curing of surface coatings, printing inks and adhesive; radiation vulcanisation of natural rubber latex; radiation processing of agro-industrial waste; radiation treatment of sewage sludge and municipal waste; food irradiation; tissue grafts and radiation synthesis of bioactive materials.

  2. 'Getting the biosecurity architecture right' in the Asia-Pacific region.

    PubMed

    Minehata, Masamichi

    2012-01-01

    This paper offers insights to enhance biosecurity in the Asia-Pacific by asking three questions. What risks/threats are significant in the region? Which security measures should be prioritized? What kind of regional--institutionalized and ad-hoc--arrangements should be implemented? By doing so the paper specifically focuses on two important aspects of biosecurity. Firstly, the issue of immediate capacity-building in the context of disaster relief, public health preparedness and biodefence. Secondly, the long-term preventive aspect, namely education and awareness-raising activities to more broadly promote responsible conduct in life science research in terms of laboratory accidents as well as the intentional use of biological agents for hostile purposes. In order to promote both aspects of biosecurity within the policy process, the paper analyses the strategic value of the US-Japan partnership in its efforts to build a biosecurity architecture in the Asia-Pacific region.

  3. Management of sarcoma in the Asia-Pacific region: resource-stratified guidelines.

    PubMed

    Lewin, Jeremy; Puri, Ajay; Quek, Richard; Ngan, Roger; Alcasabas, Ana Patricia; Wood, David; Thomas, David

    2013-11-01

    Sarcomas are a rare and diverse set of cancers that disproportionately affect young people. The best possible outcome depends on access to highly specialised, multidisciplinary care. Although advances have been made in therapeutic techniques, access to some treatments might be limited by cost implications. This Review proposes an evidence-based, consensus recommendation for optimum management of bone and soft-tissue sarcoma across the Asia-Pacific region, taking into account variation in health-care resources, stratified according to the Breast Health Global Initiative resource levels. A web-based survey of 89 clinicians involved in the care of patients with sarcoma from 18 Asia-Pacific countries generated the recommendations for diagnosis, staging, and management, including supportive and palliative care, and research. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Cooperative measures to mitigate Asia-Pacific maritime conflicts.

    SciTech Connect

    Chai, Wen-Chung

    2003-05-01

    The economies of East Asia are predominantly export based and, therefore, place special emphasis on the security of the sea lines of communication (SLOCs). Due to economic globalization, the United States shares these concerns. Cooperative measures by the concerned parties could reduce the potential for disruption by maritime conflicts. Primary threats against the SLOCs are disputes over the resources under the seas, disputes over some small island groups, disputes between particular parties (China-Taiwan and North-South Korea), or illegal activities like smuggling, piracy, or terrorism. This paper provides an overview on these threats, issue by issue, to identify common elements and needed cooperation. Cooperation on other topics such as search and rescue, fisheries protection, and oil spill response may help support improved relations to prevent maritime conflicts. Many technologies can help support maritime cooperation, including improved communications links, tracking and emergency beacon devices, and satellite imaging. Appropriate technical and political means are suggested for each threat to the SLOCs.

  5. Nasal allergies in the Asian-Pacific population: results from the Allergies in Asia-Pacific Survey.

    PubMed

    Katelaris, Constance H; Lai, Christopher K W; Rhee, Chae-Seo; Lee, Sang Hag; Yun, Wang De; Lim-Varona, Linda; Quang, Vo Thanh; Hwang, Jason; Singh, Harvinder; Kim, Jungsoo; Boyle, John M; Dhong, Hun Jong; Narayanan, Prepageran; Vicente, Gil; Blaiss, Michael; Sacks, Raymond

    2011-01-01

    The Allergies in Asia-Pacific Survey describes the symptoms, impact, and treatment of allergic rhinitis (AR) across Australia, China, Hong Kong, Malaysia, Singapore, Taiwan, Vietnam, and the Philippines. The Allergies in Asia-Pacific Survey was undertaken to further clarify the prevalence of physician-diagnosed nasal allergies (NAs), impact on quality-of-life (QOL), existing treatment paradigms and gaps, and NA medications currently used in treatment. Thirty-three thousand three hundred seventy-eight households were screened for individuals, ≥ 4 years old, with a physician diagnosis of AR or NA and either symptoms or treatment in the past 12 months. Standardized questionnaires were used to make comparisons across regions. A total of 1043 adults and 192 children were included in the survey. Nine percent of participants were diagnosed with AR with two of three responding that their NAs were seasonal in nature. Nasal congestion was the most common and bothersome symptom of AR. Most participants reported that AR impacted their QOL with nearly one-half citing impairments in school/work performance/productivity. Sleep disturbances, secondary to AR, were also shown to be appreciable. Two-thirds of patients took medication for their AR. Less than one-quarter of survey respondents reported taking an intranasal corticosteroid and the satisfaction rate was similar to that of over-the-counter medications. The most common reasons cited for dissatisfaction were related to inadequate efficacy and bothersome side effects. AR appears to be extremely common across Asia-Pacific nations. Many individuals with AR suffer from symptoms that reduce QOL and treatment gaps exist with current therapies. Through identification of disease impact and highlighting treatment gaps, clinicians may better understand and treat AR, leading to improvements in overall patient satisfaction and QOL.

  6. United States security strategy for the east Asia-Pacific region

    SciTech Connect

    1995-02-01

    The United States National Security Strategy published in July 1994 is based on enlarging the community of market democracies while deterring and containing a range of threats to our nation, our allies and our interests. Focusing on new threats and new opportunities, its central goals are: to enhance security by maintaining a strong defense capability and promoting cooperative security measures; to open foreign markets and spur global economic growth; and to promote democracy abroad. In accordance with the National Security Strategy, this document explains United States defense policy toward furthering these goals in the Asia-Pacific region. It builds upon the Strategy`s emphasis on maintaining a strong defense capability to enhance U.S. security and to provide a foundation for regional stability through mutually beneficial security partnerships. As the Strategy states, East Asia is a region of growing importance to American goals: nowhere are the strands of our three-part strategy more intertwined; nowhere is the need for continued engagement more evident. In thinking about the Asia-Pacific region, security comes first, and a committed United States military presence will continue to serve as a bedrock for America`s security role in this dynamic area of the world. The regional security strategy for the Asia-Pacific region emphasizes strengthening the bilateral alliances that have been at the heart of United States strategy for more than forty years. The United States is also committed to contribute to regional security through active participation in new multi-lateral fora like the ASEAN Regional Forum. Through such multi-lateral mechanisms the countries of the region seek to develop new cooperative approaches to achieve greater stability and security. Additionally, the Pacific Command sponsors multi-national military activities.

  7. Assistance Focus: Asia/Pacific Region; Clean Energy Solutions Center (CESC)

    SciTech Connect

    2015-05-11

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to governments in the Asia/Pacific region, including the benefits of that assistance.

  8. Development of Crop Yield Estimation Method by Applying Seasonal Climate Prediction in Asia-Pacific Region

    NASA Astrophysics Data System (ADS)

    Shin, Y.; Lee, E.

    2015-12-01

    Under the influence of recent climate change, abnormal weather condition such as floods and droughts has issued frequently all over the world. The occurrence of abnormal weather in major crop production areas leads to soaring world grain prices because it influence the reduction of crop yield. Development of crop yield estimation method is important means to accommodate the global food crisis caused by abnormal weather. However, due to problems with the reliability of the seasonal climate prediction, application research on agricultural productivity has not been much progress yet. In this study, it is an object to develop long-term crop yield estimation method in major crop production countries worldwide using multi seasonal climate prediction data collected by APEC Climate Center. There are 6-month lead seasonal predictions produced by six state-of-the-art global coupled ocean-atmosphere models(MSC_CANCM3, MSC_CANCM4, NASA, NCEP, PNU, POAMA). First of all, we produce a customized climate data through temporal and spatial downscaling methods for use as a climatic input data to the global scale crop model. Next, we evaluate the uncertainty of climate prediction by applying multi seasonal climate prediction in the crop model. Because rice is the most important staple food crop in the Asia-Pacific region, we assess the reliability of the rice yields using seasonal climate prediction for main rice production countries. RMSE(Root Mean Squire Error) and TCC(Temporal Correlation Coefficient) analysis is performed in Asia-Pacific countries, major 14 rice production countries, to evaluate the reliability of the rice yield according to the climate prediction models. We compare the rice yield data obtained from FAOSTAT and estimated using the seasonal climate prediction data in Asia-Pacific countries. In addition, we show that the reliability of seasonal climate prediction according to the climate models in Asia-Pacific countries where rice cultivation is being carried out.

  9. The United States Strategy in East Asia-Pacific-Implications for Australia’s Defenses

    DTIC Science & Technology

    1996-01-01

    power by wealth, has been a dominant historical catalyst for human conflict. When Charles Darwin published The Descent of Man in 1871 he made the...71 Ross Babbage , "Trends in Asia-Pacific Security." In The Army and the Future. Ed. David Horner, 47-48. Canberra: Directorate of...Keehn, 112. 165 General Charles Krulak, Commandant USMC, in an interview with The Navy Times, 1 January 1996, 18. 166 General Dennis J. Reimer, in

  10. Come the Revolution: Transforming the Asia-Pacific’s Militaries

    DTIC Science & Technology

    2005-01-01

    longer-range air-to-air missiles, and modern antiship cruise missiles. For example: • China, India, South Korea, Malaysia , Singapore, and Taiwan have...helicopter destroyers.” • China, India, Japan, South Korea, Malaysia , and Singapore have all received or will soon acquire tanker aircraft for air-to-air...region have actually increased defense spending over the past decade. Military expenditures in the Asia-Pacific market grew by nearly 27 percent in

  11. Dynamic Spatiotemporal Trends of Dengue Transmission in the Asia-Pacific Region, 1955–2004

    PubMed Central

    Banu, Shahera; Hu, Wenbiao; Guo, Yuming; Naish, Suchithra; Tong, Shilu

    2014-01-01

    Background Dengue fever (DF) is one of the most important emerging arboviral human diseases. Globally, DF incidence has increased by 30-fold over the last fifty years, and the geographic range of the virus and its vectors has expanded. The disease is now endemic in more than 120 countries in tropical and subtropical parts of the world. This study examines the spatiotemporal trends of DF transmission in the Asia-Pacific region over a 50-year period, and identified the disease’s cluster areas. Methodology and Findings The World Health Organization’s DengueNet provided the annual number of DF cases in 16 countries in the Asia-Pacific region for the period 1955 to 2004. This fifty-year dataset was divided into five ten-year periods as the basis for the investigation of DF transmission trends. Space-time cluster analyses were conducted using scan statistics to detect the disease clusters. This study shows an increasing trend in the spatiotemporal distribution of DF in the Asia-Pacific region over the study period. Thailand, Vietnam, Laos, Singapore and Malaysia are identified as the most likely clusters (relative risk = 13.02) of DF transmission in this region in the period studied (1995 to 2004). The study also indicates that, for the most part, DF transmission has expanded southwards in the region. Conclusions This information will lead to the improvement of DF prevention and control strategies in the Asia-Pacific region by prioritizing control efforts and directing them where they are most needed. PMID:24586780

  12. Teaching Neuro-Ophthalmology in the Asia-Pacific Region and China: A Personal Perspective.

    PubMed

    Crompton, John

    2015-12-01

    Over the last 30 years, I have been involved in a number of projects helping to educate and train local ophthalmologists in many parts of Asia and the Pacific Islands, which lack adequate training and service in neuro-ophthalmology. In this article, I offer an overview of a number of different teaching initiatives and offer practical suggestions to anyone who might wish to become involved.

  13. The United States and the Asia-Pacific Region: Security Strategy for the Obama Administration

    DTIC Science & Technology

    2009-02-01

    shared areas of concern. Sustain Military Engagement and Forward Presence The United States must maintain a forward- deployed military presence in the...the U.S.-ASEAN (Association of Southeast Asian Nations) Enhanced Partnership and the proposed Free Trade Area of the Asia- Pacific should be...correctional skills), and equipping and training counterterrorism forces. In order to cooperate effectively in this sensitive area , administration

  14. Transport of Aerosols from Asia and Their Radiative Effects Over the Western Pacific: A 3-D Model Study for ACE-Asia Experiment During Spring 2001

    NASA Technical Reports Server (NTRS)

    Chin, Mian; Ginoux, Paul; Flatau, Piotr; Anderson, Tad; Masonis, Sarah; Russell, Phil; Schmid, Beat; Livingston, John; Redemann, Jens; Kahn, Ralph; hide

    2001-01-01

    The Aerosol Characterization Experiment-Asia (ACE-Asia) took place in Spring 2001 in the East Asia-West Pacific Ocean. During the ACE-Asia intensive field operation period, high concentrations of dust and anthropogenic aerosols were observed over the Yellow Sea and the Sea of Japan, which were transported out from the Asian continent, with the plume often extending to 6-8 km altitude. The multi-component aerosols originated from Asia are expected to exert a significant radiative forcing over the Pacific region. We present here results from the Georgia Tech/Goddard Global Ozone Chemistry Aerosol Radiation and Transport (GOCART) model of aerosol transport and radiative forcing in the context of ACE-Asia. The model calculated aerosol concentrations, extinctions, optical thickness, size distributions, and vertical profiles are compared with the aircraft and ship measurements, and the distributions of aerosols are compared with satellite data. The model will be used to understand the origins of the aerosols observed in ACE-Asia, estimate the contributions from anthropogenic and natural aerosols to the total aerosol optical thickness, investigate the effects of humidification and clouds on aerosol properties, and assess the radiative forcing of Asian aerosols over the Pacific region and in the northern hemisphere.

  15. Survey of common practices among oculofacial surgeons in the Asia-Pacific region: Graves' orbitopathy.

    PubMed

    Sundar, Gangadhara; Chiam, Nathalie; Lun, Katherine; Koh, Victor

    2014-10-01

    A web-based anonymous survey was performed to evaluate practice preferences in the management of Graves' orbitopathy amongst oculofacial surgeons in the Asia-Pacific region. A questionnaire with contentious topics in Graves' orbitopathy was sent out via email to oculofacial surgeons in 14 countries within Asia-Pacific between May to December 2012. A response rate of 25.2% to 34.6% was achieved (32-44 of 127 participants). 61.0% of respondents encountered Graves' orbitopathy commonly in their practice. The more common causes of vision loss in Graves' orbitopathy included dysthyroid optic neuropathy (67.5%) and exposure keratopathy (15.0%). The clinical activity score was the most popular grading system for assessing Graves' orbitopathy. The preferred non-surgical therapeutic approaches included intravenous pulsed methylprednisolone (79.5%), oral steroids (56.4%), orbital radiation (12.8%), steroid-sparing immunosuppressants (10.3%) and watchful observation (7.7%). Thyroid orbital decompression was uncommonly or rarely performed by respondents. Orbital surgical decompression was most commonly performed via the two-wall technique (73.5%) and most respondents performed fat decompression (69.4%). Post-operatively, the most common complications include under correction (45.5%) and diplopia (42.4%). We report the results of the first survey on the management of Graves' orbitopathy amongst oculofacial surgeons in Asia-Pacific. Our respondents practice preferences reflected the Graves' orbitopathy management consensus statement by the European group on Graves' orbitopathy in 2008.

  16. An overview of Korean patients with mucopolysaccharidosis and collaboration through the Asia Pacific MPS Network.

    PubMed

    Cho, Sung Yoon; Sohn, Young Bae; Jin, Dong-Kyu

    2014-08-01

    Mucopolysaccharidosis (MPS) is a constellation of disorders characterized by the accumulation of mucopolysaccharides in tissues and organs. This accumulation results in the deterioration and degeneration of multiple organs. This paper describes the general distribution of types of MPS in patients, their clinical characteristics and genotypes, the development of animal studies and preclinical studies, enzyme replacement therapy in South Korea, and the development of idursulfase beta and clinical trials on idursulfase beta in South Korea. In addition, this paper discusses academic collaboration among specialists in MPS care in the Asia-Pacific region, which includes Japan, Taiwan, Malaysia, and South Korea, through an organization called the Asia-Pacific MPS Network (APMN). The Asia-Pacific MPS Registry, an electronic remote data entry system, has been developed by key doctors in the APMN. Rare diseases require international cooperation and collaboration to elucidate their mechanisms and carry out clinical trials; therefore, an organization such as the APMN is required. Furthermore, international collaboration among Asian countries and countries around the world will be of utmost importance in the future.

  17. Remote monitoring of cardiac implantable devices in the Asia-Pacific.

    PubMed

    Lau, Chu-Pak; Zhang, Shu

    2013-06-01

    Remote monitoring of pacemakers and implantable cardioverter defibrillators (ICDs) has emerged as a tool to replace regular follow-up of such devices, and to detect hardware failure, arrhythmias, and heart failure decompensation. The Asia-Pacific region is a geographically diverse area, with widely different cardiac device implant rates and expertise. However, common to all countries, distance and logistic for patients to reach an expert monitoring centre for routine follow up are significant, and in some countries, this will likely be replaced by remote monitoring. Unscheduled visits such as for the treatment of atrial fibrillation and ICD shocks will be expedited. There has been an increase in both pacemaker and ICD implant rates in Asia-Pacific, due to an ageing population and improvement in economic condition. Among the countries, Australia and Japan are the major users of remote monitoring. According to the statistics of the suppliers, in Australia, up to 15% of pacemakers, 40% ICD, and 30% cardiac resynchronization therapy (CRT)/cardiac resynchronization therapy defibrillator (CTRD) are remotely monitored. The corresponding numbers for Japan are 5, 50, and 50% respectively. The monitoring personnel include nurses, technicians, and doctors, either from local centre or from device companies. Cost, lack of reimbursement, and logistic support are major issues in widespread application of remote monitoring technology. In conclusion, remote monitoring is increasing in Asia-Pacific region despite the increase in cost. Implantable cardioverter defibrillators and CRT/CRTDs are more likely than pacemakers to be enabled with remote monitoring.

  18. Mechanical circulatory support and heart transplantation in the Asia Pacific region.

    PubMed

    Sivathasan, Cumaraswamy; Lim, Choon Pin; Kerk, Ka Lee; Sim, David K L; Mehra, Mandeep R

    2017-01-01

    . By the end of 2015, 243 HeartWare HVADs had been implanted in Asia Pacific. There is a need for focused efforts at improving the reporting of data and intensifying health policy within the region to advocate organ transplantation. Individual governments need to take national responsibility to fulfill organ donation and transplantation needs of their populations. International collaboratives, coordinated by societies such as the ISHLT, will be essential in moving this field forward in Asia Pacific.

  19. PrEP implementation in the Asia-Pacific region: opportunities, implementation and barriers

    PubMed Central

    Zablotska, Iryna; Grulich, Andrew E; Phanuphak, Nittaya; Anand, Tarandeep; Janyam, Surang; Poonkasetwattana, Midnight; Baggaley, Rachel; van Griensven, Frits; Lo, Ying-Ru

    2016-01-01

    Introduction HIV epidemics in the Asia-Pacific region are concentrated among men who have sex with men (MSM) and other key populations. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention intervention and could be a potential game changer in the region. We discuss the progress towards PrEP implementation in the Asia-Pacific region, including opportunities and barriers. Discussion Awareness about PrEP in the Asia-Pacific is still low and so are its levels of use. A high proportion of MSM who are aware of PrEP are willing to use it. Key PrEP implementation barriers include poor knowledge about PrEP, limited access to PrEP, weak or non-existent HIV prevention programmes for MSM and other key populations, high cost of PrEP, stigma and discrimination against key populations and restrictive laws in some countries. Only several clinical trials, demonstration projects and a few larger-scale implementation studies have been implemented so far in Thailand and Australia. However, novel approaches to PrEP implementation have emerged: researcher-, facility- and community-led models of care, with PrEP services for fee and for free. The WHO consolidated guidelines on HIV testing, treatment and prevention call for an expanded access to PrEP worldwide and have provided guidance on PrEP implementation in the region. Some countries like Australia have released national PrEP guidelines. There are growing community leadership and consultation processes to initiate PrEP implementation in Asia and the Pacific. Conclusions Countries of the Asia-Pacific region will benefit from adding PrEP to their HIV prevention packages, but for many this is a critical step that requires resourcing. Having an impact on the HIV epidemic requires investment. The next years should see the region transitioning from limited PrEP implementation projects to growing access to PrEP and expansion of HIV prevention programmes. PMID:27760688

  20. What have we learnt from ISAAC phase III in the Asia-Pacific rim?.

    PubMed

    Fok, Annie O L; Wong, Gary W K

    2009-04-01

    International Study of Asthma and Allergies in Childhood (ISAAC) phase III had provided a worldwide map of epidemiology of asthma and allergic diseases, as well as the changes in prevalence rate of these diseases when compared to data obtained in phase I. The wide variations of environmental factors and ethnic background in Asia provide excellent opportunities for research into the environmental and genetic determinants of asthma and allergies. This review summarizes important lessons learnt from ISAAC phase III results from Asia on asthma and allergy. ISAAC phase III provided epidemiological evidence of the wide variation and increasing prevalence of asthma and allergy in many Asian countries. When compared to other regions of the world, Asia has a relatively lower prevalence of asthma and allergic diseases. Comparative studies of populations of the same ethnic group living in different environments reveal striking disparity in prevalence of asthma and allergic diseases. The established risk factors could not explain the secular trend and variations of asthma prevalence in different Asian countries. Further research is needed in this rapidly changing region of Asia in order to identify the protective or risk factors associated with the development of asthma. ISAAC phase III provides standardized data on the prevalence and burden of asthma and allergy in the Asia-Pacific region. Further research is needed to reveal the underlying factors responsible for the wide variations in disease manifestations in the region.

  1. The changing face of crises and aid in the Asia-Pacific.

    PubMed

    Gursky, Elin A; Burkle, Frederick M; Hamon, David W; Walker, Peter; Benjamin, Georges C

    2014-01-01

    Both US foreign policy and global attention attest to the strategic, economic, and political importance of Asia. Yet, the region faces urgent challenges that must be addressed if it is to remain stable and prosperous. The densely populated countries of the Asia-Pacific are beleaguered by poverty, population displacement, decreasing access to potable water and adequate sanitation, and high rates of disease morbidity and mortality. New and reemerging diseases known to have originated in Asia over the past decades have spread globally by international trade, tourism, worker migration, and agricultural exportation. Unremitting naturally occurring and man-made disasters have strained Southeast Asia's already fragile disaster and public health response infrastructures and the essential services they provide (eg, surveillance, vaccination, maternal and child health, and mental health programs). Following disasters, governments often contract with the broader humanitarian community (eg, indigenous and international NGOs) and seek the assistance of militaries to provide essential services. Yet, their roles and capabilities in addressing acute and chronic health issues in the wake of complex disasters remain unclear. Current mechanisms of nation-state and outside organization interaction, including dissimilar operational platforms, may limit true partnership on behalf of the health security mission. Additionally, concerns regarding skill sets and the lack of standards-based training raise questions about the balance between developing internal response capabilities and professionalizing external, deployable resources. Both the mega-disasters that are forecast for the region and the global health security threats that are expected to emanate from them require an increased focus on improving the Asia-Pacific's emergency preparedness and response posture.

  2. The Changing Face of Crises and Aid in the Asia-Pacific

    PubMed Central

    Burkle, Frederick M.; Hamon, David W.; Walker, Peter; Benjamin, Georges C.

    2014-01-01

    Both US foreign policy and global attention attest to the strategic, economic, and political importance of Asia. Yet, the region faces urgent challenges that must be addressed if it is to remain stable and prosperous. The densely populated countries of the Asia-Pacific are beleaguered by poverty, population displacement, decreasing access to potable water and adequate sanitation, and high rates of disease morbidity and mortality. New and reemerging diseases known to have originated in Asia over the past decades have spread globally by international trade, tourism, worker migration, and agricultural exportation. Unremitting naturally occurring and man-made disasters have strained Southeast Asia's already fragile disaster and public health response infrastructures and the essential services they provide (eg, surveillance, vaccination, maternal and child health, and mental health programs). Following disasters, governments often contract with the broader humanitarian community (eg, indigenous and international NGOs) and seek the assistance of militaries to provide essential services. Yet, their roles and capabilities in addressing acute and chronic health issues in the wake of complex disasters remain unclear. Current mechanisms of nation-state and outside organization interaction, including dissimilar operational platforms, may limit true partnership on behalf of the health security mission. Additionally, concerns regarding skill sets and the lack of standards-based training raise questions about the balance between developing internal response capabilities and professionalizing external, deployable resources. Both the mega-disasters that are forecast for the region and the global health security threats that are expected to emanate from them require an increased focus on improving the Asia-Pacific's emergency preparedness and response posture. PMID:25268048

  3. Epidemiology of hepatitis B virus infection in the Asia-Pacific region.

    PubMed

    Chen, C J; Wang, L Y; Yu, M W

    2000-05-01

    There is a wide variation of hepatitis B virus (HBV) infection in the Asia-Pacific region. The prevalence of chronic HBV infection is lowest (<1%) in North America, Australia and New Zealand, 2-4% in Japan, 5-18% in China and highest (15-20%) in Taiwan as well as several other countries in South East Asia. Perinatal transmission is common in HBV-hyperendemic areas. Geographical clusters of horizontal HBV infection have been reported in both high- and low-risk countries. Common sources of infection, including iatrogenic and sexual transmission, have been implicated. Migrant studies indicate the importance of childhood environments in the determination of HBV infection. Rural urban and ethnic differences in the prevalence of HBV infection have also been reported. There has been a decrease in the prevalence of HBV infection after mass HBV vaccination programmes in some Asia-Pacific countries, which may be due to the intervention of possible transmission routes through the use of disposable syringes and needles, screening of HBV infection markers in blood banks, and prevention of high-risk tattooing, acupuncture, ear-piercing and sexual contact. A striking decrease in the incidence of HBV infection and hepatocellular carcinoma has been observed among children in Taiwan and other areas where mass vaccination programmes have been implemented.

  4. PRACTICAL BARRIERS TO IMPLEMENTATION OF THYROID CANCER GUIDELINES IN THE ASIA-PACIFIC REGION.

    PubMed

    Yang, Samantha Peiling; Ying, Lee Suat; Saw, Stephanie; Tuttle, R Michael; Venkataraman, Kavita; Su-Ynn, Chia

    2015-11-01

    Numerous published guidelines have described the optimal management of thyroid cancer. However, these rely on the clinical availability of diagnostic and therapeutic modalities. We hypothesized that the availability of medical resources and economic circumstances vary in Asia-Pacific countries, making it difficult to implement guideline recommendations into clinical practice. We surveyed participants at the 2009 and 2013 Congresses of the Association of Southeast Asian Nations Federation of Endocrine Societies by distributing questionnaires to attendees at registration. Responses were obtained from 268 respondents in 2009 and 163 respondents in 2013. Similar to the high prevalence of low-risk thyroid cancer observed in the Surveillance, Epidemiology, and End Results database, across the Asia-Pacific countries surveyed in 2009 and 2013, 50 to 100% of the respondents from the Philippines, Malaysia, Singapore, China, Taiwan, Thailand, Hong Kong, Korea, and Sri Lanka reported that more than 50% of the patients had low-risk thyroid cancer on follow-up. Importantly, there was much variation with regards to the perceived availability of investigation and treatment modalities. We found a wide variation in clinicians' perception of availability of diagnostic and therapeutic modalities in the face of a rise in thyroid cancer incidence and thyroid cancer management guidelines that emphasized their importance. The lack of availability of management tools and treatments will prove to be a major barrier to the implementation of thyroid cancer management guidelines in Southeast Asia, and likely in other parts of the world as well.

  5. Pacific Bridges: The New Immigration from Asia and the Pacific Islands.

    ERIC Educational Resources Information Center

    Fawcett, James T., Ed.; Carino, Benjamin V., Ed.

    The following papers are collected in this anthology of research on East-West international migration: (1) "International Migration and Pacific Basin Development" (James T. Fawcett and Benjamin V. Carino); (2) "The Global Picture of Contemporary Immigration Patterns" (Mary M. Kritz); (3) "One Field, Many Views: Competing…

  6. United States security strategy for the East Asia-Pacific region

    SciTech Connect

    1998-12-31

    The three years since release of the last East Asia Strategy Report (EASR) have produced important development in the security environment of the Asia-Pacific region. The 1998 EASR outlines a multifaceted regional security strategy, including: maintenance of comprehensive US engagement, including not only the presence of approximately 100,000 US military personnel in Asia but also a variety of other public and private interaction with the region; continued enhancement of the alliance relationships with Japan, Korea, Australia, Thailand and the Philippines; comprehensive engagement with China to build the foundation for a long-term relationship based on cooperation and mutual interest; broadening of cooperation with the nations of Southeast Asia on security and confidence building; expansion of regional cooperation with Russia; support for the development of security pluralism, including expansion of multilateral, minilateral and bilateral dialogue in the region; promotion of democracy; stemming and countering proliferation of weapons of mass destruction (WMD): and increased attention to terrorism, environmental degradation, emerging infectious diseases, drug trafficking and other transnational challenges as critical elements of `comprehensive security.`

  7. [Current trends of NASH/NAFLD in Asia-Pacific region].

    PubMed

    Ishii, Hiromasa

    2006-06-01

    In Japan, much attention has been paid to NASH and NAFLD for the past several years and the prevalence of this disease entity has been estimated, and NASH is thought to be present in 10% of those who have fatty liver diseases. Other points out the prevalence of NASH in Japan as 6 to 8 hundred thousand patients. The last two or three decades have seen the evolution of Western-style life of near complete inactivity, energy-dense food choices and liberal fiscal resources to obtain them and other means to avoid physical activity. Moreover, what is increasingly apparent is that NASH and NAFLD is not a Western disease and many population groups in the Asia-Pacific region are particularly prone to type 2 diabetes. Thus, it is not surprising that NASH has increasingly been diagnosed in several regions in Asia including Indonesia, Malaysia, Philippines, Thailand and India.

  8. Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations.

    PubMed

    Kimura, M; Croll, P; Li, B; Wong, C P; Gogia, S; Faud, A; Kwak, Y-S; Chu, S; Marcelo, A; Chow, Y-H; Paoin, W; Li, Y-C

    2011-01-01

    To clarify health record background information in the Asia-Pacific region, for planning and evaluation of medical information systems. The survey was carried out in the summer of 2009. Of the 14 APAMI (Asia-Pacific Association for Medical Informatics) delegates 12 responded which were Australia, China, Hong Kong, India, Indonesia, Japan, Korea, New Zealand, the Philippines, Singapore, Thailand, and Taiwan. English is used for records and education in Australia, Hong Kong, India, New Zealand, the Philippines, Singapore and Taiwan. Most of the countries/regions are British Commonwealth. Nine out of 12 delegates responded that the second purpose of medical records was for the billing of medical services. Seven out of nine responders to this question answered that the second purpose of EHR (Electronic Health Records) was healthcare cost cutting. In Singapore, a versatile resident ID is used which can be applied to a variety of uses. Seven other regions have resident IDs which are used for a varying range of purposes. Regarding healthcare ID, resident ID is simply used as healthcare ID in Hong Kong, Singapore and Thailand. In most cases, disclosure of medical data with patient's name identified is allowed only for the purpose of disease control within a legal framework and for disclosure to the patient and referred doctors. Secondary use of medical information with the patient's identification anonymized is usually allowed in particular cases for specific purposes. This survey on the health record background information has yielded the above mentioned results. This information contributes to the planning and evaluation of medical information systems in the Asia-Pacific region.

  9. Medical physics aspects of cancer care in the Asia Pacific region: 2011 survey results

    PubMed Central

    Kron, T; Azhari, HA; Voon, EO; Cheung, KY; Ravindran, P; Soejoko, D; Inamura, K; Han, Y; Ung, NM; Bold, L; Win, UM; Srivastava, R; Meyer, J; Farrukh, S; Rodriguez, L; Kuo, M; Lee, JCL; Kumara, A; Lee, CC; Krisanachinda, A; Nguyen, XC; Ng, KH

    2012-01-01

    Background: Medical physicists are essential members of the radiation oncology team. Given the increasing complexity of radiotherapy delivery, it is important to ensure adequate training and staffing. The aim of the present study was to update a similar survey from 2008 and assess the situation of medical physicists in the large and diverse Asia Pacific region. Methods: Between March and July 2011, a survey on profession and practice of radiation oncology medical physicists (ROMPs) in the Asia Pacific region was performed. The survey was sent to senior physicists in 22 countries. Replies were received from countries that collectively represent more than half of the world’s population. The survey questions explored five areas: education, staffing, work patterns including research and teaching, resources available, and job satisfaction. Results and discussion: Compared to a data from a similar survey conducted three years ago, the number of medical physicists in participating countries increased by 29% on average. This increase is similar to the increase in the number of linear accelerators, showing that previously identified staff shortages have yet to be substantially addressed. This is also highlighted by the fact that most ROMPs are expected to work overtime often and without adequate compensation. While job satisfaction has stayed similar compared to the previous survey, expectations for education and training have increased somewhat. This is in line with a trend towards certification of ROMPs. Conclusion: As organisations such as the International Labour Organization (ILO) start to recognise medical physics as a profession, it is evident that despite some encouraging signs there is still a lot of work required towards establishing an adequately trained and resourced medical physics workforce in the Asia Pacific region. PMID:22970066

  10. Responding to the threat of global warming: Options for the Pacific and Asia

    SciTech Connect

    Streets, D.G.; Siddiqi, T.A.

    1989-01-01

    In June 1989, Argonne National Laboratory and the Environment and Policy Institute of the East-West Center jointly sponsored a workshop that was held at the East-West Center in Honolulu, Hawaii. The primary goal of the workshop was to explore the options that the countries of the Pacific and Asia have for dealing with the threat of global warming. The countries of the Pacific and Asia must address a variety of issues related to global warming, ranging from determining the advisability of reducing greenhouse-gas emissions to assessing the vulnerability of various communities to the consequences of climate change only adds to the many other important health and socioeconomic problems they must face. The goal of this workshop was to bring together policy makers, scientists, and analysts who are concerned about the issue of climate change in this region so they could begin to develop information that will help decision makers formulate rational policy alternatives. Four principal areas of discussion were addressed in the workshop: the current state of knowledge about global climate change and its likely consequences; energy policy options for slowing the expected growth in emissions of greenhouse gases; mitigation measures to cope with the impacts (including impacts related to agriculture and sea-level rise), should they occur, and research needs to assist decision makers in the Pacific and Asia. This volume compiles the proceedings of the workshop. The invited and contributed papers included here are in the form in which they were submitted to the meeting. This volume contains 37 papers. Individual papers are indexed separately on the energy database.

  11. Level of asthma control and health care utilization in Asia-Pacific countries.

    PubMed

    Gold, Laura S; Thompson, Phillip; Salvi, Sundeep; Faruqi, Rab A; Sullivan, Sean D

    2014-02-01

    Data on the impact of asthma in many countries in the Asia-Pacific region is limited. This study investigated whether partly- and uncontrolled asthma were associated with increased medication use/healthcare utilization and productivity loss among a population of asthma patients from nine Asia-Pacific countries. We used cross-sectional data from 3630 asthma patients ≥12 years from the 2011 Asia-Pacific Asthma Insights and Management (AP-AIM) survey. Using Global Initiative for Asthma (GINA) guidelines, patients were categorized as having well-controlled, partly- controlled, or uncontrolled asthma. Chi-square tests were used to assess the relation of degree of asthma control with utilization of asthma medications, health services, productivity, and mood. Overall, 7.6% of the patients surveyed had asthma that was well-controlled, with the highest proportions in Singapore (14%) and the lowest in India (0%) and China (2%). Patients whose asthma was not well-controlled reported greater use of asthma medications, more emergency healthcare visits or hospitalizations for their asthma, and more interference of their mood due to asthma. They also reported significant decreases in productivity due to asthma. Patients who did not have well-controlled asthma had greater utilization rates of asthma medications and healthcare services and were more likely to report missing multiple days of work/school compared to patients whose asthma was well-controlled. These associations suggest that emphasis on improving asthma control could have dramatic effects on patient well-being and utilization of healthcare resources. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. Seismic imaging of the stagnant Pacific slab in the mantle transition zone under East Asia

    NASA Astrophysics Data System (ADS)

    Zhao, D.

    2008-12-01

    We used regional and global seismic tomography to determine high-resolution 3-D P-wave velocity structure of the crust and mantle down to 1200 km depth under Western Pacific to East Asia (Zhao, 2004, 2007; Huang and Zhao, 2006). A large number of arrival times of P, pP, PP and PcP waves recorded by many seismic stations in East Asia are used in the tomographic inversions. The subducting Pacific slab is imaged clearly as a high-velocity zone from the oceanic trenches down to 670-km depth, and intermediate-depth and deep earthquakes are located within the slab. The Pacific slab becomes stagnant in the mantle transition zone under eastern China. The western edge of the stagnant slab is generally parallel with the Japan trench and the Ryukyu trench and roughly coincides with a prominent surface topographic boundary in East China. Although there are some discrepancies between the topographic boundary and the western edge of the stagnant slab, both of them are located approximately 1800 km west of the trenches. The entire Pacific slab is stagnant in the mantle transition zone under Northeast China (53-37 degree north latitude). Under 37-28 degree north latitude, however, some of the slab materials are visible below the 670-km discontinuity, though most of the slab materials are still in the transition zone, suggesting that part of the slab materials have started to drop down to the lower mantle. Under the Mariana arc, the Pacific slab penetrates directly down to the lower mantle. It is also visible that the Philippine Sea slab has subducted down to the mantle transition zone depth under western Japan and the Ryukyu back-arc region (Abdelwahed and Zhao, 2007). There are three active intraplate volcanoes in China. The Changbai and Wudalianchi volcanoes in Northeast China are underlain by significant slow anomalies in the upper mantle, above the stagnant Pacific slab, suggesting that the two active volcanoes are not hot spots but a kind of back-arc volcanoes associated with

  13. Control of neglected tropical diseases in Asia Pacific: implications for health information priorities

    PubMed Central

    2012-01-01

    Poverty magnifies limitations posed by traditional biases and environmental risks. Any approach towards disease control needs to recognise that socially embedded vulnerabilities can be as powerful as externally imposed infections. Asia Pacific has a specific panorama of infectious diseases, which, in common with other endemic areas, have a tendency to emerge or re-emerge if not carefully monitored. Sustained control aiming at elimination requires strong emphasis on surveillance and response. Well-designed informatics platforms can improve support systems and strengthen control activities, as they rapidly locate high-risk areas and provide detailed, up-to-date information on the performance of ongoing control programmes. PMID:23849136

  14. Dynamic spanning trees in stock market networks: The case of Asia-Pacific

    NASA Astrophysics Data System (ADS)

    Sensoy, Ahmet; Tabak, Benjamin M.

    2014-11-01

    This article proposes a new procedure to evaluate Asia Pacific stock market interconnections using a dynamic setting. Dynamic spanning trees (DST) are constructed using an ARMA-FIEGARCH-cDCC process. The main results show that: 1. the DST significantly shrinks over time; 2. Hong Kong is found to be the key financial market; 3. the DST has a significantly increased stability in the last few years; 4. the removal of the key player has two effects: there is no clear key market any longer and the stability of the DST significantly decreases. These results are important for the design of policies that help develop stock markets and for academics and practitioners.

  15. More arms, less stability: Nuclear, chemical, and missile proliferation in the Asia-Pacific. Final report

    SciTech Connect

    Mack, A.

    1991-04-01

    In the wake of the Gulf War, the Bush Administration has reaffirmed its determination to seek controls over weapons of mass destruction in the Third World, in particular nuclear, chemical, and biological weapons (CBW); and over ballistic missiles, one possible delivery system for nuclear and CBW systems. Attention over the past eight months has naturally focused on the Middle East, but the Asia-Pacific region contains a number of countries which are alleged to have CW and BW programs. One country, North Korea, is far closer to manufacturing nuclear weapons than Iraq was.

  16. Brief Report: Databases in the Asia-Pacific Region: The Potential for a Distributed Network Approach.

    PubMed

    Lai, Edward Chia-Cheng; Man, Kenneth K C; Chaiyakunapruk, Nathorn; Cheng, Ching-Lan; Chien, Hsu-Chih; Chui, Celine S L; Dilokthornsakul, Piyameth; Hardy, N Chantelle; Hsieh, Cheng-Yang; Hsu, Chung Y; Kubota, Kiyoshi; Lin, Tzu-Chieh; Liu, Yanfang; Park, Byung Joo; Pratt, Nicole; Roughead, Elizabeth E; Shin, Ju-Young; Watcharathanakij, Sawaeng; Wen, Jin; Wong, Ian C K; Yang, Yea-Huei Kao; Zhang, Yinghong; Setoguchi, Soko

    2015-11-01

    This study describes the availability and characteristics of databases in Asian-Pacific countries and assesses the feasibility of a distributed network approach in the region. A web-based survey was conducted among investigators using healthcare databases in the Asia-Pacific countries. Potential survey participants were identified through the Asian Pharmacoepidemiology Network. Investigators from a total of 11 databases participated in the survey. Database sources included four nationwide claims databases from Japan, South Korea, and Taiwan; two nationwide electronic health records from Hong Kong and Singapore; a regional electronic health record from western China; two electronic health records from Thailand; and cancer and stroke registries from Taiwan. We identified 11 databases with capabilities for distributed network approaches. Many country-specific coding systems and terminologies have been already converted to international coding systems. The harmonization of health expenditure data is a major obstacle for future investigations attempting to evaluate issues related to medical costs.

  17. Population and development in Asia and the Pacific: a demographic analysis.

    PubMed

    Debavalya, N

    1982-06-01

    Close examinations of population trends shows that the new trends reflect demographic changes that have occurred in many developing countries in Asia and the Pacific. In East Asia the population growth rate has declined rather rapidly from 1.94% in 1960-65 to 1.38% in 1975-80 and 1.24% in 1980-85. Since nearly 85% of this region's population is accounted for by China, demographic trends there virtually dictate the trends for the region as a whole. The available data suggest that the growth rate in China declined from 2.02% in 1970-75 to 1.4% in 1975-80 and is expected to reach 1.27% during 1980-85. The sharp decline in China's population growth rate is expected to continue. It is anticipated that the population of East Asia will increase to 1.4 billion by the year 2000. In addition, the growth rate has declined significantly in Japan and the Republic of Korea. The growth rate is declining in Eastern South and Middle South Asia as well. Longterm declines have brought growth rates down in Sri Lanka and Singapore. More recently, the rate of growth also has begun to fall in India, Indonesia, Malaysia, the Philippines, and Thailand, while it remains generally at high levels in Bangladesh, Nepal, and Pakistan. In the Oceania region, 79% of which is made up of Australia and New Zealand, the growth rate is also steadily decreasing. Despite the decrease in the growth rate of Asia and the Pacific, especially during 1980-2000, in absolute terms its growth will be the largest in the world during these 29 years; 908 million out of 1687 million of the total growth. Asia and the Pacific will contribute more than 45 million people a year during the final 20 years of this century. For the world as a whole, the new estimates and projections indicate a slow but steady decline of the crude birthrate from 36.3/1000 in 1950-55 to 28.5 in 1975-80, then to 23.9 in 1995-2000, and finally to 17.9 in 2020-2025. China had a birthrate estimated at about 21 in 1975-80; and India and Indonesia

  18. Imperial Queerness: The U.S. Homophile Press and Constructions of Sexualities in Asia and the Pacific, 1953-1964.

    PubMed

    Simpson, Carly

    2017-01-17

    This essay examines the ways in which U.S. homophile magazines represented and constructed Asia and the Pacific from 1953 to 1964. Through an analysis of 209 items that referenced Asia and the Pacific in ONE, Mattachine Review, and the Ladder, the essay argues that U.S. homophiles referenced the region in three primary ways: first, to create relationships, allies, and exchanges with people living in the region; second, to highlight the inferiority of the East and superiority of the West; and third, to reveal the cross-cultural and transhistorical nature of homosexuality. These references were influenced by Orientalism, colonialism, and the Cold War, which framed Asia and the Pacific as both sexually and culturally backwards, but also as a potential tourist destination for gay men and lesbian women.

  19. Alzheimer's disease with cerebrovascular disease: current status in the Asia-Pacific region.

    PubMed

    Chen, C; Homma, A; Mok, V C T; Krishnamoorthy, E; Alladi, S; Meguro, K; Abe, K; Dominguez, J; Marasigan, S; Kandiah, N; Kim, S Y; Lee, D Y; De Silva, H A; Yang, Y-H; Pai, M-C; Senanarong, V; Dash, A

    2016-10-01

    There is growing awareness of the coexistence of Alzheimer's disease and cerebrovascular disease (AD+CVD), however, due to lack of well-defined criteria and treatment guidelines AD+CVD may be underdiagnosed in Asia. Sixteen dementia specialists from nine Asia Pacific countries completed a survey in September 2014 and met in November 2014 to review the epidemiology, diagnosis and treatment of AD+CVD in Asia. A consensus was reached by discussion, with evidence provided by published studies when available. AD accounts for up to 60% and AD+CVD accounts for 10-20% of all dementia cases in Asia. The reasons for underdiagnosis of AD+CVD include lack of awareness as a result of a lack of diagnostic criteria, misdiagnosis as vascular dementia or AD, lack of diagnostic facilities, resource constraints and cost of investigations. There is variability in the tools used to diagnose AD+CVD in clinical practice. Diagnosis of AD+CVD should be performed in a stepwise manner of clinical evaluation followed by neuroimaging. Dementia patients should be assessed for cognition, behavioural and psychological symptoms, functional staging and instrumental activities of daily living. Neuroimaging should be performed using computed tomography or magnetic resonance imaging. The treatment goals are to stabilize or slow progression as well as to reduce behavioural and psychological symptoms, improve quality of life and reduce disease burden. First-line therapy is usually an acetylcholinesterase inhibitor such as donepezil. AD+CVD is likely to be under-recognised in Asia. Further research is needed to establish the true prevalence of this treatable and potentially preventable disease. © 2016 The Association for the Publication of the Journal of Internal Medicine.

  20. Regional ash fall hazard II: Asia-Pacific modelling results and implications

    NASA Astrophysics Data System (ADS)

    Jenkins, Susanna; McAneney, John; Magill, Christina; Blong, Russell

    2012-09-01

    In a companion paper (this volume), the authors propose a methodology for assessing ash fall hazard on a regional scale. In this study, the methodology is applied to the Asia-Pacific region, determining the hazard from 190 volcanoes to over one million square kilometre of urban area. Ash fall hazard is quantified for each square kilometre grid cell of urban area in terms of the annual exceedance probability (AEP), and its inverse, the average recurrence interval (ARI), for ash falls exceeding 1, 10 and 100 mm. A surrogate risk variable, the Population-Weighted Hazard Score: the product of AEP and population density, approximates the relative risk for each grid cell. Within the Asia-Pacific region, urban areas in Indonesia are found to have the highest levels of hazard and risk, while Australia has the lowest. A clear demarcation emerges between the hazard in countries close to and farther from major subduction plate boundaries, with the latter having ARIs at least 2 orders of magnitude longer for the same thickness thresholds. Countries with no volcanoes, such as North Korea and Malaysia, also face ash falls from volcanoes in neighbouring countries. Ash falls exceeding 1 mm are expected to affect more than one million people living in urban areas within the study region; in Indonesia, Japan and the Philippines, this situation could occur with ARIs less than 40 years.

  1. A Food in Health Security (FIHS) platform in the Asia-Pacific Region: the way forward.

    PubMed

    Wahlqvist, Mark L; Keatinge, John Donough H; Butler, Colin D; Friel, Sharon; McKay, John; Easdown, Warwick; Kuo, Ken N; Huang, Ching-jang; Pan, Wen-Harn; Yang, Ray-Yu; Lee, Meei-Shyuan; Chang, Hsing-Yi; Chiu, Ya-Wen; Jaron, Dov; Krawinkel, Michael; Barlow, Snow; Walsh, Greg; Chiang, Tung-liang; Huang, Po-Chao; Li, Duo

    2009-01-01

    The advent of multiple global crises, especially those of climate change, economics, energy, water, food and health evident in 2008, is of considerable moment to those who are suffering their consequences and for those with responsibility and interest in the systems affected. A coalition of parties in the Asia Pacific Region who work in the food and health systems met in August, 2009 in Taiwan and instigated a Food in Health Security (FIHS) Network which might join with other like-minded networks in and beyond the region. Sustainable health has many dimensions, among which food and nutrition is often neglected; there is a wide spectrum of nutritionally-related disorders. Malnutrition remains the global concern for agricultural research and development scientists and linkage with the health sector is key to progress. The disconnect between agricultural and health sectors negatively impacts consumer nutrition and health. Ethical and equity affect food and health systems. Food and health security is attainable only when the underlying social inequities are addressed; it is an ethical issue as reflected in the UN Universal declaration of Human Rights which includes the right to food for health and well-being. Food and health security are part of the larger security agenda and merit corresponding attention. Policy recommendations with immediacy are greater investment in combined food and health research; an Asia Pacific security agenda which emphasizes planetary, human, health and food security as relevant to traditional defence security; and community and household security measures which include maternal literacy, communication technology and entrepreneurial opportunity.

  2. Cross-sectional survey of the disaster preparedness of nurses across the Asia-Pacific region.

    PubMed

    Usher, Kim; Mills, Jane; West, Caryn; Casella, Evan; Dorji, Passang; Guo, Aimin; Koy, Virya; Pego, George; Phanpaseuth, Souksavanh; Phouthavong, Olaphim; Sayami, Jamuna; Lak, Muy Seang; Sio, Alison; Ullah, Mohammad Mofiz; Sheng, Yu; Zang, Yuli; Buettner, Petra; Woods, Cindy

    2015-12-01

    Healthcare workers who have received disaster preparedness education are more likely to report a greater understanding of disaster preparedness. However, research indicates that current nursing curricula do not adequately prepare nurses to respond to disasters. This is the first study to assess Asia-Pacific nurses' perceptions about their level of disaster knowledge, skills, and preparedness. A cross-sectional survey was conducted with 757 hospital and community nurses in seven Asia-Pacific countries. Data were collected using the modified Disaster Preparedness Evaluation Tool. Participants were found to have overall low-to-moderate levels of disaster knowledge, skills and preparedness, wherein important gaps were identified. A majority of the variance in disaster preparedness scores was located at the level of the individual respondent, not linked to countries or institutions. Multilevel random effects modelling identified disaster experience and education as significant factors of positive perceptions of disaster knowledge, skills, and management. The first step toward disaster preparedness is to ensure frontline health workers are able to respond effectively to disaster events. The outcomes of this study have important policy and education implications.

  3. Tuberculosis and HIV co-infection-focus on the Asia-Pacific region.

    PubMed

    Trinh, Q M; Nguyen, H L; Nguyen, V N; Nguyen, T V A; Sintchenko, V; Marais, B J

    2015-03-01

    Tuberculosis (TB) is the leading opportunistic disease and cause of death in patients with HIV infection. In 2013 there were 1.1 million new TB/HIV co-infected cases globally, accounting for 12% of incident TB cases and 360,000 deaths. The Asia-Pacific region, which contributes more than a half of all TB cases worldwide, traditionally reports low TB/HIV co-infection rates. However, routine testing of TB patients for HIV infection is not universally implemented and the estimated prevalence of HIV in new TB cases increased to 6.3% in 2013. Although HIV infection rates have not seen the rapid rise observed in Sub-Saharan Africa, indications are that rates are increasing among specific high-risk groups. This paper reviews the risks of TB exposure and progression to disease, including the risk of TB recurrence, in this vulnerable population. There is urgency to scale up interventions such as intensified TB case-finding, isoniazid preventive therapy, and TB infection control, as well as HIV testing and improved access to antiretroviral treatment. Increased awareness and concerted action is required to reduce TB/HIV co-infection rates in the Asia-Pacific region and to improve the outcomes of people living with HIV.

