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Public health experts are aware of secondhand smoke (SHS) dangers, particularly for vulnerable groups like pregnant women. This study aims to describe the prevalence of SHS among pregnant women, including their knowledge, and attitude towards SHS. This study was a cross-sectional descriptive study conducted at Central Women’s Hospital in the Yangon Region, Myanmar in 2022. Out of 407 participants, the prevalence of SHS exposure was 65.4%. The participants have higher levels of knowledge (74%) and attitude (87%) about SHS. Knowledge level was negatively associated with SHS exposure at home. The findings highlight the need for community guidance programs, policies, and interventions to establish smoke-free environments. It is also important to conduct behavioral interventions.

In this paper, a two-bladed medium-sized floating wind turbine with variable speed and power regulation by stall is studied. For floating offshore wind turbines, the major challenges are related to the dynamical behavior of the system in response to combined wind and wave loading. Especially for smaller systems, the coupling of aerodynamic and wave forces may lead to large amplitude motions. Coupled aero-hydro-servo-elastic simulations are carried out in OpenFAST. The goal of the study is to investigate the global dynamic response of the hypothetical wind turbine with stall regulation. Stall regulation concept is proposed and the structural loads are computed and results are presented and discussed.

Smokers are not the only ones who suffer the effects of tobacco; those around them are also harmed, particularly vulnerable groups such as pregnant women. This study aims to describe the prevalence of secondhand smoke (SHS) among pregnant women and the factors associated with SHS exposure. This study was a cross-sectional descriptive study conducted at Central Women’s Hospital in the Yangon Region in 2022. The prevalence of SHS exposure was described, and multivariate analyses were conducted to determine the associated factors. Out of 407 participants, the prevalence of SHS exposure was 65.4%. Education level, religion, smoking rules at home, visiting public places, and avoidance of SHS during pregnancy were significantly associated with SHS exposure. The findings highlight the need for community guidance programs, policies, and interventions to establish smoke-free environments. It is also important to conduct behavioral interventions for smokers, especially to avoid SHS for pregnant women.

Background Achieving the elimination of soil-transmitted helminth (STH) infections requires a sufficient understanding of the current epidemiological status of STH endemicity. We aimed to examine the status of STH in Myanmar – a country with the eighth highest STH prevalence in the world, 10 years after instigation of the national deworming programme. Methods In August 2016 we screened for STH infections using Kato Katz (KK) microscopy and real-time PCR (qPCR) in schoolchildren from the Bago Region township of Phyu, a STH sentinel site in Myanmar. Ten schools were randomly selected, and one stool sample each from a total of 264 students was examined. Prevalence and intensity of infection were calculated for each STH. Results High prevalence of STH was identified in the study area with 78.8% of the schoolchildren infected with at least one STH by qPCR, and 33.3% by KK. The most prevalent STH was Trichuris trichiura, diagnosed by both KK (26.1%) and qPCR (67.1%), followed by Ascaris lumbricoides (15.5% KK; 54.9% qPCR). No hookworm infections were identified by KK; however, the qPCR analysis showed a high prevalence of Ancylostoma sp. infection (29.6%) with few Necator americanus (1.1%) infections. Conclusions Despite bi-annual deworming of schoolchildren in the fourth-grade and below, STH prevalence remains stubbornly high. These results informed the expansion of the Myanmar National STH control programme to include all school-aged children by the Ministry of Health and Sports in 2017, however further expansion to the whole community should be considered along with improving sanitation and hygiene measures. This would be augmented by rigorous monitoring and evaluation, including national prevalence surveys.

The burden of malaria in Myanmar has declined rapidly in recent years; cases decreased from 333,871 in 2013 to 85,019 in 2017 (75% decrease). Decline of malaria in the Ayeyarwady Region of Myanmar reflects this trend with an 86% decrease in cases over this period. In this exploratory analysis, quantitative and qualitative information were assessed to explore potential factors responsible for the decline of malaria in Ayeyarwady. Data on malaria incidence, programmatic financing, surveillance, case management, vector control interventions, climate and ecological factors, and policies and guidelines spanning 2013 to 2017 were compiled. Poisson regression models that adjust for correlation were used to analyze the association between annual malaria case numbers with malaria intervention factors at the township level. Between 2013 and 2017, there was a decrease in mean township-level malaria incidence per 1000 from 3.03 (SD 4.59) to 0.34 (SD 0.79); this decline coincided with the implementation of the government’s multi-pronged malaria elimination strategy, an increase of approximately 50.8 million USD in malaria funding nationally, and a period of deforestation in the region. Increased funding in Ayeyarwady was invested in interventions associated with the decline in caseload, and the important roles of surveillance and case management should be maintained while Myanmar works towards malaria elimination.

This paper aims to contribute the final design of a cost-effective and energy self-sufficient offshore wind operation and maintenance (O&M) platform so called Energyhu@Sea. The Energyhub@Sea concept is one of the four applications namely living, energy hub, farming, transport and logistic of the Space@Sea project funded by EU’s Horizon 2020 research program. The energy hub concept integrates four different functions within the same space such as O&M services, accommodation facilities for service staffs, renewable energy extraction and smart storage system, and housing of spare parts. The primary energy for the entire hub is supplied from a medium sized wind turbine coupled with photovoltaic modules and the wave energy converter. A special focus is put on the development of a modular and standardized system, which can be easily adapted to different climates. Moreover, the design considers the needs of future users, and health, safety and environmental risk related issues. A final design for both the North Sea site and the Mediterranean Sea site based on a hypothetical offshore wind farm with a capacity of 100 units of 10 MW direct drive turbine is presented. The results indicate that Energyhub@Sea can be a promising solution for offshore wind parks to save time and costs required for O&M activities. This study contributes useful inputs for industries towards the implementation of an offshore onsite-based O&M platform.

Background Ayeyarwady Region in Myanmar has made significant progress towards malaria elimination, with cases decreasing from 12,312 in 2015 to 122 in 2019. As transmission declines, malaria becomes increasingly focalized both in geographic hotspots and among population groups sharing certain risk factors. Developing a thorough profile of high-risk activities associated with malaria infections is critical to ensure intervention approaches are evidence-based. Methods A test-negative study was conducted from September 2017 to May 2018 in Ngaputaw, Pathein and Thabaung townships in Ayeyarwady Region. Patients that presented to selected public facilities or community health volunteers with fever answered survey questions on demographic and behavioural risk factors, including exposure to malaria interventions, and were assigned to case and control groups based on the result of a malaria rapid diagnostic test. A random-effects logistic regression model adjusted for clustering at the facility level, as well as any variables along the causal pathway described by a directed acyclic graph, was used to determine odds ratios and association with malaria infections. Results A total of 119 cases and 1744 controls were recruited from 41 public facilities, with a mean age of 31.3 and 63.7% male. Higher risk groups were identified as males (aOR 1.8, 95% CI 1.2–2.9) and those with a worksite located within the forest (aOR 2.8, 95% CI 1.4–5.3), specifically working in the logging (aOR 2.7, 95% CI 1.5–4.6) and rubber plantation (aOR 3.0, 95% CI 1.4–6.8) industries. Additionally, links between forest travel and malaria were observed, with risk factors identified to be sleeping in the forest within the past month (aOR 2.6, 95% CI 1.1–6.3), and extended forest travel with durations from 3 to 14 days (aOR 8.6, 95% CI 3.5–21.4) or longer periods (aOR 8.4, 95% CI 3.2–21.6). Conclusion Malaria transmission is highly focalized in Ayeyarwady, and results illustrate the need to target interventions to the most at-risk populations of working males and forest goers. It will become increasingly necessary to ensure full intervention coverage of at-risk populations active in forested areas as Myanmar moves closer to malaria elimination goals.