  4. Particularities of hydro lidar missions in the Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    Feygels, Viktor I.; Kopilevich, Yuri; Park, Joong Yong; Kim, Minsu; Aitken, Jennifer

    2014-11-01

    The Asia-Pacific ocean region is one of the areas where airborne lidar is a promising tool for depth measurement. The anticipated efficiency of a laser bathymetry survey of a coastal zone in the region varies with the optical characteristics of the water. Near-shore waters in open areas of several countries (Philippines, Indonesia, Taiwan, and the east coast of South Korea) may be described as Class II in the Jerlov 1 classification (turbid tropical-subtropical water), while water properties in internal seas are described as Classes 1 to 9 (coastal waters of increasing turbidity); the optical characteristics of the coastal waters of the East China Sea are beyond the Jerlov classification. In this paper, the applicability of the CZMIL (Coastal Zone Mapping and Imaging Lidar) 2, 3 system developed by Optech is considered for lidar bathymetry in the Asia-Pacific region. The Optech CZMIL has several attributes that enable it to significantly improve seafloor detectability in shallow and, in particular, turbid waters, namely a high-energy laser, a short system response function, increased receiver sensitivity, and high point density. The system capability was tested in a relatively turbid area of the Gulf Coast of Mississippi. The maximal depth for bathymetry with the CZMIL system is estimated theoretically in various countries, accounting for the spatial and seasonal variability of the internal optical properties of near-shore water

  5. Meningococcal disease in the Asia-Pacific region: Findings and recommendations from the Global Meningococcal Initiative.

    PubMed

    Borrow, Ray; Lee, Jin-Soo; Vázquez, Julio A; Enwere, Godwin; Taha, Muhamed-Kheir; Kamiya, Hajime; Kim, Hwang Min; Jo, Dae Sun

    2016-11-21

    The Global Meningococcal Initiative (GMI) is a global expert group that includes scientists, clinicians, and public health officials with a wide range of specialties. The purpose of the Initiative is to promote the global prevention of meningococcal disease (MD) through education, research, and cooperation. The first Asia-Pacific regional meeting was held in November 2014. The GMI reviewed the epidemiology of MD, surveillance, and prevention strategies, and outbreak control practices from participating countries in the Asia-Pacific region.Although, in general, MD is underreported in this region, serogroup A disease is most prominent in low-income countries such as India and the Philippines, while Taiwan, Japan, and Korea reported disease from serogroups C, W, and Y. China has a mixed epidemiology of serogroups A, B, C, and W. Perspectives from countries outside of the region were also provided to provide insight into lessons learnt. Based on the available data and meeting discussions, a number of challenges and data gaps were identified and, as a consequence, several recommendations were formulated: strengthen surveillance; improve diagnosis, typing and case reporting; standardize case definitions; develop guidelines for outbreak management; and promote awareness of MD among healthcare professionals, public health officials, and the general public.

  6. Children's exposure to food advertising on free-to-air television: an Asia-Pacific perspective.

    PubMed

    Kelly, Bridget; Hebden, Lana; King, Lesley; Xiao, Yang; Yu, Yang; He, Gengsheng; Li, Liangli; Zeng, Lingxia; Hadi, Hamam; Karupaiah, Tilakavati; Hoe, Ng See; Noor, Mohd Ismail; Yoon, Jihyun; Kim, Hyogyoo

    2016-03-01

    There is an established link between food promotions and children's food purchase and consumption. Children in developing countries may be more vulnerable to food promotions given the relative novelty of advertising in these markets. This study aimed to determine the scope of television food advertising to children across the Asia-Pacific to inform policies to restrict this marketing. Six sites were sampled, including from China, Indonesia, Malaysia and South Korea. At each site, 192 h of television were recorded (4 days, 16 h/day, three channels) from May to October 2012. Advertised foods were categorized as core/healthy, non-core/unhealthy or miscellaneous, and by product type. Twenty-seven percent of advertisements were for food/beverages, and the most frequently advertised product was sugar-sweetened drinks. Rates of non-core food advertising were highest during viewing times most popular with children, when between 3 (South Korea) and 15 (Indonesia) non-core food advertisements were broadcast each hour. Children in the Asia-Pacific are exposed to high volumes of unhealthy food/beverage television advertising. Different policy arrangements for food advertising are likely to contribute to regional variations in advertising patterns. Cities with the lowest advertising rates can be identified as exemplars of good policy practice. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Food security in the Asia-Pacific: Malthus, limits and environmental challenges.

    PubMed

    Butler, Colin D

    2009-01-01

    This is the first of two articles on the steepening challenges which confront global agriculture, food security and hence nutrition and population health. The recent deterioration in global food security has caught most experts by surprise. While the Asia Pacific region as a whole has so far fared reasonably well, there should be no complacency about medium to long term food security in the region, whether or not food security improves in the near future. The first paper places this debate in the context of the long-standing arguments between Malthusianists and optimists. The apparent reversal of position in the last decade of two leading agricultural experts is discussed. Their recent writings reflect intensified Malthusian concerns curbed in their writings from the 1990s. The paper concludes that far more credence needs to be given to the pessimistic position in order to avoid it becoming reality. The second paper focusses on five interrelated challenges to future food security in the Asia Pacific. These may be conceptualised as pathways by which pessimistic Malthusian scenarios become manifest. The mechanisms are (1) climate change, (2) water scarcity, (3) tropospheric ozone pollution, (4) impending scarcity of phosphorus and conventional oil and (5) the possible interaction between future population displacement, conflict and poor governance. The article concludes that a sustainable improvement in food security requires a radical transformation in society's approach to the environment, population growth, agricultural research and the distribution of rights, opportunities and entitlements.

  8. Tuberculosis in Asia and the pacific: the role of socioeconomic status and health system development.

    PubMed

    Wu, Jie; Dalal, Koustuv

    2012-01-01

    To identify the relationship between socioeconomic status, health system development and the incidence, prevalence and mortality of tuberculosis in Asia and the Pacific. Incidence, prevalence and mortality rates of tuberculosis and 20 variables of socioeconomic, health system and biological-behavioral issues were included in the study involving all 46 countries of the Asian Development Bank region (2007 data). Both univariate and multivariate linear regressions were used. The worst three tuberculosis affected countries were Cambodia, India and Indonesia, while the least affected was Australia. Tuberculosis incidence, prevalence and mortality rate were higher in countries with lower human development index, corruption perception index, gross domestic product (GDP) per capita and countries with more people under minimum food supplements. Among the health system variables, total health expenditure per capita, governmental health expenditure per capita, hospital beds, and access to improved water and sanitation were strongly associated with tuberculosis. Socioeconomic determinants and health system development have significant effect on the control of tuberculosis in Asia and the Pacific region. The study has some policy implications by means of lowering the corruption and improving the sanitation.

  9. Tuberculosis in Asia and the Pacific: The Role of Socioeconomic Status and Health System Development

    PubMed Central

    Wu, Jie; Dalal, Koustuv

    2012-01-01

    Objective: To identify the relationship between socioeconomic status, health system development and the incidence, prevalence and mortality of tuberculosis in Asia and the Pacific. Methods: Incidence, prevalence and mortality rates of tuberculosis and 20 variables of socioeconomic, health system and biological–behavioral issues were included in the study involving all 46 countries of the Asian Development Bank region (2007 data). Both univariate and multivariate linear regressions were used. Results: The worst three tuberculosis affected countries were Cambodia, India and Indonesia, while the least affected was Australia. Tuberculosis incidence, prevalence and mortality rate were higher in countries with lower human development index, corruption perception index, gross domestic product (GDP) per capita and countries with more people under minimum food supplements. Among the health system variables, total health expenditure per capita, governmental health expenditure per capita, hospital beds, and access to improved water and sanitation were strongly associated with tuberculosis. Conclusions: Socioeconomic determinants and health system development have significant effect on the control of tuberculosis in Asia and the Pacific region. The study has some policy implications by means of lowering the corruption and improving the sanitation. PMID:22355472

  10. Japanese Encephalitis Surveillance and Immunization - Asia and Western Pacific Regions, 2016.

    PubMed

    Heffelfinger, James D; Li, Xi; Batmunkh, Nyambat; Grabovac, Varja; Diorditsa, Sergey; Liyanage, Jayantha B; Pattamadilok, Sirima; Bahl, Sunil; Vannice, Kirsten S; Hyde, Terri B; Chu, Susan Y; Fox, Kimberley K; Hills, Susan L; Marfin, Anthony A

    2017-06-09

    Japanese encephalitis (JE) virus is the most important vaccine-preventable cause of encephalitis in the Asia-Pacific region. The World Health Organization (WHO) recommends integration of JE vaccination into national immunization schedules in all areas where the disease is a public health priority (1). This report updates a previous summary of JE surveillance and immunization programs in Asia and the Western Pacific in 2012 (2). Since 2012, funding for JE immunization has become available through the GAVI Alliance, three JE vaccines have been WHO-prequalified,* and an updated WHO JE vaccine position paper providing guidance on JE vaccines and vaccination strategies has been published (1). Data for this report were obtained from a survey of JE surveillance and immunization practices administered to health officials in countries with JE virus transmission risk, the 2015 WHO/United Nations Children's Fund Joint Reporting Form on Immunization, notes and reports from JE meetings held during 2014-2016, published literature, and websites. In 2016, 22 (92%) of 24 countries with JE virus transmission risk conducted JE surveillance, an increase from 18 (75%) countries in 2012, and 12 (50%) countries had a JE immunization program, compared with 11 (46%) countries in 2012. Strengthened JE surveillance, continued commitment, and adequate resources for JE vaccination should help maintain progress toward prevention and control of JE.

  11. Training needs and provision in developing countries of the Asia-Pacific region.

    PubMed

    Lavilla-Pitogo, Celia R

    2007-01-01

    Training has played a significant role in the development of capacity in aquatic animal health in the Asia-Pacific region where most specialists have fisheries or a background in biology rather than in veterinary medicine. Training courses offered by various organizations, national institutes, universities and the private sector are aimed at providing graduates with skills in disease diagnostics using molecular methods, histopathology, epidemiology, immunology, as well as in disease prevention and control methods. Most training programmes either focus on diseases affecting specific commodities, such as shrimp, marine fish or molluscs, or on diagnostic methods for pathogens such as viruses. Because of the need to train a large pool of geographically dispersed participants, innovative and cost-effective ways of delivery like online and on-site training should be encouraged as well as workshops preceding or following meetings and symposia. One important aspect to be addressed is the translation of training materials to facilitate knowledge transfer to the farm level. Since the inadequate level of aquatic animal health expertise in the Asia-Pacific affects worldwide aquaculture, partnerships between governments, various international organizations and academia should be strengthened in order to fill the training gap.

  12. Pediatric asthma mortality and hospitalization trends across Asia pacific: relationship with asthma drug utilization patterns.

    PubMed

    Chua, Kun Lin; Soh, Shu E; Ma, Stefan; Lee, Bee Wah

    2009-05-01

    : The wide variability in prevalence of childhood asthma across Asia Pacific is well documented, but less is known about its trends in mortality and hospitalization. : To examine pediatric asthma mortality and hospitalization trends of selected countries across Asia Pacific, and also patterns of asthma drug utilization. : Mortality and population data were sourced from the World Health Organization's mortality database. Data on hospitalization were obtained by direct inquiry and from government and scientific publications. Drug use for asthma was expressed as a controller-to-reliever (C:R) ratio (ie, units of inhaled corticosteroids/units of short-acting β-agonists, sold in each country). Time-series regression analyses were used to examine temporal patterns and study association between deaths, hospitalizations, and drug use. : Japan showed a decreasing trend in pediatric asthma mortality whereas an increase was observed in Thailand. Hospitalizations decreased in Australia and Singapore but increased in Taiwan, Republic of China. C:R ratios increased significantly across the countries. : Mixed trends in pediatric asthma mortality and hospitalization rates were observed, which coincided with a uniform increase in C:R ratios. This may reflect importance of other aspects of asthma management besides pharmacotherapy.

  13. Pediatric Asthma Mortality and Hospitalization Trends Across Asia Pacific Relationship With Asthma Drug Utilization Patterns

    PubMed Central

    2009-01-01

    Background The wide variability in prevalence of childhood asthma across Asia Pacific is well documented, but less is known about its trends in mortality and hospitalization. Objectives To examine pediatric asthma mortality and hospitalization trends of selected countries across Asia Pacific, and also patterns of asthma drug utilization. Materials and Methods Mortality and population data were sourced from the World Health Organization's mortality database. Data on hospitalization were obtained by direct inquiry and from government and scientific publications. Drug use for asthma was expressed as a controller-to-reliever (C:R) ratio (ie, units of inhaled corticosteroids/units of short-acting β-agonists, sold in each country). Time-series regression analyses were used to examine temporal patterns and study association between deaths, hospitalizations, and drug use. Results Japan showed a decreasing trend in pediatric asthma mortality whereas an increase was observed in Thailand. Hospitalizations decreased in Australia and Singapore but increased in Taiwan, Republic of China. C:R ratios increased significantly across the countries. Conclusions Mixed trends in pediatric asthma mortality and hospitalization rates were observed, which coincided with a uniform increase in C:R ratios. This may reflect importance of other aspects of asthma management besides pharmacotherapy. PMID:23283014

  14. Soft-tissue sarcomas in the Asia-Pacific region: a systematic review.

    PubMed

    Ngan, Roger; Wang, Edward; Porter, David; Desai, Jayesh; Prayogo, Nugroho; Devi, Beena; Quek, Richard

    2013-01-01

    Soft-tissue sarcomas require tailored and multidisciplinary treatment and management. However, little is known about how sarcomas are treated and managed throughout the Asia-Pacific region. MEDLINE was systematically searched using prespecified criteria. Publications (previous 10 years) that reported tumour characteristics, treatment patterns, survival outcomes, and/or safety outcomes of patients with soft-tissue sarcoma were selected. Exclusion criteria were studies of patients <18 years of age; ≤ 10 patients; countries other than Australia, Hong Kong, Indonesia, Korea, Malaysia, New Zealand, Philippines, Singapore, Taiwan, or Thailand; >20% benign tumours; sarcomas located in bones or joints; gastrointestinal stromal tumour; Kaposi's sarcoma; or not reporting relevant outcomes. Of the 1,822 publications retrieved, 35 (32 studies) were included. Nearly all patients (98%, 1,992/2,024; 31 studies) were treated with surgery, and more studies used adjuvant radiotherapy than chemotherapy (24 vs 17 studies). Survival outcomes and recurrence rates varied among the studies because of the different histotypes, sites, and disease stages assessed. Only 5 studies reported safety findings. These findings highlight the lack of specific data available about soft-tissue sarcomas in the Asia-Pacific region. Better efforts to understand how the sarcoma is managed and treated will help improve patient outcomes in the region.

  15. Non-alcoholic steatohepatitis in the Asia-Pacific region: future shock?

    PubMed

    Chitturi, Shivakumar; Farrell, Geoffrey C; George, Jacob

    2004-04-01

    Clinicians in both the developed and also the newer industrial economies in the Asia-Pacific region will encounter non-alcoholic fatty liver disease (NAFLD) with increasing frequency. Although the region has been a significant contributor to the current state of knowledge, the spectrum of NAFLD, its severity and the potential for significant future morbidity and health costs are not widely recognized. Lifestyle changes, the epidemic of childhood and adult obesity and type 2 diabetes sweeping the Asia-Pacific represent the key substrates for the rising prevalence of NAFLD. Physicians in all disciplines need to be aware of clinical clues to the presence of NAFLD in the absence of other liver disease and in those with chronic viral hepatitis and they should be able to identify subsets at risk for liver-related morbidity. Given the scope of the problem, efforts should focus primarily on preventing or ameliorating the impact of risk factors; the key one is insulin resistance and its associates of diabetes and central obesity. Pharmacotherapy may play a role in selected individuals. A regional agenda for case definition, future study and public health initiatives is urgently required.

  16. Medical physics aspects of cancer care in the Asia Pacific region: 2014 survey results.

    PubMed

    Kron, Tomas; Azhari, H A; Voon, E O; Cheung, K Y; Ravindran, P; Soejoko, D; Inamura, K; Han, Y; Ung, N M; TsedenIsh, Bolortuya; Win, U M; Srivastava, R; Marsh, S; Farrukh, S; Rodriguez, L; Kuo, Men; Baggarley, S; DilipKumara, A H; Lee, C C; Krisanachinda, A; Nguyen, X C; Ng, K H

    2015-09-01

    It was the aim of this work to assess and track the workload, working conditions and professional recognition of radiation oncology medical physicists (ROMPs) in the Asia Pacific region over time. In this third survey since 2008, a structured questionnaire was mailed in 2014 to 22 senior medical physicists representing 23 countries. As in previous surveys the questionnaire covered seven themes: 1 education, training and professional certification, 2 staffing, 3 typical tasks, 4 professional organisations, 5 resources, 6 research and teaching, and 7 job satisfaction. The response rate of 100% is a result of performing a survey through a network, which allows easy follow-up. The replies cover 4841 ROMPs in 23 countries. Compared to 2008, the number of medical physicists in many countries has doubled. However, the number of experienced ROMPs compared to the overall workforce is still small, especially in low and middle income countries. The increase in staff is matched by a similar increase in the number of treatment units over the years. Furthermore, the number of countries using complex techniques (IMRT, IGRT) or installing high end equipment (tomotherapy, robotic linear accelerators) is increasing. Overall, ROMPs still feel generally overworked and the professional recognition, while varying widely, appears to be improving only slightly. Radiation oncology medical physics practice has not changed significantly over the last 6 years in the Asia Pacific Region even if the number of physicists and the number and complexity of treatment techniques and technologies have increased dramatically.

  17. Diagnostic laboratories in Asia Pacific region: Investigation on quality characteristics and time of reporting.

    PubMed

    Badrick, Tony C; Gutscher, Anton; Sakamoto, Nakako; Chin, Daniel

    2017-07-01

    This is the result of a Survey of various aspects of quality, cost and speed in a large sample of diagnostic laboratories in the Asia Pacific region. It is the first of its type to be published and represents a snapshot of the current performance in a large number of diagnostic laboratories in a broad range of countries in the Asia Pacific region. This demonstrates that there are common issues facing all the laboratories surveyed but also common solutions using a Quality Systems approach which involves Accreditation, Customer responsiveness, greater use of IT, automation and Lean principles. The Survey provides data on some quality characteristics such as Turnaround Time (TAT) and quality improvement activities. It has been the case that some of the KPIs have improved over the course of the Surveys for example a reduction in the average TAT, and it might be that this occurred as a result of participation. Most laboratories have a target of 46-60min for STAT (Short Turnaround Time) on Clinical Chemistry and Immunoassay samples. Copyright © 2017 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  18. The Asia-Pacific Maritime Security Strategy: Achieving U.S. National Security Objectives in a Changing Environment

    DTIC Science & Technology

    2015-07-27

    progress. The importance of Asia-Pacific sea lanes for global trade cannot be overstated. Eight of the world’s 10 busiest container ports are in the...Asia-Pacific region, and almost 30 percent of the world’s maritime trade transits the South China Sea annually, including approximately $1.2...trillion in ship-borne trade bound for the United States.1 Approximately two-thirds of the world’s oil shipments transit through the Indian Ocean to the

  19. Emerging issues in health and education in Asia-Pacific: a focus on speech-language pathology.

    PubMed

    Cheng, Li-Rong Lilly

    2010-01-01

    The purpose of this paper is to present some emerging issues in health and education in the Asia-Pacific region. Special attention will be given to the education of speech-language pathologists (SLP) and to service provision for the people with communicative disorders whenever possible. Information on the education of SLP in Asia-Pacific is not easy to gather because of the geographical distances between areas, language differences in the data compiled and the lack of consistent collaboration and information exchanges. In this article, a case study from Singapore is also presented. Implications for clinical services and education are discussed at the end of this paper.

  20. Role of bilastine in the management of allergic rhinitis and urticaria: an Asia-Pacific consensus statement.

    PubMed

    Mösges, Ralph; Lee, Dennis Lip Yen; Abong, Jovilia; Siasoco, Bella; Chow, Steven Kw; Leong, Jern-Lin; Singh, Harvinder; Kuljit, S; Campomanes, Benjamin

    2016-01-01

    The prevalence of allergic diseases is increasing globally, most particularly in middle- to low-income countries. This article examines the burden of allergic rhinitis and chronic urticaria in the Asia-Pacific region, unmet clinical needs, and the potential role of bilastine in the management of these conditions. An International Advisory Group meeting was convened in association with the Asian Pacific Society of Respirology Annual Congress in November 2014, followed by a literature review, and consensus-based outcomes from the meeting and literature review are described. Regional estimates of the prevalence of allergic rhinitis range from 10% to 50%, while little is known regarding the burden of urticaria in the Asia-Pacific region. A survey of allergy patients in the region identified fast, complete, and long-lasting symptom relief as the medication attributes most important to patients. International treatment guidelines for allergic rhinitis and urticaria advocate the first-line use of second-generation, no-sedating H1-antihistamines, such as bilastine, over their first-generation counterparts and a range of these agents are available to Asia-Pacific patients. The newer agents possess many of the properties of an "ideal" antihistamine (once daily administration, rapid and complete symptom relief, limited potential for drug-drug interactions, minimal side effects). The burgeoning prevalence of allergic diseases in the Asia-Pacific region and the uncontrolled symptoms that these patients experience demand a new antihistamine that offers the highest number of positive features according to the international guidelines.

  1. Role of bilastine in the management of allergic rhinitis and urticaria: an Asia-Pacific consensus statement

    PubMed Central

    Lee, Dennis Lip Yen; Abong, Jovilia; Siasoco, Bella; Chow, Steven KW; Leong, Jern-Lin; Singh, Harvinder; Kuljit, S; Campomanes, Benjamin

    2016-01-01

    The prevalence of allergic diseases is increasing globally, most particularly in middle- to low-income countries. This article examines the burden of allergic rhinitis and chronic urticaria in the Asia-Pacific region, unmet clinical needs, and the potential role of bilastine in the management of these conditions. An International Advisory Group meeting was convened in association with the Asian Pacific Society of Respirology Annual Congress in November 2014, followed by a literature review, and consensus-based outcomes from the meeting and literature review are described. Regional estimates of the prevalence of allergic rhinitis range from 10% to 50%, while little is known regarding the burden of urticaria in the Asia-Pacific region. A survey of allergy patients in the region identified fast, complete, and long-lasting symptom relief as the medication attributes most important to patients. International treatment guidelines for allergic rhinitis and urticaria advocate the first-line use of second-generation, no-sedating H1-antihistamines, such as bilastine, over their first-generation counterparts and a range of these agents are available to Asia-Pacific patients. The newer agents possess many of the properties of an "ideal" antihistamine (once daily administration, rapid and complete symptom relief, limited potential for drug-drug interactions, minimal side effects). The burgeoning prevalence of allergic diseases in the Asia-Pacific region and the uncontrolled symptoms that these patients experience demand a new antihistamine that offers the highest number of positive features according to the international guidelines. PMID:26844221

  2. 2013 Asia-Pacific Education Research Institutes Network (ERI-Net) Regional Study on Transversal Competencies in Education Policy & Practice (Phase I). Regional Synthesis Report

    ERIC Educational Resources Information Center

    Yoko, Satoko

    2015-01-01

    This report provides an understanding of how transversal competencies are viewed, implemented, and adapted in education policy and curriculum across the Asia-Pacific region. The publication consolidates the results of ten country studies carried out in 2013-2014 in ten countries and economies of the Asia-Pacific region, including: Australia; China…

  3. 2013 Asia-Pacific Education Research Institutes Network (ERI-Net) Regional Study on Transversal Competencies in Education Policy & Practice (Phase I). Regional Synthesis Report

    ERIC Educational Resources Information Center

    Yoko, Satoko

    2015-01-01

    This report provides an understanding of how transversal competencies are viewed, implemented, and adapted in education policy and curriculum across the Asia-Pacific region. The publication consolidates the results of ten country studies carried out in 2013-2014 in ten countries and economies of the Asia-Pacific region, including: Australia; China…

  4. [UNESCO] Regional Consultation Meeting on the Asia and Pacific Programme of Educational Innovation for Development (APEID) (12th, Chaing Mai, Thailand, August 20-27, 1990). Final Report.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This document is the final report of a Regional Consultation Meeting (RCM) on the Asia Pacific Programme of Educational Innovation for Development (APEID), a mechanism developed by UNESCO to bring about regional cooperation in education in Asia and the Pacific. This RCM was attended by 55 participants, resource persons, and observers from…

  5. Autoimmune liver diseases in the Asia-Pacific region: Proceedings of APASL symposium on AIH and PBC 2016.

    PubMed

    Tanaka, Atsushi; Ma, Xiong; Yokosuka, Osamu; Weltman, Martin; You, Hong; Amarapurkar, Deepak N; Kim, Yoon Jun; Abbas, Zaigham; Payawal, Diana A; Chang, Ming-Ling; Efe, Cumali; Ozaslan, Ersan; Abe, Masanori; Mitchell-Thain, Robert; Zeniya, Mikio; Han, Kwang Hyub; Vierling, John M; Takikawa, Hajime

    2016-11-01

    During the 25th annual meeting of the Asia-Pacific Association for the Study of the Liver (APASL 2016) in Tokyo, we organized and moderated an inaugural satellite symposium on the autoimmune liver diseases, autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC). Following the keynote lecture by John M. Vierling (USA), speakers from the Asia-Pacific region provided an up-to-date perspective on the epidemiology, clinical practice and research in AIH and PBC in the Asia-Pacific region. Although epidemiology and clinical features of AIH seem to be similar in East Asia compared to those in western countries, the majority of patients with AIH are detected at an advanced stage and have higher mortality rates in South Asia, indicating an unmet need for earlier diagnosis and the initiation of appropriate immunosuppressive treatment. PBC is more commonly seen in Australia and East Asia. As of 2016, clinical practice guidelines (CPG) for PBC have been published in Japan and China. Ursodeoxycholic acid (UDCA) is recommended as a first-line therapy by both CPG. Nevertheless, one of the unmet therapeutic needs in PBC is the treatment of patients refractory to or intolerant of UDCA. It is of interest that the prevalence of chronic hepatitis B (CHB) in PBC patients was low in Taiwan and mainland China where the prevalence of CHB is very high. In this review, we overview this exciting and epoch-making symposium.

  6. HIV and aging: insights from the Asia Pacific HIV Observational Database (APHOD).

    PubMed

    Han, N; Wright, S T; O'Connor, C C; Hoy, J; Ponnampalavanar, S; Grotowski, M; Zhao, H X; Kamarulzaman, A

    2015-03-01

    The proportion of people living with HIV/AIDS in the ageing population (>50 years old) is increasing. We aimed to explore the relationship between older age and treatment outcomes in HIV-positive persons from the Asia Pacific region. Patients from the Australian HIV Observational Database (AHOD) and the TREAT Asia HIV Observational Database (TAHOD) were included in the analysis. We used survival methods to assess the association between older age and all-cause mortality, as well as time to treatment modification. We used regression analyses to evaluate changes in CD4 counts after combination antiretroviral therapy (cART) initiation and determined the odds of detectable viral load, up to 24 months of treatment. A total of 7142 patients were included in these analyses (60% in TAHOD and 40% in AHOD), of whom 25% were >50 years old. In multivariable analyses, those aged > 50 years were at least twice as likely to die as those aged 30-39 years [hazard ratio (HR) for 50-59 years: 2.27; 95% confidence interval (CI) 1.34-3.83; HR for > 60 years: 4.28; 95% CI 2.42-7.55]. The effect of older age on CD4 count changes was insignificant (p-trend=0.06). The odds of detectable viral load after cART initiation decreased with age (p-trend=< 0.0001). The effect of older age on time to first treatment modification was insignificant (p-trend=0.21). We found no statistically significant differences in outcomes between AHOD and TAHOD participants for all endpoints examined. The associations between older age and typical patient outcomes in HIV-positive patients from the Asia Pacific region are similar in AHOD and TAHOD. Our data indicate that 'age effects' traverse the resource-rich and resource-limited divide and that future ageing-related findings might be applicable to each setting. © 2014 British HIV Association.

  7. EGFR mutation testing practices within the Asia Pacific region: results of a multicenter diagnostic survey.

    PubMed

    Yatabe, Yasushi; Kerr, Keith M; Utomo, Ahmad; Rajadurai, Pathmanathan; Tran, Van Khanh; Du, Xiang; Chou, Teh-Ying; Enriquez, Ma Luisa D; Lee, Geon Kook; Iqbal, Jabed; Shuangshoti, Shanop; Chung, Jin-Haeng; Hagiwara, Koichi; Liang, Zhiyong; Normanno, Nicola; Park, Keunchil; Toyooka, Shinichi; Tsai, Chun-Ming; Waring, Paul; Zhang, Li; McCormack, Rose; Ratcliffe, Marianne; Itoh, Yohji; Sugeno, Masatoshi; Mok, Tony

    2015-03-01

    The efficacy of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors in EGFR mutation-positive non-small-cell lung cancer (NSCLC) patients necessitates accurate, timely testing. Although EGFR mutation testing has been adopted by many laboratories in Asia, data are lacking on the proportion of NSCLC patients tested in each country, and the most commonly used testing methods. A retrospective survey of records from NSCLC patients tested for EGFR mutations during 2011 was conducted in 11 Asian Pacific countries at 40 sites that routinely performed EGFR mutation testing during that period. Patient records were used to complete an online questionnaire at each site. Of the 22,193 NSCLC patient records surveyed, 31.8% (95% confidence interval: 31.2%-32.5%) were tested for EGFR mutations. The rate of EGFR mutation positivity was 39.6% among the 10,687 cases tested. The majority of samples were biopsy and/or cytology samples (71.4%). DNA sequencing was the most commonly used testing method accounting for 40% and 32.5% of tissue and cytology samples, respectively. A pathology report was available only to 60.0% of the sites, and 47.5% were not members of a Quality Assurance Scheme. In 2011, EGFR mutation testing practices varied widely across Asia. These data provide a reference platform from which to improve the molecular diagnosis of NSCLC, and EGFR mutation testing in particular, in Asia.

  8. Adult height and cancer mortality: The Asia Pacific Cohort Studies Collaboration

    PubMed Central

    Batty, G. David; Barzi, Federica; Woodward, Mark; Jamrozik, Konrad; Woo, Jean; Kim, Hyeon Chang; Ueshima, Hirotsugu; Huxley, Rachel R.

    2014-01-01

    Background The observation that taller people experience an increased risk of selected cancers is largely restricted to Caucasian cohorts. These associations may plausibly differ in Asian populations. For the first time, we make direct comparison of the associations between height and a series of malignancies in Australasian (Caucasian) and Asian populations. Methods Analyses were based on the Asia Pacific Cohort Studies Collaboration of 506, 648 male and female study participants (408,381 Asia, 98267 Australasia) drawn from 38 population-based cohort studies. Cox proportional hazards regression was used to estimate the relationship between height and cancer rates. Results A total of 3,272,600 person years of follow-up gave rise to 7497 cancer deaths (5232 in men, 2265 in women). After multiple adjustments and left censoring, taller individuals experienced increased rates of carcinoma of the intestine (men and women); all cancers, liver, lung, breast, ‘other’ malignancies (all women); and prostate and bladder (men). No consistent regional (Asia vs. Australasia) or sex-differences were observed. Conclusions In the present study, taller men and women had an elevated risk of selected malignancies. These associations did not differ appreciably between Asian and Caucasian populations. PMID:19889610

  9. Changing prevalence of allergic diseases in the Asia-pacific region.

    PubMed

    Wong, Gary W K; Leung, Ting Fan; Ko, Fanny W S

    2013-09-01

    Asia-Pacific is one of the most densely populated regions of the world and is experiencing rapid economic changes and urbanization. Environmental pollution is a significant problem associated with the rapid modernization of many cities in South Asia. It is not surprising that the prevalences of asthma and allergies are increasing rapidly, although the underlying reasons remain largely unknown. Many studies from this region have documented the changing prevalence of allergic diseases in various parts of the world. However, the methodologies used were neither standardized nor validated, making the results difficult to evaluate. The International Study of Asthma and Allergies in Childhood (ISAAC) has provided a global epidemiology map of asthma and allergic diseases, as well as the trend of changes in the prevalence of these diseases. Allergic sensitization is extremely common in many Asian communities. However, the prevalence of allergic diseases remains relatively rare. The rapid urbanization in the region, which increases environmental pollution and can affect the rural environment, will likely increase the prevalence of asthma and allergies in Asia.

  10. The United States and the Asia-Pacific Region: National Interests and Strategic Imperatives (Strategic Forum, Number 239, April 2009)

    DTIC Science & Technology

    2009-04-01

    American territory in the Pacific Ocean extended from the Aleutian Islands to Guam, Secretary Gates characterized the United States as a “resident power...extend their operational reach to the Indian Ocean and Persian Gulf. It is noteworthy to recall that the first U.S. forces to reach the Persian Gulf...alliance cooperation beyond the Asia-Pacific region. Japan’s Maritime Self- Defense Force is engaged in refueling oper- ations in the Indian Ocean

  11. Challenges and solutions in medically managed ACS in the Asia-Pacific region: expert recommendations from the Asia-Pacific ACS Medical Management Working Group.

    PubMed

    Huo, Yong; Thompson, Peter; Buddhari, Wacin; Ge, Junbo; Harding, Scott; Ramanathan, Letchuman; Reyes, Eugenio; Santoso, Anwar; Tam, Li-Wah; Vijayaraghavan, Govindan; Yeh, Hung-I

    2015-03-15

    Acute coronary syndromes (ACS) remain a leading cause of mortality and morbidity in the Asia-Pacific (APAC) region. International guidelines advocate invasive procedures in all but low-risk ACS patients; however, a high proportion of ACS patients in the APAC region receive solely medical management due to a combination of unique geographical, socioeconomic, and population-specific barriers. The APAC ACS Medical Management Working Group recently convened to discuss the ACS medical management landscape in the APAC region. Local and international ACS guidelines and the global and APAC clinical evidence-base for medical management of ACS were reviewed. Challenges in the provision of optimal care for these patients were identified and broadly categorized into issues related to (1) accessibility/systems of care, (2) risk stratification, (3) education, (4) optimization of pharmacotherapy, and (5) cost/affordability. While ACS guidelines clearly represent a valuable standard of care, the group concluded that these challenges can be best met by establishing cardiac networks and individual hospital models/clinical pathways taking into account local risk factors (including socioeconomic status), affordability and availability of pharmacotherapies/invasive facilities, and the nature of local healthcare systems. Potential solutions central to the optimization of ACS medical management in the APAC region are outlined with specific recommendations.

  12. Political Science in Asia and the Pacific: Status Reports on Teaching and Research in Ten Countries. Social and Human Sciences in Asia and the Pacific, RUSHSAP Series on Occasional Monographs and Papers, 10.

    ERIC Educational Resources Information Center

    Uchida, Takeo

    This publication contains reports on the status of teaching and research in political science in ten countries in the Asia-Pacific Region. These reports prepared according to a common guideline provide an opportunity for comparison. The essays review how political science has grown and taken root in the respective countries; the problems it faces;…

  13. How To Establish Effective Book Marketing and Distribution Systems in Asia/Pacific. Report of the Regional Training Course on Book Production in Asia/Pacific (Tokyo, Japan, September 21-October 9, 1994).

    ERIC Educational Resources Information Center

    Asian Cultural Centre for UNESCO, Tokyo (Japan).

    The participants in this 1994 regional training course examined the issue of book distribution and marketing. They focused on book marketing together with the development of distribution in order to prepare practical action plans for improvement. Twenty-three experts from 20 countries in Asia/Pacific and Africa analyzed problems, exchanged…

  14. Political Science in Asia and the Pacific: Status Reports on Teaching and Research in Ten Countries. Social and Human Sciences in Asia and the Pacific, RUSHSAP Series on Occasional Monographs and Papers, 10.

    ERIC Educational Resources Information Center

    Uchida, Takeo

    This publication contains reports on the status of teaching and research in political science in ten countries in the Asia-Pacific Region. These reports prepared according to a common guideline provide an opportunity for comparison. The essays review how political science has grown and taken root in the respective countries; the problems it faces;…

  15. Teachers, Teacher Education and Development: Report on an APEID Regional Meeting of Directors of Educational Research and Development Institutes in the Asia and the Pacific Region. Final Report of a Regional Meeting (July 7-15, 1997).

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    The 1997 Asia-Pacific Programme of Educational Innovation for Development (APEID) Regional Meeting of Directors of Educational Research and Development Institutes in the Asia and the Pacific Region reviewed research from the Asia-Pacific region related to teachers, teacher education, and teacher development. The meeting identified common…

  16. Feasibility of large-scale water monitoring and forecasting in the Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    van Dijk, A. I. J. M.; Peña-Arancibia, J. L.; Sardella, C. S. E.

    2012-04-01

    The Asian-Pacific region (including China, India and Pakistan) is home to 51% of the global population. It accounts for 53% of agricultural and 32% of domestic water use world wide. Due to the influence of Pacific Ocean and Indian Ocean circulation patterns, the region experiences strong inter-annual variations in water availability and occurrence of drought, flood and severe weather. Some of the countries in the region have national water monitoring or forecasting systems, but they are typically of fairly narrow scope. We investigated the feasibility and utility of an integrated regional water monitoring and forecasting system for water resources, floods and drought. In particular, we assessed the quality of information that can be achieved by relying on internationally available data sources, including numerical weather prediction (NWP) and satellite observations of precipitation, soil moisture and vegetation. Combining these data sources with a large scale hydrological model, we produced monitoring and forecast information for selected retrospective case studies. The information was compared to that from national systems, both in terms of information content and system characteristics (e.g. scope, data sources, and information latency). While national systems typically have better access to national observation systems, they do not always make effective use of the available data, science and technology. The relatively slow changing nature of important Pacific and Indian Ocean circulation patterns adds meaningful seasonal forecast skill for some regions. Satellite and NWP precipitation estimates can add considerable value to the national gauge networks: as forecasts, as near-real time observations and as historic reference data. Satellite observations of soil moisture and vegetation are valuable for drought monitoring and underutilised. Overall, we identify several important opportunities for better water monitoring and forecasting in the Asia-Pacific region.

  17. Surveillance colonoscopy after endoscopic treatment for colorectal neoplasia: From the standpoint of the Asia-Pacific region.

    PubMed

    Matsuda, Takahisa; Chiu, Han-Mo; Sano, Yasushi; Fujii, Takahiro; Ono, Akiko; Saito, Yutaka

    2016-04-01

    Colonoscopy is considered the gold standard to detect and remove colorectal neoplasia. The efficacy of colonoscopy with polypectomy to reduce colorectal cancer incidence and mortality has been demonstrated. Recently, post-polypectomy surveillance colonoscopy has become a necessary intervention in daily practice not only in Western countries but also in the Asia-Pacific region. Therefore, it is crucial to establish new clinical practice guidelines to reduce the number of unnecessary surveillance colonoscopies in order to create space for screening colonoscopy. The Asia-Pacific Consensus group recommended that surveillance colonoscopy interval should be tailored according to risk level of index colonoscopy. However, precise guidelines on interval of surveillance cannot be given because of a lack of prospective data. According to Korean and Australian guidelines, surveillance intervals after index colonoscopy of 5 years for low-risk subjects and 3 years for high-risk subjects are recommended in Asia-Pacific regions at present. Prospective data including long-term outcomes from the Japan Polyp Study, which is a multicenter randomized control trial, would be useful to establish the Asia-Pacific consensus in the near future. © 2016 Japan Gastroenterological Endoscopy Society.

  18. Leadership Challenges in International Schools in the Asia Pacific Region: Evidence from Programme Implementation of the International Baccalaureate

    ERIC Educational Resources Information Center

    Lee, Moosung; Hallinger, Philip; Walker, Allan

    2012-01-01

    Over the last four decades, International Baccalaureate (IB) schools have become increasingly important in the global market of international education. This is especially evident in Asia Pacific, which has evidenced the fastest growth in IB schools, as well as international schools more generally, across the world over the last decade. Despite…

  19. Leadership Challenges in International Schools in the Asia Pacific Region: Evidence from Programme Implementation of the International Baccalaureate

    ERIC Educational Resources Information Center

    Lee, Moosung; Hallinger, Philip; Walker, Allan

    2012-01-01

    Over the last four decades, International Baccalaureate (IB) schools have become increasingly important in the global market of international education. This is especially evident in Asia Pacific, which has evidenced the fastest growth in IB schools, as well as international schools more generally, across the world over the last decade. Despite…

  20. Aphasia Rehabilitation in Asia and the Pacific Region: Japan, China, India, Australia and New Zealand. Monograph #45.

    ERIC Educational Resources Information Center

    Sarno, Martha Taylor, Ed.; Woods, Diane E., Ed.

    This monograph presents a "state of the art" overview of contemporary aphasia rehabilitation policies and resources in Asia and the Pacific region. Following Martha Taylor Sarno's introduction, Sumiko Sasanuma discusses the history and development of Japan's aphasia rehabilitation services, focusing on demography and data sources,…

  1. Letter from Seoul: Correspondence from the International Arts Education Symposium and the Asia-Pacific Regional Conference

    ERIC Educational Resources Information Center

    Aprill, Arnold; Schroeder-Yu, Gigi

    2006-01-01

    Arts educator Gigi Schroeder-Yu and Arnold Aprill arrived in Seoul, Korea to participate in the International Arts Education Symposium and in the Asia-Pacific Regional Conference that are part of the wind up for the pitch of the UNESCO World Conference on Arts Education to be held in Lisbon in March 2006. In this article, they reflect on their…

  2. The Institutionalization of Comparative Education in Asia and the Pacific: Roles and Contributions of Comparative Education Societies and the WCCES

    ERIC Educational Resources Information Center

    Bray, Mark; Manzon, Maria

    2014-01-01

    The institutional framework of the field of comparative education has developed significantly in recent decades. One manifestation of development has been the establishment and activities of professional societies. This paper focuses on 12 societies that operate in Asia and the Pacific. Some of these societies have long histories while others are…

  3. Non-Formal Education in Asia and the Pacific. An Overview. Asian Programme of Educational Innovation for Development.

    ERIC Educational Resources Information Center

    Duke, Chris; Vorapipatana, Kowit

    Formal education has traditionally played the conservative role of transmitting values, culture, skills, and knowledge from one generation to the next. Its role has become dysfunctional in societies such as those in Asia and the Pacific that are characterized by rapid change. In societies such as these, the need now is for education for…

  4. A Holistic Approach towards Information and Communication Technology (ICT) for Addressing Education Challenges in Asia and the Pacific

    ERIC Educational Resources Information Center

    Ra, Sungsup; Chin, Brian; Lim, Cher Ping

    2016-01-01

    Information and Communication Technology (ICT) offers opportunities for governments to address key education challenges of quality, equity, and efficiency. While governments and educational institutions in developed countries may have taken up these opportunities, many developing countries in Asia and the Pacific region have often missed them out.…

  5. The Impact of English as a Global Language on Educational Policies and Practices in the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Nunan, David

    2003-01-01

    This article presents the results of an investigation into the place of English in the curriculum in several countries in the Asia-Pacific region. The study indicates that the emergence of English as a global language is having considerable impact on policies and practices in all countries surveyed. However, it also reveals significant problems,…

  6. Attributes of effective managers and implications for health care management education in the Asia-Pacific region.

    PubMed

    Jain, S C; Boldy, D; Chen, G

    1994-01-01

    This paper explores the perceptions of managers and students from 11 countries in the Asia-Pacific region regarding the attributes needed for becoming effective managers and the broad implications of these findings for health care management education. The study forms part of a wider international project aimed at exploring the role of national culture in managerial behavior and effectiveness.

  7. Paradoxical Inscriptions of Global Subjects: Critical Discourse Analysis of International Schools' Websites in the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Tamatea, Laurence; Hardy, Joy; Ninnes, Peter

    2008-01-01

    This paper presents an analysis of Asia-Pacific international school web pages, and explores the expressed purposes of schooling, with regard to the kinds of students/subjects that the schools purport to produce. Using the concept of globalization as a "master" analytical frame, it is argued that despite claims to offering students…

  8. The Institutionalization of Comparative Education in Asia and the Pacific: Roles and Contributions of Comparative Education Societies and the WCCES

    ERIC Educational Resources Information Center

    Bray, Mark; Manzon, Maria

    2014-01-01

    The institutional framework of the field of comparative education has developed significantly in recent decades. One manifestation of development has been the establishment and activities of professional societies. This paper focuses on 12 societies that operate in Asia and the Pacific. Some of these societies have long histories while others are…

  9. Letter from Seoul: Correspondence from the International Arts Education Symposium and the Asia-Pacific Regional Conference

    ERIC Educational Resources Information Center

    Aprill, Arnold; Schroeder-Yu, Gigi

    2006-01-01

    Arts educator Gigi Schroeder-Yu and Arnold Aprill arrived in Seoul, Korea to participate in the International Arts Education Symposium and in the Asia-Pacific Regional Conference that are part of the wind up for the pitch of the UNESCO World Conference on Arts Education to be held in Lisbon in March 2006. In this article, they reflect on their…

  10. Directory of UNFPA-Funded and Unesco-Assisted Population Education Projects in Asia and the Pacific.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    The purpose of this directory is to list by country, the UNFPA-funded and Unesco-assisted organizations engaged in population education in Asia and the Pacific. It includes information on the scope of population education programs in the region as well as activities and accomplishments in the field. The directory has two parts. The first part…

  11. A structural and stochastic optimal model for projections of LNG imports and exports in Asia-Pacific.

    PubMed

    Kompas, Tom; Che, Tuong Nhu

    2016-06-01

    The Asia-Pacific region, the largest and fastest growing liquefied natural gas (LNG) market in the world, has been undergoing radical changes over the past few years. These changes include considerable additional supplies from North America and Australia, and a recent LNG price slump resulting from an oil-linked pricing mechanism and demand uncertainties. This paper develops an Asia-Pacific Gas Model (APGM), based on a structural, stochastic and optimising framework, providing a valuable tool for the projection of LNG trade in the Asia-Pacific region. With existing social-economic conditions, the model projects that Asia-Pacific LNG imports are expected to increase by 49.1 percent in 2020 and 95.7 percent in 2030, compared to 2013. Total LNG trade value is estimated to increase to US$127.2 billion in 2020 and US$199.0 billion in 2030. Future LNG trade expansion is mainly driven by emerging and large importers (i.e., China and India), and serviced, most importantly, by new supplies from Australia and the USA. The model's projected results are sensitive to changes in expected oil prices, pricing mechanisms, economic growth and energy policies, as well as unexpected geopolitical-economic events.

  12. Practices and Challenges in Educational Program Evaluation in the Asia-Pacific Region: Results of a Delphi Study

    ERIC Educational Resources Information Center

    Lee, Yi-Fang; Altschuld, James W.; Hung, Hsin-Ling

    2008-01-01

    While educational program evaluation has become more important in recent years because of increasing governmental demands for accountability, little is known about the development of and issues in regard to this topic in the Asia-Pacific region. The findings from a Delphi study conducted in a number of relevant countries are provided in this…

  13. The Impact of English as a Global Language on Educational Policies and Practices in the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Nunan, David

    2003-01-01

    This article presents the results of an investigation into the place of English in the curriculum in several countries in the Asia-Pacific region. The study indicates that the emergence of English as a global language is having considerable impact on policies and practices in all countries surveyed. However, it also reveals significant problems,…

  14. Why Offer the International Baccalaureate Middle Years Programme? A Comparison between Schools in Asia-Pacific and Other Regions

    ERIC Educational Resources Information Center

    Wright, Ewan; Lee, Moosung; Tang, Hayes; Chak Pong Tsui, Gordon

    2016-01-01

    The International Baccalaureate (IB) has become a powerful educational brand by developing a reputation for combining progressive approaches with academic rigour. This can be identified by the growing number of schools adopting IB programmes globally and especially in the IB Asia-Pacific region. As part of this trend, the IB Middle Years Programme…

  15. Why Offer the International Baccalaureate Middle Years Programme? A Comparison between Schools in Asia-Pacific and Other Regions

    ERIC Educational Resources Information Center

    Wright, Ewan; Lee, Moosung; Tang, Hayes; Chak Pong Tsui, Gordon

    2016-01-01

    The International Baccalaureate (IB) has become a powerful educational brand by developing a reputation for combining progressive approaches with academic rigour. This can be identified by the growing number of schools adopting IB programmes globally and especially in the IB Asia-Pacific region. As part of this trend, the IB Middle Years Programme…

  16. A Framework for Improvement of Educational and Vocational Guidance Services for Girls and Women in Asia and the Pacific.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    There is a shortfall in the provision of guidance programs to meet the specific educational and vocational needs of girls and women in Asia and the Pacific. Unemployment rates of women are higher than those of men, the lack of articulation between vocational education and the realities of the labor market lead to unemployment, and the narrow range…

  17. Teaching with Educational Technology in the 21st Century: The Case of the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Inoue, Yukiko; Bell, Suzanne

    2006-01-01

    With the emphasis on faculty experiences and efforts to enhance higher learning in less-developed regions, "Teaching with Educational Technology in the 21st Century: The Case of the Asia-Pacific Region" is a comprehensive study of teaching applications involving educational technology. The book encourages collaboration across…

  18. Strategies for Higher Education in Asia and the Pacific in the Post-Cold War Era. IIEP Contributions, No. 29.

    ERIC Educational Resources Information Center

    Sanyal, Bikas C.

    This paper suggests some strategies for higher education in Asia and the Pacific in the context of ideological, societal, economic, and technological changes that have been experienced in the region during recent years. Some characteristics of the region and its socioeconomic characteristics are outlined, and the impact of changes on the area's…

  19. A Holistic Approach towards Information and Communication Technology (ICT) for Addressing Education Challenges in Asia and the Pacific

    ERIC Educational Resources Information Center

    Ra, Sungsup; Chin, Brian; Lim, Cher Ping

    2016-01-01

    Information and Communication Technology (ICT) offers opportunities for governments to address key education challenges of quality, equity, and efficiency. While governments and educational institutions in developed countries may have taken up these opportunities, many developing countries in Asia and the Pacific region have often missed them out.…

  20. Outline for the Winter T-PARC (THORPEX Pacific-Asia Regional Campaign)

    NASA Astrophysics Data System (ADS)

    Asuma, Y.; Yamanouchi, T.; Toth, Z.

    2009-12-01

    For the purpose of improvement of 1-14 day high impact weather forecast, the wintertime THORPEX Pacific-Asia Regional Campaign (Winter T-PARC) was carried out by the lead organization of National Oceanic and Atmospheric Administration in United States from 12 January to the end of February 2008. Main observation platforms were enhanced upper air soundings in Siberia, Russia, two aircrafts (G-IV and C-130) for drop-sonde soundings. NOAA G-IV was located at Yokota AB in Tokyo, Japan and USAF C-130 was at Anchorage in Alaska, USA. As the rapidly deepening low pressure systems in the Northwestern Pacific region strongly affect downstream regions, such as Alaska, Arctic and entire North-American continent, they have a great contribution to the improvement of the forecasting in the Unite Sates and Canada. Winter T-PARC is assigned as a part of International Polar Year (IPY) program in the Unites States. National Institute of Polar Research in Japan supports the Winter T-PARC as a part of Japanese IPY activity. Using NCEPFNL dataset, temperature and moisture transportations and storm activities were analyzed over the North Pacific and Arctic regions from December 2008 to March 2009. As shown in Yoshida and Asuma (2004) and Kuwano-Yoshida and Asuma (2008), explosively deepening cyclones in the Northwestern Pacific region had distinct seasonal variations. That is, cyclones rapidly developed near the east coast of the Eurasian Continent (OJ cyclones) in December, moved quickly straightforward to the East in January (PO-L cyclones) and formed over the East China Sea where the south of Japan, moved to the Northward and developed over the east of Hokkaido (PO-O cyclones) in February and March. Figure shows monthly low pressure systems and their tracks in the Arctic region. Large amounts of heat and moisture flow into the Arctic region from the lower and mid latitudes through the Bearing Straight as well as the Norwegian Sea. Storms entered and traveled into the Arctic region

  1. Epidemiology of candidemia and antifungal susceptibility in invasive Candida species in the Asia-Pacific region.

    PubMed

    Wang, He; Xu, Ying-Chun; Hsueh, Po-Ren

    2016-10-01

    In the Asia-Pacific region, Candida albicans is the predominant Candida species causing invasive candidiasis/candidemia in Australia, Japan, Korea, Hong Kong, Malaysia, Singapore and Thailand whereas C. tropicalis is the most frequently encountered Candida species in Pakistan and India. Invasive isolates of C. albicans, C. parapsilosis complex and C. tropicalis remain highly susceptible to fluconazole (>90% susceptible). Fluconazole resistance (6.8-15%), isolates with the non-wild-type phenotype for itraconazole susceptibility (3.9-10%) and voriconazole (5-17.8%), and echinocandin resistance (2.1-2.2% in anidulafungin and 2.2% in micafungin) among invasive C. glabrata complex isolates are increasing in prevalence. Moreover, not all isolates of C. tropicalis have been shown to be susceptible to fluconazole (nonsusceptible rate, 5.7-11.6% in China) or voriconazole (nonsusceptible rate, 5.7-9.6% in China).

  2. Child Survival and Development toward Health for All: roles and strategies for Asia-Pacific universities.

    PubMed

    Raymond, J S; Patrick, W

    1989-01-01

    Recently, discussion among academics and practitioners has focused on the potential roles, strategies, and functions of universities in the Asia-Pacific region in the next ten to fifteen years in the global initiative commonly referred to as the Child Survival and Development Revolution toward Health for All. (1) The purpose of this paper is to capture the practical key elements of recent discussions and to extend the current thinking into potentially useful guidelines or frameworks for universities of the region. Universities may then be better prepared to move forward in ways which promote the goals and interests of the Health For All movement and the well-being of particularly the world's children.

  3. Health policy in Asia and the Pacific: Navigating local needs and global challenges

    PubMed Central

    Lee, Kelley

    2014-01-01

    Asia and the Pacific are undergoing a remarkable economic transformation which is occurring at an exceptional pace. There is clear evidence of an equally rapid epidemiological transition in the region. This paper sets out the policy challenges of building healthy societies in the context of rapid economic change. The region’s location at the crossroads of contemporary globalization, resulting in intensified population mobility, large-scale trade and investment, and pressures to take collective action on shared problems, adds to the complexity of this task. The paper argues that health is integral to building stable and sustainable societies, and that there are opportunities to develop more holistic approaches that bring together hitherto separate policy spheres. PMID:24592312

  4. Parasites as valuable stock markers for fisheries in Australasia, East Asia and the Pacific Islands.

    PubMed

    Lester, R J G; Moore, B R

    2015-01-01

    Over 30 studies in Australasia, East Asia and the Pacific Islands region have collected and analysed parasite data to determine the ranges of individual fish, many leading to conclusions about stock delineation. Parasites used as biological tags have included both those known to have long residence times in the fish and those thought to be relatively transient. In many cases the parasitological conclusions have been supported by other methods especially analysis of the chemical constituents of otoliths, and to a lesser extent, genetic data. In analysing parasite data, authors have applied multiple different statistical methodologies, including summary statistics, and univariate and multivariate approaches. Recently, a growing number of researchers have found non-parametric methods, such as analysis of similarities and cluster analysis, to be valuable. Future studies into the residence times, life cycles and geographical distributions of parasites together with more robust analytical methods will yield much important information to clarify stock structures in the area.

  5. Clinical applications of drug desensitization in the Asia-Pacific region

    PubMed Central

    2011-01-01

    Drug desensitization is the induction, within hours to days, of a temporary state of tolerance to a drug which the patient has developed a hypersensitivity reaction to. It may be used for IgE and non-IgE mediated allergic reactions, and certain non-allergic reactions. The indication for desensitization is where no alternative medications are available for the treatment of that condition, and where the benefits of desensitization outweigh the risks. Desensitization is a therapeutic modality for drug allergy (similar to allergen specific immunotherapy for allergic rhinitis and insect venom anaphylaxis). In contrast, the drug provocation test is a diagnostic modality used to confirm or refute the diagnosis of drug allergy. This review discusses the clinical applications of desensitization for the treatment of common infectious, metabolic and cardiovascular diseases, and oncological conditions in the Asia-Pacific region. PMID:22053290

  6. Clinical applications of drug desensitization in the Asia-Pacific region.

    PubMed

    Thong, Bernard Yu-Hor

    2011-04-01

    Drug desensitization is the induction, within hours to days, of a temporary state of tolerance to a drug which the patient has developed a hypersensitivity reaction to. It may be used for IgE and non-IgE mediated allergic reactions, and certain non-allergic reactions. The indication for desensitization is where no alternative medications are available for the treatment of that condition, and where the benefits of desensitization outweigh the risks. Desensitization is a therapeutic modality for drug allergy (similar to allergen specific immunotherapy for allergic rhinitis and insect venom anaphylaxis). In contrast, the drug provocation test is a diagnostic modality used to confirm or refute the diagnosis of drug allergy. This review discusses the clinical applications of desensitization for the treatment of common infectious, metabolic and cardiovascular diseases, and oncological conditions in the Asia-Pacific region.

  7. Groundwater storage inferred from earthquake activities around East Asia and West Pacific Ocean

    NASA Astrophysics Data System (ADS)

    Shih, David Ching-Fang

    2017-01-01

    Groundwater is a necessary and indispensable resource in the gradual depletion of the amount in the world. Groundwater storage is an important indicator to evaluate the capability of volume of water can be released from the aquifer. This research highlights a new assessment to infer the storage of aquifer using earthquakes activated around East Asia and the ring of fire at West Pacific Ocean. Ten significant seismic events are used to evaluate the groundwater storage at an observation station. By analyzing the spectra of groundwater level and seismogram, it is evident that the period varied in 7-25 s of Rayleigh waves significantly dominate propagation from the epicenter of earthquakes to the observation station. The storage coefficient is then shown in the order of 10-4-10-3. The major innovation of this study suggests that to concretely deduce the groundwater storage by earthquake activity has become feasible.

  8. Summary of the 6th asia-pacific transport working group (APTWG) meeting

    NASA Astrophysics Data System (ADS)

    Jhang, Hogun; Ghim, Y.-c.; Wang, Zheng-Xiong; Kwon, J. M.; Tamura, N.

    2017-08-01

    This report summarizes the contributions to, and discussions at, the 6th Asia-Pacific Transport Working Group (APTWG) meeting, held on 21-25 June 2016 at Korea University, Seoul, Republic of Korea. The objective of the meeting was to develop an integrated understanding of transport phenomena in magnetically confined plasmas. To accomplish this objective, four technical working groups were organized under the headings: (1) turbulence suppression and transport bifurcation, (2) effect of magnetic topology on transport and magnetohydrodynamics-turbulence interaction, (3) nonlocality and non-diffusive transport, and (4) Energetic particles and particle/impurity transport. A summary is also given of the three plenary review talks on impurity transport, the magnetohydrodynamics relaxation process in reversed field pinch, and recent experimental and modelling results on the quiescent H-mode operation.

  9. Remote sensing helps to assess natural hazards and environmental changes in Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    Thouret, Jean-Claud; Liew, Soo Chin; Gupta, Avijit

    2012-04-01

    Conference on Remote Sensing, Natural Hazards, and Environmental Change; Singapore, 28-29 July 2011 Natural hazards and anthropogenic environmental changes, both significant in the Asia-Pacific region, were the two themes of a conference organized by the National University of Singapore's Centre for Remote Imaging, Sensing and Processing (CRISP) and the Université Blaise Pascal's Laboratoire Magmas et Volcans. The application of satellite imagery at a wide range of resolutions, from 500 meters to 50 centimeters, was a unifying approach in many of the studies presented. The recent arrival of a new generation of satellites with extremely high resolution (50 centimeters) has improved scientists' ability to carry out detailed studies of natural hazards and environmental change.

  10. Burden of allergic rhinitis: allergies in America, Latin America, and Asia-Pacific adult surveys.

    PubMed

    Meltzer, Eli O; Blaiss, Michael S; Naclerio, Robert M; Stoloff, Stuart W; Derebery, M Jennifer; Nelson, Harold S; Boyle, John M; Wingertzahn, Mark A

    2012-01-01

    Allergic rhinitis (AR; also nasal allergies or "hay fever") is a chronic upper airway inflammatory disease that affects ∼60 million adults and children in the United States. The duration and severity of AR symptoms contribute to a substantial burden on patients' quality of life (QoL), sleep, work productivity, and activity. This study was designed to examine symptoms, QoL, productivity, comorbidities, disease management, and pharmacologic treatment of AR in United States and ex-U.S. sufferers. Allergies in America was a comprehensive telephone-based survey of 2500 adults with AR. These data are compared and contrasted with findings from the Pediatric Allergies in America, Allergies in Latin America, and Allergies in Asia-Pacific telephone surveys. The prevalence of physician-diagnosed AR was 14% in U.S. adults, 7% in Latin America adults, and 9% in Asia-Pacific adults. Nasal congestion is the most common and bothersome symptom for adults. Approximately two-thirds of adults rely on medication to relieve intolerable AR symptoms. Incomplete relief, slow onset, <24-hour relief, and reduced efficacy with sustained use were commonly reported with AR medications, including intranasal corticosteroids. One in seven U.S. adults reported achieving little to no relief with AR medications. Bothersome adverse effects of AR medications included drowsiness, a drying feeling, medication dripping down the throat, and bad taste. Perception of inadequate efficacy was the leading cause of medication discontinuation or change and contributed to treatment dissatisfaction. These findings support the assertion that AR burden has been substantially underestimated and identify several important challenges to successful management of AR.

  11. Telemedicine for gastrointestinal endoscopy: The Endoscopic Club E-conference in the Asia Pacific Region

    PubMed Central

    Ho, Shiaw-Hooi; Rerknimitr, Rungsun; Kudo, Kuriko; Tomimatsu, Shunta; Ahmad, Mohamad Zahir; Aso, Akira; Seo, Dong Wan; Goh, Khean-Lee; Shimizu, Shuji

    2017-01-01

    Background and study aims An Endoscopic Club E-conference (ECE) was set up in May 2014 to cater to increased demand for gastrointestinal endoscopy-related teleconferences in the Asia-Pacific region which were traditionally organized by the medical working group (MWG) of Asia-Pacific Advanced Network. This study describes how the ECE meeting was run, examines the group dynamics, outlines feedback and analyzes factors affecting the enthusiasm of participants. It is hoped that the findings here can serve as guidance for future development of other teleconference groups. Methods The preparation, running of and feedback on the ECE teleconference were evaluated and described. The country’s economic situation, time zone differences, connectivity with a research and education network (REN) and engineering cooperation of each member were recorded and analyzed with regard to their association with participant enthusiasm, which was taken as participation in at least 50 % of the meetings since joining. Associations were calculated using 2-way table with chi-square test to generate odds ratio and P value. Results To date, ECE members have increased from 7 to 29 (increment of 314 %). Feedback received indicated a high level of satisfaction with program content, audiovisual transmission and ease of technical preparation. Upper gastrointestinal luminal endoscopy-related topics were the most favored program content. Those topics were presented mainly via case studies with a focus on management challenges. Time zone differences of more than 6 hours and poor engineering cooperation were independently associated with inactive participation (P values of 0.04 and 0.001 respectively). Conclusions Good program content and high-quality audiovisual transmission are keys to the success of an endoscopic medical teleconference. In our analysis, poor engineering cooperation and discordant time zones contributed to inactive participation while connectivity with REN and a country

  12. The burden of child maltreatment in the East Asia and Pacific region.

    PubMed

    Fang, Xiangming; Fry, Deborah A; Brown, Derek S; Mercy, James A; Dunne, Michael P; Butchart, Alexander R; Corso, Phaedra S; Maynzyuk, Kateryna; Dzhygyr, Yuriy; Chen, Yu; McCoy, Amalee; Swales, Diane M

    2015-04-01

    This study estimated the health and economic burden of child maltreatment in the East Asia and Pacific region, addressing a significant gap in the current evidence base. Systematic reviews and meta-analyses were conducted to estimate the prevalence of child physical abuse, sexual abuse, emotional abuse, neglect, and witnessing parental violence. Population Attributable Fractions were calculated and Disability-Adjusted Life Years (DALYs) lost from physical and mental health outcomes and health risk behaviors attributable to child maltreatment were estimated using the most recent comparable Global Burden of Disease data. DALY losses were converted into monetary value by assuming that one DALY is equal to the sub-region's per capita GDP. The estimated economic value of DALYs lost to violence against children as a percentage of GDP ranged from 1.24% to 3.46% across sub-regions defined by the World Health Organization. The estimated economic value of DALYs (in constant 2000 US$) lost to child maltreatment in the EAP region totaled US $151 billion, accounting for 1.88% of the region's GDP. Updated to 2012 dollars, the estimated economic burden totaled US $194 billion. In sensitivity analysis, the aggregate costs as a percentage of GDP range from 1.36% to 2.52%. The economic burden of child maltreatment in the East Asia and Pacific region is substantial, indicating the importance of preventing and responding to child maltreatment in this region. More comprehensive research into the impact of multiple types of childhood adversity on a wider range of putative health outcomes is needed to guide policy and programs for child protection in the region, and globally. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Influenza in the Asia-Pacific region: Findings and recommendations from the Global Influenza Initiative.

    PubMed

    Cowling, Benjamin J; Caini, Saverio; Chotpitayasunondh, Tawee; Djauzi, Samsuridjal; Gatchalian, Salvacion R; Huang, Q Sue; Koul, Parvaiz A; Lee, Ping-Ing; Muttalif, Abdul Razak; Plotkin, Stanley

    2017-02-07

    The fourth roundtable meeting of the Global Influenza Initiative (GII) was held in Hong Kong, China, in July 2015. An objective of this meeting was to gain a broader understanding of the epidemiology, surveillance, vaccination policies and programs, and obstacles to vaccination of influenza in the Asia-Pacific region through presentations of data from Australia, Hong Kong, India, Indonesia, Malaysia, New Zealand, the Philippines, Taiwan, Thailand, and Vietnam. As well as a need for improved levels of surveillance in some areas, a range of factors were identified that act as barriers to vaccination in some countries, including differences in climate and geography, logistical challenges, funding, lack of vaccine awareness and education, safety concerns, perceived lack of vaccine effectiveness, and lack of inclusion in national guidelines. From the presentations at the meeting, the GII discussed a number of recommendations for easing the burden of influenza and overcoming the current challenges in the Asia-Pacific region. These recommendations encompass the need to improve surveillance and availability of epidemiological data; the development and publication of national guidelines, where not currently available and/or that are in line with those proposed by the World Health Organization; the requirement for optimal timing of vaccination programs according to local or country-specific epidemiology; and calls for advocacy and government support of vaccination programs in order to improve availability and uptake and coverage. In conclusion, in addition to the varied epidemiology of seasonal influenza across this diverse region, there are a number of logistical and resourcing issues that present a challenge to the development of optimally effective vaccination strategies and that need to be overcome to improve access to and uptake of seasonal influenza vaccines. The GII has developed a number of recommendations to address these challenges and improve the control of

  14. Current status of endoscopic diagnosis and treatment of superficial Barrett's adenocarcinoma in Asia-Pacific region.

    PubMed

    Goda, Kenichi; Singh, Rajvinder; Oda, Ichiro; Omae, Masami; Takahashi, Akiko; Koike, Tomoyuki; Uedo, Noriya; Hirasawa, Dai; Fujishiro, Mitsuhiro; Hirasawa, Kingo; Morita, Yoshinori; Ho, Lawrence K Y; Ajioka, Yoichi

    2013-05-01

    The incidence of Barrett's adenocarcinoma has increased dramatically over the past few decades in most Western countries. While Barrett's esophagus is uncommon and adenocarcinoma is still rare in Asian populations, several Asian studies have indicated that the prevalence of esophageal adenocarcinoma is gradually increasing. Therefore, in order to determine the best way to treat superficial Barrett's adenocarcinoma, 12 expert endoscopists and a pathologist from the Asia-Pacific region conducted a session entitled 'The current status of endoscopic diagnosis and treatment of superficial Barrett's adenocarcinoma'. After three keynote lectures, three Japanese panels presented cases of superficial Barrett's adenocarcinomas diagnosed by image-enhanced endoscopy (IEE). We then confirmed the results of a questionnaire on the diagnosis and treatment of superficial Barrett's adenocarcinomas. Finally, a panel introduced an Asia-Pacific international study on simplified narrow-band imaging (NBI) classification of Barrett's esophagus and neoplasias. After a discussion, we proposed consensus statements on endoscopic diagnosis and treatment of superficial Barrett's adenocarcinoma as follows. Representative characteristics by conventional white light endoscopy are a reddish area or a lesion located on the anterior to right side wall. IEE may be useful for characterizing the tumor and diagnosing lateral tumor extension. Superficial Barrett's adenocarcinoma adjacent to the squamocolumnar junction is sometimes associated with subsquamous tumor extension. IEE may be useful to detect the subsquamous tumor extension especially when using NBI or an acetic acid-spraying method. Endoscopic mucosal resection or endoscopic submucosal dissection for mucosal carcinomas could provide excellent prognosis. © 2013 The Authors. Digestive Endoscopy © 2013 Japan Gastroenterological Endoscopy Society.

  15. The burden of child maltreatment in the East Asia and Pacific region☆

    PubMed Central

    Fang, Xiangming; Fry, Deborah A.; Brown, Derek S.; Mercy, James A.; Dunne, Michael P.; Butchart, Alexander R.; Corso, Phaedra S.; Maynzyuk, Kateryna; Dzhygyr, Yuriy; Chen, Yu; McCoy, Amalee; Swales, Diane M.

    2015-01-01

    This study estimated the health and economic burden of child maltreatment in the East Asia and Pacific region, addressing a significant gap in the current evidence base. Systematic reviews and meta-analyses were conducted to estimate the prevalence of child physical abuse, sexual abuse, emotional abuse, neglect, and witnessing parental violence. Population Attributable Fractions were calculated and Disability-Adjusted Life Years (DALYs) lost from physical and mental health outcomes and health risk behaviors attributable to child maltreatment were estimated using the most recent comparable Global Burden of Disease data. DALY losses were converted into monetary value by assuming that one DALY is equal to the sub-region’s per capita GDP. The estimated economic value of DALYs lost to violence against children as a percentage of GDP ranged from 1.24% to 3.46% across sub-regions defined by the World Health Organization. The estimated economic value of DALYs (in constant 2000 US$) lost to child maltreatment in the EAP region totaled US $151 billion, accounting for 1.88% of the region’s GDP. Updated to 2012 dollars, the estimated economic burden totaled US $194 billion. In sensitivity analysis, the aggregate costs as a percentage of GDP range from 1.36% to 2.52%. The economic burden of child maltreatment in the East Asia and Pacific region is substantial, indicating the importance of preventing and responding to child maltreatment in this region. More comprehensive research into the impact of multiple types of childhood adversity on a wider range of putative health outcomes is needed to guide policy and programs for child protection in the region, and globally. PMID:25757367

  16. Public Health & Nutrition in the Asia-Pacific: reflections on a quarter century.

    PubMed

    Cavalli-Sforza, Luca Tommaso

    2015-01-01

    Some reflections from work in the Asia Pacific Region, mostly with WHO, in the past 25 years, and the changes in nutrition seen in this time are shared. In 1988-89 I helped to start a Centre for Child Nutrition in Chengdu, Sichuan, through the Italian Development Cooperation. The nutritional problems in urban and rural China, 25 years ago, were similar to those elsewhere in the Region. Like China, these countries underwent rapid economic development and changes in health patterns, within two decades. The main problems for child nutrition had to do with infant feeding practices and less breastfeeding: anaemia, protein energy malnutrition and rickets were frequent. How did China and other countries tackle these and other nutrition problems? In the 1990s the global nutrition community started working on a problem-solving framework. In 1992, at the 1st FAO/WHO International Conference on Nutrition, 159 countries agreed to develop national nutrition plans. In 2014, 22 years later, FAO and WHO invited countries to review their national nutrition situation and plans. The epidemiological picture today is profoundly different. Many Asia-Pacific countries have achieved remarkable progress in socio-economic development, including malnutrition reduction. To reach the MDGs and the post-MDG goals being formulated, the remaining under-nutrition problems need to be alleviated, inequalities between sectors of society reduced, and also the growing threat of overweight/obesity and NCDs prevented and controlled. Assessing, monitoring and evaluating programmes to improve progress, now requires focusing not only on biological outcomes, but also on food security, programme process, and the policy environment.

  17. Surveying trends in radiation oncology medical physics in the Asia Pacific Region.

    PubMed

    Kron, Tomas; Healy, Brendan; Ng, Kwan Hoong

    2016-07-01

    Our study aims to assess and track work load, working conditions and professional recognition of radiation oncology medical physicists (ROMPs) in the Asia Pacific Region over time. A structured questionnaire was mailed in 2008, 2011 and 2014 to senior medical physicists representing 23 countries. The questionnaire covers 7 themes: education and training including certification; staffing; typical tasks; professional organisations; resources; research and teaching; job satisfaction. Across all surveys the response rate was >85% with the replies representing practice affecting more than half of the world's population. The expectation of ROMP qualifications (MSc and between 1 and 3years of clinical experience) has not changed much over the years. However, compared to 2008, the number of medical physicists in many countries has doubled. Formal professional certification is only available in a small number of countries. The number of experienced ROMPs is small in particular in low and middle income countries. The increase in staff numbers from 2008 to 2014 is matched by a similar increase in the number of treatment units which is accompanied by an increase in treatment complexity. Many ROMPs are required to work overtime and not many find time for research. Resource availability has only improved marginally and ROMPs still feel generally overworked, but professional recognition, while varying widely, appears to be improving slowly. While number of physicists and complexity of treatment techniques and technologies have increased significantly, ROMP practice remains essentially unchanged over the last 6years in the Asia Pacific Region. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  18. A University-Level Curriculum in Climate Change for SE Asia and the Asian Pacific

    NASA Astrophysics Data System (ADS)

    Furniss, M. J.; Saah, D. S.; Hines, S. J.; Radel, C. A.; McGroddy, M. E.; Ganz, D. J.

    2014-12-01

    A university-level curriculum has been developed for the SE Asia and Asia Pacific region and is currently being implemented by 12+ universities; in Vietnam, Cambodia, Laos, Thailand, Malaysia, and Papua New Guinea. The curriculum is supported by USAID (U.S. Agency for International Development) through the LEAF program (Lowering Emissions in Asian Forests), under the technical leadership of the U.S. Forest Service. Four modules have been developed: Basic Climate Change, Low-Emissions Land Use Planning, Social and Environmental Soundness, and Carbon Measurement and Monitoring. This presentation will focus on the Basic Climate Change module. This is a survey course that covers a wide range of climate change topics, including causes, effects, and responses. The level of detail in each of the covered topics is calibrated to current issues in the region. The module is elaborated in English and will be translated into the national language of the participating countries. The module is designed to be flexible and can be tailored to both degree and non-degree programs; as well as for trainings for natural resources professionals and policy-makers. Important training topics can be selected as short course trainings for practitioners and leaders working on climate change.

  19. Diabetes in Asia and the Pacific: Implications for the Global Epidemic.

    PubMed

    Nanditha, Arun; Ma, Ronald C W; Ramachandran, Ambady; Snehalatha, Chamukuttan; Chan, Juliana C N; Chia, Kee Seng; Shaw, Jonathan E; Zimmet, Paul Z

    2016-03-01

    The last three decades have witnessed an epidemic rise in the number of people with diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions. More than 60% of the people with diabetes live in Asia, with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the number may rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health "tsunami." Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.

  20. HLA-B*5801: utility and cost-effectiveness in the Asia-Pacific Region.

    PubMed

    Yeo, Siaw Ing

    2013-06-01

    Gout is a common condition which is mainly treated with the hypo-uricemic agent, allopurinol. Although allopurinol is generally a well-tolerated drug, there is a small risk of developing potentially fatal complications, such as allopurinol hypersensitivity syndrome. Recent advances in pharmacogenomics have made possible the identification of genes which confer susceptibility to specific drugs. A recent multi-national case-control study has reported allopurinol as the most common drug associated with Stevens-Johnson syndrome and toxic epidermal necrolysis. Several studies have established a strong association between the human leukocyte antigen (HLA)-B*5801 gene and development of Stevens-Johnson syndrome and toxic epidermal necrolysis. The allele frequency of HLA-B*5801 is highest in the South East Asian population.Since other hypo-uricemic agents are available, patients may wish to have HLA-B*5801 testing before being started on allopurinol. As the test for HLA-B*5801 is expensive, time-consuming and only available in selected laboratories, there is a need to evaluate the utility and cost-effectiveness of this test in our region. © 2013 The Author International Journal of Rheumatic Diseases © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

  1. Monitoring Air Quality from Geostationary Orbit in Asia-Pacific region by MP-GEOSAT (Invited)

    NASA Astrophysics Data System (ADS)

    Kim, J.; Park, R.; Bhartia, P. K.; Yong, S.; Song, C.; Hong, Y.; Lee, S.; Ryoo, S.; Lee, M.; Kim, J.; Woo, J.; Kim, Y. J.; Song, C. H.; Kim, J. H.; Lee, K.; Ho, C.; Park, S. K.; Lee, Y.; Lee, J.; Eom, Y.; Suh, A.; Ahn, Y.

    2009-12-01

    To date, atmospheric chemistry measurements have been carried out by many satellite programs to monitor air quality including O3, NO2, SO2, HCHO, CO including OMI, GOME, SCHIAMACHY, MOPITT, and TES. These measurements have provided extensive dataset to monitor daily to annual changes of pollutant distributions, but are lack of capability in detecting the diurnal variation of pollutant’s concentration thus in providing constraints on their sources. Asia, where both anthropogenic and natural sources of pollutants dominate throughout the year, is an important region to understand tropospheric air pollution in global scale. A scanning UV-Visible Spectrometer, named GEMS (Geostationary Environment Spectrometer) is being planned to be launched in 2017-2018 onboard a geostationary satellite, MP-GEOSAT by KARI(Korea Aerospace Research Institute), together with ABI(Advanced Baseline Imager) and GOCI-2 (Geostationary Ocean Color Imager). Synchronous measurements of air pollutants together with the meteorological variables and ocean color information are expected to contribute to better scientific understanding on the distribution and transboundary transportation of air pollution, and on interactions between meteorology and air chemistry in the Asia-Pacific region. This mission is expected to improve the accuracy of air quality forecasting and reduce current discrepancy between the model and observation. Furthermore, constellation of the MP-GEOSAT with GEOCAPE in America and Sentennial-4 in Europe starting in 2017- 2018 time frame can result in great synergistic outcomes including enhancing significantly our understanding in globalization of tropospheric pollution.

  2. Sex disparities in risk and risk factors for ischemic heart disease in the Asia-Pacific region.

    PubMed

    Peters, Sanne Ae; Woodward, Mark; Lam, Tai H; Fang, Xianghua; Suh, Il; Ueshema, Hirotsugu; Dobson, Annette J; Grobbee, Diederick E; Huxley, Rachel R

    2014-05-01

    Ischemic heart disease (IHD) is the leading cause of death and disability worldwide, with higher rates among men than women. Relatively few studies on risk factor associations are available from the Asia-Pacific region, especially with regard to sex differences. Our objective was to compare the relationships between modifiable risk factors and IHD in men and women from the Asia-Pacific region. Data from 600,445 individuals from 44 studies from the Asia Pacific Cohort Studies Collaboration, an individual patient data overview, were used. Cox models were used to evaluate the effects of risk factors on fatal and non-fatal IHD separately in men and women from Australia and New Zealand (ANZ) and Asia. Over a median follow-up of 6.7 years, 5695 IHD events were documented. The hazard ratio for IHD, comparing men with women, was 2.14 (95% CI 1.97-2.33) in ANZ and 1.88 (95% CI 1.54-2.29) in Asia. The age-adjusted prevalence of major risk factors was generally higher in men than women, especially in ANZ. Risk factors acted broadly similarly between men and women in both Asia and ANZ, with any indications of differences tending to favor men, rather than women. The excess risk of IHD observed in men compared with women in both Asia and ANZ may be, at least in part, a result of a more hazardous risk profile in men compared with women. The contribution of sex differences in the magnitude of the risk factor-disease associations is unlikely to be a contributing factor.

  3. Water-Energy-Food Nexus in Asia-Pacific Ring of Fire

    NASA Astrophysics Data System (ADS)

    Taniguchi, M.; Endo, A.; Gurdak, J. J.; Allen, D. M.; Siringan, F.; Delinom, R.; Shoji, J.; Fujii, M.; Baba, K.

    2013-12-01

    Climate change and economic development are causing increased pressure on water, energy and food resources, presenting communities with increased levels of tradeoffs and potential conflicts among these resources. Therefore, the water-energy-food nexus is one of the most important and fundamental global environmental issues facing the world. For the purposes of this research project, we define human-environmental security as the joint optimization between human and environmental security as well as the water-energy-food nexus. To optimize the governance and management within these inter-connected needs, it is desirable to increase human-environmental security by improving social managements for the water-energy-food nexus. In this research project, we intend to establish a method to manage and optimize the human-environmental security of the water-energy-food nexus by using integrated models, indices, and maps as well as social and natural investigations with stakeholder analyses. We base our approach on the viewpoint that it is important for a sustainable society to increase human-environmental security with decreasing risk and increasing resilience by optimizing the connections within the critical water-energy and water-food clusters. We will take a regional perspective to address these global environmental problems. The geological and geomorphological conditions in our proposed study area are heavily influenced by the so-called 'Ring of Fire,' around the Pacific Ocean. Within these areas including Japan and Southeast Asia, the hydro-meteorological conditions are dominated by the Asia monsoon. The populations that live under these natural conditions face elevated risk and potential disaster as negative impacts, while also benefitting from positive ecological goods and services. There are therefore tradeoffs and conflicts within the water-energy-food nexus, as well as among various stakeholders in the region. The objective of this project is to maximize human

  4. The Asia-Pacific Academy of Ophthalmology's Grand Rounds Around the World-An Online Educational Program Freely Accessible to All.

    PubMed

    Lam, Dennis; Leung, Christopher; He, Mingguang; Tham, Clement; Liu, Yizhi; Pang, Calvin; Martin, Frank

    2012-01-01

    Grand rounds are excellent learning platforms for physicians and other health care professionals to keep up with important evolving areas in the management and treatment models of various diseases. However, there are hardly any freely accessible grand rounds in ophthalmology to meet the need for ophthalmic education in the Asia-Pacific region and beyond. The Asia-Pacific Academy of Ophthalmology would like to meet the need by sponsoring a new initiative "Grand Rounds Around the World" so that ophthalmologists and eye care professionals in the Asia-Pacific region and beyond can benefit from the program, leading to improved patient care and the elimination of learning barriers.

  5. Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific.

    PubMed

    Chen, Liang-Kung; Arai, Hidenori; Chen, Liang-Yu; Chou, Ming-Yueh; Djauzi, Samsuridjal; Dong, Birong; Kojima, Taro; Kwon, Ki Tae; Leong, Hoe Nam; Leung, Edward M F; Liang, Chih-Kuang; Liu, Xiaohong; Mathai, Dilip; Pan, Jiun Yit; Peng, Li-Ning; Poblete, Eduardo Rommel S; Poi, Philip J H; Reid, Stewart; Tantawichien, Terapong; Won, Chang Won

    2017-03-15

    Herpes zoster (HZ) is a prevalent viral disease that inflicts substantial morbidity and associated healthcare and socioeconomic burdens. Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region. We searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines. From 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand. HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years - lifetime risk is approximately one-third. Average incidence of 3-10/1000 person-years is rising at around 5% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients' quality of life and incur heavy healthcare utilisation. Several countries have abundant data on HZ, but

  6. Potential for Zika virus introduction and transmission in resource limited countries in Africa and Asia-Pacific: A modeling study

    PubMed Central

    German, Matthew; Creatore, Maria I.; Brent, Shannon; Watts, Alexander G.; Hay, Simon I.; Kulkarni, Manisha A.; Brownstein, John S.; Khan, Kamran

    2016-01-01

    Summary Background As the epidemic of Zika virus expands in the Americas, countries across Africa and the Asia-Pacific region are becoming increasingly susceptible to the importation and possible local spread of the virus. To support public health readiness, we aim to identify regions and times where the potential health, economic, and social effects from Zika virus are greatest, focusing on resource-limited countries in Africa and the Asia-Pacific region. Methods Our model combined transportation network analysis, ecological modelling of mosquito occurrences, and vector competence for flavivirus transmission, using data from the International Air Transport Association, entomological observations from Zika’s primary vector species, and climate conditions using WorldClim. We overlaid monthly flows of airline travellers arriving to Africa and the Asia-Pacific region from areas of the Americas suitable for year-round transmission of Zika virus with monthly maps of climatic suitability for mosquito-borne transmission of Zika virus within Africa and the Asia-Pacific region. Findings An estimated 2·6 billion people live in areas of Africa and the Asia-Pacific region where the presence of competent mosquito vectors and suitable climatic conditions could support local transmission of Zika virus. Countries with large volumes of travellers arriving from Zika affected areas of the Americas and large populations at risk of mosquito-borne Zika virus infection include, India (67 422 travellers arriving per year; 1·2 billion residents in potential Zika transmission areas), China (238 415 travellers; 242 million residents), Indonesia (13 865 travellers; 197 million residents), Philippines (35 635 travellers; 70 million residents), and Thailand (29 241 travellers; 59 million residents). Interpretation Many countries across Africa and the Asia-Pacific region are vulnerable to Zika virus. Strategic use of available health and human resources is essential to prevent or mitigate

  7. Asian Monsoon Variability from the Monsoon Asia Drought Atlas (MADA) and Links to Indo-Pacific Climate

    NASA Astrophysics Data System (ADS)

    Ummenhofer, Caroline; D'Arrigo, Rosanne; Anchukaitis, Kevin; Hernandez, Manuel; Buckley, Brendan; Cook, Edward

    2014-05-01

    Drought patterns across monsoon and temperate Asia over the period 1877-2005 are linked to Indo-Pacific climate variability associated with the El Niño-Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD). Using the Monsoon Asia Drought Atlas (MADA) composed of a high-resolution network of hydroclimatically sensitive tree-ring records with a focus on the June-August months, spatial drought patterns during El Niño and IOD events are assessed as to their agreement with an instrumental drought index and consistency in the drought response amongst ENSO/IOD events. Spatial characteristics in drought patterns are related to regional climate anomalies over the Indo-Pacific basin, using reanalysis products, including changes in the Asian monsoon systems, zonal Walker circulation, moisture fluxes, and precipitation. A weakening of the monsoon circulation over the Indian subcontinent and Southeast Asia during El Niño events, along with anomalous subsidence over monsoon Asia and reduced moisture flux, is reflected in anomalous drought conditions over India, Southeast Asia and Indonesia. When an IOD event co-occurs with an El Niño, severe drought conditions identified in the MADA for Southeast Asia, Indonesia, eastern China and central Asia are associated with a weakened South Asian monsoon, reduced moisture flux over China, and anomalous divergent flow and subsidence over Indonesia. Variations in the strength of the South Asian monsoon can also be linked to the Strange Parallels Drought (1756-1768) affecting much of Southeast Asia and the Indian subcontinent in the mid-18th Century. Large-scale climate anomalies across the wider region during years with an anomalously strengthened/weakened South Asian monsoon are discussed with implications for severe droughts prior to the instrumental period. Insights into the relative influences of Pacific and Indian Ocean variability for Asian monsoon climate on interannual to decadal and longer timescales, as recorded in the

  8. Smoking and the Risk of Upper Aero Digestive Tract Cancers for Men and Women in the Asia-Pacific Region

    PubMed Central

    Ansary-Moghaddam, Alireza; Martiniuk, Alexandra; Lam, Tai-Hing; Jamrozik, Konrad; Tamakoshi, Akiko; Fang, Xianghua; Suh, Il; Barzi, Federica; Huxley, Rachel; Woodward, Mark

    2009-01-01

    Although smoking is an established causal factor for upper aero digestive tract cancer (UADTC), most of the evidence originates from the West. Thus, we analysed data from 455,409 subjects in the Asia Pacific Cohort Studies Collaboration. Over a median of around six years follow-up, 371 deaths from UADTC were observed. The hazard ratio (95% confidence interval) for current smokers, compared with those who had never smoked, was 2.36 (1.76 – 3.16), adjusted for age and alcohol drinking. Tobacco control policies are urgently required in Asia to prevent millions of deaths from UADTC that smoking will otherwise cause. PMID:19440523

  9. How well do climate models simulate atmospheric teleconnctions over the North Pacific and East Asia associated with ENSO?

    NASA Astrophysics Data System (ADS)

    Kim, Sunyong; Son, Hye-Young; Kug, Jong-Seong

    2017-02-01

    During the El Niño and La Niña mature phase, atmospheric teleconnections over the North Pacific and East Asia vary considerably on sub-seasonal time scales, and are strongly phase-locked to the sub-seasonal evolution. In this study, we investigate how well climate models that participated in the Coupled Model Intercomparison Project Phase 5 (CMIP5) simulate the sub-seasonal evolution of teleconnections over the North Pacific and East Asia associated with El Niño-Southern Oscillation (ENSO). In the observations, there is a prominent anticyclone anomaly over the Kuroshio extension region (i.e. Kuroshio anticyclone), which significantly affects East Asian climate in the early winter (November-December) of El Niño years. However, in January, the Kuroshio anticyclone suddenly disappears, and a cyclonic flow dominates over the North Pacific. It is found here that the CMIP5 models simulate the overall extratropical teleconnection patterns, but they fail to reproduce some of these sub-seasonally-varying features in atmospheric circulation. For example, the models tend to simulate a weaker Kuroshio anticyclone in the early winter during El Niño phases, and fail to capture the abrupt decay of the Kuroshio anticyclone in the late winter. We demonstrate here that these systematic errors in ENSO teleconnection can be explained by systematic errors in tropical precipitation associated with ENSO. That is, negative precipitation anomalies over the western North Pacific (WNP) are too weak in the models compared to that in the observations, and their amplitude tends to be strengthened from December to the following January, while they are weakened in the observations. In addition, analyses on the inter-model diversity strongly support that relative magnitudes of WNP and central Pacific precipitation anomalies are critical for determining sub-seasonal evolution of ENSO teleconnections over the North Pacific and East Asia.

  10. Extending Asia Pacific bioinformatics into new realms in the "-omics" era.

    PubMed

    Ranganathan, Shoba; Eisenhaber, Frank; Tong, Joo Chuan; Tan, Tin Wee

    2009-12-03

    The 2009 annual conference of the Asia Pacific Bioinformatics Network (APBioNet), Asia's oldest bioinformatics organisation dating back to 1998, was organized as the 8th International Conference on Bioinformatics (InCoB), Sept. 7-11, 2009 at Biopolis, Singapore. Besides bringing together scientists from the field of bioinformatics in this region, InCoB has actively engaged clinicians and researchers from the area of systems biology, to facilitate greater synergy between these two groups. InCoB2009 followed on from a series of successful annual events in Bangkok (Thailand), Penang (Malaysia), Auckland (New Zealand), Busan (South Korea), New Delhi (India), Hong Kong and Taipei (Taiwan), with InCoB2010 scheduled to be held in Tokyo, Japan, Sept. 26-28, 2010. The Workshop on Education in Bioinformatics and Computational Biology (WEBCB) and symposia on Clinical Bioinformatics (CBAS), the Singapore Symposium on Computational Biology (SYMBIO) and training tutorials were scheduled prior to the scientific meeting, and provided ample opportunity for in-depth learning and special interest meetings for educators, clinicians and students. We provide a brief overview of the peer-reviewed bioinformatics manuscripts accepted for publication in this supplement, grouped into thematic areas. In order to facilitate scientific reproducibility and accountability, we have, for the first time, introduced minimum information criteria for our pubilcations, including compliance to a Minimum Information about a Bioinformatics Investigation (MIABi). As the regional research expertise in bioinformatics matures, we have delineated a minimum set of bioinformatics skills required for addressing the computational challenges of the "-omics" era.

  11. Developing standards for malaria microscopy: external competency assessment for malaria microscopists in the Asia-Pacific.

    PubMed

    Ashraf, Sania; Kao, Angie; Hugo, Cecilia; Christophel, Eva M; Fatunmbi, Bayo; Luchavez, Jennifer; Lilley, Ken; Bell, David

    2012-10-24

    Malaria diagnosis has received renewed interest in recent years, associated with the increasing accessibility of accurate diagnosis through the introduction of rapid diagnostic tests and new World Health Organization guidelines recommending parasite-based diagnosis prior to anti-malarial therapy. However, light microscopy, established over 100 years ago and frequently considered the reference standard for clinical diagnosis, has been neglected in control programmes and in the malaria literature and evidence suggests field standards are commonly poor. Microscopy remains the most accessible method for parasite quantitation, for drug efficacy monitoring, and as a reference of assessing other diagnostic tools. This mismatch between quality and need highlights the importance of the establishment of reliable standards and procedures for assessing and assuring quality. This paper describes the development, function and impact of a multi-country microscopy external quality assurance network set up for this purpose in Asia. Surveys were used for key informants and past participants for feedback on the quality assurance programme. Competency scores for each country from 14 participating countries were compiled for analyses using paired sample t-tests. In-depth interviews were conducted with key informants including the programme facilitators and national level microscopists. External assessments and limited retraining through a formalized programme based on a reference slide bank has demonstrated an increase in standards of competence of senior microscopists over a relatively short period of time, at a potentially sustainable cost. The network involved in the programme now exceeds 14 countries in the Asia-Pacific, and the methods are extended to other regions. While the impact on national programmes varies, it has translated in some instances into a strengthening of national microscopy standards and offers a possibility both for supporting revival of national microcopy

  12. Developing standards for malaria microscopy: external competency assessment for malaria microscopists in the Asia-Pacific

    PubMed Central

    2012-01-01

    Background Malaria diagnosis has received renewed interest in recent years, associated with the increasing accessibility of accurate diagnosis through the introduction of rapid diagnostic tests and new World Health Organization guidelines recommending parasite-based diagnosis prior to anti-malarial therapy. However, light microscopy, established over 100 years ago and frequently considered the reference standard for clinical diagnosis, has been neglected in control programmes and in the malaria literature and evidence suggests field standards are commonly poor. Microscopy remains the most accessible method for parasite quantitation, for drug efficacy monitoring, and as a reference of assessing other diagnostic tools. This mismatch between quality and need highlights the importance of the establishment of reliable standards and procedures for assessing and assuring quality. This paper describes the development, function and impact of a multi-country microscopy external quality assurance network set up for this purpose in Asia. Methods Surveys were used for key informants and past participants for feedback on the quality assurance programme. Competency scores for each country from 14 participating countries were compiled for analyses using paired sample t-tests. In-depth interviews were conducted with key informants including the programme facilitators and national level microscopists. Results External assessments and limited retraining through a formalized programme based on a reference slide bank has demonstrated an increase in standards of competence of senior microscopists over a relatively short period of time, at a potentially sustainable cost. The network involved in the programme now exceeds 14 countries in the Asia-Pacific, and the methods are extended to other regions. Conclusions While the impact on national programmes varies, it has translated in some instances into a strengthening of national microscopy standards and offers a possibility both for

  13. Asia-Pacific nursing scholarship development: qualitative exploration of nurse scholars in Taiwan (Republic of China).

    PubMed

    Turale, Sue; Shih, Fu-Jin; Klunklin, Areewan; Chontawan, Ratanawadee; Ito, Misae; Nakao, Fujiko

    2010-09-01

    From the perspective of scholars, to describe a contemporary view of the development, facilitators of and barriers to nursing scholarship in Taiwan, to enhance policy-making about research, education and practise development. Nursing scholarship in the Asia-Pacific region is in different stages of development, depending on in-country resources and socio-economic conditions. Little is known about the facilitators or barriers to nursing scholarship in some of these countries, including Taiwan, where nursing education has changed considerably over the last decade. A qualitative exploratory design. The study used snowballing to identify scholars who underwent semi-structured in-depth interviews. These were digitally recorded, transcribed verbatim and subjected to content analysis. Interviews were held with 12 scholars and six major themes arose: 'fulfilling our missions'; 'active research productivity'; 'low levels of collaborative research'; 'increasing demands on time'; 'gender issues' and 'developing effective collaborative networks across Taiwan and Asia'. Participants described Taiwanese scholarship development in terms of fulfilling the missions of universities; trying to balance work and culturally relevant family responsibilities, against a background of decreasing pressures to produce more qualified nurses and being more research productive in rapidly changing and challenging work environments. Taiwan's nursing scholarship is in a dynamic early stage of development, with increasing graduate programmes and research productivity, evidenced by rising international publications and the research productivity indexes of academics. However, scholars are facing increasing pressure because of high workloads and balancing family and work responsibilities. Understanding scholarship development and its facilitators and barriers in Taiwan helps inform policy makers, the higher education sector and nurses in the country and across the region about what needs to be done to

  14. Antifungal susceptibility of invasive Candida bloodstream isolates from the Asia-Pacific region.

    PubMed

    Tan, Thean Yen; Hsu, Li Yang; Alejandria, Marissa M; Chaiwarith, Romanee; Chinniah, Terrence; Chayakulkeeree, Methee; Choudhury, Saugata; Chen, Yen Hsu; Shin, Jong Hee; Kiratisin, Pattarachai; Mendoza, Myrna; Prabhu, Kavitha; Supparatpinyo, Khuanchai; Tan, Ai Ling; Phan, Xuan Thi; Tran, Thi Thanh Nga; Nguyen, Gia Binh; Doan, Mai Phuong; Huynh, Van An; Nguyen, Su Minh Tuyet; Tran, Thanh Binh; Van Pham, Hung

    2016-07-01

    Bloodstream infections caused by Candida species are of increasing importance and associated with significant mortality. We performed a multi-centre prospective observational study to identify the species and antifungal susceptibilities of invasive bloodstream isolates of Candida species in the Asia-Pacific region. The study was carried out over a two year period, involving 13 centers from Brunei, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam. Identification of Candida species was performed at each study center, and reconfirmed at a central laboratory. Susceptibility testing was performed using a commercial broth dilution panel (Sensititre YeastOne YST-010, Thermofisher, United Kingdom) with susceptibility categorisation (S = susceptible, S-DD = susceptible dose-dependent) applied using breakpoints from the Clinical Laboratory Standards Institute. Eight hundred and sixty-one Candida isolates were included in the study. The most common species were C. albicans (35.9%), C. tropicalis (30.7%), C. parapsilosis (15.7%), and C. glabrata (13.6%). Non-albicans species exceeded C. albicans species in centers from all countries except Taiwan. Fluconazole susceptibility was almost universal for C. albicans (S = 99.7%) but lower for C. tropicalis (S = 75.8%, S-DD = 6.1%), C. glabrata (S-DD = 94.9%), and C. parapsilosis (S = 94.8%). Echinocandins demonstrated high rates of in vitro susceptibility (S>99%) against C. albicans, C. tropicalis, and C. parapsilosis This study demonstrates that non-albicans species are the most common isolates from bloodstream infections in most countries in the Asia-Pacific region, with C. tropicalis as the predominant species. Because of the prevalence of reduced susceptibility to fluconazole in non-albicans species, the study indicates that echinocandins should be the antifungal of choice in clinically unstable or high-risk patients with documented candidemia. © The Author 2016. Published by Oxford

  15. Environmental threats to children's health in Southeast Asia and the Western Pacific.

    PubMed Central

    Suk, William A; Ruchirawat, Kuhnying Mathuros; Balakrishnan, Kalpana; Berger, Martha; Carpenter, David; Damstra, Terri; de Garbino, Jenny Pronczuk; Koh, David; Landrigan, Philip J; Makalinao, Irma; Sly, Peter D; Xu, Y; Zheng, B S

    2003-01-01

    The Southeast Asia and Western Pacific regions contain half of the world's children and are among the most rapidly industrializing regions of the globe. Environmental threats to children's health are widespread and are multiplying as nations in the area undergo industrial development and pass through the epidemiologic transition. These environmental hazards range from traditional threats such as bacterial contamination of drinking water and wood smoke in poorly ventilated dwellings to more recently introduced chemical threats such as asbestos construction materials; arsenic in groundwater; methyl isocyanate in Bhopal, India; untreated manufacturing wastes released to landfills; chlorinated hydrocarbon and organophosphorous pesticides; and atmospheric lead emissions from the combustion of leaded gasoline. To address these problems, pediatricians, environmental health scientists, and public health workers throughout Southeast Asia and the Western Pacific have begun to build local and national research and prevention programs in children's environmental health. Successes have been achieved as a result of these efforts: A cost-effective system for producing safe drinking water at the village level has been devised in India; many nations have launched aggressive antismoking campaigns; and Thailand, the Philippines, India, and Pakistan have all begun to reduce their use of lead in gasoline, with resultant declines in children's blood lead levels. The International Conference on Environmental Threats to the Health of Children, held in Bangkok, Thailand, in March 2002, brought together more than 300 representatives from 35 countries and organizations to increase awareness on environmental health hazards affecting children in these regions and throughout the world. The conference, a direct result of the Environmental Threats to the Health of Children meeting held in Manila in April 2000, provided participants with the latest scientific data on children's vulnerability to

  16. Gravity Derived Moho Depths of East/Southeast Asia and Western Pacific

    NASA Astrophysics Data System (ADS)

    Wang, J.; Li, C. F.