The effect of artificially produced BaHfO $_3$ , BaZrO $_3$ , and BaSnO $_3$ nanocolumns within the YBa $_2$ Cu $_3$ O $_{6+{\mathrm{x}}}$ (YBCO) lattice is investigated in terms of flux pinning and vortex dynamics by studying the properties of the angular dependent critical current density. Based on the differences in the growth mechanisms of discussed dopant species, the superconducting properties such as the critical current density, the accommodation field, and the effective pinning force have been observed to be greatly dependent on the size and the distribution of the nanocolumns. Therefore, the mechanisms of the collective individual and multivortex pinning have been observed being in a critical role when interpreting the in-field critical current anisotropy in YBCO films with artificial pinning centers.

The earthworm fauna of the Republic of the Union of Myanmar (Burma) is quite well studied due to the studious works of Gordon E. Gates. However, after the publication of the comprehensive monograph Burmese earthworms (Gates 1972) there has been no new data published from this country. In the last year the last author collected several earthworm samples from Burma, resulting in 7 species records belonging to the families Moniligastridae, Benhamiidae, Octochaetidae and Megascolecidae including some little known species like Tonoscolex depressus (Gates, 1929) and Eutyphoeus constrictus Gates, 1929. Examination of the E. constrictus specimens revealed that they show different states of metandry, they are morphologically very similar to E. hastatus Gates, 1929, and only differ by the functionality of the testes in segment 10, therefore it should be regarded as a synonym of E. constrictus.

Background Emergence of artemisinin-resistant malaria in Southeast Asian countries threatens the global control of malaria. Although K13 kelch propeller has been assessed for artemisinin resistance molecular marker, most of the mutations need to be validated. In this study, artemisinin resistance was assessed by clinical and molecular analysis, including k13 and recently reported markers, pfarps10, pffd and pfmdr2. Methods A prospective cohort study in 1160 uncomplicated falciparum patients was conducted after treatment with artemisinin-based combination therapy (ACT), in 6 sentinel sites in Myanmar from 2009 to 2013. Therapeutic efficacy of ACT was assessed by longitudinal follow ups. Molecular markers analysis was done on all available day 0 samples. Results True recrudescence treatment failures cases and day 3 parasite positivity were detected at only the southern Myanmar sites. Day 3 positive and k13 mutants with higher prevalence of underlying genetic foci predisposing to become k13 mutant were detected only in southern Myanmar since 2009 and comparatively fewer mutations of pfarps10, pffd, and pfmdr2 were observed in western Myanmar. K13 mutations, V127M of pfarps10, D193Y of pffd, and T448I of pfmdr2 were significantly associated with day 3 positivity (OR: 6.48, 3.88, 2.88, and 2.52, respectively). Conclusions Apart from k13, pfarps10, pffd and pfmdr2 are also useful for molecular surveillance of artemisinin resistance especially where k13 mutation has not been reported. Appropriate action to eliminate the resistant parasites and surveillance on artemisinin resistance should be strengthened in Myanmar. Trial registration This study was registered with ClinicalTrials.gov, identifier NCT02792816.

As the number of electronic documents generated from worldwide source increases, it is hard to manually organize, analyze and present these documents efficiently. Document clustering is one of the traditionally data mining techniques and an unsupervised learning paradigm. Fast and high quality document clustering algorithms play an important role in helping users to effectively navigate, summarize and organize the information. K-Means algorithm is the most commonly used partitioned clustering algorithm because it can be easily implemented and is the most efficient one in terms of execution times. However, the major problem with this algorithm is that it is sensitive to the selection of initial centroid and may converge to local optima. The algorithm takes the initial cluster centre arbitrarily so it does not always guarantee good clustering results. Different initial cluster centres often lead to different clustering and thus provide unstable clustering results. To overcome this problem, Systematic Selection of Initial Centroid for K-Means (SSIC K- Means) approach is proposed to improve the quality of clustering in this paper. Unlike the traditional K-Means clustering, the proposed SSIC K-Means method can generate the most compact and stable clustering results based on maximum distance initial centroids points instead of random initial centroid points. In this paper, experimental results are presented in F-measures using 20 Newsgroup standard datasets. The evaluations demonstrate that the proposed solution outperforms the other initialization methods and can be applied for other various standard datasets.