    2014-12-01

    East and Southeast Asia and Western Pacific have extreme topography and both the youngest and oldest oceanic basins in the world, and are ideal places to understand oceanic basin evolution and continent-ocean interactions. Crustal structure is critical to understand the regional geodynamic processes. We present our recent inversion of Moho depths of East/Southeast Asia and Western Pacific from satellite gravity data. Because the marginal basins have experienced different cooling histories, we perform thermal correction after the simple Bouguer correction based on the plate cooling model. The model parameters are tested by varying the input plate thickness and mantle temperature with 5 km and 50°C steps, respectively. The evaluation criteria of thermal correction is that the regions with similar water depths have similar Moho depths. We find the best-fit plate thickness and mantle temperature are 95 km and 1300°C, respectively. The Moho undulations are then estimated from residual Bouguer gravity based on the Parker-Oldenburg algorithm. Because the study area convers distinct geological settings, we implement two gravity inversion strategies. In the first strategy, we use a constant density contrast of 0.38 g/cm3 across the Moho and a reference depth of 25 km for the entire study area. Using just one density contrast results in an obvious shallow Moho in continental region. In the second strategy, the study area is divided into four blocks, each covering either the continents or oceans mainly. Moho depths range approximately between 5 and 65 km. The average Moho depths of continental and continental shelf domains are about 35 and 23 km, respectively. Moho depths beneath the marginal basins are averaged at about 16 km. This large mean Moho depth is attributed to numerous seamounts, volcanic chains and ridges, where the Moho depths can be up to ~35 km. We find that the density contrast across the Moho varies between 0.33 and 0.40 g/cm3, approximately 0.40 g/cm3 in

  17. A review of accessibility of administrative healthcare databases in the Asia-Pacific region.

    PubMed

    Milea, Dominique; Azmi, Soraya; Reginald, Praveen; Verpillat, Patrice; Francois, Clement

    2015-01-01

    We describe and compare the availability and accessibility of administrative healthcare databases (AHDB) in several Asia-Pacific countries: Australia, Japan, South Korea, Taiwan, Singapore, China, Thailand, and Malaysia. The study included hospital records, reimbursement databases, prescription databases, and data linkages. Databases were first identified through PubMed, Google Scholar, and the ISPOR database register. Database custodians were contacted. Six criteria were used to assess the databases and provided the basis for a tool to categorise databases into seven levels ranging from least accessible (Level 1) to most accessible (Level 7). We also categorised overall data accessibility for each country as high, medium, or low based on accessibility of databases as well as the number of academic articles published using the databases. Fifty-four administrative databases were identified. Only a limited number of databases allowed access to raw data and were at Level 7 [Medical Data Vision EBM Provider, Japan Medical Data Centre (JMDC) Claims database and Nihon-Chouzai Pharmacy Claims database in Japan, and Medicare, Pharmaceutical Benefits Scheme (PBS), Centre for Health Record Linkage (CHeReL), HealthLinQ, Victorian Data Linkages (VDL), SA-NT DataLink in Australia]. At Levels 3-6 were several databases from Japan [Hamamatsu Medical University Database, Medi-Trend, Nihon University School of Medicine Clinical Data Warehouse (NUSM)], Australia [Western Australia Data Linkage (WADL)], Taiwan [National Health Insurance Research Database (NHIRD)], South Korea [Health Insurance Review and Assessment Service (HIRA)], and Malaysia [United Nations University (UNU)-Casemix]. Countries were categorised as having a high level of data accessibility (Australia, Taiwan, and Japan), medium level of accessibility (South Korea), or a low level of accessibility (Thailand, China, Malaysia, and Singapore). In some countries, data may be available but accessibility was restricted

  18. February 27, 2010 Chilean Tsunami in Pacific and its Arrival to North East Asia

    NASA Astrophysics Data System (ADS)

    Zaytsev, Andrey; Pelinovsky, EfiM.; Yalciner, Ahmet C.; Ozer, Ceren; Chernov, Anton; Kostenko, Irina; Shevchenko, Georgy

    2010-05-01

    The outskirts of the fault plane broken by the strong earthquake on February 27, 2010 in Chili with a magnitude 8.8 at the 35km depth of 35.909°S, 72.733°W coordinates generated a moderate size tsunami. The initial amplitude of the tsunami source is not so high because of the major area of the plane was at land. The tsunami waves propagated far distances in South and North directions to East Asia and Wet America coasts. The waves are also recorded by several gauges in Pacific during its propagation and arrival to coastal areas. The recorded and observed amplitudes of tsunami waves are important for the potential effects with the threatening amplitudes. The event also showed that a moderate size tsunami can be effective even if it propagates far distances in any ocean or a marginal sea. The far east coasts of Russia at North East Asia (Sakhalin, Kuriles, Kamchatka) are one of the important source (i.e. November 15, 2006, Kuril Island Tsunami) and target (i.e. February, 27, 2010 Chilean tsunami) areas of the Pacific tsunamis. Many efforts have been spent for establishment of the monitoring system and assessment of tsunamis and development of the mitigation strategies against tsunamis and other hazards in the region. Development of the computer technologies provided the advances in data collection, transfer, and processing. Furthermore it also contributed new developments in computational tools and made the computer modeling to be an efficient tool in tsunami warning systems. In this study the tsunami numerical model NAMI DANCE Nested version is used. NAMI-DANCE solves Nonlinear form of Long Wave (Shallow water) equations (with or without dispersion) using finite difference model in nested grid domains from the source to target areas in multiprocessor hardware environment. It is applied to 2010 Chilean tsunami and its propagation and coastal behavior at far distances near Sakhalin, Kuril and Kamchatka coasts. The main tide gauge records used in this study are from

  19. Environmental threats to children's health in Southeast Asia and the Western Pacific.

    PubMed

    Suk, William A; Ruchirawat, Kuhnying Mathuros; Balakrishnan, Kalpana; Berger, Martha; Carpenter, David; Damstra, Terri; de Garbino, Jenny Pronczuk; Koh, David; Landrigan, Philip J; Makalinao, Irma; Sly, Peter D; Xu, Y; Zheng, B S

    2003-08-01

    The Southeast Asia and Western Pacific regions contain half of the world's children and are among the most rapidly industrializing regions of the globe. Environmental threats to children's health are widespread and are multiplying as nations in the area undergo industrial development and pass through the epidemiologic transition. These environmental hazards range from traditional threats such as bacterial contamination of drinking water and wood smoke in poorly ventilated dwellings to more recently introduced chemical threats such as asbestos construction materials; arsenic in groundwater; methyl isocyanate in Bhopal, India; untreated manufacturing wastes released to landfills; chlorinated hydrocarbon and organophosphorous pesticides; and atmospheric lead emissions from the combustion of leaded gasoline. To address these problems, pediatricians, environmental health scientists, and public health workers throughout Southeast Asia and the Western Pacific have begun to build local and national research and prevention programs in children's environmental health. Successes have been achieved as a result of these efforts: A cost-effective system for producing safe drinking water at the village level has been devised in India; many nations have launched aggressive antismoking campaigns; and Thailand, the Philippines, India, and Pakistan have all begun to reduce their use of lead in gasoline, with resultant declines in children's blood lead levels. The International Conference on Environmental Threats to the Health of Children, held in Bangkok, Thailand, in March 2002, brought together more than 300 representatives from 35 countries and organizations to increase awareness on environmental health hazards affecting children in these regions and throughout the world. The conference, a direct result of the Environmental Threats to the Health of Children meeting held in Manila in April 2000, provided participants with the latest scientific data on children's vulnerability to

  20. A review of accessibility of administrative healthcare databases in the Asia-Pacific region

    PubMed Central

    Milea, Dominique; Azmi, Soraya; Reginald, Praveen; Verpillat, Patrice; Francois, Clement

    2015-01-01

    Objective We describe and compare the availability and accessibility of administrative healthcare databases (AHDB) in several Asia-Pacific countries: Australia, Japan, South Korea, Taiwan, Singapore, China, Thailand, and Malaysia. Methods The study included hospital records, reimbursement databases, prescription databases, and data linkages. Databases were first identified through PubMed, Google Scholar, and the ISPOR database register. Database custodians were contacted. Six criteria were used to assess the databases and provided the basis for a tool to categorise databases into seven levels ranging from least accessible (Level 1) to most accessible (Level 7). We also categorised overall data accessibility for each country as high, medium, or low based on accessibility of databases as well as the number of academic articles published using the databases. Results Fifty-four administrative databases were identified. Only a limited number of databases allowed access to raw data and were at Level 7 [Medical Data Vision EBM Provider, Japan Medical Data Centre (JMDC) Claims database and Nihon-Chouzai Pharmacy Claims database in Japan, and Medicare, Pharmaceutical Benefits Scheme (PBS), Centre for Health Record Linkage (CHeReL), HealthLinQ, Victorian Data Linkages (VDL), SA-NT DataLink in Australia]. At Levels 3–6 were several databases from Japan [Hamamatsu Medical University Database, Medi-Trend, Nihon University School of Medicine Clinical Data Warehouse (NUSM)], Australia [Western Australia Data Linkage (WADL)], Taiwan [National Health Insurance Research Database (NHIRD)], South Korea [Health Insurance Review and Assessment Service (HIRA)], and Malaysia [United Nations University (UNU)-Casemix]. Countries were categorised as having a high level of data accessibility (Australia, Taiwan, and Japan), medium level of accessibility (South Korea), or a low level of accessibility (Thailand, China, Malaysia, and Singapore). In some countries, data may be available but

  1. Economic burden of underweight and overweight among adults in the Asia-Pacific region: a systematic review.

    PubMed

    Hoque, Mohammad Enamul; Mannan, Munim; Long, Kurt Z; Al Mamun, Abdullah

    2016-04-01

    To assess the economic burden of underweight and overweight among adults in the Asia-Pacific region. Systematic review of articles published until March 2015. Seventeen suitable articles were found, of which 13 assess the economic burden of overweight/obesity and estimate that it accounts for 1.5-9.9% of a country's total healthcare expenditure. Four articles on the economic burden of underweight estimate it at 2.5-3.8% of the country's total GDP. Using hospital data, and compared to normal weight individuals, four articles estimated extra healthcare costs for overweight individuals of 7-9.8% and more, and extra healthcare costs for obese individuals of 17-22.3% and higher. Despite methodological diversity across the studies, there is a consensus that both underweight and overweight impose a substantial financial burden on healthcare systems in the Asia-Pacific region. © 2016 John Wiley & Sons Ltd.

  2. The Asia Pacific Academic Consortium for Public Heath (APACPH) the first ten years, from 1984 to 1994.

    PubMed

    Michael, J M

    2005-01-01

    In January of 1984, five deans of schools of public health from Asia and the Pacific came together on the island of Kauai in Hawaii to formally establish the Consortium. The Consortium owes its cohesive strength through those first ten years of operation, to the dedicated faculty members in the fields of public health and community medicine whose overarching desire has been to seek representation of academic public health in the health decision making process affecting the positive promotion of health. By 1994 the Consortium found itself recognized on a world wide basis in the field of global health with what was described as having: "A great potential for extending the effectiveness of community and public health". "The author, a founding Dean feels that the Consortium's commitment is to shape rather than to await the future of health status improvement for the citizens of the Asia-Pacific region.

  3. Partnerships for community mental health in the Asia-Pacific: principles and best-practice models across different sectors.

    PubMed

    Ng, Chee; Fraser, Julia; Goding, Margaret; Paroissien, David; Ryan, Brigid

    2013-02-01

    Stage Two of the Asia-Pacific Community Mental Health Development Project was established to document successful partnership models in community mental health care in the region. This paper summarizes the best-practice examples and principles of partnerships in community mental health across 17 Asia-Pacific countries. A series of consensus workshops between countries identified best-practice exemplars that promote or advance community mental health care in collaboration with a range of community stakeholders. These prototypes highlighted a broad range of partnerships across government, non-government and community agencies, as well as service users and family carers. From practice-based evidence, a set of 10 key principles was developed that can be applied in building partnerships for community mental health care consistent with the local cultures, communities and systems in the region. Such practical guidance can be useful to minimize fragmentation of community resources and promote effective partnerships to extend community mental health services in the region.

  4. Rewilding the tropics, and other conservation translocations strategies in the tropical Asia-Pacific region

    PubMed Central

    Louys, Julien; Corlett, Richard T; Price, Gilbert J; Hawkins, Stuart; Piper, Philip J

    2014-01-01

    Alarm over the prospects for survival of species in a rapidly changing world has encouraged discussion of translocation conservation strategies that move beyond the focus of ‘at-risk’ species. These approaches consider larger spatial and temporal scales than customary, with the aim of recreating functioning ecosystems through a combination of large-scale ecological restoration and species introductions. The term ‘rewilding’ has come to apply to this large-scale ecosystem restoration program. While reintroductions of species within their historical ranges have become standard conservation tools, introductions within known paleontological ranges—but outside historical ranges—are more controversial, as is the use of taxon substitutions for extinct species. Here, we consider possible conservation translocations for nine large-bodied taxa in tropical Asia-Pacific. We consider the entire spectrum of conservation translocation strategies as defined by the IUCN in addition to rewilding. The taxa considered are spread across diverse taxonomic and ecological spectra and all are listed as ‘endangered’ or ‘critically endangered’ by the IUCN in our region of study. They all have a written and fossil record that is sufficient to assess past changes in range, as well as ecological and environmental preferences, and the reasons for their decline, and they have all suffered massive range restrictions since the late Pleistocene. General principles, problems, and benefits of translocation strategies are reviewed as case studies. These allowed us to develop a conservation translocation matrix, with taxa scored for risk, benefit, and feasibility. Comparisons between taxa across this matrix indicated that orangutans, tapirs, Tasmanian devils, and perhaps tortoises are the most viable taxa for translocations. However, overall the case studies revealed a need for more data and research for all taxa, and their ecological and environmental needs. Rewilding the Asian-Pacific

  5. Rewilding the tropics, and other conservation translocations strategies in the tropical Asia-Pacific region.

    PubMed

    Louys, Julien; Corlett, Richard T; Price, Gilbert J; Hawkins, Stuart; Piper, Philip J

    2014-11-01

    Alarm over the prospects for survival of species in a rapidly changing world has encouraged discussion of translocation conservation strategies that move beyond the focus of 'at-risk' species. These approaches consider larger spatial and temporal scales than customary, with the aim of recreating functioning ecosystems through a combination of large-scale ecological restoration and species introductions. The term 'rewilding' has come to apply to this large-scale ecosystem restoration program. While reintroductions of species within their historical ranges have become standard conservation tools, introductions within known paleontological ranges-but outside historical ranges-are more controversial, as is the use of taxon substitutions for extinct species. Here, we consider possible conservation translocations for nine large-bodied taxa in tropical Asia-Pacific. We consider the entire spectrum of conservation translocation strategies as defined by the IUCN in addition to rewilding. The taxa considered are spread across diverse taxonomic and ecological spectra and all are listed as 'endangered' or 'critically endangered' by the IUCN in our region of study. They all have a written and fossil record that is sufficient to assess past changes in range, as well as ecological and environmental preferences, and the reasons for their decline, and they have all suffered massive range restrictions since the late Pleistocene. General principles, problems, and benefits of translocation strategies are reviewed as case studies. These allowed us to develop a conservation translocation matrix, with taxa scored for risk, benefit, and feasibility. Comparisons between taxa across this matrix indicated that orangutans, tapirs, Tasmanian devils, and perhaps tortoises are the most viable taxa for translocations. However, overall the case studies revealed a need for more data and research for all taxa, and their ecological and environmental needs. Rewilding the Asian-Pacific tropics remains

  6. Report of the 10(th) Asia-Pacific Federation of Societies for Surgery of the Hand Congress (Organising Chair and Scientific Chair).

    PubMed

    A, Roohi Sharifah; Abdullah, Shalimar

    2016-10-01

    A report on the 10(th) Asia-Pacific Federation of Societies for the Surgery of the Hand and 6(th) Asia-Pacific Federation of Societies for Hand Therapists is submitted detailing the numbers of attendees participating, papers presented and support received as well the some of the challenges faced and how best to overcome them from the local conference chair and scientific chair point of view.

  7. Soil health as a factor of ensuring food security (the case of the Asia-Pacific Region)

    NASA Astrophysics Data System (ADS)

    Kravchenko, Alla; Nesterova, Olga; Tregubova, Valentina; Semal, Viktoriia; Derbentseva, Alla; Purtova, Lyudmila; Kostenkov, Nikolay; Tyurina, Elena; Glotova, Elena; Sergeeva, Olesya; Korshenko, Ekaterina

    2016-04-01

    Soil health as a factor of ensuring food security (the case of the Asia-Pacific Region) Food security is a complex issue of both international and national levels. The food embargo on imported products has defined the preservation and regeneration of soils as a priority task in ensuring the food security of the Russian Federation. Soils are a finite, non-renewable resource and their preservation is extremely important for the national food security. Food production is the major function of soils; production of high-quality foods, rich in nutrients, is possible only in healthy soils. Therefore, a healthy and fertile soil is the most important factor in ensuring the food security and improved subsistence. By 2050, in order to meet the demand for food, the global agricultural production has to increase by 60%, and almost by 100% in the developing countries. In many countries and subregions of the Asia-Pacific Region, the population growth rates outrun the rates of food production. The possibilities of incorporating new lands into agricultural activities and providing their irrigation are also limited. In the context of expanding cooperation with the Asia-Pacific neighbors, Russia can make its contribution into improving the food security of the region. Russia has vast territories that could be used for crops farming; a substantial part of these lands have not been farmed yet. Hence, in the Russian Far East, production of grain crops can be increased by incorporating the unused territories into agricultural activities. Therefore, the Russian Far East is a unique site for creating a crops farming territory. And the preservation and regeneration of soils will provide for the production growth and ensure the food security of Russia and the Asia-Pacific region.

  8. Health systems and noncommunicable diseases in the Asia-Pacific region: a review of the published literature.

    PubMed

    Mannava, Priya; Abdullah, Asnawi; James, Chris; Dodd, Rebecca; Annear, Peter Leslie

    2015-03-01

    Addressing the growing burden of noncommunicable diseases (NCDs) in countries of the Asia-Pacific region requires well-functioning health systems. In low- and middle-income countries (LMICs), however, health systems are generally characterized by inadequate financial and human resources, unsuitable service delivery models, and weak information systems. The aims of this review were to identify (a) health systems interventions being implemented to deliver NCD programs and services and their outcomes and (b) the health systems bottlenecks impeding access to or delivery of these programs and services in LMICs of the Asia-Pacific region. A search of 4 databases for literature published between 1990 and 2010 retrieved 36 relevant studies. For each study, information on basic characteristics, type of health systems bottleneck/intervention, and outcome was extracted, and methodological quality appraised. Health systems interventions and bottlenecks were classified as per the World Health Organization health systems building blocks framework. The review identified interventions and bottlenecks in the building blocks of service delivery, health workforce, financing, health information systems, and medical products, vaccines, and technologies. Studies, however, were heterogeneous in methodologies used, and the overall quality was generally low. There are several gaps in the evidence base around NCDs in the Asia-Pacific region that require further investigation. © 2013 APJPH.

  9. The impacts of summer monsoons on the ozone budget of the atmospheric boundary layer of the Asia-Pacific region.

    PubMed

    Hou, Xuewei; Zhu, Bin; Fei, Dongdong; Wang, Dongdong

    2015-01-01

    The seasonal and inter-annual variations of ozone (O3) in the atmospheric boundary layer of the Asia-Pacific Ocean were investigated using model simulations (2001-2007) from the Model of Ozone and Related chemical Tracers, version 4 (MOZART-4). The simulated O3 and diagnostic precipitation are in good agreement with the observations. Model results suggest that the Asia-Pacific monsoon significantly influences the seasonal and inter-annual variations of ozone. The differences of anthropogenic emissions and zonal winds in meridional directions cause a pollutants' transition zone at approximately 20°-30°N. The onset of summer monsoons with a northward migration of the rain belt leads the transition zone to drift north, eventually causing a summer minimum of ozone to the north of 30°N. In years with an early onset of summer monsoons, strong inflows of clean oceanic air lead to low ozone at polluted oceanic sites near the continent, while strong outflows from the continent exist, resulting in high levels of O3 over remote portions of the Asia-Pacific Ocean. The reverse is true in years when the summer monsoon onset is late. Copyright © 2014 Elsevier B.V. All rights reserved.

  10. How prevention of violence in childhood builds healthier economies and smarter children in the Asia and Pacific region.

    PubMed

    Fry, Deborah; Blight, Stephen

    2016-11-01

    Investments in preventing violence against children in the Asia and Pacific region will bring important social and economic returns that contribute to building the region's 'cognitive capital'. An analysis of burden of violence research in the region is presented to identify the impacts of violence and to demonstrate these returns. Violence is an everyday experience in the lives of many children in the Asia-Pacific, and the toxic stress associated with such routine forms of violence may permanently impact the architecture and chemistry of the developing brain. This can undermine learning and affect behavioural, social and emotional functioning as children grow into adulthood. Given the hundreds of millions of children affected by violence in the region each year, its cumulative impact translates into the annual loss of hundreds of billions of dollars-or about 2% of gross domestic product of the Asia and Pacific region. Violence prevention can affect positively on health and productivity, reduce expenditure on crisis response, improve children's developmental and educational outcomes, and prevent crime. The sustainable development goals and the emerging global consensus on effective prevention strategies constitute a powerful new agenda to end violence against children, and there are critical steps that governments can take to accelerate action.

  11. Dengue transmission in the Asia-Pacific region: impact of climate change and socio-environmental factors.

    PubMed

    Banu, Shahera; Hu, Wenbiao; Hurst, Cameron; Tong, Shilu

    2011-05-01

    To review the scientific evidence about the impact of climate change and socio-environmental factors on dengue transmission, particularly in the Asia-Pacific region. Search of the published literature on PubMed, ISI web of Knowledge and Google Scholar. Articles were included if an association between climate or socio-environmental factors and dengue transmission was assessed in any country of the Asia-Pacific region. Twenty-two studies met the inclusion criteria. The weight of the evidence indicates that global climate change is likely to affect the seasonal and geographical distribution of dengue fever (DF) in the Asia-Pacific region. However, empirical evidence linking DF to climate change is inconsistent across geographical locations and absent in some countries where dengue is endemic. Even though climate change may play an increasing role in the transmission of DF, no clear evidence shows that such impact has already occurred. More research is needed across countries to better understand the relationship between climate change and dengue transmission. Future research should also consider and adjust for the influence of important socio-environmental factors in the assessment of the climate change-related effects on dengue transmission. © 2011 Blackwell Publishing Ltd.

  12. Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors and community-based prevention.

    PubMed

    Low, Wah-Yun; Lee, Yew-Kong; Samy, Alexander Lourdes

    2015-01-01

    Non-communicable diseases (NCDs) lead to substantial mortality and morbidity worldwide. The most common NCDs are cardiovascular diseases (CVD), diabetes, cancer and chronic respiratory diseases. With the rapid increase in NCD-related deaths in Asia Pacific countries, NCDs are now the major cause of deaths and disease burden in the region. NCDs hamper achievement of the Millennium Development Goals (MDG). People in the low socio-economic group are most affected by NCDs as they have poor access to policies, legislations, regulations and healthcare services meant to combat NCDs. This results in loss of productivity by a decreasing labor force with implications at the macroeconomic level. The 3 major NCDs in the Asia Pacific region are CVDs, cancer and diabetes due to the increasing loss of disability adjusted life years (DALYs). The 4 major behavioral risk factors for NCDs are: tobacco use, alcohol consumption, inadequate physical activity and unhealthy diet. The underlying risk factors are urbanization, globalization, sedentary lifestyle, obesity and hypertension. Strategies to combat NCDs in the Asia Pacific region are as follows: population-based dietary salt reduction, health education, psychological interventions, i.e., cognitive behavioral therapy and motivational-interviewing, taxation and bans on tobacco-related advertisements, implementing smoke-free zones and surveillance by the World Health Organization. Control measures must focus on prevention and strengthening inter-sectorial collaboration.

  13. Optimal nutrition therapy in paediatric critical care in the Asia-Pacific and Middle East: a consensus.

    PubMed

    Lee, Jan Hau; Rogers, Elizabeth; Chor, Yek Kee; Samransamruajkit, Rujipat; Koh, Pei Lin; Miqdady, Mohamad; Al-Mehaidib, Ali Ibrahim; Pudjiadi, Antonius; Singhi, Sunit; Mehta, Nilesh M

    2016-12-01

    Current practices and available resources for nutrition therapy in paediatric intensive care units (PICUs) in the Asia Pacific-Middle East region are expected to differ from western countries. Existing guidelines for nutrition management in critically ill children may not be directly applicable in this region. This paper outlines consensus statements developed by the Asia Pacific-Middle East Consensus Working Group on Nutrition Therapy in the Paediatric Critical Care Environment. Challenges and recommendations unique to the region are described. Following a systematic literature search from 2004-2014, consensus statements were developed for key areas of nutrient delivery in the PICU. This review focused on evidence applicable to the Asia Pacific-Middle East region. Quality of evidence and strength of recommendations were rated according to the Grading of Recommendation Assessment, Development and Evaluation approach. Enteral nutrition (EN) is the preferred mode of nutritional support. Feeding algorithms that optimize EN should be encouraged and must include: assessment and monitoring of nutritional status, selection of feeding route, time to initiate and advance EN, management strategies for EN intolerance and indications for using parenteral nutrition (PN). Despite heterogeneity in nutritional status of patients, availability of resources and diversity of cultures, PICUs in the region should consider involvement of dieticians and/or nutritional support teams. Robust evidence for several aspects of optimal nutrition therapy in PICUs is lacking. Nutritional assessment must be implemented to document prevalence and impact of malnutrition. Nutritional support must be given greater priority in PICUs, with particular emphasis in optimizing EN delivery.

  14. The 2011 Tohoku earthquake (Mw 9.0) sequence and subduction dynamics in Western Pacific and East Asia

    NASA Astrophysics Data System (ADS)

    Zhao, Dapeng

    2015-02-01

    We review recent findings on the causal mechanism of the great 2011 Tohoku earthquake (Mw 9.0) sequence and related issues on seismic structure and subduction dynamics in Western Pacific and East Asia. High-resolution tomography revealed significant lateral heterogeneities in the interplate megathrust zone beneath the Tohoku, South Kuril and Southwest Japan forearc regions. Large megathrust earthquakes since 1900 generally occurred in or around high-velocity (high-V) patches in the megathrust zone, which may reflect asperities resulting from subducted seamounts, oceanic ridges and other topographic highs on the Pacific seafloor. In contrast, low-velocity (low-V) patches in the megathrust zone may contain more sediments and fluids, where the subducting oceanic plate and the overlying continental plate are less coupled or even decoupled. The nucleation of large crustal earthquakes in the Japan Islands, including the 11 April 2011 Iwaki earthquake (M 7.0) in SE Tohoku, is affected by arc magma and fluids resulting from slab dehydration. The Philippine Sea plate has subducted aseismically down to 430-460 km depth under East China Sea, Tsushima Strait and Japan Sea. A window in the aseismic Philippine Sea slab is detected, which may be caused by splitting of weak parts of the slab at the subducted ridges (e.g., Kyushu-Paula ridge) and hot upwelling in the mantle wedge above the Pacific slab. The intraplate volcanism in Northeast Asia is caused by hot and wet upwelling flows in the big mantle wedge above the stagnant Pacific slab in the mantle transition zone. Frequent generation of large deep earthquakes (>500 km depth) in the Pacific slab may supply additional fluids preserved in the slab to the mantle wedge under the Changbai volcano, making Changbai the largest and most active intraplate volcano in Northeast Asia. Fluids may be involved in nucleation and rupture processes of all types of earthquakes.

  15. Allergic Rhinitis and Its Impact on Asthma in Asia Pacific and the ARIA Update 2008

    PubMed Central

    Bunnag, Chaweewan; Khaltaev, Nikolai; Bousquet, Jean

    2012-01-01

    Abstract: The prevalence of allergic diseases such as allergic rhinitis (AR) and asthma are markedly increasing to epidemic proportions worldwide as societies adopt Western lifestyles. An estimated 300 million persons worldwide have asthma, about 50% of whom live in developing countries, and about 400 million people suffer from AR. AR has a marked impact on quality of life, socially, at school, and in the workplace and is a huge socioeconomic burden. Thus, there was clearly a need for a global evidence-based guideline not only for managing AR but also highlighting the interactions between the upper and lower airways including diagnosis, epidemiology, common risk factors, management, and prevention. The Allergic Rhinitis and its Impact on Asthma (ARIA) document was first published in 2001 as a state-of-the-art document for the specialist, the general practitioner, and other health care professionals. Subsequent research and increasing knowledge have resulted in the ARIA 2008 update. The present review summarizes the ARIA update with particular emphasis on the current status of AR and asthma in Asia Pacific. PMID:23268481

  16. Oryong 501 sinking incident in the Bering Sea-International DVI cooperation in the Asia Pacific.

    PubMed

    Chung, Nak-Eun; Castilani, Anton; Tierra, Wilfredo E; Beh, Philip; Mahmood, Mohd Shah

    2017-09-01

    On December 1st, 2014, the sinking of Oryong 501 occurred in the Bering Sea off the east coast of Russia. A total of 60 crew members, including 35 Indonesians, 13 Filipinos, 11 South Koreans and 1 Russian inspector were on board out of which only seven survived. Through an international rescue operation, the dead bodies of 27 were found and the remaining 26 crew are still missing. After transferring the dead bodies to the Busan Harbor in South Korea, the operation to identify the deceased began involving DVI teams from three countries: Korea, Indonesia and the Philippines. When a deep sea fishing boat sinks, it is very difficult to obtain antemortem data of the crew who had been on board for a long time. This is especially so if the crews are multinational. Further, the accuracy of the antemortem data provided by the families may be questionable, and the provided data is often not standardized. Despite the fact that the antemortem data were received in different formats, the identification process for the bodies of the 27 crew from the Oryong sinking was quickly completed through the cooperation among the three DVI teams. This case is an excellent example of how efficiently a DVI operation can be conducted in the Asia Pacific region. Issues raised during this operation should enable even better preparation for similar events in the future. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Infectious diseases and their outbreaks in Asia-Pacific: biodiversity and its regulation loss matter.

    PubMed

    Morand, Serge; Jittapalapong, Sathaporn; Suputtamongkol, Yupin; Abdullah, Mohd Tajuddin; Huan, Tan Boon

    2014-01-01

    Despite increasing control measures, numerous parasitic and infectious diseases are emerging, re-emerging or causing recurrent outbreaks particularly in Asia and the Pacific region, a hot spot of both infectious disease emergence and biodiversity at risk. We investigate how biodiversity affects the distribution of infectious diseases and their outbreaks in this region, taking into account socio-economics (population size, GDP, public health expenditure), geography (latitude and nation size), climate (precipitation, temperature) and biodiversity (bird and mammal species richness, forest cover, mammal and bird species at threat). We show, among countries, that the overall richness of infectious diseases is positively correlated with the richness of birds and mammals, but the number of zoonotic disease outbreaks is positively correlated with the number of threatened mammal and bird species and the number of vector-borne disease outbreaks is negatively correlated with forest cover. These results suggest that, among countries, biodiversity is a source of pathogens, but also that the loss of biodiversity or its regulation, as measured by forest cover or threatened species, seems to be associated with an increase in zoonotic and vector-borne disease outbreaks.

  18. Infectious Diseases and Their Outbreaks in Asia-Pacific: Biodiversity and Its Regulation Loss Matter

    PubMed Central

    Morand, Serge; Jittapalapong, Sathaporn; Suputtamongkol, Yupin; Abdullah, Mohd Tajuddin; Huan, Tan Boon

    2014-01-01

    Despite increasing control measures, numerous parasitic and infectious diseases are emerging, re-emerging or causing recurrent outbreaks particularly in Asia and the Pacific region, a hot spot of both infectious disease emergence and biodiversity at risk. We investigate how biodiversity affects the distribution of infectious diseases and their outbreaks in this region, taking into account socio-economics (population size, GDP, public health expenditure), geography (latitude and nation size), climate (precipitation, temperature) and biodiversity (bird and mammal species richness, forest cover, mammal and bird species at threat). We show, among countries, that the overall richness of infectious diseases is positively correlated with the richness of birds and mammals, but the number of zoonotic disease outbreaks is positively correlated with the number of threatened mammal and bird species and the number of vector-borne disease outbreaks is negatively correlated with forest cover. These results suggest that, among countries, biodiversity is a source of pathogens, but also that the loss of biodiversity or its regulation, as measured by forest cover or threatened species, seems to be associated with an increase in zoonotic and vector-borne disease outbreaks. PMID:24587201

  19. Plan of Korean Geostationary Environment Satellite over Asia-Pacific region

    NASA Astrophysics Data System (ADS)

    Lee, Sukjo; Hong, Youdeog; Song, Chang-Keun; Lee, Joonsuk; Choi, Won-Jun; Kim, Dukrae; Moon, Kyung-Jung; Kim, Jhoon

    2010-05-01

    National Institute of Environmental Research(NIER/Ministry of Environment Korea) is planning GEMS (Geostationary Environment Monitoring Spectrometer) program to be launched in 2017-2018 onboard a MP-GEOSAT(Multi-Purpose GEOstationary SATellite) which is supposed to be the successive mission of COMS(Communication, Ocean and Meteorological Satellite). GEMS is a scanning UV-Visible Spectrometer to monitor trans-boundary pollution events in Asia-Pacific region, together with ABI(Advanced Baseline Imager) and GOCI-2 (Geostationary Ocean Color Imager). The objective of GEMS is to provide high resolution atmospheric chemistry measurements, to monitor regional and transboundary events, to understand on interactions between atmospheric chemistry and climate, and to improve chemical weather forecast with constraining hourly emissions and data assimilation of chemical observations. Opportunity of international collaboration with NASA and ESA, for the constellation with the GEMS of Korea, Japanese air quality mission, GEO-CAPE of U.S.A and Sentennial-4 of Europe planned to be launched in 2017- 2020 time frame, which can make great synergistic outcomes for better understanding in global air quality and climate change issues.

  20. Prawn biomonitors of nutrient and trace metal pollution along Asia-Pacific coastlines.

    PubMed

    Fry, Brian; Carter, James F; Tinggi, Ujang; Arman, Ali; Kamal, Masud; Metian, Marc; Waduge, Vajira Ariyaratna; Yaccup, Rahman Bin

    2016-12-01

    To assess coastal ecosystem status and pollution baselines, prawns were collected from the commercial catches of eight Asia-Pacific countries (Australia, Bangladesh, Indonesia, Myanmar, Philippines, Pakistan, Sri Lanka and Thailand). Samples collected from 21 sites along regional coastlines were analysed for trace metal and stable isotopic compositions of H, C, N, O and S. A combination of simple averaging and multivariate analyses was used to evaluate the data. Sites could be assigned to easily recognise polluted and unpolluted groups based on the prawn results. Some filter-feeding clams were also collected and analysed together with the benthic-feeding prawns, and the prawns generally had lower trace metal burdens. Climate change effects were not strongly evident at this time, but altered ocean circulation and watershed run-off patterns accompanying future climate change are expected to change chemical patterns recorded by prawns along these and other coastlines. Stable isotopes, especially (15)N, can help to distinguish between relatively polluted and unpolluted sites.

  1. Influenza antiviral resistance in the Asia-Pacific region during 2011.

    PubMed

    Leang, Sook-Kwan; Deng, Yi-Mo; Shaw, Robert; Caldwell, Natalie; Iannello, Pina; Komadina, Naomi; Buchy, Philippe; Chittaganpitch, Malinee; Dwyer, Dominic E; Fagan, Peter; Gourinat, Ann-Claire; Hammill, Frances; Horwood, Paul F; Huang, Q S; Ip, Peng Kei; Jennings, Lance; Kesson, Alison; Kok, Tuckweng; Kool, Jacob L; Levy, Avram; Lin, Cui; Lindsay, Katie; Osman, Osmali; Papadakis, Gina; Rahnamal, Fahimeh; Rawlinson, William; Redden, Craig; Ridgway, Jennifer; Sam, I-Ching; Svobodova, Suzanne; Tandoc, Amado; Wickramasinghe, Geethani; Williamson, Jan; Wilson, Noelene; Yusof, Mohd Apandi; Kelso, Anne; Barr, Ian G; Hurt, Aeron C

    2013-02-01

    Despite greater than 99% of influenza A viruses circulating in the Asia-Pacific region being resistant to the adamantane antiviral drugs in 2011, the large majority of influenza A (>97%) and B strains (∼99%) remained susceptible to the neuraminidase inhibitors oseltamivir and zanamivir. However, compared to the first year of the 2009 pandemic, cases of oseltamivir-resistant A(H1N1)pdm09 viruses with the H275Y neuraminidase mutation increased in 2011, primarily due to an outbreak of oseltamivir-resistant viruses that occurred in Newcastle, as reported in Hurt et al. (2011c, 2012a), where the majority of the resistant viruses were from community patients not being treated with oseltamivir. A small number of influenza B viruses with reduced oseltamivir or zanamivir susceptibility were also detected. The increased detection of neuraminidase inhibitor resistant strains circulating in the community and the detection of novel variants with reduced susceptibility are reminders that monitoring of influenza viruses is important to ensure that antiviral treatment guidelines remain appropriate. Copyright © 2012. Published by Elsevier B.V.

  2. Submicron aerosols during the Beijing Asia-Pacific Economic Cooperation conference in 2014

    NASA Astrophysics Data System (ADS)

    Zhang, J. K.; Wang, L. L.; Wang, Y. H.; Wang, Y. S.

    2016-01-01

    Approximately 30%-40% of industrial practices and 50% of vehicles in operation were limited in Beijing and its surroundings regions during the Beijing Asia-Pacific Economic Cooperation (APEC) conference in 2014. Compared with values obtained prior to the APEC conference, the atmospheric concentration of submicron aerosol particles (PM1) decreased from 101 to 36.9 μg m-3, or 63%. Of all the inorganic species and black carbon present, the concentrations of nitrate to the total concentration of PM1 decreased the most in terms of both mass concentration, from 25.5 to 7.1 μg m-3, and relative contribution, from 21% to 14%. In addition, both sulfate and ammonium decreased substantially by 9.5 and 8.5 μg m-3, respectively. Accordingly, the relative contributions of ammonium nitrate and ammonium sulfate to light extinction decreased by 10% and 5%, respectively, as a result of the pollution control measures implemented during that period. In addition, polycyclic aromatic hydrocarbons in vehicle emissions were reduced significantly.

  3. Consensus of official position of IOF/ISCD FRAX initiatives in Asia-Pacific region.

    PubMed

    Wu, Chih-Hsing; McCloskey, Eugene V; Lee, Joon Kiong; Itabashi, Akira; Prince, Richard; Yu, Wei; Li-Yu, Julie; Chionh, Siok Bee; Zhao, Yanling; Shin, Chan Soo; Gunawan, Tirtarahardja; Tsai, Keh-Sung; Chieng, Poon-Ung; Changlai, Sheng-Pin; Chan, Ding-Cheng; Chen, Jung-Fu; Tanner, S Bobo; Hans, Didier B; Kanis, John A; Chang, Yin-Fan; Sun, Zih-Jie; Yang, Rong-Sen

    2014-01-01

    The fracture risk assessment tool (FRAX(®)) has been developed for the identification of individuals with high risk of fracture in whom treatment to prevent fractures would be appropriate. FRAX models are not yet available for all countries or ethnicities, but surrogate models can be used within regions with similar fracture risk. The International Society for Clinical Densitometry (ISCD) and International Osteoporosis Foundation (IOF) are nonprofit multidisciplinary international professional organizations. Their visions are to advance the awareness, education, prevention, and treatment of osteoporosis. In November 2010, the IOF/ISCD FRAX initiative was held in Bucharest, bringing together international experts to review and create evidence-based official positions guiding clinicians for the practical use of FRAX. A consensus meeting of the Asia-Pacific (AP) Panel of the ISCD recently reviewed the most current Official Positions of the Joint Official Positions of ISCD and IOF on FRAX in view of the different population characteristics and health standards in the AP regions. The reviewed position statements included not only the key spectrum of positions but also unique concerns in AP regions. Copyright © 2014 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

  4. Current advances in ant venom proteins causing hypersensitivity reactions in the Asia-Pacific region.

    PubMed

    Srisong, Hathairat; Daduang, Sakda; Lopata, Andreas L

    2016-01-01

    The main insects causing allergy reactions to stinging insect in humans are Apidae (bees), Vespidae (wasps, yellow jackets and hornets) and Formicidae (ants). Their venom stings are composed of various biologically active peptides and protein components, some of which can cause toxicity or anaphylaxis in humans. The protein venom demonstrate some common allergenic activity such as for fire ants and vespids, which have two common allergens that are phospholipase A1 (enzymatic activity) and antigen 5 with unknown biological activity. The common allergens seem to share some degree of immunological cross-reactivity, particularly when the sequence homology is above 70%. Therefore immunotherapeutic approaches targeting more than one specific species are of interest. Recent widespread increases of various ant species in many countries have resulted in higher number of reported about serious allergic reactions to stings. Most insect-allergy related cases have been reported for species from Solenopsis, Myrmecia and Pachycondyla genera, and their stings can often result in human fatalities. In addition, stinging ants can have serious health effects on livestock, agricultural damage adversely affecting the biodiversity of the region. This review discusses the impact of important ant species on human health in the Asia-Pacific region along with the molecular immunological aspects of the identified venoms and current status of diagnostics and therapeutics. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  5. Allergic Rhinitis and Its Impact on Asthma in Asia Pacific and the ARIA Update 2008.

    PubMed

    Pawankar, Ruby; Bunnag, Chaweewan; Khaltaev, Nikolai; Bousquet, Jean

    2012-04-01

    The prevalence of allergic diseases such as allergic rhinitis (AR) and asthma are markedly increasing to epidemic proportions worldwide as societies adopt Western lifestyles. An estimated 300 million persons worldwide have asthma, about 50% of whom live in developing countries, and about 400 million people suffer from AR. AR has a marked impact on quality of life, socially, at school, and in the workplace and is a huge socioeconomic burden. Thus, there was clearly a need for a global evidence-based guideline not only for managing AR but also highlighting the interactions between the upper and lower airways including diagnosis, epidemiology, common risk factors, management, and prevention. The Allergic Rhinitis and its Impact on Asthma (ARIA) document was first published in 2001 as a state-of-the-art document for the specialist, the general practitioner, and other health care professionals. Subsequent research and increasing knowledge have resulted in the ARIA 2008 update. The present review summarizes the ARIA update with particular emphasis on the current status of AR and asthma in Asia Pacific.

  6. Climate Change, Extreme Weather Events, and Human Health Implications in the Asia Pacific Region.

    PubMed

    Hashim, Jamal Hisham; Hashim, Zailina

    2016-03-01

    The Asia Pacific region is regarded as the most disaster-prone area of the world. Since 2000, 1.2 billion people have been exposed to hydrometeorological hazards alone through 1215 disaster events. The impacts of climate change on meteorological phenomena and environmental consequences are well documented. However, the impacts on health are more elusive. Nevertheless, climate change is believed to alter weather patterns on the regional scale, giving rise to extreme weather events. The impacts from extreme weather events are definitely more acute and traumatic in nature, leading to deaths and injuries, as well as debilitating and fatal communicable diseases. Extreme weather events include heat waves, cold waves, floods, droughts, hurricanes, tropical cyclones, heavy rain, and snowfalls. Globally, within the 20-year period from 1993 to 2012, more than 530 000 people died as a direct result of almost 15 000 extreme weather events, with losses of more than US$2.5 trillion in purchasing power parity. © 2015 APJPH.

  7. Development of entrained-flow gasification technologies in the Asia-Pacific region (review)

    NASA Astrophysics Data System (ADS)

    Ryzhkov, A. F.; Bogatova, T. F.; Lingyan, Zeng; Osipov, P. V.

    2016-11-01

    The gasifier that provides solid fuel conversion to produce syngas with relevant parameters is the key element of plants generating electric and thermal power, producing chemicals from coal. The purpose of this article is to analyze the modern trends in the development of gasification technologies and determine technical solutions providing the high efficiency of gasifiers and the characteristics of generated syngas that meet the requirements established by the process user. Based on the analysis of the world gasification technologies database, which includes all types of gasifiers in use and gasifiers at the construction or design stage, the data on the development of entrained-flow gasification technologies in the Asia-Pacific (AP) countries are discussed. The major constructional components of gasification plants, fuel-feed and syngas cooling methods and their influence on the efficiency and operational reliability are considered. The analysis of technological solutions confirmed the prospectivity of dry-feed entrained-flow technologies. The staged organization of the gasification process makes it possible to solve issues of increasing the economic and environmental indicators of gasification plant operation. The basic directions of modernization of entrained-flow gasifiers for improving their technical-and-economic perfomance was determined.

  8. Possible influence of western North Pacific monsoon on TC activity in mid-latitudes of East Asia

    NASA Astrophysics Data System (ADS)

    Choi, Ki-Seon; Cha, Yumi; Kim, Hae-Dong; Kang, Sung-Dae

    2016-01-01

    This study analyzed the correlation between tropical cyclone (TC) frequency and the Western North Pacific monsoon index (WNPMI), which have both been influential in East Asia's mid-latitude regions during the summer season over the past 37 years (1977-2013). A high positive correlation existed between these two variables, which was not reduced even if El Niño-Southern Oscillation (ENSO) years were excluded. To determine the cause of this positive correlation, the highest (positive WNPMI phase) and lowest WNPMIs (negative WNPMI phase) during a nine-year period were selected to analyze the mean difference between them, excluding ENSO years. In the positive WNPMI phase, TCs were mainly generated in the eastern seas of the tropical and subtropical western North Pacific, passing through the East China Sea and moving northward toward Korea and Japan. In the negative phase, TCs were mainly generated in the western seas of the tropical and subtropical western North Pacific, passing through the South China Sea and moving westward toward China's southern regions. Therefore, TC intensity in the positive phase was stronger due to the acquisition of sufficient energy from the sea while moving a long distance up to East Asia's mid-latitude. Additionally, TCs occurred more in the positive phase. Regarding the difference of the two phases between the 850 and 500-hPa streamlines, anomalous cyclones were strengthened in the tropical and subtropical western North Pacific, whereas anomalous anticyclones were strengthened in East Asia's mid-latitude regions. Due to these two anomalous pressure systems, anomalous southeasterlies developed in East Asia's mid-latitude regions, which played a role in the anomalous steering flows that moved TCs into these regions. Furthermore, due to the anomalous cyclones that developed in the tropical and subtropical western North Pacific, more TCs could be generated in the positive phase. Both the lower and upper tropospheric layers had warm anomalies

  9. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review.

    PubMed

    Ranasinghe, P; Mathangasinghe, Y; Jayawardena, R; Hills, A P; Misra, A

    2017-01-21

    The Asia-Pacific region is home to nearly half of the world's population. The region has seen a recent rapid increase in the prevalence of obesity, type-2 diabetes and cardiovascular disease. The present systematic review summarizes the recent prevalence and trends of Metabolic Syndrome (MetS) among adults in countries of the Asia-Pacific Region. Data on MetS in Asia-Pacific countries were obtained using a stepwise process by searching the online Medline database using MeSH terms 'Metabolic Syndrome X' and 'Epidemiology/EP'. For the purpose of describing prevalence data for the individual countries, studies that were most recent, nationally representative or with the largest sample size were included. When evaluating secular trends in prevalence in a country we only considered studies that evaluated the temporal change in prevalence between similar populations, prospective studies based on the same population or National surveys conducted during different time periods. This literature search yielded a total of 757 articles, and five additional article were identified by screening of reference lists. From this total, 18 studies were eligible to be included in the final analysis. Of the 51 Asia-Pacific countries (WHO) we only located data for 15. There was wide between country variation in prevalence of MetS. A national survey from Philippines conducted in 2003 revealed the lowest reported prevalence of 11.9% according to NCEP ATP III criteria. In contrast, the highest recorded prevalence in the region (49.0%) came from a study conducted in urban Pakistan (Karachchi, 2004). Most studies reported a higher prevalence of MetS in females and urban residents. Data on secular trends were available for China, South Korea and Taiwan. An increase in the prevalence of MetS was observed in all three countries. Despite differences in methodology, diagnostic criteria and age of subjects studied, the Asia-Pacific region is facing a significant epidemic of MetS. In most countries

  10. Incidence and phenotype of inflammatory bowel disease based on results from the Asia-pacific Crohn's and colitis epidemiology study.

    PubMed

    Ng, Siew C; Tang, Whitney; Ching, Jessica Y; Wong, May; Chow, Chung Mo; Hui, A J; Wong, T C; Leung, Vincent K; Tsang, Steve W; Yu, Hon Ho; Li, Mo Fong; Ng, Ka Kei; Kamm, Michael A; Studd, Corrie; Bell, Sally; Leong, Rupert; de Silva, H Janaka; Kasturiratne, Anuradhani; Mufeena, M N F; Ling, Khoon Lin; Ooi, Choon Jin; Tan, Poh Seng; Ong, David; Goh, Khean L; Hilmi, Ida; Pisespongsa, Pises; Manatsathit, Sathaporn; Rerknimitr, Rungsun; Aniwan, Satimai; Wang, Yu Fang; Ouyang, Qin; Zeng, Zhirong; Zhu, Zhenhua; Chen, Min Hu; Hu, Pin Jin; Wu, Kaichun; Wang, Xin; Simadibrata, Marcellus; Abdullah, Murdani; Wu, Justin Cy; Sung, Joseph J Y; Chan, Francis K L

    2013-07-01

    Inflammatory bowel diseases (IBD) are becoming more common in Asia, but epidemiologic data are lacking. The Asia-Pacific Crohn's and Colitis Epidemiology Study aimed to determine the incidence and phenotype of IBD in 8 countries across Asia and in Australia. We performed a prospective, population-based study of IBD incidence in predefined catchment areas, collecting data for 1 year, starting on April 1, 2011. New cases were ascertained from multiple overlapping sources and entered into a Web-based database. Cases were confirmed using standard criteria. Local endoscopy, pathology, and pharmacy records were searched to ensure completeness of case capture. We identified 419 new cases of IBD (232 of ulcerative colitis [UC], 166 of Crohn's disease [CD], and 21 IBD-undetermined). The crude annual overall incidence values per 100,000 individuals were 1.37 for IBD in Asia (95% confidence interval: 1.25-1.51; 0.76 for UC, 0.54 for CD, and 0.07 for IBD-undetermined) and 23.67 in Australia (95% confidence interval: 18.46-29.85; 7.33 for UC, 14.00 for CD, and 2.33 for IBD-undetermined). China had the highest incidence of IBD in Asia (3.44 per 100,000 individuals). The ratios of UC to CD were 2.0 in Asia and 0.5 in Australia. Median time from symptom onset to diagnosis was 5.5 months (interquartile range, 1.4-15 months). Complicated CD (stricturing, penetrating, or perianal disease) was more common in Asia than Australia (52% vs 24%; P = .001), and a family history of IBD was less common in Asia (3% vs 17%; P < .001). We performed a large-scale population-based study and found that although the incidence of IBD varies throughout Asia, it is still lower than in the West. IBD can be as severe or more severe in Asia than in the West. The emergence of IBD in Asia will result in the need for specific health care resources, and offers a unique opportunity to study etiologic factors in developing nations. Copyright © 2013 AGA Institute. Published by Elsevier Inc. All rights

  11. Long range transport of acidic species over East Asia and the western Pacific Ocean in winter monsoon - a numerical analysis

    SciTech Connect

    Kitada, Toshihiro; Nishizawa, Masato; Isogawa, Seiji; Kondo, Yutaka

    1996-12-31

    In winter season, wind system in East Asia is generally dominated by monsoon. The monsoon is caused by persistent high pressure over Siberia and low pressure over Sea of Okhotsk and Bering Sea, the high pressure which is formed by radiative cooling of air mass over the continent. In Japan area, the monsoon appears as westerly or northwesterly, and usually brings heavy snow over the Japan Sea side of Japanese islands. Since the air mass associated with the monsoon passes over strong emission sources of the East Asia continent, it carries much air pollutants. Significant part of the pollutants should fall to the surface with snow over Japanese islands, and the rest of the pollutants would be distributed into troposphere over the western Pacific Ocean. In this study, to estimate mass budget of air pollutants released over countries in East Asia we have performed 3-D transport/chemistry/deposition simulations for the area of East Asia and the western Pacific Ocean for one month of March, 1994, when an extensive field observation campaign called TEM-WEST Phase B (Pacific Exploratory Mission-West){close_quotes} was conducted. The simulation model includes most of the important chemical species such as NO{sub x}, HNO{sub 3}, SO{sub 2}, sulfate, hydrocarbons, O{sub 3}, H{sub 2}O{sub 2}, etc., and covers 3-D region from 80 to 180 degrees east in longitude, 10 degrees south to 60 degrees north in latitude, and earth`s surface to 10 hPa in vertical. The simulation results will be discussed in connection with the PEM-WEST(B) observation.

  12. U.S. Pacific Command Theater Security Cooperation: A Building Block to Cooperative Security in the Asia Pacific Region

    DTIC Science & Technology

    2010-03-17

    Islands Tonga Tuvalu Vanuatu Commander, U.S. Pacific Command, "Partnership, Readiness, Presence" United States Pacific Command Strategy, (Camp H...Guinea Philippines Singapore Solomon Islands Sri Lanka Thailand Tonga Tuvalu UK us Vanuatu Vietnam (31 countries) UNCLASSIFIED 6 Multinational

  13. Asia-Pacific mussel watch: monitoring of butyltin contamination in coastal waters of Asian developing countries.

    PubMed

    Sudaryanto, Agus; Takahashi, Shin; Monirith, In; Ismail, Ahmad; Muchtar, Muswerry; Zheng, Jinshu; Richardson, Bruce J; Subramanian, Annamalai; Prudente, Maricar; Hue, Nguyen Duc; Tanabe, Shinsuke

    2002-10-01

    anthropogenic BTs represent the major source of tin accumulation in mussels. To our knowledge, this is a first comprehensive report on butyltin pollution monitoring in developing countries in the Asia-Pacific region.

  14. Megacities in the Asia/Pacific Region: Focusing on Their Environmental Impact.

    ERIC Educational Resources Information Center

    Mukai, Gary; Kim, Pearl; Li, Alan; Chenette, Sara

    This curriculum unit explains that currently Asia has 9 of the world's 14 megacities (a city with a population of 10 million people or more) and that by the year 2015 there will be 27 megacities with 17 of them in Asia. The unit introduces students to several megacities in Asia and uses these cities as examples for understanding the ecological…

  15. Megacities in the Asia/Pacific Region: Focusing on Their Environmental Impact.

    ERIC Educational Resources Information Center

    Mukai, Gary; Kim, Pearl; Li, Alan; Chenette, Sara

    This curriculum unit explains that currently Asia has 9 of the world's 14 megacities (a city with a population of 10 million people or more) and that by the year 2015 there will be 27 megacities with 17 of them in Asia. The unit introduces students to several megacities in Asia and uses these cities as examples for understanding the ecological…

  16. PREFACE: Asia-Pacific Interdisciplinary Research Conference 2011 (AP-IRC 2011)

    NASA Astrophysics Data System (ADS)

    Sandhu, Adarsh; Okada, Hiroshi; Maekawa, Toru; Okano, Ken

    2012-03-01

    AP-IRC Logo Scientists, engineers, entrepreneurs and policymakers gather at the first truly interdisciplinary conference held in Asia-Pacific http://www.apirc.jp/ The inaugural Asia-Pacific Interdisciplinary Research Conference 2011 (AP-IRC 2011) was held at Toyohashi University of Technology (Toyohashi Tech) on 17-18 November 2011. The conference is a forum for enhancing mutual understanding between scientists, engineers, policymakers and experts from a wide spectrum of pure and applied sciences, to resolve the daunting global issues facing mankind. The conference attracted approximately 300 participants including delegates from France, Germany, India, Indonesia, Korea, Malaysia, Russia, Sweden, United Kingdom, USA and Vietnam. AP-IRC 2011 was chaired by Dr Yoshiyuki Sakaki, President of Toyohashi Tech, who opened the proceedings by stressing the importance of an interdisciplinary approach to research, to resolve global scientific and technical issues. Recalling his own experience as the leader of Japan's efforts in the Human Genome Project, Sakaki also encouraged participants to make an effort to try to understand the sometimes difficult concepts and terminology of other areas of research. The presentations at AP-IRC 2011 were divided into three focus sessions: innovative mechano-magneto-electronic systems, life sciences, and green science and technology. A total of 174 papers were presented over the two-day conference including eight by invited speakers. Highlights of AP-IRC 2011 included a first-hand account of the damage caused by the massive earthquake in March 2011 to experimental facilities at Tohoku University by Masayoshi Esashi; the fascinating world of bees and the inborn numerical competence of humans and animals by Hans J Gross; research on robots and cognition-enabled technical systems at Technische Universität München by Sandra Hirche; the history of events leading to the invention of the world's strongest NdFeB permanent magnet by Masato Sagawa

  17. Cognitive capital, equity and child-sensitive social protection in Asia and the Pacific

    PubMed Central

    Samson, Michael; Fajth, Gaspar; François, Daphne

    2016-01-01

    Promoting child development and welfare delivers human rights and builds sustainable economies through investment in ‘cognitive capital’. This analysis looks at conditions that support optimal brain development in childhood and highlights how social protection promotes these conditions and strengthens the achievement of the Sustainable Development Goals (SDGs) in Asia and the Pacific. Embracing child-sensitive social protection offers multiple benefits. The region has been a leader in global poverty reduction but the underlying pattern of economic growth exacerbates inequality and is increasingly unsustainable. The strategy of channelling low-skilled rural labour to industrial jobs left millions of children behind with limited opportunities for development. Building child-sensitive social protection and investing better in children's cognitive capacity could check these trends and trigger powerful long-term human capital development—enabling labour productivity to grow faster than populations age. While governments are investing more in social protection, the region's spending remains low by international comparison. Investment is particularly inadequate where it yields the highest returns: during the first 1000 days of life. Five steps are recommended for moving forward: (1) building cognitive capital by adjusting the region's development paradigms to reflect better the economic and social returns from investing in children; (2) understand and track better child poverty and vulnerability; (3) progressively build universal, child-sensitive systems that strengthen comprehensive interventions within life cycle frameworks; (4) mobilise national resources for early childhood investments and child-sensitive social protection; and (5) leverage the SDGs and other channels of national and international collaboration. PMID:28588990

  18. Status of radiation protection in various interventional cardiology procedures in the Asia Pacific region

    PubMed Central

    Tsapaki, Virginia; Faruque Ghulam, Mohammed; Lim, Soo Teik; Ngo Minh, Hung; Nwe, Nwe; Sharma, Anil; Sim, Kui-Hian; Srimahachota, Suphot; Rehani, Madan Mohan

    2011-01-01

    Objective Increasing use of interventional procedures in cardiology with unknown levels of radiation protection in many countries of Asia-Pacific region necessitates the need for status assessment. The study was part of an International Atomic Energy Agency (IAEA) project for achieving improved radiation protection in interventional cardiology (IC) in developing countries. Design The survey covers 18 cardiac catheterisation laboratories in seven countries (Bangladesh, India, Malaysia, Myanmar, Singapore, Thailand and Vietnam). An important step was the creation of the ‘Asian network of Cardiologists in Radiation Protection’ and a newsletter. Data were collected on: radiation protection tools, number of IC laboratories, and annual number of various IC paediatric and adult procedures in the hospital and in the country. Patient radiation dose data were collected in terms of Kerma Area Product (KAP) and cumulative dose (CD). Results It is encouraging that protection devices for staff are largely used in the routine practice. Only 39% of the angiographic machines were equipped with a KAP meter. Operators' initial lack of awareness on radiation-protection optimisation improved significantly after participation in IAEA radiation-protection training. Only two out of five countries reporting patient percutaneous coronary intervention radiation-dose data were fully within the international guidance levels. Data from 51 patients who underwent multiple therapeutic procedures (median 2–3) indicated a total KAP reaching 995 Gy.cm2 (range 10.1–995) and CD 15.1 Gy (range 0.4–15.1), stressing the importance of dose monitoring and optimisation. Conclusions There is a need for interventional cardiology societies to play an active role in training actions and implementation of radiation protection. PMID:27325974

  19. Paediatric palliative care in the Asia Pacific region: where are we now?

    PubMed

    Chong, Poh Heng; Hamsah, Ednin; Goh, Cynthia

    2017-03-01

    Paediatric palliative care services have increased both in numbers and capacity around the world in response to the needs of children living with life-limiting conditions. Members of the Asia Pacific Hospice Network, who render care to children, have increasingly realised the need to map existing services for enhanced collaborative, educational and advocacy efforts. An online survey was conducted over 2 months among professionals in the region to document current service provision, and at the same time to explore individual training needs and practice challenges. A questionnaire crafted through consensus by members of a new special interest group within the network was used to collect data. 59 distinct responses from 16 countries were obtained to build a directory, which has already been circulated. Content analyses of narrative responses yield further findings. Half of these services catered to adults as well as to children. Staffing and service provision varied across the region but most members worked in teams consisting of multidisciplinary professionals. Numerous service and funding models were found, reflecting wide differences in local conditions and responses to diverse patient populations unique to paediatric palliative care. The highest training needs centred around bereavement and spiritual care. Capacity and funding issues were expected, but significant lack of support by paediatricians was found to be alarming and warrants further study. Amid the heterogeneity, these services share common struggles and face similar needs. Identifying individual profiles of different services potentially helps to draw everyone together, towards a common vision, and towards creating opportunities for sharing of expertise and experience.

  20. Inequities in access to healthcare: analysis of national survey data across six Asia-Pacific countries

    PubMed Central

    2013-01-01

    Background Evidence suggests that there is a link between inequitable access to healthcare and inequitable distribution of illness. A recent World Health Organization report stated that there is a need for research and policy to address the critical role of health services in reducing inequities and preventing future inequities. The aim of this manuscript is to highlight disparities and differences in terms of the factors that distinguish between poor and good access to healthcare across six Asia-Pacific countries: Australia, Hong Kong, Japan, South Korea, Taiwan, and Thailand. Methods A population survey was undertaken in each country. This paper is a secondary analysis of these existing data. Data were collected in each country between 2009 and 2010. Four variables related to difficulties in access to healthcare (distance, appointment, waiting time, and cost) were analysed using binomial logistic regression to identify socio- and demographic predictors of inequity. Results Consistent across the findings, poor health and low income were identified as difficulties in access. Country specific indicators were also identified. For Thailand, the poorest level of access appears to be for respondents who work within the household whereas in Taiwan, part-time work is associated with difficulties in access. Within Hong Kong, results suggest that older (above 60) and retired individuals have the poorest access and within Australia, females and married individuals are the worst off. Conclusion Recognition of these inequities, from a policy perspective, is essential for health sector policy decision-making. Despite the differences in political and economic climate in the countries under analysis, our findings highlight patterns of inequity which require policy responses. Our data should be used as a means of deciding the most appropriate policy response for each country which includes, rather than excludes, socially marginalised population groups. These findings should be of

  1. Medical physics aspects of cancer care in the Asia Pacific region

    PubMed Central

    Kron, T; Cheung, KY; Dai, J; Ravindran, P; Soejoko, D; Inamura, K; Song, JY; Bold, L; Srivastava, R; Rodriguez, L; Wong, TJ; Kumara, A; Lee, CC; Krisanachinda, A; Nguyen, XC; Ng, KH

    2008-01-01

    Medical physics plays an essential role in modern medicine. This is particularly evident in cancer care where medical physicists are involved in radiotherapy treatment planning and quality assurance as well as in imaging and radiation protection. Due to the large variety of tasks and interests, medical physics is often subdivided into specialties such as radiology, nuclear medicine and radiation oncology medical physics. However, even within their specialty, the role of radiation oncology medical physicists (ROMPs) is diverse and varies between different societies. Therefore, a questionnaire was sent to leading medical physicists in most countries/areas in the Asia/Pacific region to determine the education, role and status of medical physicists. Answers were received from 17 countries/areas representing nearly 2800 radiation oncology medical physicists. There was general agreement that medical physicists should have both academic (typically at MSc level) and clinical (typically at least 2 years) training. ROMPs spent most of their time working in radiotherapy treatment planning (average 17 hours per week); however radiation protection and engineering tasks were also common. Typically, only physicists in large centres are involved in research and teaching. Most respondents thought that the workload of physicists was high, with more than 500 patients per year per physicist, less than one ROMP per two oncologists being the norm, and on average, one megavoltage treatment unit per medical physicist. There was also a clear indication of increased complexity of technology in the region with many countries/areas reporting to have installed helical tomotherapy, IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), Gamma-knife and Cyber-knife units. This and the continued workload from brachytherapy will require growing expertise and numbers in the medical physics workforce. Addressing these needs will be an important challenge for the future

  2. Geostationary Environment Monitoring Spectrometer (gems) Over the Korea Peninsula and Asia-Pacific Region

    NASA Astrophysics Data System (ADS)

    Lasnik, J.; Stephens, M.; Baker, B.; Randall, C.; Ko, D. H.; Kim, S.; Kim, Y.; Lee, E. S.; Chang, S.; Park, J. M.; SEO, S. B.; Youk, Y.; Kong, J. P.; Lee, D.; Lee, S. H.; Kim, J.

    2014-12-01

    Introduction: The Geostationary Environment Monitoring Spectrometer (GEMS) is one of two instruments manifested aboard the South Korean Geostationary Earth Orbit KOrea Multi-Purpose SATellite-2B (GEO-KOMPSAT-2B or GK2B), which is scheduled to launch in 2018. Jointly developed/built by KARI and Ball Aerospace, GEMS is a geostationary UV-Vis hyperspectral imager designed to monitor trans-boundary tropospheric pollution events over the Korean peninsula and Asia-Pacific region. The spectrometer provides high temporal and spatial resolution (3.5 km N/S by 7.2 km E/W) measurements of ozone, its precursors, and aerosols. Over the short-term, hourly measurements by GEMS will improve early warnings for potentially dangerous pollution events and monitor population exposure. Over the 10-year mission-life, GEMS will serve to enhance our understanding of long-term climate change and broader air quality issues on both a regional and global scale. The GEMS sensor design and performance are discussed, which includes an overview of measurement capabilities and the on-orbit concept of operations. GEMS Sensor Overview: The GEMS hyperspectral imaging system consists of a telescope and Offner grating spectrometer that feeds a single CCD detector array. A spectral range of 300-500 nm and sampling of 0.2 nm enables NO2, SO2, HCHO, O3, and aerosol retrieval. The GEMS field of regard (FOR), which extends from 5°S to 45°N in latitude and 75°E to 145°E in longitude, is operationally achieved using an onboard two-axis scan mirror. On-orbit, the radiometric calibration is maintained using solar measurements, which are performed using two onboard diffusers: a working diffuser that is deployed routinely for the purpose of solar calibration, and a reference diffuser that is deployed sparingly for the purpose of monitoring working diffuser performance degradation.

  3. New mechanism under International Flood Initiative toward robustness for flood management in the Asia Pacific region

    NASA Astrophysics Data System (ADS)

    Murase, M.; Yoshitani, J.; Takeuchi, K.; Koike, T.

    2015-12-01

    Climate change is likely to result in increases in the frequency or intensity of extreme weather events. It is imperative that a good understanding is developed of how climate change affects the events that are reflected in hydrological extremes such as floods and how practitioners in water resources management deal with them. Since there is still major uncertainty as to how the impact of climate change affect actual water resources management, it is important to build robustness into management schemes and communities. Flood management under such variety of uncertainty favors the flexible and adaptive implementation both in top-down and bottom-up approaches. The former uses projections of global or spatially downscaled models to drive resource models and project resource impacts. The latter utilizes policy or planning tools to identify what changes in climate would be most threatening to their long-range operations. Especially for the bottom-up approaches, it is essential to identify the gap between what should be done and what has not been achieved for disaster risks. Indicators or index are appropriate tools to measure such gaps, but they are still in progress to cover the whole world. The International Flood Initiative (IFI), initiated in January 2005 by UNESCO and WMO in close cooperation with UNU and ISDR, IAHS and IAHR, has promoted an integrated approach to flood management to take advantage of floods and use of flood plains while reducing the social, environmental and economic risks. Its secretariat is located in ICHARM. The initiative objective is to support national platforms to practice evidence-based disaster risk reduction through mobilizing scientific and research networks at national, regional and international levels. The initiative is now preparing for a new mechanism to facilitate the integrated approach for flood management on the ground regionally in the Asia Pacific (IFI-AP) through monitoring, assessment and capacity building.

  4. Hypertension treatment in the Asia-Pacific: the role of and treatment strategies with nebivolol

    PubMed Central

    Kim, Cheol-Ho; Abelardo, Nelson; Buranakitjaroen, Peera; Krittayaphong, Rungroj; Lim, Chin Hock; Park, Sung-Ha; Pham, Nguyen Vinh; Rogelio, Gregorio; Wong, Bernard; Low, Lip Ping

    2016-01-01

    Hypertension is a common disease, and hypertensive patients are at increased risk of cardiovascular events. The prevalence and socioeconomic burden of hypertension in the Asia-Pacific region are predicted to increase in the coming decades. Effective blood pressure lowering reduces overall cardiovascular morbidity and mortality in patients, yet doubt has been raised regarding the use of (mainly older generation) β-blockers as initial therapy in hypertension. Consequently, several international treatment guidelines do not recommend β-blockers for the treatment of hypertension. However, in contrast to first-generation and second-generation β-blockers, the third-generation, vasodilating β-blocker nebivolol has a considerably better metabolic, haemodynamic and side effect profile. In addition to providing effective blood pressure control similar to other β-blockers and drugs from other antihypertensive classes, nebivolol exerts a dual mechanism for increasing the bioavailability of the naturally occurring vasodilator nitric oxide. The clinical benefits and significance of enhancing nitric oxide levels in hypertensive patients have been shown in direct comparisons of nebivolol with other β-blockers. While β-blockers generally provide comparable blood pressure reductions, only nebivolol demonstrated enhanced vasodilation and blood flow by increasing the expression of endothelial nitric oxide synthase and therefore increasing nitric oxide release from the endothelium. In contrast to other β-blockers, therefore, it has been suggested that nebivolol has beneficial effects in several hypertensive subgroups due to its vasodilating properties. Considering the existing data, it may be timely for treatment guidelines to recommend third-generation vasodilating β-blockers as a first-line option for the pharmacotherapy of hypertension. PMID:27326226

  5. Inequities in access to healthcare: analysis of national survey data across six Asia-Pacific countries.

    PubMed

    Meyer, Samantha B; Luong, Tini C N; Mamerow, Loreen; Ward, Paul R

    2013-07-01

    Evidence suggests that there is a link between inequitable access to healthcare and inequitable distribution of illness. A recent World Health Organization report stated that there is a need for research and policy to address the critical role of health services in reducing inequities and preventing future inequities. The aim of this manuscript is to highlight disparities and differences in terms of the factors that distinguish between poor and good access to healthcare across six Asia-Pacific countries: Australia, Hong Kong, Japan, South Korea, Taiwan, and Thailand. A population survey was undertaken in each country. This paper is a secondary analysis of these existing data. Data were collected in each country between 2009 and 2010. Four variables related to difficulties in access to healthcare (distance, appointment, waiting time, and cost) were analysed using binomial logistic regression to identify socio- and demographic predictors of inequity. Consistent across the findings, poor health and low income were identified as difficulties in access. Country specific indicators were also identified. For Thailand, the poorest level of access appears to be for respondents who work within the household whereas in Taiwan, part-time work is associated with difficulties in access. Within Hong Kong, results suggest that older (above 60) and retired individuals have the poorest access and within Australia, females and married individuals are the worst off. Recognition of these inequities, from a policy perspective, is essential for health sector policy decision-making. Despite the differences in political and economic climate in the countries under analysis, our findings highlight patterns of inequity which require policy responses. Our data should be used as a means of deciding the most appropriate policy response for each country which includes, rather than excludes, socially marginalised population groups. These findings should be of interest to those involved in health

  6. Respiratory disease in the Asia-Pacific region: Cough as a key symptom.

    PubMed

    Cho, Sang-Heon; Lin, Horng-Chyuan; Ghoshal, Aloke Gopal; Bin Abdul Muttalif, Abdul Razak; Thanaviratananich, Sanguansak; Bagga, Shalini; Faruqi, Rab; Sajjan, Shiva; Brnabic, Alan J M; Dehle, Francis C; Wang, De Yun

    2016-01-01

    Respiratory diseases represent a significant impact on health care. A cross-sectional, multicountry (India, Korea, Malaysia, Singapore, Taiwan, and Thailand) observational study was conducted to investigate the proportion of adult patients who received care for a primary diagnosis of asthma, allergic rhinitis (AR), chronic obstructive pulmonary disease (COPD), or rhinosinusitis. To determine the proportion of patients who received care for asthma, AR, COPD, and rhinosinusitis, and the frequency and main symptoms reported. Patients ages ≥18 years, who presented to a physician with symptoms that met the diagnostic criteria for a primary diagnosis of asthma, AR, COPD, or rhinosinusitis were enrolled. Patients and physicians completed a survey that contained questions related to demographics and respiratory symptoms. A total of 13,902 patients with a respiratory disorder were screened, of whom 7030 were eligible and 5250 enrolled. The highest percentage of patients who received care had a primary diagnosis of AR (14.0% [95% confidence interval {CI}, 13.4-14.6%]), followed by asthma (13.5% [95% CI, 12.9-14.1%]), rhinosinusitis (5.4% [95% CI, 4.6-5.3%]), and COPD (4.9% [95% CI, 5.0-5.7%]). Patients with a primary diagnosis of COPD (73%), followed by asthma (61%), rhinosinusitis (59%), and AR (47%) most frequently reported cough as a symptom. Cough was the main reason for seeking medical care among patients with a primary diagnosis of COPD (43%), asthma (33%), rhinosinusitis (13%), and AR (11%). Asthma, AR, COPD, and rhinosinusitis represent a significant proportion of respiratory disorders in patients who presented to health care professionals in the Asia-Pacific region, many with concomitant disease. Cough was a prominent symptom and the major reason for patients with respiratory diseases to seek medical care.

  7. GPS radio occultation constellation design with the optimal performance in Asia Pacific region

    NASA Astrophysics Data System (ADS)

    Asgarimehr, Milad; Hossainali, Masoud Mashhadi

    2015-06-01

    The growing desire for better spatial and also temporal distribution of radio occultation data is a motivation for extensive researches considering either number of GNSS/receiver satellites or better optimization tools resulting in better distributions. This paper addresses the problem of designing a global positioning system-only radio occultation mission with the optimal performance in Asia Pacific region. Constellation Patterns are discussed and 2D-lattice and 3D-lattice flower constellations are adopted to develop a system with circular and elliptical orbits, respectively. A perturbed orbit propagation model leading to significantly more accurate pre-analysis is used. Emphasizing on the spatial and also temporal distribution of radio occultation events for the first time, distribution norm is provided as a volumetric distribution measure using Voronoi diagram concept in a 3D space consisting temporal and spatial intervals. Optimizations are performed using genetic algorithm to determine optimal constellation design parameters by the suitable fitness function and constraints devised. The resulted constellation has been evaluated by a regional comparison to the globally distributed FORMOSAT-3/COSMIC in terms of the distribution norm, number of radio occultation events and also coverage as an additional point-to-point distribution measure. Although it is demonstrated that the optimal 3D-lattice enjoys better performance than FORMOSAT-3, the design approach results in a 2D-lattice flower constellation which is superior to other constellations in regional emphasis of radio occultation events. Its global performance is discussed and it is demonstrated that using multi-GNSS receiver to increase satellites may not guarantee a good distribution of radio occultation data in some aspects.

  8. Promoting mental health in Asia-Pacific: Systematic review focusing on Thailand and China.

    PubMed

    Moeller-Saxone, Kristen; Davis, Elise; Herrman, Helen

    2015-12-01

    Mental health is essential for functioning, general health, and quality of life in low and middle-income countries (LAMICs), as for high-income countries. This study aimed first to search in the English language peer-reviewed literature for reviews of mental health promotion interventions in the Asia-Pacific region. A global rapid review by Barry and colleagues indicated a paucity of publications on this topic in the peer-reviewed literature. The second aim of the study followed from this observation. Two systematic reviews of English language literature were conducted as case studies in two countries with known interest in mental health promotion, Thailand and China. The reviews covered publications in peer-reviewed journals and the "grey" literature. In Thailand, the review demonstrated: strong evidence for an empowerment program for human immunodeficiency virus (HIV)-infected mothers; a reduction in HIV-related stigma in a community-based program; and a coping program for adolescents. The second review concerned suicide prevention interventions in China. It found one relevant study, a WHO multi-site study of suicide prevention. We found surprisingly little evidence in either country of interventions focused on health equity or modifying the social determinants of mental health. We agree with Barry and colleagues that there is an urgent need to invest in the policy, practice, and research capacity for mental health promotion in LAMICs so that mental health promotion can be incorporated into the wider health promotion and global health development agenda. This includes the Global Action for Health Equity Network. Evidence-based interventions in parenting, schools, workplaces, and among older people can be initiated or adapted and evaluated in LAMIC settings.

  9. Medical physics aspects of cancer care in the Asia Pacific region.

    PubMed

    Kron, T; Cheung, Ky; Dai, J; Ravindran, P; Soejoko, D; Inamura, K; Song, Jy; Bold, L; Srivastava, R; Rodriguez, L; Wong, Tj; Kumara, A; Lee, Cc; Krisanachinda, A; Nguyen, Xc; Ng, Kh

    2008-07-01

    Medical physics plays an essential role in modern medicine. This is particularly evident in cancer care where medical physicists are involved in radiotherapy treatment planning and quality assurance as well as in imaging and radiation protection. Due to the large variety of tasks and interests, medical physics is often subdivided into specialties such as radiology, nuclear medicine and radiation oncology medical physics. However, even within their specialty, the role of radiation oncology medical physicists (ROMPs) is diverse and varies between different societies. Therefore, a questionnaire was sent to leading medical physicists in most countries/areas in the Asia/Pacific region to determine the education, role and status of medical physicists.Answers were received from 17 countries/areas representing nearly 2800 radiation oncology medical physicists. There was general agreement that medical physicists should have both academic (typically at MSc level) and clinical (typically at least 2 years) training. ROMPs spent most of their time working in radiotherapy treatment planning (average 17 hours per week); however radiation protection and engineering tasks were also common. Typically, only physicists in large centres are involved in research and teaching. Most respondents thought that the workload of physicists was high, with more than 500 patients per year per physicist, less than one ROMP per two oncologists being the norm, and on average, one megavoltage treatment unit per medical physicist.There was also a clear indication of increased complexity of technology in the region with many countries/areas reporting to have installed helical tomotherapy, IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), Gamma-knife and Cyber-knife units. This and the continued workload from brachytherapy will require growing expertise and numbers in the medical physics workforce. Addressing these needs will be an important challenge for the future.

  10. Docetaxel-based adjuvant therapy for breast cancer patients in Asia-Pacific region: Results from 5 years follow-up on Asia-Pacific Breast Initiative-I.

    PubMed

    Kim, Sung-Bae; Sayeed, Ahmed; Villalon, Antonio H; Shen, Zhe-Zhou; Shah, Mazhar A; Hou, Meng-Feng; Nguyen Ba, Duc

    2016-06-01

    To acquire patient characteristics, safety, relapse and survival outcomes of early-stage breast cancer patients receiving docetaxel (Taxotere(R))-based regimen in adjuvant setting from the Asia-Pacific region. This was an open-label, international, longitudinal, multicenter, observational, prospective cohort of consecutive early breast cancer (EBC) patients with a high risk of recurrence being treated with various docetaxel-containing anthracycline and non-anthracycline adjuvant regimens during 2006-2013. In this study, 1542 patients were enrolled. Anthracycline-containing regimens were administered in 92% of patients, while 8% of patients received non-anthracycline-containing docetaxel-based regimens. The mean dose intensity of docetaxel was 25.8, 22.4 and 25.4 mg/m(2) /week among patients receiving docetaxel-based monotherapy, combination and sequential therapy, respectively. Adverse events were reported in 94.9% of patients (anthracycline vs non-anthracycline regimen; 95.1% vs 93.5%). Serious adverse events were reported in 12.6% of patients (12.4% vs 14.6%). Grade 4 neutropenia was reported in 25.2% of patients (24.7% vs 30.9%) and febrile neutropenia in 1.9% of patients (2% vs 0.8%). Only 7% of patients had a relapse or a second primary malignancy. At 5-year follow-up, there were 127 (8.3%) deaths (8.4% vs 6.5%). The Asia-Pacific Breast Initiative-I registry highlights the important patient and treatment characteristics of EBC patients treated with adjuvant docetaxel chemotherapy from the Asia-Pacific region that will help physicians to understand the impact of different docetaxel treatments on the clinical outcomes in this population. © 2016 John Wiley & Sons Australia, Ltd.

  11. How prevention of violence in childhood builds healthier economies and smarter children in the Asia and Pacific region

    PubMed Central

    Fry, Deborah; Blight, Stephen

    2016-01-01

    Investments in preventing violence against children in the Asia and Pacific region will bring important social and economic returns that contribute to building the region's ‘cognitive capital’. An analysis of burden of violence research in the region is presented to identify the impacts of violence and to demonstrate these returns. Violence is an everyday experience in the lives of many children in the Asia–Pacific, and the toxic stress associated with such routine forms of violence may permanently impact the architecture and chemistry of the developing brain. This can undermine learning and affect behavioural, social and emotional functioning as children grow into adulthood. Given the hundreds of millions of children affected by violence in the region each year, its cumulative impact translates into the annual loss of hundreds of billions of dollars—or about 2% of gross domestic product of the Asia and Pacific region. Violence prevention can affect positively on health and productivity, reduce expenditure on crisis response, improve children's developmental and educational outcomes, and prevent crime. The sustainable development goals and the emerging global consensus on effective prevention strategies constitute a powerful new agenda to end violence against children, and there are critical steps that governments can take to accelerate action. PMID:28588988

  12. Asia and the Pacific: Issues of Educational Policy, Curriculum, and Practice.

    ERIC Educational Resources Information Center

    Wilson, Donald C., Ed.; And Others

    The Pacific region is growing in worldwide importance in terms of politics, economics, and culture. The emergence of this area of the world provides an opportunity for new directions in social studies education. This book addresses the Pacific Rim issues from the viewpoints of educators from 9 Pacific nations: Australia, Canada, Fiji, Japan,…

  13. MDR-TB--its characteristics and control in Asia-Pacific rim symposium in USJCMSP 10th international conference on emerging infectious diseases in the Pacific rim.

    PubMed

    Mori, Toru

    2007-08-01

    The strategy of directly observed treatment, short course (DOTS) is achieving substantial progress in coverage and quality improvements worldwide. However, the problem of multi-drug-resistant tuberculosis (MDR-TB) has emerged as a new challenge to TB control in both developing and industrialized countries. The effort of various countries of the Pacific Rim to fight this problem, one of the negative progenies from the 20th century, was a major theme of the conference. Asia, WHO's Southwest Asia and Western Pacific Regions, combined, account globally for almost 60% of the newly occurring MDR-TB cases. However, the problem has likely been overlooked, as it was masked by taking averages for countries or wider regions. In this way, we may have lost sight of "hot zones" with extremely high prevalence of MDR-TB in smaller areas or in population segments. The problem was basically a result of the low-quality treatment program, but recently it may be amplified in some areas by the HIV epidemic that is another new challenge to TB strategies. So far, developing countries have not been taking active measures to manage this problem. However, some countries, such as the Philippines and Peru, have undertaken aggressive efforts, supported technically and financially by the new international mechanisms, such as the Stop TB Partnership and the Global Fund to fight AIDS, TB and Malaria. These efforts would be more effective if there were further technical innovation in diagnosis and treatment, supported by a strong political commitment.

  14. A review of population-based prevalence studies of physical activity in adults in the Asia-Pacific region

    PubMed Central

    2012-01-01

    Background Physical activity (PA) surveillance is an important component of non-communicable disease risk factor monitoring, and occurs through national and international surveillance systems. This review identifies population PA estimates for adults in the Asia-Pacific region, and examines variation in trends and prevalence rates obtained using different PA measures. Methods Data were obtained from a MEDLINE search; World Health Organization's Global Health Infobase; Government websites and reference lists of relevant papers. Inclusion criteria included: national studies or those reporting large scale population-level data; data published from 2000 to 2010 and trend data prior; sample sizes over n = 1000, or fewer subjects in small nations. Results In total, 56 population surveys from 29 Asia-Pacific countries were identified. Data on 'sufficient physical activity' amongst adults were available from 45 studies (80%), with estimates ranging from 7% to 93% (median 62%, inter-quartile range 40%-85%). For 14 countries, estimates of 'sufficient activity' were documented in multiple surveys using different methods, with the largest variation from 18% to 92% in Nepal. Median or mean MET-minutes/day, reported in 20 studies, ranged from 6 to 1356. Serial trend data were available for 11 countries (22%), for periods spanning 2-10 years. Of these, five countries demonstrated increases in physical activity over time, four demonstrated decreases and three showed no changes. Conclusions Many countries in the Asia-Pacific region collect population-level PA data. This review highlights differences in estimates within and between countries. Some differences may be real, others due to variation in the PA questions asked and survey methods used. Use of standardized protocols and measures, and combined reporting of data are essential goals of improved international PA surveillance. PMID:22251660

  15. Co-evolution of monsoonal precipitation in East Asia and the tropical Pacific ENSO system since 2.36 Ma

    NASA Astrophysics Data System (ADS)

    Yu, Zhaojie

    2017-04-01

    Clay mineralogical analysis and scanning electron microscope (SEM) analysis were performed on deep-sea sediments cored on the Benham Rise (core MD06-3050) in order to reconstruct long-term evolution of East Asian Summer Monsoon (EASM) rainfall in the period since 2.36 Ma. Clay mineralogical variations are due to changes in the ratios of smectite, which derive from weathering of volcanic rocks in Luzon Island during intervals of intensive monsoon rainfall, and illite- and chlorite-rich dusts, which are transported from East Asia by winds associated with the East Asian Winter Monsoon (EAWM). Since Luzon is the main source of smectite to the Benham Rise, long-term consistent variations in the smectite/(illite + chlorite) ratio in core MD06-3050 as well as ODP site 1146 in the Northern South China Sea suggest that minor contributions of eolian dust played a role in the variability of this mineralogical ratio and indicate strengthening EASM precipitation in SE Asia during time intervals from 2360 to 1900 kyr, 1200 to 600 kyr, and after 200 kyr. The EASM rainfall record displays a 30 kyr periodicity suggesting the influence of El Niño-Southern Oscillation (ENSO). These intervals of rainfall intensification on Luzon Island are coeval with a reduction in precipitation over central China and an increase in zonal SST gradient in the equatorial Pacific Ocean, implying a reinforcement of La Niña-like conditions. In contrast, periods of reduced rainfall on Luzon Island are associated with higher precipitation in central China and a weakening zonal SST gradient in the equatorial Pacific Ocean, thereby suggesting the development of dominant El Niño-like conditions. Our study, therefore, highlights for the first time a long-term temporal and spatial co-evolution of monsoonal precipitation in East Asia and of the tropical Pacific ENSO system over the past 2.36 Ma.

  16. Consensus review of the epidemiology and appropriate antimicrobial therapy of complicated urinary tract infections in Asia-Pacific region.

    PubMed

    Hsueh, Po-Ren; Hoban, Daryl J; Carmeli, Yehuda; Chen, Shey-Ying; Desikan, Sunita; Alejandria, Marissa; Ko, Wen-Chien; Binh, Tran Quang

    2011-08-01

    Urinary tract infections (UTIs) are among the most prevalent infectious diseases in the general population. They cause a substantial financial burden in the community and are associated with significant morbidity and mortality, particularly in hospitals. With increased rates of antimicrobial resistance, especially in the Asia-Pacific region, treatment of complicated UTIs (cUTIs) can be challenging for clinicians. Consideration of an optimal antimicrobial agent should be based on local resistance patterns, patient-specific factors, pharmacokinetic and pharmacodynamic principles, and cost. In the Asia-Pacific region, nearly half of Escherichia coli urinary isolates were resistant (including intermediate and resistant) to levofloxacin or ciprofloxacin and ≥30% were resistant to third-generation cephalosporins (cefotaxime, ceftriaxone, and ceftazidime) and cefepime. Overall, 33% of urinary E. coli isolates exhibited extended-spectrum β-lactamase (ESBL)-producing phenotypes. Prevalence of ESBL-producing urinary E. coli was highest in India (60%), followed by Hong Kong (48%) and Singapore (33%). All urinary isolates of E. coli were susceptible to both ertapenem and imipenem. All urinary isolates of Klebsiella pneumoniae were susceptible to imipenem and 4% of them were resistant to ertapenem. Care should be exercised when using trimethoprim-sulfamethoxazole (TMP-SMX), fluoroquinolones, and cephalosporins for the empirical treatment of UTIs, particularly cUTI among moderately to severely ill patients. Empiric antimicrobial treatment for serious cUTIs in which risk factors for resistant organisms exist should include broad-spectrum antibiotics such as carbapenems (ertapenem, imipenem, meropenem, and doripenem) and piperacillin-tazobactam. Aminoglycosides, tigecycline, and polymyxins (colistin or polymyxin B) can be used for the treatment of multidrug-resistant organisms or serious cUTIs when first-line options are deemed inappropriate or patients fail therapy. Because of

  17. Targeting populations at higher risk for malaria: a survey of national malaria elimination programmes in the Asia Pacific.

    PubMed

    Wen, Shawn; Harvard, Kelly E; Gueye, Cara Smith; Canavati, Sara E; Chancellor, Arna; Ahmed, Be-Nazir; Leaburi, John; Lek, Dysoley; Namgay, Rinzin; Surya, Asik; Thakur, Garib D; Whittaker, Maxine Anne; Gosling, Roly D

    2016-05-10

    Significant progress has been made in reducing the malaria burden in the Asia Pacific region, which is aggressively pursuing a 2030 regional elimination goal. Moving from malaria control to elimination requires National Malaria Control Programmes (NMCPs) to target interventions at populations at higher risk, who are often not reached by health services, highly mobile and difficult to test, treat, and track with routine measures, and if undiagnosed, can maintain parasite reservoirs and contribute to ongoing transmission. A qualitative, free-text questionnaire was developed and disseminated among 17 of the 18 partner countries of the Asia Pacific Malaria Elimination Network (APMEN). All 14 countries that responded to the survey identified key populations at higher risk of malaria in their respective countries. Thirteen countries engage in the dissemination of malaria-related Information, Education, and Communication (IEC) materials. Eight countries engage in diagnostic screening, including of mobile and migrant workers, military staff, and/or overseas workers. Ten countries reported distributing or recommending the use of long-lasting insecticide-treated nets (LLINs) among populations at higher risk with fewer countries engaging in other prevention measures such as indoor residual spraying (IRS) (two countries), spatial repellents (four countries), chemoprophylaxis (five countries), and mass drug administration (MDA) (three countries). Though not specifically tailored to populations at higher risk, 11 countries reported using mass blood surveys as a surveillance tool and ten countries map case data. Most NMCPs lack a monitoring and evaluation structure. Countries in the Asia Pacific have identified populations at higher risk and targeted interventions to these groups but there is limited information on the effectiveness of these interventions. Platforms like APMEN offer the opportunity for the sharing of protocols and lessons learned related to finding, targeting and

  18. Primary antibiotic resistance in Helicobacter pylori in the Asia-Pacific region: a systematic review and meta-analysis.

    PubMed

    Kuo, Yu-Ting; Liou, Jyh-Ming; El-Omar, Emad M; Wu, Jeng-Yih; Leow, Alex Hwong Ruey; Goh, Khean Lee; Das, Rajashree; Lu, Hong; Lin, Jaw-Town; Tu, Yu-Kang; Yamaoka, Yoshio; Wu, Ming-Shiang

    2017-10-01

    So far, a comprehensive systematic review and meta-analysis has not been done of the prevalence of primary antibiotic resistance in Helicobacter pylori in the Asia-Pacific region. We aimed to assess the trends and regional differences in primary antibiotic resistance to H pylori in the Asia-Pacific region and to examine the relation between resistance and first-line eradication. We did a systematic review and meta-analysis of primary antibiotic resistance to H pylori and the efficacy of first-line regimens in the Asia-Pacific region. We searched PubMed, Embase, and the Cochrane Library for articles published between Jan 1, 1990, and Sept 30, 2016; we also searched abstracts from international conferences. Both observational studies and randomised controlled trials were eligible for inclusion in the analysis of primary antibiotic resistance, but only randomised controlled trials were eligible for inclusion in the analysis of efficacy of first-line therapies. Meta-analysis was by the random-effects model to account for the substantial variations in resistance across the region. We did subgroup analyses by country and study period (ie, before 2000, 2001-05, 2006-10, and 2011-15) to establish country-specific prevalences of primary antibiotic resistance and first-line eradication rates. This study is registered with PROSPERO, number CRD42017057905. 176 articles from 24 countries were included in our analysis of antibiotic resistance. The overall mean prevalences of primary H pylori resistance were 17% (95% CI 15-18) for clarithromycin, 44% (95% CI 39-48) for metronidazole, 18% (95% CI 15-22) for levofloxacin, 3% (95% CI 2-5) for amoxicillin, and 4% (95% CI 2-5) for tetracycline. Prevalence of resistance to clarithromycin and levofloxacin rose significantly over time during the period investigated, whereas resistance to other antibiotics remained stable. 170 articles from 16 countries were included in analysis of efficacy of first-line therapies. We noted unsatisfactory

  19. Trans-Pacific transport of dust aerosols from East Asia: Insights gained from multiple observations and modeling.

    PubMed

    Guo, Jianping; Lou, Mengyun; Miao, Yucong; Wang, Yuan; Zeng, Zhaoliang; Liu, Huan; He, Jing; Xu, Hui; Wang, Fu; Min, Min; Zhai, Panmao

    2017-11-01

    East Asia is one of the world's largest sources of dust and anthropogenic pollution. Dust particles originating from East Asia have been recognized to travel across the Pacific to North America and beyond, thereby affecting the radiation incident on the surface as well as clouds aloft in the atmosphere. In this study, integrated analyses are performed focusing on one trans-Pacific dust episode during 12-22 March 2015, based on space-borne, ground-based observations, reanalysis data combined with Hybrid Single Particle Lagrangian Integrated Trajectory Model (HYSPLIT), and the Weather Research and Forecasting Model coupled with Chemistry (WRF-Chem). From the perspective of synoptic patterns, the location and strength of Aleutian low pressure system largely determined the eastward transport of dust plumes towards western North America. Multi-sensor satellite observations reveal that dust aerosols in this episode originated from the Taklimakan and Gobi Deserts. Moreover, the satellite observations suggest that the dust particles can be transformed to polluted particles over the East Asian regions after encountering high concentration of anthropogenic pollutants. In terms of the vertical distribution of polluted dust particles, at the very beginning, they were mainly located in the altitudes ranging from 1 km to 7 km over the source region, then ascended to 2 km-9 km over the Pacific Ocean. The simulations confirm that these elevated dust particles in the lower free troposphere were largely transported along the prevailing westerly jet stream. Overall, observations and modeling demonstrate how a typical springtime dust episode develops and how the dust particles travel over the North Pacific Ocean all the way to North America. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Spiders of medical importance in the Asia-Pacific: atracotoxin, latrotoxin and related spider neurotoxins.

    PubMed

    Nicholson, Graham M; Graudins, Andis

    2002-09-01

    1. The spiders of medical importance in the Asia-Pacific region include widow (family Theridiidae) and Australian funnel-web spiders (subfamily Atracinae). In addition, cupboard (family Theridiidae) and Australian mouse spiders (family Actinopodidae) may contain neurotoxins responsible for serious systemic envenomation. Fortunately, there appears to be extensive cross-reactivity of species-specific widow spider antivenom within the family Theridiidae. Moreover, Sydney funnel-web antivenom has been shown to be effective in the treatment of mouse spider envenomation. 2. alpha-Latrotoxin (alpha-LTx) appears to be the main neurotoxin responsible for the envenomation syndrome known as "latrodectism" following bites from widow spiders. This 120 kDa protein binds to distinct receptors (latrophilin 1 and neurexins) to induce neurotransmitter vesicle exocytosis via both Ca2+-dependent and -independent mechanisms, resulting in vesicle depletion. This appears to involve disruption to a process that normally inhibits vesicle fusion in the absence of Ca2+. Precise elucidation of the mechanism of action of alpha-LTx will lead to a major advancement in our understanding of vesicle exocytosis. 3. delta-Atracotoxins (delta-ACTX) are responsible for the primate-specific envenomation syndrome seen following funnel-web spider envenomation. These peptides induce spontaneous repetitive firing and prolongation of action potentials in excitable cells. This results from a hyperpolarizing shift of the voltage-dependence of activation and a slowing of voltage-gated Na+ channel inactivation. This action is due to voltage-dependent binding to neurotoxin receptor site-3 on insect and mammalian voltage-gated Na+ channels in a manner similar, but not identical, to scorpion alpha-toxins and sea anemone toxins. delta-Atracotoxins provide us with highly specific tools to study Na+ channel structure and function 4. omega- and Janus-faced ACTX, from funnel-web spider venom, are novel neurotoxins that

  1. An International Multicenter Study Assessing the Role of Ethnicity on Variation of Lumbar Facet Joint Orientation and the Occurrence of Degenerative Spondylolisthesis in Asia Pacific: A Study from the AOSpine Asia Pacific Research Collaboration Consortium

    PubMed Central

    Williams, Richard; Cheung, Jason Pui Yin; Goss, Ben; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D. K.; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Sham, Phoebe; Samartzis, Dino

    2015-01-01

    Study Design A multinational, multiethnic, cross-sectional image-based study was performed in 33 institutions, representing 10 countries, which were part of the AOSpine Asia Pacific Research Collaboration Consortium. Objective Lumbar facet joint orientation has been reported to be associated with the development of degenerative spondylolisthesis (DS). The role of ethnicity regarding facet joint orientation remains uncertain. As such, the following study was performed across a wide-ranging population base to assess the role of ethnicity in facet joint orientation in patients with DS in the Asia Pacific region. Methods Lateral standing X-rays and axial magnetic resonance imaging scans were obtained for patients with lumbar DS. The DS parameters and facet joint angulations were assessed from L3–S1. Sex, age, body mass index (BMI), and ethnicity were also noted. Results The study included 371 patients with known ethnic origin (mean age: 62.0 years; 64% males, 36% females). The mean BMI was 25.6 kg/m2. The level of DS was most prevalent at L4–L5 (74.7%). There were 28.8% Indian, 28.6% Japanese, 18.1% Chinese, 8.6% Korean, 6.5% Thai, 4.9% Caucasian, 2.7% Filipino, and 1.9% Malay patients. Variations in facet joint angulations were noted from L3 to S1 and between patients with and without DS (p < 0.05). No differences were noted with regards to sex and overall BMI to facet joint angulations (p > 0.05); however, increasing age was found to increase the degree of angulation throughout the lumbar spine (p < 0.05). Accounting for age and the presence or absence of DS at each level, no statistically significant differences between ethnicity and degree of facet joint angulations from L3–L5 were noted (p > 0.05). Ethnic variations were noted in non-DS L5–S1 facet joint angulations, predominantly between Caucasian, Chinese, and Indian ethnicities (p < 0.05). Conclusions This study is the first to suggest that ethnicity may not play a role in

  2. An International Multicenter Study Assessing the Role of Ethnicity on Variation of Lumbar Facet Joint Orientation and the Occurrence of Degenerative Spondylolisthesis in Asia Pacific: A Study from the AOSpine Asia Pacific Research Collaboration Consortium.

    PubMed

    Williams, Richard; Cheung, Jason Pui Yin; Goss, Ben; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D K; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Sham, Phoebe; Samartzis, Dino

    2016-02-01

    Study Design A multinational, multiethnic, cross-sectional image-based study was performed in 33 institutions, representing 10 countries, which were part of the AOSpine Asia Pacific Research Collaboration Consortium. Objective Lumbar facet joint orientation has been reported to be associated with the development of degenerative spondylolisthesis (DS). The role of ethnicity regarding facet joint orientation remains uncertain. As such, the following study was performed across a wide-ranging population base to assess the role of ethnicity in facet joint orientation in patients with DS in the Asia Pacific region. Methods Lateral standing X-rays and axial magnetic resonance imaging scans were obtained for patients with lumbar DS. The DS parameters and facet joint angulations were assessed from L3-S1. Sex, age, body mass index (BMI), and ethnicity were also noted. Results The study included 371 patients with known ethnic origin (mean age: 62.0 years; 64% males, 36% females). The mean BMI was 25.6 kg/m(2). The level of DS was most prevalent at L4-L5 (74.7%). There were 28.8% Indian, 28.6% Japanese, 18.1% Chinese, 8.6% Korean, 6.5% Thai, 4.9% Caucasian, 2.7% Filipino, and 1.9% Malay patients. Variations in facet joint angulations were noted from L3 to S1 and between patients with and without DS (p < 0.05). No differences were noted with regards to sex and overall BMI to facet joint angulations (p > 0.05); however, increasing age was found to increase the degree of angulation throughout the lumbar spine (p < 0.05). Accounting for age and the presence or absence of DS at each level, no statistically significant differences between ethnicity and degree of facet joint angulations from L3-L5 were noted (p > 0.05). Ethnic variations were noted in non-DS L5-S1 facet joint angulations, predominantly between Caucasian, Chinese, and Indian ethnicities (p < 0.05). Conclusions This study is the first to suggest that ethnicity may not play a role in facet

  3. Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) in the Asia Pacific region (Round Table Forum).

    PubMed

    Su, Tin Tin; Bulgiba, Awang M; Sampatanukul, Pichet; Sastroasmoro, Sudigdo; Chang, Peter; Tharyan, Prathap; Lin, Vivian; Wong, Yut Lin

    2013-01-01

    Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) have become increasingly important in an era of rising costs, patient safety concerns and evidence-based health care. CE and EBM research in the Asia Pacific region have grown significantly. However, there are three main challenges such as linking evidence to practice and policy; developing a strong collaborative network; and a need for resources and technical expertise to produce evidence. The Cochrane Collaboration is a possible solution to resolve above challenges identified, particularly the challenge of transforming evidence to practice. In addition, training can be carried out to enhance technical expertise in the region and there is also the promising potential that collaborations could extend beyond systematic reviews. To improve the adoption of evidence-based health policy, selection of the best evidence for the right audience and focusing on the relevant issues through appropriate methodology are essential. Information on effectiveness and cost effectiveness needs to be highlighted for policy makers. The way forward to strengthen research and capacity building is to establish the Asia Pacific Consortium for CE and EBM. The consortium would help to create mutually rewarding scientific research and collaborations that will augur well for advances in CE and EBM. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. Managing tuberous sclerosis in the Asia-Pacific region: refining practice and the role of targeted therapy.

    PubMed

    Lawson, John A; Chan, Chi-Fung; Chi, Ching-Shiang; Fan, Pi-Chuan; Kim, Heung Dong; Kim, Ki Joong; Likasitwatanakul, Surachai; Ortiz, Marilyn; Riney, Kate; Tay, Stacey Kiat-Hong; Tham, Chee-Kian

    2014-07-01

    Tuberous sclerosis complex (TSC) is a multisystem genetic disorder, with heterogeneous manifestations that pose major diagnostic and management challenges and incur considerable chronic disease burden on patients, their caregivers and healthcare systems. This survey of clinical practice in the Asia-Pacific region highlights priorities for improving TSC management in the region. The prevalence of TSC in non-Caucasians is uncertain and more data are needed to assess its impact and health-economic burden. There are unmet needs for access to genetic testing and earlier diagnosis and intervention. TSC management is multidisciplinary and largely based on experience, backed by international guidelines; however, physicians in the Asia-Pacific region feel isolated and lack local or regional guidance and support structures to implement best-practice. Raising awareness of TSC and increasing trans-regional collaboration are particular priorities. Understanding of TSC pathophysiology has enabled the development of targeted therapies. Encouraging data indicate that mammalian target of rapamycin (mTOR) inhibitors can ameliorate TSC-related lesions and may potentially change the treatment paradigm. Ultimately, improving outcomes for TSC patients in the region requires greater collaboration and a holistic, patient-focused, continuum of care that is maintained through the transition from pediatric to adult care. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Integrating male sexual diversity into violence prevention efforts with men and boys: evidence from the Asia-Pacific Region.

    PubMed

    Miedema, Stephanie S; Yount, Kathryn M; Chirwa, Esnat; Dunkle, Kristin; Fulu, Emma

    2017-02-01

    Men's perpetration of gender-based violence remains a global public health issue. Violence prevention experts call for engagement of boys and men to change social norms around masculinity in order to prevent gender-based violence. Yet, men do not comprise a homogenous category. Drawing on probability estimates of men who report same-sex practices and preferences captured in a multi-country gender-based violence prevention survey in the Asia-Pacific region, we test the effects of sexuality-related factors on men's adverse life experiences. We find that sexual minority men face statistically higher risk of lifetime adversity related to gender-based violence, stemming from gender inequitable norms in society. Sexuality is thus a key axis of differentiation among men in the Asia-Pacific region, influencing health and wellbeing and reflecting men's differential engagement with dominant norms of masculinity. Integrating awareness of male sexual diversity into gender-based violence prevention interventions, particularly those that work with boys and men, and bridging violence prevention programming between sexual minority communities and women, are essential to tackle the root drivers of violence.

  6. Preparing for introduction of a dengue vaccine: recommendations from the 1st Dengue v2V Asia-Pacific Meeting.

    PubMed

    Lam, Sai Kit; Burke, Donald; Capeding, Maria Rosario; Chong, Chee Keong; Coudeville, Laurent; Farrar, Jeremy; Gubler, Duane; Hadinegoro, Sri Rezeki; Hanna, Jeffrey; Lang, Jean; Lee, Han Lim; Leo, Yee Sin; Luong, Chan Quang; Mahoney, Richard; McBride, John; Mendez-Galvan, Jorge; Ng, Lee Ching; Nimmannitya, Suchitra; Ooi, Eng Eong; Shepard, Donald; Smit, Jaco; Teyssou, Rémy; Thomas, Laurent; Torresi, Joseph; Vasconcelos, Pedro; Wirawan, Dewa Nyoman; Yoksan, Sutee

    2011-11-28

    Infection with dengue virus is a major public health problem in the Asia-Pacific region and throughout tropical and sub-tropical regions of the world. Vaccination represents a major opportunity to control dengue and several candidate vaccines are in development. Experts in dengue and in vaccine introduction gathered for a two day meeting during which they examined the challenges inherent to the introduction of a dengue vaccine into the national immunisation programmes of countries of the Asia-Pacific. The aim was to develop a series of recommendations to reduce the delay between vaccine licensure and vaccine introduction. Major recommendations arising from the meeting included: ascertaining and publicising the full burden and cost of dengue; changing the perception of dengue in non-endemic countries to help generate global support for dengue vaccination; ensuring high quality active surveillance systems and diagnostics; and identifying sustainable sources of funding, both to support vaccine introduction and to maintain the vaccination programme. The attendees at the meeting were in agreement that with the introduction of an effective vaccine, dengue is a disease that could be controlled, and that in order to ensure a vaccine is introduced as rapidly as possible, there is a need to start preparing now.

  7. Limitations of BCC_CSM's ability to predict summer precipitation over East Asia and the Northwestern Pacific

    NASA Astrophysics Data System (ADS)

    Gong, Zhiqiang; Dogar, Muhammad Mubashar Ahmad; Qiao, Shaobo; Hu, Po; Feng, Guolin

    2017-09-01

    This study examines the ability of the Beijing Climate Center Climate System Model (BCC_CSM) to predict the meridional pattern of summer precipitation over East Asia-Northwest Pacific (EA-NWP) and its East Asia-Pacific (EAP) teleconnection. The differences of summer precipitation modes of the empirical orthogonal function and the bias of atmospheric circulations over EA-NWP are analyzed to determine the reason for the precipitation prediction errors. Results indicate that the BCC_CSM could not reproduce the positive-negative-positive meridional tripole pattern from south to north that differs markedly from that observed over the last 20 years. This failure can be attributed to the bias of the BCC_CSM hindcasts of the summer EAP teleconnection and the low predictability of 500 hPa at the mid-high latitude lobe of the EAP. Meanwhile, the BCC_CSM hindcasts' deficiencies of atmospheric responses to SST anomalies over the Indonesia maritime continent (IMC) resulted in opposite and geographically shifted geopotential anomalies at 500 hPa as well as wind and vorticity anomalies at 850 hPa, rendering the BCC_CSM unable to correctly reproduce the EAP teleconnection pattern. Understanding these two problems will help further improve BCC_CSM's summer precipitation forecasting ability over EA-NWP.

  8. Numerical Modeling of 1997-2006 Asian Dust and Mass Budget Analysis in East Asia and West Pacific

    NASA Astrophysics Data System (ADS)

    Liu, M.; Westphal, D. L.

    2006-12-01

    East Asia has two of the Earth's major natural dust sources: the Taklamakan Desert in west China and the Gobi Desert in Mongolia and northwest China. Desertification has increased dust-erodible areas surrounding the deserts so the dust storm frequency has increased in the last few decades. Severe dust storms not only impact East Asia, but also can reach far beyond the continent, as did the dust clouds of April 1998, 2001 and 2005 that drifted over the Pacific Ocean and to North America. The US Navy's operational Coupled Ocean/Atmospheric Mesoscale Prediction System (COAMPS) is used to simulate the dust events for the springs of 1997 through 2006 at a resolution of one quarter of degree with multiple size bins. We use the modeled data to investigate the spatial and temporal dependence of dust emission, transport and deposition, and estimate the impacts of dust on environment. The distribution of dust plumes in area coverage and vertical depth is studied, as is the inter-annual variation of dust patterns from the different deserts of China and Mongolia, and the fluxes across the Pacific. It is found that PM10 is the dominant fraction particles over the continent and near the ocean, while PM2.5 becomes dominant in the boundary outflow along 170E. The details of analyzed model results will be presented at the meeting.

  9. Ensuring Opportunities for the Professional Development of Teachers. Innovation and Reform in Teacher Education for the 21st Century in the Asia-Pacific Region. Seminar Report (Hiroshima, Japan, September 1998).

    ERIC Educational Resources Information Center

    Tabata, Yoshinori, Ed.; Griek, Lyckle, Ed.

    This is the second seminar report in the sixth cycle of the UNESCO-APEID (Asia-Pacific Program of Educational Innovation for Development) Program on Innovation and Reform in Teacher Education for the 21st Century in the Asia-Pacific Region. The seminar focused on ensuring opportunities for the professional development of teachers. Experts from 10…

  10. Learning to Live Together in Peace and Harmony: Values Education for Peace, Human Rights, Democracy, and Sustainable Development for the Asia-Pacific Region. A UNESCO-APNIEVE Sourcebook for Teacher Education and Tertiary Level Education.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This sourcebook is the outgrowth of a July, 1996 meeting held in Malacca, Malaysia, where the Asia Pacific Network for International Education and Values Education (APNIEVE) experts group articulated the Asia-Pacific longing for peace and harmony. The sourcebook is based on international education and values education, with emphasis on peace,…

  11. Higher Education and the Asia-Pacific Century. Proceedings of the '88 PRAHE Seoul Conference.

    ERIC Educational Resources Information Center

    Kim, Chul-hwan, Ed.; Lee, Wha-kuk, Ed.

    Proceedings of the Pacific Region Association for Higher Education (PRAHE) are presented, including 5 opening speeches, 6 plenary lectures, 7 invited lectures, and 13 general papers. Presentation topics include: higher education and societal change; educational exchange and the Pacific Rim; international cooperation through electronic media;…

  12. Higher Education and the Asia-Pacific Century. Proceedings of the '88 PRAHE Seoul Conference.

    ERIC Educational Resources Information Center

    Kim, Chul-hwan, Ed.; Lee, Wha-kuk, Ed.

    Proceedings of the Pacific Region Association for Higher Education (PRAHE) are presented, including 5 opening speeches, 6 plenary lectures, 7 invited lectures, and 13 general papers. Presentation topics include: higher education and societal change; educational exchange and the Pacific Rim; international cooperation through electronic media;…

  13. Obesity, overweight and cancer mortality in the Asia-Pacific Cohort Studies Collaboration: pooled analyses of 424 519 participants

    PubMed Central

    Parr, Christine Louise; Batty, G. David; Lam, Tai Hing; Barzi, Federica; Fang, Xianghua; Ho, Suzanne C; Jee, Sun Ha; Ansary-Moghaddam, Alireza; Ueshima, Hirotsugu; Woodward, Mark; Huxley, Rachel R

    2014-01-01

    SUMMARY Background Excess weight is an established risk factor for several cancers but there are sparse data from Asian populations in whom overweight and obesity is increasing rapidly and adiposity can be substantially greater for the same body mass index (BMI) compared to Caucasians. Methods We examined associations of adult BMI with cancer mortality (overall and 20 sites) in geographic populations from Asia and Australia/New Zealand (ANZ) within the Asia Pacific Cohort Studies Collaboration using Cox regression. Pooled data from 39 cohorts (recruitment 1961-99, median follow-up 4 years) were analyzed for 424 519 participants (77% Asian; 41% female; mean recruitment age 48 years) with individual data on BMI. Findings After excluding follow-up < 3 years, 4872 cancer deaths occurred in 401 215 participants. Hazard ratios (95% CI) for cancer sites with increased mortality risk in the obese (≥30 kg/m2) relative to the normal weight (18.5-24.9 kg/m2) were: 1.21 (1.09-1.36) for all-cause cancer (excluding lung and upper-aero digestive tract), 1.50 (1.13-1.99) for colon, 1.68 (1.06-2.67) for rectum, 1.63 (1.13-2.35) for breast in women aged ≥ 60 years, 2.62 (1.57-4.37) for ovary, 4.21 (1.89-9.39) for cervix, 1.45 (0.97-2.19) for prostate, and 1.66 (1.03-2.68) for leukaemia with the increased risk associated with a 5-unit increment in BMI ≥ 18.5 kg/m2 ranging from 1.13 (0.91-1.40) for rectum to 1.45 (1.00-2.11) for cervix. There was little evidence of regional differences in relative risk except for oropharynx and larynx where the association was inverse in ANZ but absent in Asia. Interpretation Overweight and obese individuals in populations across the Asia-Pacific region are at significantly increased risk of mortality from cancer. Strategies to prevent overweight and obesity across Asia are required to reduce the burden of cancer expected to occur if the obesity epidemic continues. Funding The APCSC has been funded by the National Health and Medical Research

  14. Invasion history of the oriental fruit fly, Bactrocera dorsalis, in the Pacific-Asia region: two main invasion routes.

    PubMed

    Wan, Xuanwu; Liu, Yinghong; Zhang, Bin

    2012-01-01

    The oriental fruit fly, Bactrocera dorsalis, was initially recorded in Taiwan Island in 1912, and has dispersed to many areas in the Pacific-Asia region over the last century. The area of origin of the species may be confidently placed in South-East China. However, routes of range expansion to new areas and underlying population processes remain partially unclear, despite having been the subject of several studies. To explore the invasion history of this species, a partition of the cox1 gene of mitochondrial DNA was used to investigate genetic diversity, haplotype phylogeny and demographic history of 35 populations, covering China and South-East Asia and including marginal populations from Pakistan and Hawaii. Based on neighbor-joining tree analysis and the distribution of haplotypes, two main invasion routes are inferred: one from South-East China to Central China, another from South-East China to South-East Asia, with both routes probably coinciding in Central China. Populations in Taiwan Island and Hainan Island might have originated in South-East China. The marginal populations in Pakistan and Hawaii might have undergone founding events or genetic bottlenecks. Possible strategies for the control of this species are proposed based on the invasion history and reconstructed expansion routes.

  15. A Report on Ten Asia Pacific Countries on Current Status and Future Directions of the Genetic Counseling Profession: The Establishment of the Professional Society of Genetic Counselors in Asia.

    PubMed

    Laurino, Mercy Y; Leppig, Kathleen A; Abad, Peter James; Cham, Breana; Chu, Yoyo Wing Yiu; Kejriwal, Saahil; Lee, Juliana M H; Sternen, Darci L; Thompson, Jennifer K; Burgess, Matthew J; Chien, Shu; Elackatt, Niby; Lim, Jiin Ying; Sura, Thanyachai; Faradz, Sultana; Padilla, Carmencita; Paz, Eva Cutiongco de-la; Nauphar, Donny; Nguyen, Khanh Ngoc; Zayts, Olya; Vu, Dung Chi; Thong, Meow-Keong

    2017-07-11

    The Professional Society of Genetic Counselors in Asia (PSGCA) was recently established as a special interest group of the Asia Pacific Society of Human Genetics. Fostering partnerships across the globe, the PSGCA's vision is to be the lead organization that advances and mainstreams the genetic counseling profession in Asia and ensures individuals have access to genetic counseling services. Its mission is to promote quality genetic counseling services in the region by enhancing practice and curricular standards, research and continuing education. The PSGCA was formally launched during the Genetic Counseling Pre-Conference Workshop held at the 11th Asia-Pacific Conference on Human Genetics in Hanoi, Viet Nam, September 16, 2015. The pre-conference workshop provided an opportunity for medical geneticists and genetic counselors from across 10 Asia Pacific countries to learn about the varied genetic counseling practices and strategies for genetic counseling training. This paper provides an overview of the current status and challenges in these countries, and proposed course of unified actions for the future of the genetic counseling profession.

  16. A new P wave velocity model beneath East Asia: insights on the relationship between intraplate volcanism and Pacific subduction

    NASA Astrophysics Data System (ADS)

    Huang, T.; Niu, F.; Obayashi, M.

    2013-12-01

    The Pacific plate subducted beneath the East China since the Middle Mesozoic and it went through several different stages of subduction. Knowing its detailed configuration in the mantle can help better understand the geological events happened in the East Asia. Here we combine P-wave traveltime data from the EHB (Engdahl, van der Hilst, and Buland 1998) catalog of 1964-2007, and manually picks from the regional networks of the China Earthquake Administration (CEArray) consisting of more than one thousand stations from 2007 to 2010 as well as the NorthEast China Extended Array (NECESSArray) with 127 broadband stations from 2009 to 2011 in order to produce a global P-wave velocity model with a focus on the velocity structure beneath the East Asia. The mantle is parameterized into irregular blocks and the size of each block depends on the number of the rays penetrating the block. The minimum block size is 1.25°x1.25°. The large dataset and the adaptive block size yield a high-resolution 3D P-wave velocity model beneath Asia. Our tomographic model shows high velocity roots under Archean cratons, such as the Ordos and the Sichuan basin. Our model also displays low velocity anomalies at a depth from 50km to 350km beneath the Changbaishan and Datong volcanoes. Massive basaltic volcanism occurred in these places in the Cenozoic. There is also a pronounced slow anomaly that extends to the transition zone beneath the South China block, but it is only limited in the upper mantle. The Cenozoic basaltic magmatism in Hainan Island might be related with this slow anomaly. Our model also shows clear segments of slabs inside the transition zone, which could be imaged as flat slabs with insufficient data sampling. Different segments also appear to have different intensity and may correspond to different episodes of the Pacific subduction. The fragmented nature of the subducted Pacific plate also implies that several slab detachment events may have occurred during the subduction

  17. Assessment of Capacity Building by UN Centre For Space Science and Technology Education in Asia and Pacific

    NASA Astrophysics Data System (ADS)

    Mukund, Rao; Deekshatulu, B. L.; Sundarramiah, V.; Kasturirangan, K.

    2002-01-01

    Space technology has introduced new dimensions into the study and understanding of Earth's processes and in improving the quality of life for the humanity. The benefits from the space technology are mostly confined to the space faring nations. United Nations Office for Outer Space Affairs (UN-OOSA) has taken initiative to disseminate the scientific and technology knowledge to developing countries through the establishment of regional Centres mainly dedicated to the education, training and research. The establishment of the UN Centre for Space Science and Technology Education in Asia and the Pacific (UN CSSTE-AP), in 1995 in India, has opened up new vistas for sharing and learning from experiences and also in capacity building in the region. The Centre has education and research programmes in the field of Remote Sensing, Satellite Communications, Satellite Meteorology and Space Sciences. The education courses are comprising of two phases viz. Phase I, of 9 months duration and is a resident programme in India. The 9 months programme is modular in structure dealing with fundamentals, applications and pilot projects. The Phase II, of 12 months duration, concludes with the submission of a project work assignment in the home country institution. The research programmes are oriented towards carrying out advanced research and development in these fields and provides an opportunity to Asia Pacific students to build their academic capabilities. The education course curriculum is primarily aimed to disseminate the Space Science and Technology in the Asia Pacific region and draws on the experiences and needs of the region. The Centre also assists in research and consultancy in environmental analysis, monitoring, judicious exploitation, rural/urban communication, understanding weather system, conservation of natural resources and sustainable development. The issues are of utmost importance in the backdrop of high population density, unstable economic status, depleting natural

  18. Environmental risk factors in inflammatory bowel disease: a population-based case-control study in Asia-Pacific.

    PubMed

    Ng, Siew C; Tang, Whitney; Leong, Rupert W; Chen, Minhu; Ko, Yanna; Studd, Corrie; Niewiadomski, Ola; Bell, Sally; Kamm, Michael A; de Silva, H J; Kasturiratne, Anuradhani; Senanayake, Yasith Udara; Ooi, Choon Jin; Ling, Khoon-Lin; Ong, David; Goh, Khean Lee; Hilmi, Ida; Ouyang, Qin; Wang, Yu-Fang; Hu, PinJin; Zhu, Zhenhua; Zeng, Zhirong; Wu, Kaichun; Wang, Xin; Xia, Bing; Li, Jin; Pisespongsa, Pises; Manatsathit, Sathaporn; Aniwan, Satimai; Simadibrata, Marcellus; Abdullah, Murdani; Tsang, Steve W C; Wong, Tai Chiu; Hui, Aric J; Chow, Chung Mo; Yu, Hon Ho; Li, Mo Fong; Ng, Ka Kei; Ching, Jessica; Wu, Justin C Y; Chan, Francis K L; Sung, Joseph J Y

    2015-07-01

    The rising incidence of inflammatory bowel disease in Asia supports the importance of environmental risk factors in disease aetiology. This prospective population-based case-control study in Asia-Pacific examined risk factors prior to patients developing IBD. 442 incident cases (186 Crohn's disease (CD); 256 UC; 374 Asians) diagnosed between 2011 and 2013 from eight countries in Asia and Australia and 940 controls (frequency-matched by sex, age and geographical location; 789 Asians) completed an environmental factor questionnaire at diagnosis. Unconditional logistic regression models were used to estimate adjusted ORs (aOR) and 95% CIs. In multivariate model, being breast fed >12 months (aOR 0.10; 95% CI 0.04 to 0.30), antibiotic use (aOR 0.19; 0.07 to 0.52), having dogs (aOR 0.54; 0.35 to 0.83), daily tea consumption (aOR 0.62; 0.43 to 0.91) and daily physical activity (aOR 0.58; 0.35 to 0.96) decreased the odds for CD in Asians. In UC, being breast fed >12 months (aOR 0.16; 0.08 to 0.31), antibiotic use (aOR 0.48; 0.27 to 0.87), daily tea (aOR 0.63; 0.46 to 0.86) or coffee consumption (aOR 0.51; 0.36 to 0.72), presence of hot water tap (aOR 0.65; 0.46 to 0.91) and flush toilet in childhood (aOR 0.71; 0.51 to 0.98) were protective for UC development whereas ex-smoking (aOR 2.02; 1.22 to 3.35) increased the risk of UC. This first population-based study of IBD risk factors in Asia-Pacific supports the importance of childhood immunological, hygiene and dietary factors in the development of IBD, suggesting that markers of altered intestinal microbiota may modulate risk of IBD later in life. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  19. What Lessons to Take from Educational Reforms in Asia-Pacific Region? Factors That May Influence the Restructuring of Secondary Education in East Timor

    ERIC Educational Resources Information Center

    Capelo, Ana; Pedrosa, Maria Arminda; Almeida, Patrícia Albergaria

    2013-01-01

    To better understand current curricular reforms in some Asia-Pacific countries that came out of conflict periods, documents and information posted on various national and international agency websites were analysed. In this paper we aimed to (i) present a brief description of the conditions under which new secondary education curricula are being…

  20. Asia and the Pacific: A Survey of Distance Education 1992. Vol. II: Republic of Korea-Vietnam. New Papers on Higher Education: Studies and Research, No. 7.

    ERIC Educational Resources Information Center

    Wong, Suk-Ying; And Others

    This report is intended to serve as a general reference for people either new to the field or involved in planning and decision-making in the field of distance education, specifically in Asia and the Pacific region. Volume II contains data from 15 countries: the Republic of Korea, Laos, Malaysia, Maldives, Myanmar, Nepal, New Zealand, Pakistan,…

  1. Regional Consultation Meeting on the Asia and Pacific Programme of Educational Innovation for Development (13th, Jomtien, Thailand, June 22-26, 1992). Final Report.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This report summarizes the proceedings of the Thirteenth Regional Consultation Meeting on the Asia and Pacific Programme of Educational Innovation for Development (APEID). The meeting's objectives were to: (1) make an overall review of APEID's work during the 5-year period 1987-91; (2) to discuss major educational innovations that have…

  2. Percutaneous mitral valve repair with the MitraClip: early results from the MitraClip Asia-Pacific Registry (MARS).

    PubMed

    Yeo, Khung Keong; Yap, Jonathan; Yamen, Eric; Muda, Nasir; Tay, Edgar; Walters, Darren L; Santoso, Teguh; Liu, Xianbao; Jansz, Paul; Yip, James; Zambahari, Robaayah; Passage, Jurgen; Koh, Tian Hai; Wang, Jian'an; Scalia, Gregory; Kuntjoro, Ivandito; Soesanto, Amiliana M; Muller, David

    2014-09-01

    Percutaneous MitraClip therapy has been shown to be safe and efficacious in mitral regurgitation (MR). Our aim was to describe early outcomes in patients from the Asia- Pacific region. The MitraClip Asia-Pacific Registry (MARS) includes data from eight different centres in five countries in the Asia-Pacific region. The primary efficacy outcome was reduction in MR to ≤2+ at 30 days. The safety outcome was 30-day freedom from major adverse events (MAE), defined as the composite of death, myocardial infarction, non-elective cardiac surgery, renal failure, transfusion of ≥2 units of blood, ventilation for >48 hours, septicaemia, and new onset atrial fibrillation. A total of 142 patients underwent the MitraClip procedure from February 2011 to October 2013. Fifty-three point five percent (76) of patients had functional MR, 45.8% (65) had degenerative MR and 0.7% (1) had mixed MR. The acute procedural success rate was 93.7% (133). Thirty-one point seven percent of the patients were in NYHA Class I-II at baseline, compared to 82.1% at 30 days (p<0.001). Zero percent (0) of the patients had ≤2+ MR at baseline compared to 76.8% (109) at 30 days (p<0.001). Results from the Asia-Pacific region show that the MitraClip procedure is effective in reducing mitral regurgitation and has favourable short-term safety outcomes.

  3. Prospects for Adult Education and Development in Asia and the Pacific. Report of a Regional Seminar (Bangkok, November 24-December 4, 1980).

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    Adult education and the economic development of the countries of Asia and the Pacific was discussed at a UNESCO conference held in Bangkok in November-December, 1980. The conference was opened by Raja Roy Singh, who emphasized the crucial significance of adult education in national development. He said that development is no longer construed only…

  4. Education Standards for the 21st Century: Opening Statements of Ministers at the Asia-Pacific Economic Cooperation Education Ministerial, August 1992.

    ERIC Educational Resources Information Center

    Office of Policy and Planning (ED), Washington, DC.

    While the member countries of the Asia-Pacific Economic Cooperation (APEC) have many differences in culture, history, and level of economic development, all APEC representatives who attended this ministerial agreed on the importance of establishing education standards and examination systems to meet the needs of their people in the 21st century.…

  5. Recent Reform and Perspectives in Higher Education: Report of the Seminar Including a Range of Countries from Asia-Pacific and Europe.

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    This report describes a 1998 seminar held to review the situation of higher education reform in Asia and the Pacific region, as well as in some Western nations, and to identify common issues and priorities, and then develop a collaborative framework for addressing these issues and setting priorities. Seventeen participants from 16 countries…

  6. The Role of the Microbiome and the use Of Probiotics in Gastrointestinal Disorders in Adults in the Asia-Pacific Region.

    PubMed

    Ghoshal, Uday C; Gwee, Kok-Ann; Holtmann, Gerald; Li, Yanmei; Park, Soo Jung; Simadibrata, Marcellus; Sugano, Kentaro; Wu, Kaichun; Quigley, Eamonn M M; Cohen, Henry

    2017-06-06

    The Asia-Pacific region is diverse, with regard to ethnicity, culture and economic development incorporating some of the world's least and most developed nations. Gastrointestinal diseases are common in the Asia-Pacific region and their prevalence, presentation, and management vary considerably within the region. There is growing evidence for an important role for the human gut microbiota in gastrointestinal health. As a consequence, geographic variations in the composition of the gut microbiota may contribute to variations in both the prevalence and response to therapy of specific diseases. Probiotics have been proposed as a valuable option in the prevention and treatment of a number of gastrointestinal illnesses, but the quality of available evidence to support their efficacy is variable. A meeting of international experts in adult and pediatric gastroenterology was held at the Sorbonne University, Paris, France on April 11(th) and 12(th) , 2016 to discuss current evidence supporting the use of probiotics in gastrointestinal disorders in the Asia-Pacific region. This article provides an overview of the discussions held at this meeting and recommends the formation of an Asia-Pacific Consortium on Gut Microbiota similar to those established in Europe and North America. This article is protected by copyright. All rights reserved.

  7. The evolution and impact of the International Atomic Energy Agency (IAEA) program on radiation and tissue banking in Asia and the Pacific region.

    PubMed

    Morales Pedraza, Jorge; Phillips, Glyn O

    2009-05-01

    The Asia and the Pacific region was within the IAEA program on radiation and tissue banking, the most active region. Most of the tissue banks in the Asia and the Pacific region were developed during the late 1980s and 1990s. The initial number of tissue banks established or supported by the IAEA program in the framework of the RCA Agreement for Asia and the Pacific region was 18. At the end of 2006, the number of tissue banks participating, in one way or another in the IAEA program was 59. Since the beginning of the implementation of the IAEA program in Asia and the Pacific region 63,537 amnion and 44,282 bone allografts were produced and 57,683 amnion and 36,388 bone allografts were used. The main impact of the IAEA program in the region was the following: the establishment or consolidation of at least 59 tissue banks in 15 countries in the region (the IAEA supported directly 16 of these banks); the improvement on the quality and safety of tissues procured and produced in the region reaching international standards; the implementation of eight national projects, two regional projects and two interregional projects; the elaboration of International Standards, a Code of Practice and a Public Awareness Strategies and, the application of quality control and quality assurances programs in all participating tissue banks.

  8. Asia and the Pacific: A Survey of Distance Education 1992. Vol. I: Australia-Japan. New Papers on Higher Education: Studies and Research, No. 7.

    ERIC Educational Resources Information Center

    Wong, Suk-Ying; And Others

    This report is intended to serve as a general reference for people either new to the field or involved in planning and decision-making in the field of distance education, specifically in Asia and the Pacific region. Volume I contains data from eight countries: Australia, Bangladesh, the People's Republic of China, Hong Kong, India, Indonesia,…

  9. An Observational, Prospective Survey Assessing the Control of Atrial Fibrillation in Asia Pacific: Rationale and Design of the RecordAF-AP Registry

    PubMed Central

    Amerena, John; Chen, Shih-Ann; Sriratanasathavorn, Charn; Cho, Jeong-Gwan; Dejia, Huang; Omar, Razali; Fat, Tse Hung; King, Anthony

    2011-01-01

    Background: The literature suggests that the prevalence of atrial fibrillation (AF) may be lower in Asian countries than in Western countries. Nevertheless, AF remains a significant public health problem in the region. The burden of AF, the experiences of previous trials and the lack of data on AF and its management in Asia Pacific highlight the need for a comprehensive prospective study of AF management. Methods: The REgistry on Cardiac rhythm disORDers assessing the control of Atrial Fibrillation Asia Pacific (RecordAF-AP) is a prospective, observational survey of the management of recently diagnosed AF patients with 1-year follow-up in 8 countries across Asia Pacific. Eligible patients presenting with AF, treated or not, will be included in the registry and data will be recorded prospectively during follow-up visits at 6 and 12 months. Results: RecordAF-AP will recruit more than 3000 patients. Study recruitment commenced in April 2009 and the final results anticipated at the end of 2011. Conclusions: RecordAF-AP will assess the real-life management of AF patients in Asia Pacific, including a comparison of clinical outcomes in rhythm versus rate control strategies, providing much needed insight into the costs, treatment choices and clinical outcomes of AF patients in this region. PMID:21344019

  10. The Admission and Placement of Students From the Pacific-Asia Area. A Workshop Report. Australia, Ceylon, Hong Kong, India, Malaysia, New Zealand, Pakistan, Singapore, Okinawa, and Pacific Islands.

    ERIC Educational Resources Information Center

    Jameson, Sanford, Ed.

    This is the report from the workshop for the admission and placement of students from the Pacific-Asia Area. The basic purpose of this workshop was to bring together a group of experienced admissions officers and resource persons with expertise in the particular countries to be covered, in order to study, in some depth, foreign educational systems…

  11. Agroforestry In-Service Training. A Training Aid for Asia & the Pacific Islands (Honiara, Solomon Islands, South Pacific, October 23-29, 1983). Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-16.

    ERIC Educational Resources Information Center

    Fillion, Jacob; Weeks, Julius

    The Forestry/Natural Resources Sector in the Office of Training and Program Support of the Peace Corps conducted an agroforestry inservice training workshop in Honiara, Solomon Islands, in 1983. Participants included Peace Corps volunteers and their host country national counterparts from six countries of the Pacific Islands and Asia (Western…

  12. Accelerating progress towards universal health coverage in Asia and Pacific: improving the future for women and children

    PubMed Central

    Beattie, Allison; Yates, Robert; Noble, Douglas J

    2016-01-01

    Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems. Closing primary healthcare gaps should be the foundation of universal health coverage reforms. Recommendations for policy for national governments to improve universal health coverage are identified, including countries spending < 3% of gross domestic product in public expenditure on health committing to increasing funding by at least 0.3%/year to reach a minimum expenditure threshold of 3%. PMID:28588989

  13. Mainstreaming climate adaptation in the Asia-Pacific: Role of networks and universities in promoting climate literacy

    NASA Astrophysics Data System (ADS)

    Ling, F. H.; Yasuhara, K.; Tamura, M.; Tabayashi, Y.; Mimura, N.

    2011-12-01

    As the international climate regime continues to evolve, adaptation has emerged as a key component of responding to climate change. Due to limited scientific, financial, and institutional capacities, as well as perceived competition with multiple priorities, strategies for adaptive measures are not being implemented at the pace needed to address current and future climate risks. Adaptation networks, both global and in the Asia-Pacific region, have formed to overcome the lack of sufficient communication and collaboration among different stakeholders and domains of expertise. In this presentation, we discuss various efforts at Ibaraki University in Japan to integrate technical and social aspects of adaptation into a multidisciplinary effort, to foster synergies among various networks, to clarify the roles of developed and developing countries, and to develop a standard for assessing vulnerability and adaptability across various geographical contexts.

  14. Regional initiatives to address the challenges of tuberculosis in children: perspectives from the Asia-Pacific region.

    PubMed

    Graham, Stephen M; Grzemska, Malgorzata; Brands, Annemieke; Nguyen, Huong; Amini, James; Triasih, Rina; Talukder, Khurshid; Ahmed, Shakil; Amanullah, Farhana; Kumar, Blessina; Tufail, Pervaiz; Detjen, Anne; Marais, Ben; Hennig, Cornelia; Islam, Tauhid

    2015-03-01

    Increasing attention is being given to the challenges of management and prevention of tuberculosis in children and adolescents. There have been a number of recent important milestones achieved at the global level to address this previously neglected disease. There is now a need to increase activities and build partnerships at the regional and national levels in order to address the wide policy-practice gaps for implementation, and to take the key steps outlined in the Roadmap for Child Tuberculosis published in 2013. In this article, we provide the rationale and suggest strategies illustrated with examples to improve diagnosis, management, outcomes and prevention for children with tuberculosis in the Asia-Pacific region, with an emphasis on the need for greatly improved recording and reporting. Effective collaboration with community engagement between the child health sector, the National Tuberculosis control Programmes, community-based services and the communities themselves are essential. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  15. Reverse relationship between drought of mid-latitudes in East Asia and Northwest Pacific tropical cyclone genesis frequency in summer

    NASA Astrophysics Data System (ADS)

    Choi, Jae-Won; Cha, Yumi; Kim, Jeoung-Yun

    2016-12-01

    This study found that there is a significant negative correlation between summer drought in Korea, China and Japan and the frequency of tropical cyclone (TC) in the subtropical western North Pacific (SWNP) using effective drought index (EDI). The frequency of TCs that affect Korea is low (high) in a year of summer drought (non-drought). As a case study, in 1994 when there is extremely severe summer drought in Korea, there was high frequency of TCs while in 2003 when there was least severe summer drought, the frequency of TCs is the lowest. Changes in the anomalous secondary circulation, namely anomalous upward (downward) flow in the SWNP and anomalous downward (upward) flow in the mid-latitudes of East Asia, are one of the causes of drought (non-drought).

  16. Values in Education: Social Capital Formation in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Montgomery, John D., Ed.

    Social capital creates or reinforces the mutual trust that binds people together. Some of the traditional human values in Asia and the cultural changes Asians face in order to survive in an era of globalization are presented in this collection of essays. The chapters emphasize the strong influence of values on education, the role of education in…

  17. Perspectives on the Development of LNG Market Hubs in the Asia Pacific Region

    EIA Publications

    2017-01-01

    The report discusses current initiatives to establish regional liquefied natural gas (LNG) trading hubs and pricing benchmarks in Asia and assesses the prospects for the Asian gas hubs in the near future. The report examines the characteristics of successful natural gas trading hubs and develops qualitative and quantitative indicators of the components of effective hubs, with emphasis on applying these indicators to Asian markets

  18. Exploring Training Needs of Educational Program Evaluators in the Asia-Pacific Region

    ERIC Educational Resources Information Center

    Hung, Hsin-Ling; Altschuld, James W.; Lee, Yi-Fang

    2012-01-01

    Training is critical for the growth of the evaluation profession as more qualified and competent individuals will be required to meet the increased demand for evaluation. This paper deals with the training needs of professionals and is based on a part of a study on the status and challenges of educational program evaluation in the Asia-Pacific…

  19. Antimicrobial Activities of Garenoxacin (BMS 284756) against Asia-Pacific Region Clinical Isolates from the SENTRY Program, 1999 to 2001

    PubMed Central

    Christiansen, K. J.; Bell, J. M.; Turnidge, J. D.; Jones, R. N.

    2004-01-01

    Between 1999 and 2001, 16,731 isolates from the Asia-Pacific Region were tested in the SENTRY Program for susceptibility to six fluoroquinolones including garenoxacin. Garenoxacin was four- to eightfold less active against Enterobacteriaceae than ciprofloxacin, although both drugs inhibited similar percentages at 1 μg/ml. Garenoxacin was more active against gram-positive species than all other fluoroquinolones except gemifloxacin. For Staphylococcus aureus, oxacillin resistance was high in many participating countries (Japan, 67%; Taiwan, 60%; Hong Kong, 55%; Singapore, 52%), with corresponding high levels of ciprofloxacin resistance (57 to 99%) in oxacillin-resistant S. aureus (ORSA). Of the ciprofloxacin-resistant ORSA isolates, the garenoxacin MIC was >4 μg/ml for only 9% of them. For Streptococcus pneumoniae, penicillin nonsusceptibility and macrolide resistance were high in many countries. No relationship was seen between penicillin and garenoxacin susceptibility, with all isolates being susceptible at <2 μg/ml. There was, however, a partial correlation between ciprofloxacin and garenoxacin MICs. For ciprofloxacin-resistant isolates for which garenoxacin MICs were 0.25 to 1 μg/liter, mutations in both the ParC and GyrA regions of the quinolone resistance-determining region could be demonstrated. No mutations conferring high-level resistance were detected. Garenoxacin shows useful activity against a wide range of organisms from the Asia-Pacific region. In particular, it has good activity against S. aureus and S. pneumoniae, although there is evidence that low-level resistance is present in those organisms with ciprofloxacin resistance. PMID:15155198

  20. The consequences of maltreatment on children's lives: a systematic review of data from the East Asia and Pacific Region.

    PubMed

    Fry, Deborah; McCoy, Amalee; Swales, Diane

    2012-10-01

    This study explores the consequences of child maltreatment in East Asia and the Pacific region based on the results of a systematic review of 16 English and non-English databases for journal articles and "gray" literature published between January 2001 and November 2010. This review shows that children in the region experiencing maltreatment are at increased risk of experiencing mental health consequences, physical health sequelae, high-risk sexual behaviors, and increased exposure to future violence including intimate partner violence (IPV) as an adult. Children who suffer from child sexual abuse have a median twofold increased risk of experiencing mental health disorders than those who have never experienced child maltreatment.  Similar findings were found for those who experience physical abuse.  Children who have been maltreated in the region are also at an increased risk of suicide ideation and attempts than those that have experienced child sexual or physical abuse being at a median fourfold increased risk. Children who have experienced physical abuse or those who have witnessed parental domestic abuse as a child are at median twofold increased risk of experiencing IPV as an adult, while children who have been sexually abused have a median threefold increase in risk of IPV later in life. There are still gaps in our understanding of the consequences of child maltreatment, but we do know that the consequences are profound and far-reaching. The findings indicate that there is an urgent need for governments, civil society organizations, development agencies, and academia to advocate for, invest in, and collaborate across sectors for the strengthening of child protection systems in the East Asia and Pacific Region, with a focus on evidence-based child maltreatment prevention policies and programs.

  1. Towards the international collaboration for detection, surveillance and control of taeniasis/ cysticercosis and echinococcosis in Asia and the Pacific.

    PubMed

    Ito, Akira; Wandra, Toni; Sato, Marcello O; Mamuti, Wulamu; Xiao, Ning; Sako, Yasuhito; Nakao, Minoru; Yamasaki, Hiroshi; Nakaya, Kazuhiro; Okamoto, Munehiro; Craig, Philip S

    2006-01-01

    Both cysticercosis and echinococcosis are potentially among the most serious helminth zoonoses threatening human health worldwide. However, due to the lack of reliable tools for confirmation or identification of patients or infected animals, epidemiological data are expected to be underestimated. Conversely, sometimes, such data are over estimated due to the lack of specificity. The most important issue for doing field surveys is that they use evidence based science. In this communication, advanced immunological and molecular tools for detection of individuals infected with either metacestodes or adult tapeworms are briefly overviewed, and the applications of such tools for epidemiological surveys in Indonesia, China and other countries are introduced. As immunological tools are based on antigen-antibody responses, there may exist some cross-reactions. Therefore, immunodiagnostic tools are expected to be useful for primary screening, and should be combined with confirmation of direct parasitological evidence (morphology or DNA), and imaging techniques for cysts. As a risk factor for human cysticercosis is the presence of tapeworm carriers, detection of taeniasis cases and differentiation of the three human Taenia species (Taenia solium, T. saginata and T. asiatica) in Asia and the Pacific requires consideration. Similarly, in northwest China, Echinococcus granulosus and E. multilocularis are coendemic and differentiation of these species is required in humans and definitive hosts. It is stressed that combination of several tools for identification of the parasite and for confirmation of diseases is important for obtaining highly reliable data before consideration of control of these zoonoses. Recent projects coordinated by Asahikawa Medical College have concentrated on immunological and molecular diagnostic techniques transferable to colleagues from endemic regions of Asia and the Pacific, and on organization of two international symposia to establish a platform

  2. Model-Informed Risk Assessment and Decision Making for an Emerging Infectious Disease in the Asia-Pacific Region

    PubMed Central

    Moss, Robert; Hickson, Roslyn I.; McVernon, Jodie; McCaw, James M.; Hort, Krishna; Black, Jim; Madden, John R.; Tran, Nhi H.; McBryde, Emma S.

    2016-01-01

    Background Effective response to emerging infectious disease (EID) threats relies on health care systems that can detect and contain localised outbreaks before they reach a national or international scale. The Asia-Pacific region contains low and middle income countries in which the risk of EID outbreaks is elevated and whose health care systems may require international support to effectively detect and respond to such events. The absence of comprehensive data on populations, health care systems and disease characteristics in this region makes risk assessment and decisions about the provision of such support challenging. Methodology/principal findings We describe a mathematical modelling framework that can inform this process by integrating available data sources, systematically explore the effects of uncertainty, and provide estimates of outbreak risk under a range of intervention scenarios. We illustrate the use of this framework in the context of a potential importation of Ebola Virus Disease into the Asia-Pacific region. Results suggest that, across a wide range of plausible scenarios, preemptive interventions supporting the timely detection of early cases provide substantially greater reductions in the probability of large outbreaks than interventions that support health care system capacity after an outbreak has commenced. Conclusions/significance Our study demonstrates how, in the presence of substantial uncertainty about health care system infrastructure and other relevant aspects of disease control, mathematical models can be used to assess the constraints that limited resources place upon the ability of local health care systems to detect and respond to EID outbreaks in a timely and effective fashion. Our framework can help evaluate the relative impact of these constraints to identify resourcing priorities for health care system support, in order to inform principled and quantifiable decision making. PMID:27661978

  3. Recent changes of sediment flux to the western Pacific Ocean from major rivers in East and Southeast Asia

    NASA Astrophysics Data System (ADS)

    Wang, Houjie; Saito, Yoshiki; Zhang, Yong; Bi, Naishuang; Sun, Xiaoxiao; Yang, Zuosheng

    2011-09-01

    The five largest rivers in East and Southeast Asia (Yellow, Yangtze, Pearl, Red and Mekong) are important contributors of terrigenous sediment to the western Pacific Ocean. Although they have annually delivered ~ 2000 × 10 9 kg of sediment to the ocean since 1000 yr BP, they presently contribute only ~ 600 × 10 9 kg/yr, which is reverting to a level typical of the relatively undisturbed watersheds before the rise in human activities in East and Southeast Asia at 2000 yr BP. During the most recent decades flow regulation by dams and sediment entrapment by reservoirs, as well as human-influenced soil erosion in the river basins, have sharply reduced the sediment delivered from the large river basins to the ocean. We constructed a time series of data on annual water discharges and sediment fluxes from these large rivers to the western Pacific Ocean covering the period 1950-2008. These data indicate that the short-term (interannual scale) variation of sediment flux is dominated by natural climatic oscillations such as the El Niño/La Niña cycle and that anthropogenic causes involving dams and land use control the long-term (decadal scale) decrease in sediment flux to the ocean. In contrast to the relatively slow historical increase in sediment flux during the period 2000-1000 yr BP, the recent sediment flux has been decreased at an accelerating rate over centennial scales. The alterations of these large river systems by both natural and anthropogenic forcing present severe environmental challenges in the coastal ocean, including the sinking of deltas and declines in coastal wetland areas due to the decreasing sediment supply. Our work thus provides a regional perspective on the large river-derived sediment flux to the ocean over millennial and decadal scales, which will be important for understanding and managing the present and future trends of delivery of terrigenous sediment to the ocean in the context of global change.

  4. Telesurgery system with original-quality moving images over high-speed Internet: expansion within the Asia-Pacific region.

    PubMed

    Shimizu, Shuji; Nakashima, Naoki; Okamura, Koji; Han, Ho-Seong; Tanaka, Masao

    2007-10-01

    Amid rapid changes in surgical techniques and patient care, education and training for the new generation of health care providers is of utmost importance. An international telesurgical system, which we established between Japan and Korea through super-fast broadband Internet without any loss of quality, was shown to be a powerful tool for this purpose. We attempted to expand our advanced system throughout the Asia-Pacific region and studied its usefulness. Kyushu University Hospital (Fukuoka, Japan) was linked to 33 medical institutions and meeting venues in China, Taiwan, Thailand, Vietnam, Singapore, and Australia by academic optic fiber network. Digital video signals were directly converted into Internet protocol, and cipher security programs were used to protect patient privacy. Of 49 international surgical teleconferences conducted, 16 were real-time demonstrations of surgery, and 33 involved recorded videos. For 37 events, two stations were connected pier-to-pier, and for the remaining 12, multiple stations were connected. The network remained stable, and the time delay between stations was restricted to 0.3-1.0 seconds. Responding to questionnaires, 70.6% of participants rated the image quality as "very good," and 22.5% rated it "good." We succeeded in establishing a high-quality telesurgical system in a wide area of the Asia-Pacific region, and this is the first time high-speed Internet technology has been applied to surgery on such a large scale. Because it is not only of high quality but also economical and easy to set up, we believe this system will promote efficient remote surgical education and active academic exchange worldwide.

  5. Mercury cycling over the North Pacific Ocean: Influence of South East Asia dust depostion.

    NASA Astrophysics Data System (ADS)

    Whalin, L.; Laurier, F. J.

    2002-12-01

    Mercury in the marine environment was investigated as part of a comprehensive study of its biogeochemical cycle in the North Pacific Ocean on the 2002 IOC cruise. The impact of dust deposition on the concentration of mercury in surface water was assessed using measurements in the water column (total and gaseous dissolved species) as well as in the marine boundary layer. Incubation experiments were performed in order to investigate the role of photochemistry in the air-sea exchange of mercury. In addition we will present a comparative study of mercury cycling between the Pacific Ocean and the Atlantic Ocean.

  6. Distribution and transportability of hexabromocyclododecane (HBCD) in the Asia-Pacific region using skipjack tuna as a bioindicator.

    PubMed

    Ueno, Daisuke; Alaee, Mehran; Marvin, Chris; Muir, Derek C G; Macinnis, Gordia; Reiner, Eric; Crozier, Patrick; Furdui, Vasile I; Subramanian, Annamalai; Fillmann, Gilberto; Lam, Paul K S; Zheng, Gene J; Muchtar, Muswerry; Razak, Hamidah; Prudente, Maricar; Chung, Kyu-hyuck; Tanabe, Shinsuke

    2006-11-01

    The geographical distribution of hexabromocyclododecane (HBCD) was investigated through analysis of muscle tissue of skipjack tuna (Katsuwonus pelamis) collected from offshore waters of Asia-Pacific region (Japan, Taiwan, Philippines, Indonesia, Seychelles, Brazil, Japan Sea, East China Sea, South China Sea, Indian Ocean and North Pacific Ocean). HBCD was detected in almost all samples analyzed (<0.1 to 45 ng/g lipid weight basis), indicating widespread presence of this compound in the marine environment. Elevated concentrations of HBCD were found in skipjack tuna from areas around Japan, which have the larger modern industrial/urban societies, and implicated these areas as primary regional sources. All three individual HBCD isomers (alpha-, gamma- and beta-HBCD) were detected in almost all samples; the percentage contribution of the alpha-isomer to total HBCD increased with increasing latitude. The estimated empirical 1/2 distance for alpha-HBCD was 8500 km, which is one of the highest atmospheric transportability among various halogenated persistent organic pollutants (POPs).

  7. UNESCO in Asia and the Pacific: 40 Years On. Bibliographical Supplement.

    ERIC Educational Resources Information Center

    Bulletin of the Unesco Regional Office for Education in Asia and the Pacific, 1986

    1986-01-01

    This bibliography of approximately 1,850 published and unpublished materials concerning all aspects of education in Asian and Pacific countries updates a 1979 bibliography by the same organization. Types of materials listed include conference papers, research reports, books, statistical compilations, government/international organization…

  8. UNESCO in Asia and the Pacific: 40 Years On. Bibliographical Supplement.

    ERIC Educational Resources Information Center

    Bulletin of the Unesco Regional Office for Education in Asia and the Pacific, 1986

    1986-01-01

    This bibliography of approximately 1,850 published and unpublished materials concerning all aspects of education in Asian and Pacific countries updates a 1979 bibliography by the same organization. Types of materials listed include conference papers, research reports, books, statistical compilations, government/international organization…

  9. Directory of National Institutions of Educational Planning and Administration in Asia and the Pacific. Second Edition.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    This directory provides information about 27 institutions and organizations that offer in-service training and research and professional services in relation to educational planning and administration in 13 Asian and Pacific basin countries. The directory's objective is to generate and strengthen regional, inter-country, and inter-institutional…

  10. A continuation of the Asia-Pacific Risk Index for natural disasters: extending the record for an updated analysis from 1900-2015

    NASA Astrophysics Data System (ADS)

    Daniell, James; Daniell, Trevor; Daniell, Katherine; Khazai, Bijan; Schaefer, Andreas; Wenzel, Friedemann

    2016-04-01

    In 2010, an Asia-Pacific risk index was created for the CECAR5 (Civil Engineering Conference for the Asia-Pacific Region) by Daniell et al. (2010a) for floods and earthquakes, using empirical and analytical risk data for direct as well as socio-economic community vulnerability. The socio-economic situation of countries can aggravate the physical risk of natural disaster impacts, as demonstrated by the impacts of earthquakes in Christchurch and Tohoku 2011; add to this a number of deadly typhoon (Haiyan 2013), cyclone (Yasi 2011), flood (Thailand 2011), bushfire and weather effects, and significant changes to the index in 2010 have been seen. At least 10,000 historical events have been recorded since 1900 across the Asia-Pacific region (western Pacific). The database for global socio-economic indicators was produced to allow comparison of countries in terms of their socio-economic situation for use in risk studies. In addition, a global damaging natural disasters database (CATDAT) has been created over the last 14 years to better understand the historical impact of natural disasters on the Asia-Pacific region as well as globally. Simplified hazard models have been used in conjunction with historical damage data added to human exposure. Post-flood and post-typhoon loss models have been produced this methodology. The relative country level rural and urban building inventories and historical building trends are used to define levels of vulnerability, exposure and hazard. From this, physical and community risk indices are derived for the countries of the Asia-Pacific region. It was found that the vulnerabilities in communities of developing countries such as Indonesia and the Philippines can further intensify the impact from direct damages by many times, showing the increased need for earthquake and flood risk reduction policy. Trends based on HDI and other indicators within the fields of economy, poverty, demographics, governance and environment are also presented

  11. Numerical simulation of the relationship between the anomaly of subtropical high over East Asia and the convective activities in the western tropical Pacific

    NASA Astrophysics Data System (ADS)

    Huang, Ronghui; Lu, Li

    1989-06-01

    In this paper, a close relationship between the intraseasonal variation of subtropical high over East Asia and the convective activities around the South China Sea and the Philippines is analysed from OLR data. This relationship is studied by using the theory of wave propagating in a slowly varying medium and by using a quasi-geostrophic, linear, spherical model and the IAP-GCM, respectively. The results show that when the SST is warming around the western tropical Pacific or the Philippines, the convective activities are intensified around the Philippines. As a consequence, the subtropical high will be intensified over East Asia. The computed results also show that when the anomaly of convective activities are caused around the Philippines, a teleconnection pattern of circulation anomalies will be caused over South Asia, East Asia and North America.

  12. Pivot to the Pacific? The Obama Administration’s Rebalancing Toward Asia

    DTIC Science & Technology

    2012-03-28

    Congressional Research Service 23 markets —particularly agricultural markets , such as dairy products and sugar. It remains to be seen if the negotiations can...will Uphold the Rules, Financial Times, November 27, 2011. 5 Ibid. 6 The current nine negotiating nations are Australia, Brunei, Chile, Malaysia ...be adjusted accordingly. Since 2000, Asia has become the United States’ largest source of imports and second-largest export market after the North

  13. Cenozoic geological and plate tectonic evolution of SE Asia and the SW Pacific: computer-based reconstructions, model and animations

    NASA Astrophysics Data System (ADS)

    Hall, Robert

    2002-04-01

    A plate tectonic model for the Cenozoic development of the region of SE Asia and the SW Pacific is presented and its implications are discussed. The model is accompanied by computer animations in a variety of formats, which can be viewed on most desktop computers. GPS measurements and present seismicity illustrate the high rates of motions and tectonic complexity of the region, but provide little help in long-term reconstruction. Plate boundaries shifted rapidly in the Cenozoic. During convergence of the major plates, there were numerous important episodes of extension, forming ocean basins and causing subsidence within continental regions, probably driven by subduction. Within eastern Indonesia, New Guinea and the Melanesian arcs, there are multiple Cenozoic sutures, with very short histories compared to most well-known older orogenic belts. They preserve a record of major changes in tectonics, including subduction polarity reversals, elimination of volcanic arcs, changing plate boundaries and extension within an overall contractional setting. Rapid tectonic changes have occurred within periods of less than 5 Ma. Many events would be overlooked or ignored in older orogenic belts, even when evidence is preserved, because high resolution dating is required to identify them, and the inference of almost simultaneous contraction and extension seems contradictory. There were three important periods in regional development: at about 45, 25 and 5 Ma. At these times, plate boundaries and motions changed, probably because of major collision events. The 45 Ma plate reorganisation may be related to India-Asia collision, although some important intra-Pacific events, such as voluminous Eocene boninite magmatism, seem to be older and require other causes. Indentation of Asia by India modified the Asian continent, but there is little indication that India has been the driving force of tectonics in most of SE Asia. The most important Cenozoic plate boundary reorganisation was at

  14. Potential for thermal coal and Clean Coal Technology (CCT) in the Asia-Pacific

    SciTech Connect

    Johnson, C.J.; Long, S.

    1991-11-22

    The Coal Project was able to make considerable progress in understanding the evolving energy situation in Asia and the future role of coal and Clean Coal Technologies. It is clear that there will be major growth in consumption of coal in Asia over the next two decades -- we estimate an increase of 1.2 billion metric tons. Second, all governments are concerned about the environmental impacts of increased coal use, however enforcement of regulations appears to be quite variable among Asian countries. There is general caution of the part of Asian utilities with respect to the introduction of CCT's. However, there appears to be potential for introduction of CCT's in a few countries by the turn of the century. It is important to emphasize that it will be a long term effort to succeed in getting CCT's introduced to Asia. The Coal Project recommends that the US CCT program be expanded to allow the early introduction of CCT's in a number of countries.

  15. Associations of Diabetes Mellitus with Site-Specific Cancer Mortality in the Asia-Pacific Region

    PubMed Central

    Lam, Eugene K.K.; Batty, G. David; Huxley, Rachel R.; Martiniuk, Alexandra L.C.; Barzi, Federica; Lam, Tai Hing; Lawes, Carlene M.M.; Giles, Graham G.; Welborn, Tim; Ueshima, Hirotsugu; Tamakoshi, Akiko; Woo, Jean; Kim, Hyeon Chang; Fang, Xianghua; Czernichow, Sébastien; Woodward, Mark

    2014-01-01

    Background Owing to the increasing prevalence of obesity and diabetes in Asia, and the paucity of studies, we examined the influence of raised blood glucose and diabetes on cancer mortality risk. Methods Thirty-six cohort Asian and Australasian studies provided 367,361 participants (74% from Asia); 6% had diabetes at baseline. Associations between diabetes and site-specific cancer mortality were estimated using time-dependent Cox models, stratified by study and sex, and adjusted for age. Results During a median follow-up of 4.0 years, there were 5,992 deaths due to cancer (74% Asian; 41% female). Participants with diabetes had 23% greater risk of mortality from all-cause cancer compared with those without: hazard ratio (HR) 1.23 (95% CI 1.12, 1.35). Diabetes was associated with mortality due to cancer of the liver (HR 1.51, 95% CI 1.19, 1.91), pancreas (HR 1.78, 95% CI 1.20, 2.65), and, less strongly, colorectum (HR 1.32, 95% CI 0.98, 1.78). There was no evidence of sex- or region-specific differences in these associations. The population attributable fractions for cancer mortality due to diabetes were generally higher for Asia compared with non-Asian populations. Conclusion Diabetes is associated with increased mortality from selected cancers in Asian and non-Asian populations. PMID:20705912

  16. Mass communication in Asia and the Pacific. Recent trends and developments.

    PubMed

    Lent, J A

    1989-01-01

    1 of the current trends in Asian mass communication discernbile in 1964-65 was mass media evolution as a big business. 25 years ago the makings of big business journalism already were evident. At this time, Asia is deeply involved in corporate journalism, and in recent years newspaper groups have become affiliated with multinational corporations such as Dow Jones and Rupert Murdoch's News Corporation. Combines of government, local business, and regional conglomerates have purchased chunks of broadcast stations and newspapers in at least Hong Kong, Taiwan, South Korea, Indonesia, the Philippines, Malaysia, Singapore, and India. Although government control of mass media is not new to Asia, the manner of control differs from 25 years ago. Overt repressive actions still persist but not as frequently or blatantly as a generation ago. Less noisy forms of control are preferred in many countries, which resort to suspensions, arrests, or direct censorship when subtle means are ineffective. An irony of Asian mass communication is that authorities do not always shut out more pernicious outside channels and messages, while rather effectively curbing the foreign media's role in and impact upon their societies. The speed with which much of the new technology has been introduced and expanded in Asia has brought undesired consequences, e.g., much dialogue previously focused on development journalism, ethics, or freedom of expression has shifted to information hardware.

  17. Should the Asia-Pacific Region Constitute a Rapid Reaction Force?

    DTIC Science & Technology

    2001-04-01

    American States as well as numerous Pacific island states such as Fiji, Papua New Guinea, and the mini-states of Melanesia, Micronesia, and Polynesia.4...Indonesia - including Aceh, the Moluccas, and Irian Jaya; The Philippines - including separatist Muslims in Mindanao and on the island of Jolo, and...Communists in Luzon; the Spratly Islands ; Taiwan; Korea; India and Pakistan – the region of Kashmir; Sri Lanka; Burma; Fiji; the Solomon Islands ; and the

  18. Amphibious Force Sustainment Shortfalls Applied to the Asia-Pacific Region

    DTIC Science & Technology

    2013-04-15

    of Normandy. 2012 Portsmouth City Council. Accessed 21 Dec 2012. http://www.ddaymuseum.co.uk 2 Dakota L. Wood. Caught on a Lee Shore. The American...World War II and Korea leveraged forward staging, and a robust sustainment pipeline creating operational endurance for the amphibious force. As has...trust on two fronts. First this solution requires coalition and host nation partnership in order to ensure port access in the 1st and 2nd tier Pacific

  19. Potential for Zika virus introduction and transmission in resource-limited countries in Africa and the Asia-Pacific region: a modelling study.

    PubMed

    Bogoch, Isaac I; Brady, Oliver J; Kraemer, Moritz U G; German, Matthew; Creatore, Maria I; Brent, Shannon; Watts, Alexander G; Hay, Simon I; Kulkarni, Manisha A; Brownstein, John S; Khan, Kamran

    2016-11-01

    As the epidemic of Zika virus expands in the Americas, countries across Africa and the Asia-Pacific region are becoming increasingly susceptible to the importation and possible local spread of the virus. To support public health readiness, we aim to identify regions and times where the potential health, economic, and social effects from Zika virus are greatest, focusing on resource-limited countries in Africa and the Asia-Pacific region. Our model combined transportation network analysis, ecological modelling of mosquito occurrences, and vector competence for flavivirus transmission, using data from the International Air Transport Association, entomological observations from Zika's primary vector species, and climate conditions using WorldClim. We overlaid monthly flows of airline travellers arriving to Africa and the Asia-Pacific region from areas of the Americas suitable for year-round transmission of Zika virus with monthly maps of climatic suitability for mosquito-borne transmission of Zika virus within Africa and the Asia-Pacific region. An estimated 2·6 billion people live in areas of Africa and the Asia-Pacific region where the presence of competent mosquito vectors and suitable climatic conditions could support local transmission of Zika virus. Countries with large volumes of travellers arriving from Zika virus-affected areas of the Americas and large populations at risk of mosquito-borne Zika virus infection include India (67 422 travellers arriving per year; 1·2 billion residents in potential Zika transmission areas), China (238 415 travellers; 242 million residents), Indonesia (13 865 travellers; 197 million residents), Philippines (35 635 travellers; 70 million residents), and Thailand (29 241 travellers; 59 million residents). Many countries across Africa and the Asia-Pacific region are vulnerable to Zika virus. Strategic use of available health and human resources is essential to prevent or mitigate the health, economic, and social

  20. Role of sea surface temperature anomalies in the tropical Indo-Pacific region in the northeast Asia severe drought in summer 2014: month-to-month perspective

    NASA Astrophysics Data System (ADS)

    Xu, Zhiqing; Fan, Ke; Wang, HuiJun

    2016-10-01

    The severe drought over northeast Asia in summer 2014 and the contribution to it by sea surface temperature (SST) anomalies in the tropical Indo-Pacific region were investigated from the month-to-month perspective. The severe drought was accompanied by weak lower-level summer monsoon flow and featured an obvious northward movement during summer. The mid-latitude Asian summer (MAS) pattern and East Asia/Pacific teleconnection (EAP) pattern, induced by the Indian summer monsoon (ISM) and western North Pacific summer monsoon (WNPSM) rainfall anomalies respectively, were two main bridges between the SST anomalies in the tropical Indo-Pacific region and the severe drought. Warming in the Arabian Sea induced reduced rainfall over northeast India and then triggered a negative MAS pattern favoring the severe drought in June 2014. In July 2014, warming in the tropical western North Pacific led to a strong WNPSM and increased rainfall over the Philippine Sea, triggering a positive EAP pattern. The equatorial eastern Pacific and local warming resulted in increased rainfall over the off-equatorial western Pacific and triggered an EAP-like pattern. The EAP pattern and EAP-like pattern contributed to the severe drought in July 2014. A negative Indian Ocean dipole induced an anomalous meridional circulation, and warming in the equatorial eastern Pacific induced an anomalous zonal circulation, in August 2014. The two anomalous cells led to a weak ISM and WNPSM, triggering the negative MAS and EAP patterns responsible for the severe drought. Two possible reasons for the northward movement of the drought were also proposed.

  1. Role of sea surface temperature anomalies in the tropical Indo-Pacific region in the northeast Asia severe drought in summer 2014: month-to-month perspective

    NASA Astrophysics Data System (ADS)

    Xu, Zhiqing; Fan, Ke; Wang, HuiJun

    2017-09-01

    The severe drought over northeast Asia in summer 2014 and the contribution to it by sea surface temperature (SST) anomalies in the tropical Indo-Pacific region were investigated from the month-to-month perspective. The severe drought was accompanied by weak lower-level summer monsoon flow and featured an obvious northward movement during summer. The mid-latitude Asian summer (MAS) pattern and East Asia/Pacific teleconnection (EAP) pattern, induced by the Indian summer monsoon (ISM) and western North Pacific summer monsoon (WNPSM) rainfall anomalies respectively, were two main bridges between the SST anomalies in the tropical Indo-Pacific region and the severe drought. Warming in the Arabian Sea induced reduced rainfall over northeast India and then triggered a negative MAS pattern favoring the severe drought in June 2014. In July 2014, warming in the tropical western North Pacific led to a strong WNPSM and increased rainfall over the Philippine Sea, triggering a positive EAP pattern. The equatorial eastern Pacific and local warming resulted in increased rainfall over the off-equatorial western Pacific and triggered an EAP-like pattern. The EAP pattern and EAP-like pattern contributed to the severe drought in July 2014. A negative Indian Ocean dipole induced an anomalous meridional circulation, and warming in the equatorial eastern Pacific induced an anomalous zonal circulation, in August 2014. The two anomalous cells led to a weak ISM and WNPSM, triggering the negative MAS and EAP patterns responsible for the severe drought. Two possible reasons for the northward movement of the drought were also proposed.

  2. Human resource development in the Asia-Pacific region: implications for Australia.

    PubMed

    Jones, G W

    1997-11-01

    "Educational development has played a role in rapid economic development in East and Southeast Asia.... Australia faces problems in common with countries of the region, including the need to provide greater equality of educational opportunity to students from disadvantaged backgrounds, and to find the appropriate disciplinary mix in tertiary education. The massive growth of the numbers with secondary and higher education in the region will provide opportunities to market our education, pose issues for Australian immigration policy, and provide both risks and opportunities in building a favourable image of Australia."

  3. Genetic diversity of taro, Colocasia esculenta (L.) Schott, in Southeast Asia and the Pacific.

    PubMed

    Kreike, C M; Van Eck, H J; Lebot, V

    2004-08-01

    The genetic diversity of 255 taro (Colocasia esculenta) accessions from Vietnam, Thailand, Malaysia,Indonesia, the Philippines, Papua New Guinea and Vanuatu was studied using AFLPs. Three AFLP primer combinations generated a total of 465 scorable amplification products. The 255 accessions were grouped according to their country of origin, to their ploidy level (diploid or triploid) and to their habitat--cultivated or wild. Gene diversity within these groups and the genetic distance between these groups were computed. Dendrograms were constructed using UPGMA cluster analysis. In each country, the gene diversity within the groups of wild genotypes was the highest compared to the diploid and triploid cultivars groups. The highest gene diversity was observed for the wild group from Thailand (0.19), the lowest for the diploid cultivars group from Thailand(0.007). In Malaysia there was hardly any difference between the gene diversity of the cultivars and wild groups, 0.07 and 0.08, respectively. The genetic distances between the diploid cultivars groups ranges from 0.02 to 0.10, with the distance between the diploid accessions from Thailand and Malaysia being the highest. The genetic distances between the wild groups range from 0.05 to 0.07. First, a dendrogram was constructed with only the diploids cultivars from all countries. The accessions formed clusters largely according to the country from which they originated. Two major groups of clusters were revealed, one group assembling accessions from Asian countries and the other assembling accessions from the Pacific. Surprisingly, the group of diploid cultivars from Thailand clustered among the Pacific countries. Secondly,a dendrogram was constructed with diploid cultivated,triploid cultivated and wild accessions. Again the division of the accessions into an Asian and a Pacific gene pool is obvious. The presence of two gene pools for cultivated diploid taro has major implications for the breeding and conservation of

  4. U. S.-Thailand Combatant Commander Considerations for the Asia-Pacific Rebalance

    DTIC Science & Technology

    2015-05-01

    113SPRT87269. pdf . 2 Tim Hume, "Ousted Thai PM Yingluck to Face Impeachment over Rice Program." CNN. May 8, 2014. Accessed March 23, 2015. http...Pacific Region." Government Printing Office. April 17, 2014, 1. Accessed April 30, 2015. http://www.gpo.gov/fdsys/pkg/CPRT-113SPRT87269/ pdf /CPRT...Service, 2014, 22, 1. Accessed March 13, 2015. http://fas.org/sgp/crs/row/RL32593. pdf . 7 Ibid., 5. 8 Gregory Poling, "Washington’s Thai PR Problem

  5. The burden of HIV-associated neurocognitive disorder (HAND) in the Asia-Pacific region and recommendations for screening.

    PubMed

    Ian, Everall; Gwen, Chan Lai; Soo, Chow Ting; Melissa, Corr; Chun-Kai, Huang; Eosu, Kim; Hyo-Youl, Kim; Asad, Khan; Scott, Letendre; Chung-Ki, Li Patrick; Anekthananon, Thanomsak; Jordan, Treisman Glenn; Han-Ting, Wei; Wing-Wai, Wong

    2016-08-01

    HIV-associated neurocognitive disorder incurs a significant burden on HIV patients in Asia-Pacific countries; however, the incidence is difficult to estimate due to a lack of local epidemiological data. The impact of neurocognitive impairment in HIV patients is often underestimated due to a lack of education and awareness, and there are consequently gaps in the provision of screening and diagnosis to enable earlier intervention to limit neurocognitive impairment. This review seeks to redress the imbalance by promoting awareness and education among physicians concerning the neurovirulence of HIV and thereby increase screening efforts to improve diagnosis rates and clinical outcomes for underserved patients in this region. The Asia, Australia, and Middle East (AAME) HAND Advisory Board convened expert regional representatives to review current practice and recommend appropriate measures related to the implementation of standardised screening programmes and treatment recommendations to curb the developing HAND epidemic in the region. In particular, we recommend basic neuropsychological testing protocols that could be efficiently introduced into clinical practice for routine screening. We also propose simple guidelines for the management of HAND. We believe that HAND is a significant and under-reported diagnosis in HIV patients that warrants both greater recognition and further clinical investigation of the underlying pathophysiology and the impact of HIV disease progression, with HAND being associated with worse medication adherence and therefore possibly increased risk of ARV treatment failure. Widespread screening will lead to greater recognition of HAND and earlier intervention, which may lead to improved management strategies in the future. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Capacity building and predictors of success for HIV-1 drug resistance testing in the Asia-Pacific region and Africa

    PubMed Central

    Land, Sally; Zhou, Julian; Cunningham, Philip; Sohn, Annette H; Singtoroj, Thida; Katzenstein, David; Mann, Marita; Sayer, David; Kantor, Rami

    2013-01-01

    Background The TREAT Asia Quality Assessment Scheme (TAQAS) was developed as a quality assessment programme through expert education and training, for laboratories in the Asia-Pacific and Africa that perform HIV drug-resistance (HIVDR) genotyping. We evaluated the programme performance and factors associated with high-quality HIVDR genotyping. Methods Laboratories used their standard protocols to test panels of human immunodeficiency virus (HIV)-positive plasma samples or electropherograms. Protocols were documented and performance was evaluated according to a newly developed scoring system, agreement with panel-specific consensus sequence, and detection of drug-resistance mutations (DRMs) and mixtures of wild-type and resistant virus (mixtures). High-quality performance was defined as detection of ≥95% DRMs. Results Over 4.5 years, 23 participating laboratories in 13 countries tested 45 samples (30 HIV-1 subtype B; 15 non-B subtypes) in nine panels. Median detection of DRMs was 88–98% in plasma panels and 90–97% in electropherogram panels. Laboratories were supported to amend and improve their test outcomes as appropriate. Three laboratories that detected <80% DRMs in early panels demonstrated subsequent improvement. Sample complexity factors – number of DRMs (p<0.001) and number of DRMs as mixtures (p<0.001); and laboratory performance factors – detection of mixtures (p<0.001) and agreement with consensus sequence (p<0.001), were associated with high performance; sample format (plasma or electropherogram), subtype and genotyping protocol were not. Conclusion High-quality HIVDR genotyping was achieved in the TAQAS collaborative laboratory network. Sample complexity and detection of mixtures were associated with performance quality. Laboratories conducting HIVDR genotyping are encouraged to participate in quality assessment programmes. PMID:23845227

  7. Heart failure in patients presenting with dyspnoea to the emergency department in the Asia Pacific region: an observational study

    PubMed Central

    Kelly, Anne-Maree; Cullen, Louise; Klim, Sharon; Craig, Simon; Kuan, Win Sen; Jones, Peter; Holdgate, Anna; Lawoko, Charles; Laribi, Said

    2017-01-01

    Objectives To describe demographic features, assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) with a principal symptom of dyspnoea. Design Planned substudy of the prospective, descriptive cohort study: Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM). Setting 46 EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia collected data over 3 72-hour periods in May, August and October 2014. Participants Patients with an ED diagnosis of heart failure. Outcome measures Outcomes included patient epidemiology, investigations ordered, treatment modalities used and patient outcomes (hospital length of stay (LOS) and mortality). Results 455 (14.9%) of the 3044 patients had an ED diagnosis of heart failure. Median age was 79 years, half were male and 62% arrived via ambulance. 392 (86%) patients were admitted to hospital. ED diagnosis was concordant with hospital discharge diagnosis in 81% of cases. Median hospital LOS was 6 days (IQR 4–9) and in-hospital mortality was 5.1%. Natriuretic peptide levels were ordered in 19%, with lung ultrasound (<1%) and echocardiography (2%) uncommonly performed. Treatment modalities included non-invasive ventilation (12%), diuretics (73%), nitrates (25%), antibiotics (16%), inhaled β-agonists (13%) and corticosteroids (6%). Conclusions In the Asia Pacific region, heart failure is a common diagnosis among patients presenting to the ED with a principal symptom of dyspnoea. Admission rates were high and ED diagnostic accuracy was good. Despite the seemingly suboptimal adherence to investigation and treatment guidelines, patient outcomes were favourable compared with other registries. PMID:28246137

  8. Typhoid Fever surveillance and vaccine use - South-East Asia and Western Pacific regions, 2009-2013.

    PubMed

    Date, Kashmira A; Bentsi-Enchill, Adwoa D; Fox, Kimberley K; Abeysinghe, Nihal; Mintz, Eric D; Khan, M Imran; Sahastrabuddhe, Sushant; Hyde, Terri B

    2014-10-03

    Typhoid fever is a serious, systemic infection resulting in nearly 22 million cases and 216,500 deaths annually, primarily in Asia. Safe water, adequate sanitation, appropriate personal and food hygiene, and vaccination are the most effective strategies for prevention and control. In 2008, the World Health Organization (WHO) recommended use of available typhoid vaccines to control endemic disease and outbreaks and strengthening of typhoid surveillance to improve disease estimates and identify high-risk populations (e.g., persons without access to potable water and adequate sanitation). This report summarizes the status of typhoid surveillance and vaccination programs in the WHO South-East Asia (SEAR) and Western Pacific regions (WPR) during 2009-2013, after the revised WHO recommendations. Data were obtained from the WHO/United Nations Children's Fund (UNICEF) Joint Reporting Form on Immunization, a supplemental survey of surveillance and immunization program managers, and published literature. During 2009-2013, 23 (48%) of 48 countries and areas of SEAR (11) and WPR (37) collected surveillance or notifiable disease data on typhoid cases, with most surveillance activities established before 2008. Nine (19%) countries reported implementation of typhoid vaccination programs or recommended vaccine use during 2009-2013. Despite the high incidence, typhoid surveillance is weak in these two regions, and vaccination efforts have been limited. Further progress toward typhoid fever prevention and control in SEAR and WPR will require country commitment and international support for enhanced surveillance, targeted use of existing vaccines and availability of newer vaccines integrated within routine immunization programs, and integration of vaccination with safe water, sanitation, and hygiene measures.

  9. HPV-associated head and neck cancers in the Asia Pacific: A critical literature review & meta-analysis.

    PubMed

    Shaikh, Mushfiq Hassan; McMillan, Nigel A J; Johnson, Newell W

    2015-12-01

    Malignancies of the upper aero-digestive tract are a major public health problem, especially in the Asia Pacific. Certain Human papillomaviruses (HPVs) are well-established risk factors for carcinoma of the uterine cervix and for a subset of head and neck carcinomata: however their true importance in different populations and anatomical subsites remains unclear. The major risk factors in Asia Pacific remain smoked/smokeless tobacco, areca nut, alcohol abuse and poor diet, with limited evidence for HPVs. We review published studies of association of HPV with anatomical site-specific Head & Neck Squamous Cell Carcinoma (HNSCC) in these populations and attempt a meta-analysis. From MEDLINE/PubMed/WEB-of SCIENCE/EMBASE/Scopus databases we found 67 relevant studies with a total of 7280 cases: 15 case-control studies met our inclusion criteria for meta-analysis, totaling 1106 cases & 638 controls. HPV detection rates, sample site and size, and methods of tissue preservation and HPV detection were tabulated for each study. Studies were heterogeneous in terms of sample selection and method of detection of HPVs. Most were of limited quality. Averaging data from 67 studies of HNSCC, the prevalence of HPV of any subtype is approximately 36%. PCR (polymerase chain reaction) was the most used detection method and HPV16 the most common genotype reported. Meta-analyses of case-control studies from this region reveal significant heterogeneity but suggest higher HPV prevalence in oropharyngeal cancer (OR: 14.66; 95%CI: 6.09-35.26) compared to oral cavity cancer and laryngeal cancer; (OR: 4.06; 95%CI: 3.05-5.39 & OR: 3.23; 95%CI: 1.37-7.61) respectively. In view of the significant association of HPV with HNSCC, studies with accurate subsite classification and more sensitive detection methods are necessary. Accurate data from this geographical region are essential to inform public health policies and treatment decisions, especially as studies from Europe and North America reveal HPV

  10. HIV service delivery models towards 'Zero AIDS-related Deaths': a collaborative case study of 6 Asia and Pacific countries.

    PubMed

    Fujita, Masami; Poudel, Krishna C; Green, Kimberly; Wi, Teodora; Abeyewickreme, Iyanthi; Ghidinelli, Massimo; Kato, Masaya; Vun, Mean Chhi; Sopheap, Seng; San, Khin Ohnmar; Bollen, Phavady; Rai, Krishna Kumar; Dahal, Atul; Bhandari, Durga; Boas, Peniel; Yaipupu, Jessica; Sirinirund, Petchsri; Saonuam, Pairoj; Duong, Bui Duc; Nhan, Do Thi; Thu, Nguyen Thi Minh; Jimba, Masamine

    2015-04-24

    In the Asia-Pacific region, limited systematic assessment has been conducted on HIV service delivery models. Applying an analytical framework of the continuum of prevention and care, this study aimed to assess HIV service deliveries in six Asia and Pacific countries from the perspective of service availability, linking approaches and performance monitoring for maximizing HIV case detection and retention. Each country formed a review team that provided published and unpublished information from the national HIV program. Four types of continuum were examined: (i) service linkages between key population outreach and HIV diagnosis (vertical-community continuum); (ii) chronic care provision across HIV diagnosis and treatment (chronological continuum); (iii) linkages between HIV and other health services (horizontal continuum); and (iv) comprehensive care sites coordinating care provision (hub and heart of continuum). Regarding the vertical-community continuum, all districts had voluntary counselling and testing (VCT) in all countries except for Myanmar and Vietnam. In these two countries, limited VCT availability was a constraint for referring key populations reached. All countries monitored HIV testing coverage among key populations. Concerning the chronological continuum, the proportion of districts/townships having antiretroviral treatment (ART) was less than 70% except in Thailand, posing a barrier for accessing pre-ART/ART care. Mechanisms for providing chronic care and monitoring retention were less developed for VCT/pre-ART process compared to ART process in all countries. On the horizontal continuum, the availability of HIV testing for tuberculosis patients and pregnant women was limited and there were sub-optimal linkages between tuberculosis, antenatal care and HIV services except for Cambodia and Thailand. These two countries indicated higher HIV testing coverage than other countries. Regarding hub and heart of continuum, all countries had comprehensive care

  11. Accelerating harm reduction interventions to confront the HIV epidemic in the Western Pacific and Asia: the role of WHO (WPRO)

    PubMed Central

    Mesquita, Fabio; Jacka, David; Ricard, Dominique; Shaw, Graham; Tieru, Han; Yifei, Hu; Poundstone, Katharine; Salva, Madeline; Fujita, Masami; Singh, Nirmal

    2008-01-01

    The epidemic of HIV/AIDS linked to injecting drug usage is one of the most explosive in recent years. After a historical epicentre in Europe, South and North America, at present it is clearly the main cause of dissemination of the epidemic in Eastern Europe and some key Asian countries. Recently, 10 African countries reported the spread of HIV through people who inject drugs (PWID), breaking one of the final geographical barriers to the globalization of the epidemic of HIV among and from PWID. Several countries of the Asia and Pacific Region have HIV epidemics that are driven by injecting drug usage. Harm reduction interventions have been implemented in many countries and potential barriers to implementation are being overcome. Harm reduction is no longer a marginal approach in the Region; instead, it is the core tool for responding to the HIV/AIDS epidemic among PWID. The development of a comprehensive response in the Region has been remarkable, including scaling up of needle and syringe programmes (NSPs), methadone maintenance treatment (MMT), and care, support and treatment for PWID. This development is being followed up by strong ongoing changes in policies and legislations. The main issue now is to enhance interventions to a level that can impact the epidemic. The World Health Organization (WHO) is one of the leading UN agencies promoting harm reduction. Since the establishment of the Global Programme on AIDS, WHO has been working towards an effective response to the HIV epidemic among PWID. WHO's work is organized into a number of components: establishing an evidence base; advocacy; development of normative standards, tools and guidelines; providing technical support to countries; ensuring access to essential medicines, diagnostics and commodities; and mobilizing resources. In this paper, we trace the course of development of the HIV/AIDS epidemic among and from PWID in the Western Pacific and Asia Region (WPRO) as well as WHO's role in supporting the

  12. The MitraClip Asia-Pacific registry: Differences in outcomes between functional and degenerative mitral regurgitation.

    PubMed

    Tay, Edgar; Muda, Nasir; Yap, Jonathan; Muller, David W M; Santoso, Teguh; Walters, Darren L; Liu, Xianbao; Yamen, Eric; Jansz, Paul; Yip, James; Zambahari, Robaayah; Passage, Jurgen; Ding, Zee Pin; Wang, Jian'an; Scalia, Gregory; Soesanto, Amiliana M; Yeo, Khung Keong

    2016-06-01

    The objective of this study is to describe and compare the use of the MitraClip therapy in mitral regurgitation (MR) patients with degenerative MR (DMR) and functional MR (FMR). Percutaneous edge-to-edge repair of severe MR using the MitraClip device is approved for use in the USA for high risk DMR while European guidelines include its use in FMR patients as well. The MitraClip in the Asia-Pacific Registry (MARS) is a multicenter retrospective registry, involving eight sites in five Asia-Pacific countries. Clinical and echocardiographic characteristics, procedural outcomes and 1-month outcomes [death and major adverse events (MAE)] were compared between FMR and DMR patients treated with the MitraClip. A total of 163 patients were included from 2011 to 2014. The acute procedural success rates for FMR (95.5%, n = 84) and DMR (92%, n = 69) were similar (P = 0.515). 45% of FMR had ≥2 clips inserted compared to 60% of those with DMR (P = 0.064).The 30-day mortality rate for FMR and DMR was similar at 4.5% and 6.7% respectively (P = 0.555). The 30-day MAE rate was 9.2% for FMR and 14.7% for DMR (P = 0.281). Both FMR and DMR patients had significant improvements in the severity of MR and NYHA class after 30 days. There was a significantly greater reduction in left ventricular end-diastolic diameter (P = 0.002) and end systolic diameter (P = 0.017) in DMR than in FMR. The MitraClip therapy is a safe and efficacious treatment option for both FMR and DMR. Although, there is a significantly greater reduction in LV volumes in DMR, patients in both groups report clinical benefit with improvement in functional class. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  13. Accelerating harm reduction interventions to confront the HIV epidemic in the Western Pacific and Asia: the role of WHO (WPRO).

    PubMed

    Mesquita, Fabio; Jacka, David; Ricard, Dominique; Shaw, Graham; Tieru, Han; Hu, Yifei; Poundstone, Katharine; Salva, Madeline; Fujita, Masami; Singh, Nirmal

    2008-08-05

    The epidemic of HIV/AIDS linked to injecting drug usage is one of the most explosive in recent years. After a historical epicentre in Europe, South and North America, at present it is clearly the main cause of dissemination of the epidemic in Eastern Europe and some key Asian countries. Recently, 10 African countries reported the spread of HIV through people who inject drugs (PWID), breaking one of the final geographical barriers to the globalization of the epidemic of HIV among and from PWID. Several countries of the Asia and Pacific Region have HIV epidemics that are driven by injecting drug usage. Harm reduction interventions have been implemented in many countries and potential barriers to implementation are being overcome. Harm reduction is no longer a marginal approach in the Region; instead, it is the core tool for responding to the HIV/AIDS epidemic among PWID. The development of a comprehensive response in the Region has been remarkable, including scaling up of needle and syringe programmes (NSPs), methadone maintenance treatment (MMT), and care, support and treatment for PWID. This development is being followed up by strong ongoing changes in policies and legislations. The main issue now is to enhance interventions to a level that can impact the epidemic. The World Health Organization (WHO) is one of the leading UN agencies promoting harm reduction. Since the establishment of the Global Programme on AIDS, WHO has been working towards an effective response to the HIV epidemic among PWID. WHO's work is organized into a number of components: establishing an evidence base; advocacy; development of normative standards, tools and guidelines; providing technical support to countries; ensuring access to essential medicines, diagnostics and commodities; and mobilizing resources. In this paper, we trace the course of development of the HIV/AIDS epidemic among and from PWID in the Western Pacific and Asia Region (WPRO) as well as WHO's role in supporting the

  14. The Asia-Pacific effects of a megatsunami along the Tonga Trench

    NASA Astrophysics Data System (ADS)

    Schaefer, Andreas; Daniell, James; Wenzel, Friedemann

    2015-04-01

    A megatsunami (M>9.0) along the Tonga Trench has far-reaching consequences for 4 major continents of the world, and exposure ranging from the cities of Sydney and Brisbane, the coastlines of Japan, Canada, USA, and along South America not to mention the Pacific Islands. Using the TSUDAT software of Geoscience Australia, relevant scenarios are selected for the location. Fault mechanics and the possible regime are also then examined to create the scenario. In this study, the effects of a megatsunami scenario are investigated including the run-up heights in coastal regions on these four continents in addition to other hazard effects. Global level DEM and bathymetry data is used to provide a first estimate of the exposed population, built infrastructure (capital stock) and GDP in the tsunami inundation area. The uncertainties of such a study are taken into account by adjusting the scenario via source mechanism, magnitude range and directivity effects. This is combined with basic vulnerability functions from historical tsunamis in order to give an exposed and estimated loss and cost of reconstruction across the Pacific rim. Notes as to the warning times, country preparation and evacuation plans for tsunamis are also made given long lead times in some cases.

  15. Risk factors for leptospirosis infection in humans and implications for public health intervention in Indonesia and the Asia-Pacific region.

    PubMed

    Sakundarno, Mateus; Bertolatti, Dean; Maycock, Bruce; Spickett, Jeffery; Dhaliwal, Satvinder

    2014-01-01

    Prevention and control of leptospirosis require an understanding of risk factors. This review identifies risk factors associated with leptospirosis infection from countries in the Asia-Pacific region, and compares and contrasts these data with those available from Indonesia. MEDLINE, PubMed, and Scopus databases were used to search for relevant articles. Indonesian gray literature was searched for leptospirosis risk factor studies in Indonesia. A total of 34 articles were included in this review. The contrast between peer-reviewed publications and Indonesian gray literature revealed that the variety of risk factors associated with leptospirosis infection is region or area specific. The presence of skin wounds, the existence of rodents, especially rats, and activities related to contact with contaminated surface water are factors frequently reported to have significant association with leptospirosis infection in human in Indonesia and in other Asia-Pacific countries.

  16. Asia-Pacific mussel watch for emerging pollutants: Distribution of synthetic musks and benzotriazole UV stabilizers in Asian and US coastal waters.

    PubMed

    Nakata, Haruhiko; Shinohara, Ryu-Ichi; Nakazawa, Yusuke; Isobe, Tomohiko; Sudaryanto, Agus; Subramanian, Annamalai; Tanabe, Shinsuke; Zakaria, Mohamad Pauzi; Zheng, Gene J; Lam, Paul K S; Kim, Eun Young; Min, Byung-Yoon; We, Sung-Ug; Viet, Pham Hung; Tana, Touch Seang; Prudente, Maricar; Frank, Donnell; Lauenstein, Gunnar; Kannan, Kurunthachalam

    2012-10-01

    We analyzed 68 green and blue mussels collected from Cambodia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Philippines, Vietnam and the USA during 2003 and 2007, to elucidate the occurrence and widespread distributions of emerging pollutants, synthetic musks and benzotriazole UV stabilizers (BUVSs) in Asia-Pacific coastal waters. Synthetic musks and BUVSs were detected in mussels from all countries, suggesting their ubiquitous contamination and widespread distribution. High concentrations of musks and BUVSs were detected in mussels from Japan and Korea, where the levels were comparable or greater than those of PCBs, DDTs and PBDEs. Significant correlations were found between the concentrations of HHCB and AHTN, and also between the concentrations of UV-327 and UV-328, which suggest similar sources and compositions of these compounds in commercial and industrial products. To our knowledge, this is the first study of large-scale monitoring of synthetic musks and BUVSs in Asia-Pacific coastal waters.

  17. Data and Data Products for Climate Research: Web Services at the Asia-Pacific Data-Research Center (APDRC)

    NASA Astrophysics Data System (ADS)

    DeCarlo, S.; Potemra, J. T.; Wang, K.

    2012-12-01

    The International Pacific Research Center (IPRC) at the University of Hawaii maintains a data center for climate studies called the Asia-Pacific Data-Research Center (APDRC). This data center was designed within a center of excellence in climate research with the intention of serving the needs of the research scientist. The APDRC provides easy access to a wide collection of climate data and data products for a wide variety of users. The data center maintains an archive of approximately 100 data sets including in-situ and remote data, as well as a range of model-based output. All data are available via on-line browsing tools such as a Live Access Server (LAS) and DChart, and direct binary access is available through OPeNDAP services. On-line tutorials on how to use these services are now available. Users can keep up-to-date with new data and product announcements via the APDRC facebook page. The main focus of the APDRC has been climate scientists, and the services are therefore streamlined to such users, both in the number and types of data served, but also in the way data are served. In addition, due to the integration of the APDRC within the IPRC, several value-added data products (see figure for an example using Argo floats) have been developed via a variety of research activities. The APDRC, therefore, has three main foci: 1. acquisition of climate-related data, 2. maintenance of integrated data servers, and 3. development and distribution of data products The APDRC can be found at http://apdrc.soest.hawaii.edu. The presentation will provide an overview along with specific examples of the data, data products and data services available at the APDRC.; APDRC product example: gridded field from Argo profiling floats

  18. Japanese Advanced Meteorological Imager: an advanced GEO imager for Japan, East Asia, and the western Pacific

    NASA Astrophysics Data System (ADS)

    Puschell, Jeffery J.; Lowe, Howard A.; Jeter, James W.; Kus, Steven M.; Gilman, David; Rogers, David L.; Hoelter, Roger L.; Ravella, Russ

    2003-06-01

    The Japanese Advanced Meteorological Imager (JAMI) introduces next generation technology geosynchronous earth orbit (GEO) imagers for operational meteorological remote sensing. Raytheon Santa Barbara Remote Sensing is building JAMI for Space Systems/Loral as the imager subsystem for Japan"s MTSAT-1R system. JAMI represents the best balance between heritage and newer space-qualified technology and meets all Japan Ministry of Transport MTSAT requirements from beginning to end of life with considerable margin, using a simple, inherently low risk design. The advanced technology built into this image benefits operational meteorological imaging for Japan, East Asia and Australia by enabling significantly better radiometric sensitivity and absolute accuracy, higher spatial resolution and faster full disk coverage times than available from current GEO imagers.

  19. Teaching and Research in International Law in Asia and the Pacific. Report of a Regional Consultation Meeting Including Nine Country Status Surveys (Seoul, Republic of Korea, October 10-13, 1984). Social and Human Sciences in Asia and the Pacific. RUSHSAP Series on Occasional Monographs and Papers, 11.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    Information on teaching and research in international law for countries of the Asia-Pacific region is presented in proceedings of a 1984 conference sponsored by the United Nations Educational, Scientific, and Cultural Organization. In addition to a regional overview, suggestions are offered for promoting regional cooperation in international law.…

  20. Real-world practice and Expectation of Asia-Pacific physicians and patients in Helicobacter Pylori eradication (REAP-HP Survey).

    PubMed

    Chuah, Yoen-Young; Wu, Deng-Chyang; Chuah, Seng-Kee; Yang, Jyh-Chin; Lee, Tzong-Hsi; Yeh, Hong-Zen; Chen, Chan-Lin; Liu, Yu-Hwa; Hsu, Ping-I

    2017-06-01

    The aims of the study were: 1, to survey the most popular anti-H. pylori regimens in Asia-Pacific region and the real-world effectiveness of these regimens; and 2, to investigate the expectation gaps of eradication rate between physicians and patients. A questionnaire was distributed to Asia-Pacific physicians who attended the Asia-Pacific Digestive Week 2015 meeting. Reported eradication rates from the literatures were compared with real-world rates of surveyed popular regimens within the region. In addition, a questionnaire was distributed to H. pylori-infected patients in three regions of Taiwan. A total of 691 physicians and 539 patients participated in the survey. The top five most commonly used regimens were 7-day clarithromycin-based standard triple therapy (50.4%), 14-day clarithromycin-based standard triple therapy (31.0%), 10-day sequential therapy (6.1%), 14-day bismuth quadruple therapy (3.9%), and 14-day hybrid therapy (3.6%). All countries except for China had a significant gap between the expectation of physicians on anti-H. pylori therapy and the real-world eradication rate of most commonly adopted regimens (all P value <.05). The expectation on minimal eradication rate among patients was higher than that of physicians (91.4% vs 86.5%, P<.001). It is time for physicians in Asia-Pacific countries to adopt newer and more efficacious anti-H. pylori regimens to meet the Kyoto consensus recommendation and their patients' expectations. © 2017 John Wiley & Sons Ltd.

  1. The future role of the professional associations in the promotion of tissue banking activities in Asia and the Pacific and in the Latin America regions.

    PubMed

    Morales Pedraza, Jorge; Vajaradul, Yongyudh; Alvarez, Ines

    2011-11-01

    There are several important roles that the established professional associations [Asia-Pacific Association of Surgical Tissue Banking (APASTB) and Latin American Association of Tissue Banks (ALABAT)] could play for the promotion of tissue banking activities in Asia and the Pacific and in the Latin American regions in the future. The International Atomic Energy Agency (IAEA) and the World Health Organisation (WHO) could also play an important role in supporting the activities of both professional associations in the field of training, exchange of scientific information, the standardisation of national norms and regulations, the use of the IAEA documents, particularly the "Radiation Sterilisation of Tissue Allografts: Requirements for Validation and Routine Control. A Code of Practice", with the purpose to improve the quality of the activities carried out by the established tissue banks and the nuclear facilities in charge of the sterilisation of the processed tissues, and to increase tissue donations. The role of APASTB and ALABAT could be relevant and important for the improvement of the work of the established tissue banks in Asia and the Pacific and in the Latin American regions, and could increase the effectiveness and efficiency of their works, the improvement of management good practices and for increasing the awareness of the community on the importance of the activities carried out by the tissue banks, among others.

  2. Issues in drug pricing, reimbursement, and access in China with references to other Asia-Pacific region.

    PubMed

    Chen, Yingyao; Schweitzer, Stuart O

    2008-03-01

    Pharmaceutical policies have become paramount in China and other countries of the Asia-Pacific region because of rapidly rising expenditures on drugs. The problems are especially acute in China because expenditures on drugs are typically so large. This article intends to review effects of the policy of drug expenditure containment with primary reference to China, and it proposes some measures to deal with rising pharmaceutical expenditures. This article overviews the issues of pharmaceutical pricing, reimbursement, and access in China, and there are a number of policies or measures to control pharmaceutical expenditures. Nevertheless, the effect of those policies of containing drug expenditure is ambiguous so far, and some policies have negative impacts to the manufacturers, providers, and patients. Some underlying reasons are identified. First, the policy's focus on health-care costs is, to some extent, neglected. Second, the governance of the health sector, including pharmaceutical sector, needs to be improved by both the government and the market. This article proposes some suggestions to change policies in drug pricing, reimbursement, and access, and make policies more responsive to the main problem of rising health-care expenditures rather than that of pharmaceutical expenditures alone. The policy suggestions include those of setting the reasonable price for pharmaceuticals, instituting reasonable incentives for all health decision-makers to encourage efficient use of pharmaceuticals and other health resources, and making pharmaceutical markets more efficient, either in the demand or the supply side.

  3. Assessment of the Contribution of BeiDou GEO, IGSO, and MEO Satellites to PPP in Asia-Pacific Region.

    PubMed

    Zhao, Qile; Wang, Chen; Guo, Jing; Liu, Xianglin

    2015-12-01

    In contrast to the US Global Positioning System (GPS), the Russian Global Navigation Satellite System (GLONASS) and the European Galileo, the developing Chinese BeiDou satellite navigation system (BDS) consists of not only Medium Earth Orbit (MEO), but also Geostationary Orbit (GEO) as well as Inclined Geosynchronous Orbit (IGSO) satellites. In this study, the Precise Point Positioning (PPP) and PPP with Integer Ambiguity Resolution (IAR) are obtained. The contributions of these three different types of BDS satellites to PPP in Asia-Pacific region are assessed using data from selected 20 sites over more than four weeks. By using various PPP cases with different satellite combinations, in general, the largest contribution of BDS IGSO among the three kinds of BDS satellites to the reduction of convergence time and the improvement of positioning accuracy, particularly in the east direction, is identified. These PPP cases include static BDS only solutions and static/kinematic ambiguity-float and -fixed PPP with the combination of GPS and BDS. The statistical results demonstrate that the inclusion of BDS GEO and MEO satellites can improve the observation condition and result in better PPP performance as well. When combined with GPS, the contribution of BDS to the reduction of convergence time is, however, not as significant as that of GLONASS. As far as the positioning accuracy is concerned, GLONASS improves the accuracy in vertical component more than BDS does, whereas similar improvement in horizontal component can be achieved by inclusion of BDS IGSO and MEO as GLONASS.

  4. Outwitting dengue threat and epidemics resurgence in Asia-Pacific countries: strengthening integrated dengue surveillance, monitoring and response systems.

    PubMed

    Tambo, Ernest; Chen, Jun-Hu; Zhou, Xiao-Nong; Khater, Emad I M

    2016-05-27

    Dengue is still a substantial vector-borne viral disease threat and burden of public health importance worldwide. This situation is complicated by dengue virus unprecedented resurgence and persistence of varied serotypes in endemic-prone areas, and man-made and natural activities consequences that promote vector emergence, transmission dynamics and spread across the Asia-Pacific region. There is an urgent need to strengthen operational and contextual surveillance-response research in improving early detection of active reservoir detection, novel drug in case management and quality evidence-based response including the deployment of dengue mass vaccination. Moreover, sustained mapping and watching of dengue risk factors or determinants, performance and outcome indicators of control or elimination programs effectiveness in defining minimum effective data towards community knowledge-based decision-making policy and effective response packages is imperative. Moreover, implementation of a robust, integrated dengue early warning surveillance, monitoring and response systems metrics is required for evidence-based, timely and cost-effective contextual mitigation strategies, and innovative interventions.

  5. Construction of a mathematical model for tuberculosis transmission in highly endemic regions of the Asia-Pacific.

    PubMed

    Trauer, James M; Denholm, Justin T; McBryde, Emma S

    2014-10-07

    We present a mathematical model to simulate tuberculosis (TB) transmission in highly endemic regions of the Asia-Pacific, where epidemiology does not appear to be primarily driven by HIV-coinfection. The ten-compartment deterministic model captures many of the observed phenomena important to disease dynamics, including partial and temporary vaccine efficacy, declining risk of active disease following infection, the possibility of reinfection both during the infection latent period and after treatment, multidrug resistant TB (MDR-TB) and de novo resistance during treatment. We found that the model could not be calibrated to the estimated incidence rate without allowing for reinfection during latency, and that even in the presence of a moderate fitness cost and a lower value of R0, MDR-TB becomes the dominant strain at equilibrium. Of the modifiable programmatic parameters, the rate of detection and treatment commencement was the most important determinant of disease rates with each respective strain, while vaccination rates were less important. Improved treatment of drug-susceptible TB did not result in decreased rates of MDR-TB through prevention of de novo resistance, but rather resulted in a modest increase in MDR-TB through strain replacement. This was due to the considerably greater relative contribution of community transmission to MDR-TB incidence, by comparison to de novo amplification of resistance in previously susceptible strains.

  6. Variation of airborne quartz in air of Beijing during the Asia-Pacific Economic Cooperation Economic Leaders' Meeting.

    PubMed

    Li, Gang; Li, Yingming; Zhang, Hongxing; Li, Honghua; Gao, Guanjun; Zhou, Qian; Gao, Yuan; Li, Wenjuan; Sun, Huizhong; Wang, Xiaoke; Zhang, Qinghua

    2016-01-01

    Quartz particles are a toxic component of airborne particulate matter (PM). Quartz concentrations were analyzed by X-ray diffraction in eighty-seven airborne PM samples collected from three locations in Beijing before, during, and after the Asia-Pacific Economic Cooperation (APEC) Leaders' Meeting in 2014. The results showed that the mean concentrations of quartz in PM samples from the two urban sites were considerably higher than those from the rural site. The quartz concentrations in samples collected after the APEC meeting, when the pollution restriction lever was lifted, were higher than those in the samples collected before or during the APEC meeting. The quartz concentrations ranged from 0.97 to 13.2 μg/m(3), which were among the highest values amid those reported from other countries. The highest quartz concentration exceeded the Californian Office of Environmental Health Hazard Assessment reference exposure level and was close to the occupational threshold limit values for occupational settings. Moreover, a correlation analysis showed that quartz concentrations were positively correlated with concentrations of pollution parameters PM10, PM2.5, SO2 and NOx, but were negatively correlated with O3 concentration. The results suggest that the airborne quartz particles may potentially pose health risks to the general population of Beijing.

  7. Asia-Pacific mussel watch: monitoring contamination of persistent organochlorine compounds in coastal waters of Asian countries.

    PubMed

    Monirith, In; Ueno, Daisuke; Takahashi, Shin; Nakata, Haruhiko; Sudaryanto, Agus; Subramanian, Annamalai; Karuppiah, Subramanian; Ismail, Ahmad; Muchtar, Muswerry; Zheng, Jinshu; Richardson, Bruce J; Prudente, Maricar; Hue, Ngyen Duc; Tana, Touch Seang; Tkalin, Alexander V; Tanabe, Shinsuke

    2003-03-01

    Contamination of persistent organochlorines (OCs) such as PCBs (polychlorinated biphenyls), DDT and its metabolites (DDTs), HCH (hexachlorocyclohexane) isomers (HCHs), chlordane compounds (CHLs), and HCB (hexachlorobenzene) were examined in mussels collected from coastal waters of Asian countries such as Cambodia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Philippines, Far East Russia, Singapore, and Vietnam in 1994, 1997, 1998, 1999, and 2001 to elucidate the contamination status, distribution and possible pollution sources and to assess the risks on aquatic organisms and human. OCs were detected in all mussels collected from all the sampling sites investigated. Considerable residue levels of p,p(')-DDT and alpha-HCH were found in mussels and the concentrations of DDTs and HCHs found in mussels from Asian developing countries were higher than those in developed nations suggesting present usage of DDTs and HCHs along the coastal waters of Asian developing countries. On the other hand, lower concentrations of PCBs detected in mussels from Asian developing countries than those in developed countries indicate that PCBs contamination in mussels is strongly related to industrial and activities. To our knowledge, this is a first comprehensive report on monitoring OCs pollution in the Asia-Pacific region.

  8. Impacts of biomass burning in Southeast Asia on ozone and reactive nitrogen over the western Pacific in spring

    NASA Astrophysics Data System (ADS)

    Kondo, Y.; Morino, Y.; Takegawa, N.; Koike, M.; Kita, K.; Miyazaki, Y.; Sachse, G. W.; Vay, S. A.; Avery, M. A.; Flocke, F.; Weinheimer, A. J.; Eisele, F. L.; Zondlo, M. A.; Weber, R. J.; Singh, H. B.; Chen, G.; Crawford, J.; Blake, D. R.; Fuelberg, H. E.; Clarke, A. D.; Talbot, R. W.; Sandholm, S. T.; Browell, E. V.; Streets, D. G.; Liley, B.

    2004-08-01

    Aircraft measurements of ozone (O3) and its precursors (reactive nitrogen, CO, nonmethane hydrocarbons) were made over the western Pacific during the Transport and Chemical Evolution Over the Pacific (TRACE-P) campaign, which was conducted during February-April 2001. Biomass burning activity was high over Southeast Asia (SEA) during this period (dry season), and convective activity over SEA frequently transported air from the boundary layer to the free troposphere, followed by eastward transport to the sampling region over the western Pacific south of 30°N. This data set allows for systematic investigations of the chemical and physical processes in the outflow from SEA. Methyl chloride (CH3Cl) and CO are chosen as primary and secondary tracers, respectively, to gauge the degree of the impact of emissions of trace species from biomass burning. Biomass burning is found to be a major source of reactive nitrogen (NOx, PAN, HNO3, and nitrate) and O3 in this region from correlations of these species with the tracers. Changes in the abundance of reactive nitrogen during upward transport are quantified from the altitude change of the slopes of the correlations of these species with CO. NOx decreased with altitude due to its oxidation to HNO3. On the other hand, PAN was conserved during transport from the lower to the middle troposphere, consistent with its low water solubility and chemical stability at low temperatures. Large losses of HNO3 and nitrate, which are highly water soluble, occurred in the free troposphere, most likely due to wet removal by precipitation. This has been shown to be the major pathway of NOy loss in the middle troposphere. Increases in the mixing ratios of O3 and its precursors due to biomass burning in SEA are estimated using the tracers. Enhancements of CO and total reactive nitrogen (NOy), which are directly emitted from biomass burning, were largest at 2-4 km. At this altitude the increases in NOy and O3 were 810 parts per trillion by volume

  9. Stevens-Johnson syndrome / toxic epidermal necrolysis: an Asia-Pacific perspective

    PubMed Central

    2013-01-01

    Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse reactions (SCAR) to drugs which are associated with significant morbidity and mortality. High risk drugs in Asia are similar to those reported worldwide. Human leukocyte antigen (HLA)-related risk alleles for carbamazepine and allopurinol SCAR are unique to Asians. Although prognostic scoring systems like the SCORTEN have been used for more than a decade, pitfalls and caveats need to be recognized, in particular in patients with multiple medical co-morbidities and systemic features in SJS/TEN. In centres without a tertiary Burns Centre, SJS/TEN patients can still be managed successfully in general and dermatology wards with well-executed supportive/nursing care. Controversy remains regarding the effectiveness of immunomodulation in reducing SJS/TEN morbidity, mortality and hastening re-epithelialization. Despite paucity of robust evidence, intravenous immunoglobulins and ciclosporin remain the most commonly used modalities worldwide. Acute and long-term ocular effects are an important source of morbidity for which emerging ophthalmic therapies appear promising. Quality of life issues have now become an important outcome in patients with SJS/TEN as they often impact survivors' future attitudes towards pharmacotherapy. Even though pharmacogenetic testing for high-risk drugs appears to be the panacea for preventing carbamazepine- and allopurinol-induced SJS/TEN in ethnic Asians, many issues remain before health regulators in our region can conclusively determine whether testing should be made mandatory or highly recommended as standard of care. PMID:24260726

  10. Stevens-Johnson syndrome / toxic epidermal necrolysis: an Asia-Pacific perspective.

    PubMed

    Thong, Bernard Yu-Hor

    2013-10-01

    Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse reactions (SCAR) to drugs which are associated with significant morbidity and mortality. High risk drugs in Asia are similar to those reported worldwide. Human leukocyte antigen (HLA)-related risk alleles for carbamazepine and allopurinol SCAR are unique to Asians. Although prognostic scoring systems like the SCORTEN have been used for more than a decade, pitfalls and caveats need to be recognized, in particular in patients with multiple medical co-morbidities and systemic features in SJS/TEN. In centres without a tertiary Burns Centre, SJS/TEN patients can still be managed successfully in general and dermatology wards with well-executed supportive/nursing care. Controversy remains regarding the effectiveness of immunomodulation in reducing SJS/TEN morbidity, mortality and hastening re-epithelialization. Despite paucity of robust evidence, intravenous immunoglobulins and ciclosporin remain the most commonly used modalities worldwide. Acute and long-term ocular effects are an important source of morbidity for which emerging ophthalmic therapies appear promising. Quality of life issues have now become an important outcome in patients with SJS/TEN as they often impact survivors' future attitudes towards pharmacotherapy. Even though pharmacogenetic testing for high-risk drugs appears to be the panacea for preventing carbamazepine- and allopurinol-induced SJS/TEN in ethnic Asians, many issues remain before health regulators in our region can conclusively determine whether testing should be made mandatory or highly recommended as standard of care.

  11. Treatment of childhood atopic dermatitis and economic burden of illness in Asia Pacific countries.

    PubMed

    Lee, Bee Wah; Detzel, Patrick R

    2015-01-01

    Atopic dermatitis (AD) is a common chronic inflammatory skin condition in children. In Asia, the prevalence of AD is increasing, which is largely attributed to environmental and socioeconomic factors including family income, parental education, lifestyle and metropolitan living. Current clinical guidelines recommend a stepped approach in the management of eczema in children, with treatment steps tailored to the severity of the eczema. To address the skin barrier dysfunction, skin hydration and the application of emollients is essential. There is evidence supporting the use of bleach baths as an antimicrobial therapy against Staphylococcus aureus. In patients in whom topical treatment fails, wet wrap therapy may be considered as a treatment option before considering systemic therapies. In the second part of this article, the economic burden of AD is addressed. AD not only negatively impacts the child's quality of life but also that of the whole family and is associated with a burden on health-care costs and society. AD in an infant will lead to frequent additional visits to the pediatrician, to additional and partially expensive treatment costs and, in rare cases, to hospitalization. It is thus of utmost importance to define efficient strategies to not only treat AD but also to decrease the risk of developing the disease. © 2015 S. Karger AG, Basel.

  12. Medical toxicologists' practice patterns regarding drug-induced QT prolongation in overdose patients: a survey in the United States of America, Europe, and Asia Pacific region.

    PubMed

    Othong, Rittirak; Devlin, John J; Kazzi, Ziad N

    2015-05-01

    To describe practice patterns of medical toxicologists in the United States of America (USA), Europe, and Asia Pacific Region regarding management of drug induced QT prolongation and torsades de pointes in overdose. A survey was developed to assess current practice patterns and consistency with guidelines published by the American Heart Association (AHA), American College of Cardiology (ACC), and European Society of Cardiology (ESC). It was reviewed by our department research committee and the American College of Medical Toxicology (ACMT). The ACMT, European Association of Poisons Centres and Clinical Toxicologists, and Asia Pacific Association of Medical Toxicology electronically disseminated the survey to their physician members in the USA, Europe and Asia Pacific Region. The overall response rate was 37% (229/617) (36% USA; 32% Europe; 52% Asia Pacific Region). Twelve toxicologists from Asia Pacific Region and Europe used the QT nomogram (Australia-5, New Zealand-1, United Kingdom-1) or QT alone (France-1, Russia-1, Romania-1, Germany-1, Philippines-1), in lieu of the corrected QT (QTc) to determine risks of developing torsades de pointes. Because only those who used QTc could proceed through the remainder of the survey, only 217 could do so. Approximately half of the respondents (52%) did not calculate QTc manually and based decisions on the electrocardiogram machines automated measurement. For those who corrected the QT interval themselves, the most common formula used was Bazett's (40%). There is great variation in the QTc value considered prolonged. Most responders considered QTc greater than 450 ms in men (28%) and 460 ms in women (25%) to be prolonged. Interestingly, approximately 15% of participants did not consider the QTc prolonged until it exceeded 500 ms in both men and women. Given an overdose scenario of a male patient with a QTc of 560 ms, heart rate of 90 beats/minute, 59% would not recommend administering intravenous magnesium sulfate. Forty

  13. A clinical approach to the threat of emerging influenza viruses in the Asia-Pacific region.

    PubMed

    Hui, David S C; Lee, Nelson; Chan, Paul K S

    2017-10-01

    Seasonal influenza epidemics and periodic pandemics are important causes of morbidity and mortality. Patients with chronic co-morbid illness, those at the extremes of age and pregnant women are at higher risks of complications requiring hospitalization, whereas young adults and obese individuals were also at increased risk during the A(H1N1) pandemic in 2009. Avian influenza A(H5N1) and A(H7N9) viruses have continued to circulate widely in some poultry populations and infect humans sporadically since 1997 and 2013, respectively. The recent upsurge in human cases of A(H7N9) infections in Mainland China is of great concern. Sporadic human cases of avian A(H5N6), A(H10N8) and A(H6N1) have also emerged in recent years while there are also widespread poultry outbreaks due to A(H5N8) in many countries. Observational studies have shown that treatment with a neuraminidase inhibitor (NAI) for adults hospitalized with severe influenza is associated with lower mortality and better clinical outcomes, especially when administered early in the course of illness. Whether higher than standard doses of NAI would provide greater antiviral effects in such patients will require further investigation. High-dose systemic corticosteroids were associated with worse outcomes in patients with severe influenza. There is an urgent need for developing more effective antiviral therapies for treatment of influenza infections. © 2017 Asian Pacific Society of Respirology.

  14. Diabetes care, glycemic control, and complications in children with type 1 diabetes from Asia and the Western Pacific Region.

    PubMed

    Craig, Maria E; Jones, Timothy W; Silink, Martin; Ping, Yeo Jing

    2007-01-01

    The incidence of type 1 diabetes is increasing in many parts of Asia, where resources may not enable targets for glycemic control to be achieved. The aims of this study were to describe glycemic control, diabetes care, and complications in youth with type 1 diabetes from the Western Pacific Region and to identify factors associated with glycemic control and hypoglycemia. A cross-sectional clinic-based study on 2312 children and adolescents (aged <18 years; 45% males) from 96 pediatric diabetes centers in Australia, China, Hong Kong, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, and Thailand was conducted. Clinical and management details were recorded, and finger-pricked blood samples were obtained for central glycated hemoglobin (HbA(1c)). The median age of the patients was 12.5 years [interquartile range (IQR)=9.4-15.3 years]; diabetes duration, 4.4 years (IQR=2.5-7.2 years); and HbA(1c) level, 8.3% (IQR 7.4%-9.7%). Insulin treatment consisted of one or two daily injections in 61% of the patients (range=22%-90% by country), and home blood glucose monitoring (range=67%-100%) was practiced by 96%. HbA(1c) level was significantly associated with country, age, diabetes duration, sex, insulin dose per kilogram, insulin regimen, and frequency of home blood glucose measurement in multiple regression analysis. The incidence of severe hypoglycemia, defined as any episode requiring assistance in the previous 3 months, was 73 per 100 patient-years and was associated with country, male sex, higher HbA(1c) level, an insulin regimen with three or more injections, and more frequent home blood glucose testing. The incidence of diabetic ketoacidosis was 10 per 100 patient-years and was associated with country, higher HbA(1c) level, and higher insulin dose per kilogram. There is marked variability in glycemic control, hypoglycemia, complication rates, and diabetes care among children from the Western Pacific Region. Most are not achieving adequate

  15. A comparative analysis of risk factors and stroke risk for Asian and non-Asian men: the Asia Pacific cohort studies collaboration.

    PubMed

    Hyun, Karice K; Huxley, Rachel R; Arima, Hisatomi; Woo, Jean; Lam, Tai Hing; Ueshima, Hirotsugu; Fang, Xianghua; Peters, Sanne A E; Jee, Sun Ha; Giles, Graham G; Barzi, Federica; Woodward, Mark

    2013-12-01

    The risk of stroke is high in men among both Asian and non-Asian populations, despite differences in risk factor profiles; whether risk factors act similarly in these populations is unknown. To study the associations between five major risk factors and stroke risk, comparing Asian with non-Asian men. We obtained data from the Asia Pacific Cohort Studies Collaboration, a pooled analysis of individual participant data from 44 studies involving 386 411 men with 9·4 years follow-up. Using cohorts from Asia and Australia/New Zealand Cox models were fitted to estimate risk factor associations for ischemic and haemorrhagic stroke. We identified significant, positive associations between all five risk factors and risk of ischemic stroke. The associations between body mass index, smoking, and diabetes with ischemic stroke were comparable for men from Asia and Australia/New Zealand. The association between systolic blood pressure and ischemic stroke was stronger for Asian than Australia/New Zealand cohorts, whereas the reverse was true for total cholesterol. For haemorrhagic stroke, only systolic blood pressure and smoking were associated with increased risk, although the relationship with systolic blood pressure was significantly stronger for men from Asia than Australia/New Zealand (P interaction  = 0·03), whereas the reverse was true for smoking (P interaction  = 0·001). There was an inverse trend of total cholesterol with haemorrhagic stroke, significant only for Asian men. Men from the Asia-Pacific region share common risk factors for stroke. Strategies aimed at lowering population levels of systolic blood pressure, total cholesterol, body mass index, smoking, and diabetes are likely to be beneficial in reducing stroke risk, particularly for ischemic stroke, across the region. © 2013 The Authors. International Journal of Stroke © 2013 World Stroke Organization.

  16. Rationale, Methodology, and Implementation of a Dispatcher-assisted Cardiopulmonary Resuscitation Trial in the Asia-Pacific (Pan-Asian Resuscitation Outcomes Study Phase 2).

    PubMed

    Ong, Marcus Eng Hock; Shin, Sang Do; Tanaka, Hideharu; Ma, Matthew Huei-Ming; Nishiuchi, Tatsuya; Lee, Eui Jung; Ko, Patrick Chow-In; Edwin Doctor, Nausheen; Khruekarnchana, Pairoj; Naroo, Ghulam Yasin; Wong, Kwanhathai Darin; Nakagawa, Takashi; Ryoo, Hyun Wook; Lin, Chih-Hao; Goh, E-Shaun; Khunkhlai, Nalinas; Alsakaf, Omer Ahmed; Hisamuddin, Nik A B Rahman Nik; Bobrow, Bentley J; McNally, Bryan; Assam, Pryseley Nkouibert; Chan, Edwin S Y

    2015-01-01

    Abstract Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific. Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.

  17. COST-EFFECTIVE OPTIONS FOR THE PREVENTION AND MANAGEMENT OF GASTROINTESTINAL AND LIVER DISEASE IN THE ASIA-PACIFIC REGION.

    PubMed

    Roberts-Thomson, Ian C; Lung, Thomas

    2017-08-17

    The Asia-Pacific region contains more than half of the world's population and is markedly heterogeneous in relation to income levels and the provision of public and private health services. For low-income countries, the major health priorities are child and maternal health. In contrast, priorities for high-income countries include vascular disease, cancer, diabetes, dementia and mental health disorders as well as chronic inflammatory disorders such as hepatitis B and hepatitis C. Cost-effectiveness analyses are methods for assessing the gains in health relative to the costs of different health interventions. Methods for measuring health outcomes include years of life saved [or lost], quality-adjusted life years [QALYs] and disability-adjusted life years [DALYs]. The incremental cost-effectiveness ratio [ICER] measures the cost [usually in US dollars] per life year saved, QALY gained or DALY averted of one intervention relative to another. In low-income countries, approximately 50% of infant deaths [<5years] are caused by gastroenteritis, the major pathogen being rotavirus infection. Rotavirus vaccines appear to be cost-effective but, thus far, have not been widely adopted. In contrast, infant vaccination for hepatitis B is promoted in most countries with a striking reduction in the prevalence of infection in vaccinated individuals. Cost-effectiveness analyses have also been applied to newer and more expensive drugs for hepatitis B and C and to government-sponsored programs for the early detection of hepatocellular, gastric and colorectal cancer. Most of these studies reveal that newer drugs and surveillance programs for cancer are only marginally cost-effective in the setting of a high-income country. This article is protected by copyright. All rights reserved.

  18. Population education in the nineties: a quest for a regional programme strategy in Asia and the Pacific.

    PubMed

    1991-01-01

    In 1990, Asia and the Pacific constituted 59% of the world's population and this percentage has been estimated to climb to 61.76% by 1995. In addition to rapid population growth, some of the other problems plaguing the region in the early 1990s included illiteracy, absolute poverty, environmental pollution, and low status of women. Population education can play a key role in an intervention strategy for fertility decline. Schools should include population education because, if girls attend school, it can improve girls' chances for employment and affect future family sizes, and both male and female students are most apt to occupy important private sector and government positions and be leaders. UNESCO has proposed a 1992-1995 regional population education and communication program and hoped to gain UNFPA support for the program. UNESCO has heeded UNFPA's plea for more formidable and intensive backstopping to country programs. It proposed to create regional advisory teams that will provide technical assistance, organize study tours and workshops, facilitate intercountry sharing, and identify new areas of development. This team would also be population education advocates. It has also proposed a workshop in population communication for staff of rural oriented nongovernmental organizations and religious groups to close the UNFPA identified gap in information, education, and communication (IEC). Other similar proposed activities to close the IEC gap included workshops on audiovisual (AV) aids development and use and maintenance of AV equipment and on communication strategies to reach male family planning acceptors and intercountry research studies. UNESCO has also planned to place more emphasis on management, development of prototype population education materials, and other needed population education activities.

  19. Chemical and optical characteristics of atmospheric aerosols in Beijing during the Asia-Pacific Economic Cooperation China 2014

    NASA Astrophysics Data System (ADS)

    Tao, Jun; Gao, Jian; Zhang, Leiming; Wang, Han; Qiu, Xionghui; Zhang, Zhisheng; Wu, Yunfei; Chai, Fahe; Wang, Shulan

    2016-11-01

    To evaluate the effectiveness of regional pollution control measures for improving visibility imposed during the Asia-Pacific Economic Cooperation (APEC) period, day- and nighttime PM2.5 and PM10 samples were collected at an urban site in Beijing from October to November, 2014. PM2.5 and PM10 samples were subject to chemical analysis for major water-soluble ions, organic carbon (OC), element carbon (EC), and biomass burning tracers - anhydrosugar levoglucosan (LG). In addition, aerosol scattering coefficient (bsp) and aerosol absorption coefficient (bap) at dry condition were measured. PM2.5 mass concentration was 190 ± 125, 88 ± 60, 199 ± 142 μg m-3 during the pre-, during- and post-APEC period, respectively, while the concentration of the sum of (NH4)2SO4 and NH4NO3 was 75 ± 69, 19 ± 22 and 40 ± 46 μg m-3, respectively. The sum of (NH4)2SO4 and NH4NO3 accounted for 49 ± 24%, 19 ± 12% and 24 ± 12% of bext (the sum of bsp and bap) at ambient condition during the pre-, during- and post-APEC period, respectively, and the corresponding numbers are 39 ± 18%, 62 ± 8% and 61 ± 10% for the sum of OM and EC. Reduction of secondary inorganic aerosols played a key role in the "APEC blue", especially under moisture conditions due to their hygroscopic properties. As a result, visibility was improved significantly during the APEC period with five out of the 12 days having a visibility higher than 20 km. Control of biomass burning, especially during the nighttime, was not performed well during the APEC period, which should be paid more attention in making future emission control measures.

  20. The demographics and diving behaviour of DAN Asia-Pacific members with and without pre-existing medical conditions.

    PubMed

    Lippmann, John; McD Taylor, David; Stevenson, Christopher; Mitchell, Simon

    2016-12-01

    This report examines Diver Alert Network Asia-Pacific (DAN AP) members with and without cardiac or respiratory conditions, diabetes or hypertension and compares their demographics, health and diving activities. Two online cross-sectional surveys of DAN AP members were conducted. The first sought information from 833 divers who applied for membership between July 2009 and August 2013 and who had declared the targeted medical conditions. The second, conducted between December 2014 and April 2015, was sent to 9,927 current members with known email addresses. The groups were compared for age, gender, body mass index, fitness, smoking and diving qualifications, history, currency and practices. Of 343 (41%) respondents to the first survey, 267 (32%) provided sufficient information for inclusion. Of 1,786 (18%) respondents to the second survey, 1,437 (15%) had no targeted medical condition and were included in the analysis. Those with medical conditions were on average 4.7 years older (P 〈 0.001); more overweight or obese (68% versus 57%, P = 0.001); took more medications (57% vs. 29%, P 〈 0.001), smoked less (4% vs. 7%, P = 0.02) and did less repetitive diving (median 75 vs 90, P 〈 0.001). Other diving demographics were similar. A substantial number of people are diving with medical conditions and there is a need to better understand the associated risks. Divers need to be well-educated about the potential impact such conditions may have on diving safety and should monitor their health status, especially as they age.

  1. Epidemiology of a fast emerging disease in the Asia-Pacific region: non-alcoholic fatty liver disease.

    PubMed

    Wah-Kheong, Chan; Khean-Lee, Goh

    2013-03-01

    Non-alcoholic fatty liver disease (NAFLD) is rapidly increasing in the Asia-Pacific and affects up to 30 % of the general population. In younger children, prevalence has been reported to be between 2.1 and 4.5 %. The prevalence of NAFLD increases with increasing age. NAFLD is more prevalent in men than women, but this trend fades in older age group. NAFLD is one of the most common causes of raised serum ALT levels and the latter is closely related to the presence of features of metabolic syndrome. NAFLD may contribute to metabolic syndrome in a similar way as visceral adiposity and can be an early predictor of metabolic disorders. NAFLD increases the risk of developing diabetes mellitus and is closely related to degree of glucose intolerance. A significant proportion of patients with NAFLD have impaired glucose tolerance or diabetes mellitus but with normal fasting blood glucose, highlighting the importance of oral glucose tolerance test in NAFLD patients with normal fasting blood glucose. Besides liver-related complications, NAFLD has been associated with cardiovascular complications, hyperuricemia, gout, chronic kidney disease, gallstone disease, colorectal adenomatous polyp, and polycystic ovarian syndrome. NAFLD seems to be related to host metabolic factors rather than viral factors and does not seem to affect severity of the liver disease in patients with chronic hepatitis B. On the other hand, hepatic steatosis may be related to both host metabolic and viral factors in patients with chronic hepatitis C and seems to adversely impact on the severity of liver disease and possibly response to antiviral therapy.

  2. Psychiatrists' awareness of partial and nonadherence to antipsychotic medication in schizophrenia: results from an Asia-Pacific survey.

    PubMed

    Olivares, Jose Manuel; Thirunavukarasu, Manickam; Kulkarni, Jayashri; Zhang, Hong Yan; Zhang, Mingyuan; Zhang, Fan

    2013-01-01

    Nonadherence is a well-known problem among schizophrenia patients, among whom relapse is fivefold more likely, adversely affecting health, employment, and social functioning. The Spanish Adherencia Terapéutica en la Esquizofrenia (ADHES) survey was developed to determine the scope and causes of medication nonadherence in schizophrenia. The 20-question ADHES survey was distributed to 19,370 psychiatrists in 13 Asia-Pacific countries in January-April 2012, to ascertain psychiatrists' perceptions of antipsychotic medication adherence levels among their schizophrenia patients, reasons for partial/nonadherence, their preferred methods of assessing adherence, and strategies to improve adherence. Responses are reported as mean and range across countries. Four thousand, six hundred sixty one psychiatrists (24% of recipients) completed the survey (highest contributors: People's Republic of China, 1854; India, 1616). Psychiatrists perceived that 56% (range, 30%-71%) of schizophrenia patients were non- or partially adherent to medication. Patients discontinue medication primarily due to lack of insight into their condition (mean, 37%; 1%-65%) and because patients consider medication unnecessary when feeling better (mean, 27%; 15%-68%). Over half of psychiatrists (mean, 55%; 42%-99%) assess medication adherence at every visit, almost exclusively (81%) by asking their patients, versus quantitative measures. One in three psychiatrists expressed their preference to switch to or add a long-acting antipsychotic to improve adherence (15%-82%). The substantial prevalence of partial/nonadherence to medication demonstrates that more proactive management of patients with schizophrenia is needed to improve adherence and thereby treatment outcomes. Registration of this study was not required.

  3. Geohazards and myths: ancient memories of rapid coastal change in the Asia-Pacific region and their value to future adaptation

    NASA Astrophysics Data System (ADS)

    Nunn, Patrick D.

    2014-12-01

    Rapid coastal change is common in the Asia-Pacific region yet an understanding of its causes, recurrence times, and impacts is not always clear through the use of conventional geological methods. It is suggested that myths (traditional [oral] tales) are underutilized sources of information about coastal change in this region. This is illustrated by consideration of myths likely to recall (early) Holocene sea-level rise, particularly along the coasts of India and Australia, as well as myths recalling rapid episodic coastal emergence and submergence, the latter including the disappearance of entire landmasses (islands). Two examples of how details in such myths can inform geological understanding of coastal change are given. The first argues that myths recalling the rapid flooding of coastal cities/lowlands are likely to represent memories of extreme wave events superimposed on a rising (postglacial) sea level. The second suggests that many myths about landmass/island disappearance fail to report the occurrence of rapid (coseismic and aseismic) subsidence even though they provide inferential evidence that this occurred. Few such myths are known to the author from many parts of Asia yet it is likely they exist and could, as elsewhere in the world, help illuminate the understanding of the nature and chronology of rapid coastal change. The challenges involved in helping communities in the Asia-Pacific region adapt to future coastal changes might be partly overcome by the use of appropriate myths to demonstrate precedents and engender local participation in adaptation strategies.

  4. Modeled size-segregated wet and dry deposition budgets of soil dust aerosol during ACE-Asia 2001: Implications for trans-Pacific transport

    NASA Astrophysics Data System (ADS)

    Zhao, T. L.; Gong, S. L.; Zhang, X. Y.; McKendry, I. G.

    2003-12-01

    Size-segregated budgets of soil dust aerosols in Asia for spring 2001 during ACE-Asia were investigated using the NARCM model [, 2003b]. Simulated mass size distributions of dust deposition showed a similar size distribution to the dust emission fluxes over the source regions and a decreased peak corresponding to a 1-3 μm diameter range over downwind regions. The simulations suggest that dry deposition was a dominant dust removal process near the source areas and the removal of dust particles by precipitation was the major process over the trans-Pacific transport pathway, where wet deposition exceeded dry deposition by up to a factor of 10. The Asian dust deposition from the atmosphere to the North Pacific Ocean was correlated not only with precipitation over the North Pacific but also with the dust transport patterns. Variations of monthly Asian dust outflow were identified with the latitudinal center of transport at 38°N in March, 42°N in April, and 47°N in May. The monthly trans-Pacific transport patterns of Asian dust in spring were characterized. The transport axis extended around 30°N and 40°N from the east Asian subcontinent to the North Pacific in March. A zonal transport pathway around 40°N was well developed in April over the North Pacific and reached North America. However, the transport in May was separated into two pathways: an eastward zonal path over the North Pacific and a meridional path from the source regions to the northeast Asian continent. On the basis of the averaged dust budgets during spring 2001, it was found that the major sources of Asian dust were located in the desert regions in China and Mongolia with an estimated dust emission of 21.5 tons km-2, and the regions from the Loess Plateau to the North Pacific were sinks of soil dust aerosols with the Loess Plateau as the main sink for Asian dust.

  5. The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

    PubMed Central

    Ghoshal, Aloke Gopal; Ravindran, G D; Gangwal, Paras; Rajadhyaksha, Girish; Cho, Sang-Heon; Muttalif, Abdul Razak Bin Abdul; Lin, Horng-Chyuan; Thanaviratananich, Sanguansak; Bagga, Shalini; Faruqi, Rab; Sajjan, Shiva; Shetty, Pradeep; Syed, Raeesuddin; Hamrosi, Kim K; Wang, De Yun

    2016-01-01

    Background: Chronic respiratory diseases such as asthma, allergic rhinitis (AR), chronic obstructive pulmonary disease (COPD), and rhinosinusitis are becoming increasingly prevalent in the Asia-Pacific region. The Asia-Pacific Burden of Respiratory Diseases study examined the disease and economic burden of AR, asthma, COPD, and rhinosinusitis across the Asia-Pacific and more specifically India. Objectives: To estimate the proportion of adults receiving care for asthma, AR, COPD, and rhinosinusitis and assess the economic burden, both direct and indirect of these chronic respiratory disease. Subjects and Methods: Consecutive participants aged ≥18 years with a primary diagnosis of asthma, AR, COPD, or rhinosinusitis were enrolled. Surveys comprising questions about respiratory disease symptoms, healthcare resource utilization, work productivity, and activity impairment were completed by treating physicians and participants during one study visit. Costs, indirect and direct, that contributed to treatment for each of the four respiratory diseases were calculated. Results: A total of 1000 patients were enrolled. Asthma was the most frequent primary diagnosis followed by AR, COPD, and rhinosinusitis. A total of 335 (33.5%) patients were diagnosed with combinations of the four respiratory diseases; the most frequently diagnosed combinations were asthma/AR and rhinosinusitis/AR. Cough or coughing up sputum was the primary reason for the current visit by patients diagnosed with asthma and COPD while AR patients reported a watery, runny nose, and sneezing; patients with rhinosinusitis primarily reported a colored nasal discharge. The mean annual cost per patient was US$637 (SD 806). The most significant driver of direct costs was medications. The biggest cost component was productivity loss. Conclusions: Given the ongoing rapid urbanization of India, the frequency of respiratory diseases and their economic burden will continue to rise. Efforts are required to better

  6. The MARCOPOLO Study of Ustekinumab Utilization and Efficacy in a Real-World Setting: Treatment of Patients with Plaque Psoriasis in Asia-Pacific Countries

    PubMed Central

    Youn, Sang Woong; Tsai, Tsen-Fang; Theng, Colin; Choon, Siew-Eng; Wiryadi, Benny E.; Pires, Antonio; Tan, Weihao

    2016-01-01

    Background Ustekinumab is a fully human monoclonal antibody approved for the treatment of chronic moderate-to-severe plaque psoriasis in adults. However, factors including efficacy, tolerability, ease of use, and cost burden may affect ustekinumab utilization. Noncompliance may, in turn, affect treatment response. Objective To evaluate ustekinumab utilization in the real-world setting in Asia-Pacific countries. Methods In this phase 4 observational study conducted in Indonesia, Malaysia, Singapore, Korea, and Taiwan, adults with plaque psoriasis receiving ustekinumab were followed for up to 52 weeks. Study endpoints were the proportion of all patients using ustekinumab according to label-recommended intervals and the proportion of Korean patients who achieved a psoriasis area severity index 75 response at week 16. Safety was assessed by monitoring adverse events. Results Overall, 169 patients received ustekinumab (Korea, n=102; other countries, n=67). Just over half (56.2%) of patients used ustekinumab with the label-recommended interval from baseline to week 40; the proportion was higher in Korea (73.5%) than in other countries (29.9%), probably because ustekinumab was provided without charge for Korean patients up to week 40. Noncompliance increased after week 40 in Korea and from week 28 in other Asia-Pacific countries, with cost cited as the most common reason. At week 16, 56.9% of Korean patients achieved a Psoriasis Area Severity Index 75 response. Safety results were in line with those seen in previous studies. Conclusion More than half of all patients in Asia-Pacific countries used ustekinumab as per the label-recommended dose interval, but reimbursement variations between countries may have confounded overall results. PMID:27081271

  7. The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study.

    PubMed

    Ghoshal, Aloke Gopal; Ravindran, G D; Gangwal, Paras; Rajadhyaksha, Girish; Cho, Sang-Heon; Muttalif, Abdul Razak Bin Abdul; Lin, Horng-Chyuan; Thanaviratananich, Sanguansak; Bagga, Shalini; Faruqi, Rab; Sajjan, Shiva; Shetty, Pradeep; Syed, Raeesuddin; Hamrosi, Kim K; Wang, De Yun

    2016-01-01

    Chronic respiratory diseases such as asthma, allergic rhinitis (AR), chronic obstructive pulmonary disease (COPD), and rhinosinusitis are becoming increasingly prevalent in the Asia-Pacific region. The Asia-Pacific Burden of Respiratory Diseases study examined the disease and economic burden of AR, asthma, COPD, and rhinosinusitis across the Asia-Pacific and more specifically India. To estimate the proportion of adults receiving care for asthma, AR, COPD, and rhinosinusitis and assess the economic burden, both direct and indirect of these chronic respiratory disease. Consecutive participants aged ≥18 years with a primary diagnosis of asthma, AR, COPD, or rhinosinusitis were enrolled. Surveys comprising questions about respiratory disease symptoms, healthcare resource utilization, work productivity, and activity impairment were completed by treating physicians and participants during one study visit. Costs, indirect and direct, that contributed to treatment for each of the four respiratory diseases were calculated. A total of 1000 patients were enrolled. Asthma was the most frequent primary diagnosis followed by AR, COPD, and rhinosinusitis. A total of 335 (33.5%) patients were diagnosed with combinations of the four respiratory diseases; the most frequently diagnosed combinations were asthma/AR and rhinosinusitis/AR. Cough or coughing up sputum was the primary reason for the current visit by patients diagnosed with asthma and COPD while AR patients reported a watery, runny nose, and sneezing; patients with rhinosinusitis primarily reported a colored nasal discharge. The mean annual cost per patient was US$637 (SD 806). The most significant driver of direct costs was medications. The biggest cost component was productivity loss. Given the ongoing rapid urbanization of India, the frequency of respiratory diseases and their economic burden will continue to rise. Efforts are required to better understand the impact and devise strategies to appropriately allocate

  8. Comparative in vitro activity of carbapenems against major Gram-negative pathogens: results of Asia-Pacific surveillance from the COMPACT II study.

    PubMed

    Kiratisin, Pattarachai; Chongthaleong, Anan; Tan, Thean Yen; Lagamayo, Evelina; Roberts, Sally; Garcia, Jemelyn; Davies, Todd

    2012-04-01

    Resistance rates amongst Gram-negative pathogens are increasing in the Asia-Pacific region. The Comparative Activity of Carbapenem Testing (COMPACT) II study surveyed the carbapenem susceptibility and minimum inhibitory concentrations (MICs) of doripenem, imipenem and meropenem against 1260 major Gram-negative pathogens isolated from hospitalised patients at 20 centres in five Asia-Pacific countries (New Zealand, the Philippines, Singapore, Thailand and Vietnam) during 2010. Pseudomonas aeruginosa (n=625), Enterobacteriaceae (n=500), and other Gram-negative pathogens including Acinetobacter baumannii (n=135) were collected from patients with bloodstream infection (32.2%), nosocomial pneumonia including ventilator-associated pneumonia (58.1%), and complicated intra-abdominal infection (9.7%), with 36.7% being isolated from patients in an Intensive Care Unit. As high as 29.8% of P. aeruginosa and 73.0% of A. baumannii isolates were not susceptible to at least a carbapenem, whereas the majority of Enterobacteriaceae (97.2%) were susceptible to all carbapenems. Respective MIC(50)/MIC(90) values (MICs for 50% and 90% of the organisms, respectively) of doripenem, imipenem and meropenem were: 0.38/8, 1.5/32 and 0.38/16 mg/L for P. aeruginosa; 0.023/0.094, 0.25/0.5 and 0.032/0.094 mg/L for Enterobacteriaceae; and 32/64, 32/128 and 32/64 mg/L for A. baumannii. Doripenem and meropenem had comparable activity against P. aeruginosa, both being more active than imipenem. All carbapenems were highly potent against Enterobacteriaceae, although imipenem demonstrated higher MIC values than doripenem and meropenem. The three carbapenems showed less activity against A. baumannii. The high prevalence of carbapenem resistance amongst important nosocomial pathogens (P. aeruginosa and A. baumannii) warrants rigorous infection control measures and appropriate antimicrobial use in the Asia-Pacific region.

  9. Impact of gastrointestinal events on patient-reported outcomes in Asia-Pacific women with osteoporosis: baseline results of the MUSIC OS-AP study.

    PubMed

    Modi, A; Ebeling, P R; Lee, M S; Min, Y K; Mithal, A; Yang, X; Baidya, S; Sen, S; Sajjan, S

    2017-12-01

    The purpose of this study was to describe the impact of gastrointestinal events on patient-reported outcomes and health care resource use among Asia-Pacific women with postmenopausal osteoporosis. The results of this study show that gastrointestinal events decreased adherence, treatment satisfaction, and quality of life in Asia-Pacific women with postmenopausal osteoporosis. This study aimed to describe the impact of gastrointestinal (GI) events on patient-reported outcomes and health care resource use among Asia-Pacific women with postmenopausal osteoporosis. The MUSIC OS-AP study included an observational cohort study of postmenopausal women with osteoporosis. Women were classified as untreated or treated, with treated patients further classified as new or experienced users. Adherence was measured by the Adherence Evaluation of Osteoporosis treatment (ADEOS) questionnaire, treatment satisfaction by the Osteoporosis Patient Satisfaction Questionnaire (OPSAT) while general health-related and osteoporosis-specific quality of life were measured by the European Quality of Life-5 Dimensions (EQ-5D) questionnaire and the Osteoporosis Assessment Questionnaire (OPAQ), respectively. The association of GI events with these outcomes was determined by covariate-adjusted regression analysis of least squares mean differences in the scores of treated patients with and without GI events. Resource utilization was measured as the number of physician visits over the past 3 months, and multivariate regression analysis was used to assess the association of GI events with the likelihood of a visit. The GI event profile, quality of life scores, and resource use were numerically similar in untreated and treated women. The rate of adherence among treated women was higher in experienced than in new users. As indicated by mean scores, experienced users had better quality of life and slightly higher treatment satisfaction and fewer physician visits than new users. Except for adherence in

  10. Education and Training for Development in East Asia: The Political Economy of Skill Formation in East Asian Newly Industrialised Economies. ESRC Pacific Asia Programme [Series].

    ERIC Educational Resources Information Center

    Ashton, David; Green, Francis; James, Donna; Sung, Johnny

    This book provides a detailed analysis of the development of education and training systems in Asia and the relationship with the process of economic growth. Focus is on four impoverished agrarian economies--Hong Kong, Singapore, South Korea, and Taiwan--that were transformed in little more than a generation into East Asian "tigers":…

  11. A PROspective study on the Usage patterns of Doripenem in the Asia-Pacific region (PROUD study).

    PubMed

    Mustafa, Mahiran; Chan, Wai Ming; Lee, Christopher; Harijanto, Eddy; Loo, Chian Min; Van Kinh, Nguyen; Anh, Nguyen Dat; Garcia, Jemelyn

    2014-04-01

    Doripenem is approved in the Asia-Pacific (APAC) region for treating nosocomial pneumonia (NP) including ventilator-associated pneumonia (VAP), complicated intra-abdominal infections (cIAIs) and complicated urinary tract infections (cUTIs). Clinical usage of doripenem (500mg intravenously, infused over 1h or 4h every 8h for 5-14 days) in APAC was evaluated in a prospective, open-label, non-comparative, multicentre study of inpatients (≥18 years) with NP, VAP, cIAI or cUTI. A total of 216 [intention-to-treat (ITT)] patients received doripenem: 53 NP (24.5%); 77 VAP (35.6%); 67 cIAI (31.0%); and 19 cUTI (8.8%). Doripenem MIC90 values for Pseudomonas aeruginosa, Acinetobacter baumannii, Escherichia coli and Klebsiella pneumoniae were 32, 32, 0.094 and 0.64μg/mL, respectively. Doripenem was used most commonly as monotherapy (86.6%) and as second-line therapy (62.0%). The clinical cure rate in clinically evaluable patients was 86.7% at the end of therapy (EOT) and 87.1% at test of cure (TOC) (7-14 days after EOT). In the ITT population, overall clinical cure rates were 66.2% at EOT and 56.5% at TOC. The median duration of hospital stay, intensive care unit (ICU) stay and mechanical ventilation was 20, 12 and 10 days, respectively. Of 146 discharged patients, 7 were re-admitted within 28 days of EOT; 1 VAP patient was re-admitted to the ICU. The all-cause mortality rate was 22.7% (49/216). The most common treatment-related adverse events were diarrhoea (1.4%) and vomiting (1.4%). Doripenem is a viable option for treating APAC patients with NP, VAP, cIAI or cUTI. [ClinicalTrials.gov: NCT 00986102]. Copyright © 2014 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.

  12. Asthma Insights and Management in India: Lessons Learnt from the Asia Pacific - Asthma Insights and Management (AP-AIM) Study.

    PubMed

    Salvi, Sundeep S; Apte, Komalkirti K; Dhar, Raja; Shetty, Pradeep; Faruqi, Rab A; Thompson, Philip J; Guleria, Randeep

    2015-09-01

    Despite a better understanding of the pathophysiology of asthma, presence of reliable diagnostic tools, availability of a wide array of effective and affordable inhaled drugs and simplified national and international asthma management guidelines, asthma remains poorly managed in India. The Asia-Pacific Asthma Insight and Management (AP-AIM) study was aimed at understanding the characteristics of asthma, current management, level of asthma control and its impact on quality of life across Australia, China, Hong Kong, India, Malaysia, Singapore, South Korea, Taiwan and Thailand. This paper describes the results of asthma management issues in India in detail and provides a unique insight into asthma in India. The AP-AIM India study was conducted in eight urban cities in India, viz: Ajmer, Delhi, Kolkata, Rourkela, Chennai, Mangalore, Mumbai and Rajkot from February to July 2011. Face-to-face interviews were conducted in adult asthmatics and parents of asthmatic children between the ages of 12 and 17 years with a confirmed diagnosis or a treatment history of 1 year for asthma. Four hundred asthmatics (M:F::1:1.273), with a mean age of 50 ± 17.8 years, from across India were studied. 91% of the asthmatics in India perceived their asthma to be under control, however, none of the asthmatics had controlled asthma by objective measures. Asthmatics in India believed that their asthma was under control if they have up to 2 emergency doctor visits a year. The quality of life of these patients was significantly affected with 93% school/work absenteeism and a loss of 50% productivity. Seventy-five percent of the asthmatics have never had a lung function test. The common triggers for asthmatics in India were dust (49%) and air pollution (49%), while only 5% reported of pollen as triggers. Eighty-nine percent of Indian asthmatics reported an average use of oral steroids 10.5 times a year. Only 36% and 50% of Indian asthmatics used controller and rescue inhalers with a majority

  13. User-Friendly Data Servers for Climate Studies at the Asia-Pacific Data-Research Center (APDRC)

    NASA Astrophysics Data System (ADS)

    Yuan, G.; Shen, Y.; Zhang, Y.; Merrill, R.; Waseda, T.; Mitsudera, H.; Hacker, P.

    2002-12-01

    The APDRC was recently established within the International Pacific Research Center (IPRC) at the University of Hawaii. The APDRC mission is to increase understanding of climate variability in the Asia-Pacific region by developing the computational, data-management, and networking infrastructure necessary to make data resources readily accessible and usable by researchers, and by undertaking data-intensive research activities that will both advance knowledge and lead to improvements in data preparation and data products. A focus of recent activity is the implementation of user-friendly data servers. The APDRC is currently running a Live Access Server (LAS) developed at NOAA/PMEL to provide access to and visualization of gridded climate products via the web. The LAS also allows users to download the selected data subsets in various formats (such as binary, netCDF and ASCII). Most of the datasets served by the LAS are also served through our OPeNDAP server (formerly DODS), which allows users to directly access the data using their desktop client tools (e.g. GrADS, Matlab and Ferret). In addition, the APDRC is running an OPeNDAP Catalog/Aggregation Server (CAS) developed by Unidata at UCAR to serve climate data and products such as model output and satellite-derived products. These products are often large (> 2 GB) and are therefore stored as multiple files (stored separately in time or in parameters). The CAS remedies the inconvenience of multiple files and allows access to the whole dataset (or any subset that cuts across the multiple files) via a single request command from any DODS enabled client software. Once the aggregation of files is configured at the server (CAS), the process of aggregation is transparent to the user. The user only needs to know a single URL for the entire dataset, which is, in fact, stored as multiple files. CAS even allows aggregation of files on different systems and at different locations. Currently, the APDRC is serving NCEP, ECMWF

  14. Rebalancing Pacific Fleet: Operationalize U.S. Third Fleet and Move It into the Indo-Asia-Pacific in Support of the Defense Strategic Guidance

    DTIC Science & Technology

    2013-05-20

    Navy Times, April 18, 2013. 20 Admiral Cecil D. Haney, Commander, U.S. Pacific Fleet, Langkawi International Maritime & Aerospace Exhibition... Langkawi , Malaysia, March 26 2013. 21 Admiral Cecil D. Haney, Commander, U.S. Pacific Fleet, AFCEA West 13, San Diego Convention Center, January 30...Malaysia, Marshall Islands , Micronesia, Mongolia, North Korea, Palau, Philippines, Samoa, South Korea, Taiwan, and Vietnam. 27 C3F 23 nations will be

  15. The relationship between air pollution, fossil fuel energy consumption, and water resources in the panel of selected Asia-Pacific countries.

    PubMed

    Rafindadi, Abdulkadir Abdulrashid; Yusof, Zarinah; Zaman, Khalid; Kyophilavong, Phouphet; Akhmat, Ghulam

    2014-10-01

    The objective of the study is to examine the relationship between air pollution, fossil fuel energy consumption, water resources, and natural resource rents in the panel of selected Asia-Pacific countries, over a period of 1975-2012. The study includes number of variables in the model for robust analysis. The results of cross-sectional analysis show that there is a significant relationship between air pollution, energy consumption, and water productivity in the individual countries of Asia-Pacific. However, the results of each country vary according to the time invariant shocks. For this purpose, the study employed the panel least square technique which includes the panel least square regression, panel fixed effect regression, and panel two-stage least square regression. In general, all the panel tests indicate that there is a significant and positive relationship between air pollution, energy consumption, and water resources in the region. The fossil fuel energy consumption has a major dominating impact on the changes in the air pollution in the region.

  16. Use of targeted therapies for advanced renal cell carcinoma in the Asia-Pacific region: opinion statement from China, Japan, Taiwan, Korea, and Australia.

    PubMed

    Ye, Dingwei; Eto, Masatoshi; Chung, Jin Soo; Kimura, Go; Chang, Wen-Cheng; Chang, Yen-Hwa; Pang, See-Tong; Lee, Jae Lyun; Niu, Yuanjie; Gurney, Howard; Uemura, Hirotsugu

    2014-08-01

    Rates of renal cell carcinoma (RCC) morbidity and mortality vary widely by geography, with increasing incidence in most countries. Interestingly, RCC incidence is significantly lower in Asian countries relative to other regions, which is attributed to environmental and genetic influences. Additionally, it has been demonstrated that different ethnic groups differ in their RCC characteristics which might lead to varied responses to therapy. In this review, physicians drawn from countries across the Asia-Pacific region--China, Japan, Taiwan, Republic of Korea, and Australia--take all available data into consideration to develop the first opinion statement on treatment of advanced RCC in the region. We have sought to determine what factors influence treatment patterns and availability of therapeutic agents in our respective countries, discussed whether these factors are fully justified or should be modified, and considered what additional efforts should be undertaken to optimize treatment outcomes in RCC. Additionally, we have addressed the limitations on treatment of RCC in the region, capturing the restrictive situations of targeted therapy use in the Asia-Pacific region, mainly because of drug availability and treatment reimbursement. Often this illustrates the gap between Western and regional or even among local guidelines, the opinions of leading physicians regarding the treatment, and the realistic access to agents for most patients. Proposals made in this document are based on clinical experience and data from clinical trials of RCC therapies in which Asian patients have been included.

  17. Clinical efficacy and safety evaluation of tailoring iron chelation practice in thalassaemia patients from Asia-Pacific: a subanalysis of the EPIC study of deferasirox.

    PubMed

    Viprakasit, Vip; Ibrahim, Hishamshah; Ha, Shau-Yin; Ho, Phoebe Joy; Li, Chi-Kong; Chan, Lee-Lee; Chiu, Chang-Fang; Sutcharitchan, Pranee; Habr, Dany; Domokos, Gabor; Roubert, Bernard; Xue, Hong-Ling; Bowden, Donald K; Lin, Kai-Hsin

    2011-03-01

    Although thalassaemia is highly prevalent in the Asia-Pacific region, clinical data on efficacy and safety profiles of deferasirox in patients from this region are rather limited. Recently, data from the multicentre Evaluation of Patients' Iron Chelation with Exjade (EPIC) study in 1744 patients with different anaemias has provided an opportunity to analyse 1115 thalassaemia patients, of whom 444 patients were from five countries in the Asia-Pacific region (AP) for whom thalassaemia management and choice of iron chelators were similar. Compared to the rest of the world (ROW), baseline clinical data showed that the AP group appeared to be more loaded with iron (3745.0 vs. 2822.0 ng/ml) and had a higher proportion on deferoxamine monotherapy prior to the study (82.9 vs. 58.9%). Using a starting deferasirox dose based on transfusional iron intake and tailoring it to individual patient response, clinical efficacy based on serum ferritin reduction in AP and ROW thalassaemia patients was similar. Interestingly, the AP group developed a higher incidence of drug-related skin rash compared to ROW (18.0 vs. 7.2%), which may indicate different pharmacogenetic backgrounds in the two populations. Our analysis confirms that, with appropriate adjustment of dose, deferasirox can be clinically effective across different regions, with manageable side effects.

  18. Low-frequency oscillations of the East Asia-Pacific teleconnection pattern and their impacts on persistent heavy precipitation in the Yangtze-Huai River valley

    NASA Astrophysics Data System (ADS)

    Li, Lei; Zhai, Panmao; Chen, Yang; Ni, Yunqi

    2016-06-01

    Based on the daily reanalysis data from NCEP-NCAR and daily precipitation data from the China National Meteorological Information Center, an ensemble empirical mode decomposition method is employed to extract the predominant oscillation modes of the East Asia-Pacific (EAP) teleconnection pattern. The influences of these low-frequency modes on persistent heavy precipitation in the Yangtze-Huai River (YHR) valley are investigated. The results indicate that the EAP pattern and rainfall in YHR valley both exhibit remarkable 10-30- and 30-60-day oscillations. The impacts of the EAP pattern on the YHR persistent heavy precipitation can be found on both the 10-30- and 30-60-day timescales—the 10-30-day scale for most cases. Composite analysis indicates that, on the 10-30-day timescale, formation of the EAP pattern in the lower and middle troposphere is determined by convective systems near the tropical western Pacific; whereas in the middle troposphere, the phase transition is jointly contributed by both the dispersion of zonal wave energies at higher latitudes and convective systems over the South China Sea. In the context of the 10-30-day EAP pattern, the anomalously abundant moisture is transported by an anomalous subtropical anticyclone system, and strong moisture convergence results from that anomalous anticyclone system and a cyclonic system in the midlatitude East Asia. Such a combination of systems persists for at least three days, contributing to the formation of persistent heavy precipitation in the YHR valley.

  19. Efficacy and Safety of Vernakalant for Cardioversion of Recent-onset Atrial Fibrillation in the Asia-Pacific Region: A Phase 3 Randomized Controlled Trial.

    PubMed

    Beatch, Gregory N; Bhirangi, Kiran; Juul-Moller, Steen; Rustige, Jörg

    2017-02-01

    Atrial fibrillation (AF) is a common clinically significant cardiac arrhythmia. This phase 3 randomized, double-blind, placebo-controlled trial assessed the efficacy and safety of vernakalant hydrochloride for the pharmacological conversion of AF to sinus rhythm in patients with recent-onset (>3 hours to ≤7 days) symptomatic AF from the Asia-Pacific region. Patients received an infusion of vernakalant (3 mg/kg) or placebo for 10 minutes. If AF had not been terminated 15 minutes later, a second infusion of vernakalant (2 mg/kg) or placebo for 15 minutes was administered. The primary efficacy end point was conversion of AF to sinus rhythm for >1 minute within 90 minutes. The study was terminated early for administrative reasons; 123 patients from Korea, Taiwan, and India were randomized to receive vernakalant (n = 55) or placebo (n = 56). A greater proportion of patients who received vernakalant (52.7%) than placebo (12.5%) met the primary end point (P < 0.001), and cardioversion was faster in the vernakalant group than in the placebo group (P < 0.001). Vernakalant was generally well tolerated; the incidence of treatment-emergent adverse events was similar between the groups. We conclude that vernakalant is efficacious in the rapid cardioversion of recent-onset AF in patients from the Asia-Pacific region.

  20. Chemical Characteristics of Continental Outflow from Asia to the Troposphere over the Western Pacific Ocean during September - October 1991: Results from PEM-West A

    NASA Technical Reports Server (NTRS)

    Talbot, R. W.; Dibb, J. E.; Klemm, K. I.; Bradshaw, J. D.; Sandholm, S. T.; Blake, D. R.; Sachse, G. W.; Collins, J.; Heikes, B. G.; Gregory, G. L.; hide

    1996-01-01

    An important objective of the Pacific Exploratory Mission-West A (PEM-West A) was the chemical characterization of the outflow of tropospheric trace gases and aerosol particles from the Asian continent over the western Pacific Ocean. This paper summarizes the chemistry of this outflow during the period September - October 1991. The vertical distributions of CO, C2H6, and NO(x), showed regions of outflow at altitudes below 2 km and from 8 to 12 km. Mixing ratios of CO were approx. equals 130 parts per billion by volume (ppbv), approx. equals 1OOO parts per trillion by volume (pptv) for C2H6, and approx. equals 100 pptv for NO(x) in both of these regions. Direct outflow of Asian industrial materials was clearly evident at altitudes below 2 km, where halocarbon tracer compounds such as CH3CCl3 and C2Cl4 were enhanced about threefold compared to aged Pacific air. The source attribution of species outflowing from Asia to the Pacific at 8-12 km altitude was not straightforward. Above 10 km altitude there were substantial enhancements of NO(y), O3, CO, CH4, SO2, C2H6, C3H8, C2H2, and aerosol Pb-210 but not halocarbon industrial tracers. These air masses were rich in nitrogen relative to sulfur and contained ratios of C2H2/CO and C3H8/C2H6 (approx. equals l.5 and 0.1 respectively) indicative of several- day-old combustion emissions. It is unclear if these emissions were of Asian origin, or if they were rapidly transported to this region from Europe by the high wind speeds in this tropospheric region (60 - 70 m/s). The significant cyclonic activity over Asia at this time could have transported to the upper troposphere emissions from biomass burning in Southeast Asia or emissions from the extensive use of various biomass materials for cooking and space heating. Apparently, the emissions in the upper troposphere were brought there by wet convective systems since water-soluble gases and aerosols were depleted in these air masses. Near 9 km altitude there was a distinct