Recent reports have discussed the presence of cytotoxic T cells in paraneoplastic cerebellar degeneration (PCD). We report an autopsy case of PCD associated with anti-Hu antibody, in which we revealed infiltration of CD8+ T cells in and around the dentate nucleus but not in the cerebellar cortex, in addition to severe Purkinje cell loss. Some infiltrated mononuclear cells expressed cytotoxic cell marker, Granzyme B. Decrease of neurons and reduced presynapses were demonstrated in the dentate nucleus. This is the first report that suggests the possibility of the dentate nucleus being primarily attacked followed by Purkinje cell loss in PCD.

Ethanol is a tumor promoter and may promote metastasis of breast cancer. However, the underlying cellular/molecular mechanisms remain unknown. Overexpression and high activity of matrix metalloproteinase-2 (MMP-2) are frequently associated with metastatic breast cancers and serve as a prognostic indicator of clinical outcome. MMP-2 is predominantly expressed in stromal fibroblasts and plays a pivotal role in regulating the invasive behavior of breast tumor cells. We hypothesized that ethanol may enhance the invasion of breast tumor cells by modulating the activity of fibroblastic MMP-2. With in vitro models (HS68 and CCD1056SK human fibroblasts), we showed that ethanol at physiologically relevant concentrations (50-200 mg/dl) activated MMP-2; conversely, at a higher concentration (400 mg/dl), it inhibited the MMP-2 activity. Consistently, conditioned medium collected from ethanol (50-200 mg/dl)-exposed fibroblasts markedly enhanced the invasive potential of breast cancer cells and mammary epithelial cells overexpressing ErbB2/HER2 (BT474, SKBR-3 and HB2(ErbB2) cells) but had little effect on cells with low ErbB2 levels (BT20 and HB2 cells). In contrast, conditioned medium obtained from ethanol (400 mg/dl)-treated fibroblasts inhibited cell invasion. Selective inhibitors of MMP-2 (SB-3CT and OA-Hy) eliminated ethanol-stimulated invasion, indicating that the effect of ethanol was mediated by MMP-2. Ethanol activated conventional PKCs and JNKs in fibroblasts; inhibitors of PKC (Go6850 and Go6976) and JNKs (SP600125) significantly inhibited ethanol-mediated MMP-2 activation as well as cell invasion, indicating that PKCs and JNKs play a role in ethanol-induced MMP-2 activation and cell invasion in vitro. Thus, ethanol-promoted breast cancer cell invasion may be mediated by the modulation of fibroblastic MMP-2.

Human T-cell leukemia virus type 1 (HTLV-1) infection is prevalent in native Americans living in the Andes. Some of their malignant lymphomas (ML) show a peculiar histology suggestive of adult T-cell leukemia/lymphoma (ATLL). To determine whether ML resembling ATLL are indeed ATLL, re-analysis of 34 cases occurring in Jujuy, a province of Argentina, was conducted, concentrating on immunological phenotype, integration of HTLV-1 proviral DNA, expression of HTLV-1 p40Tax and p27Rex, and infection of Epstein-Barr virus (EBV). The ML were 22 cases of mature peripheral T-cell and natural killer (NK)-cell neoplasm (mT/NKN), 11 B-cell malignant neoplasms and one Hodgkin's lymphoma. Polymerase chain reaction against the HTLV-1 proviral DNA, using DNA extracted from paraffin sections, indicated integration of the HTLV-1 proviral DNA in three cases of eight mT/NKN. Two other cases of mT/NKN were positive for anti-HTLV-1 antibodies. Expression of p40Tax and p27Rex was detected in all five of these mT/NKN cases associated with HTLV-1. As such, these five mT/NKN were rediagnosed as ATLL. In situ hybridization signals for EBV-encoded small nuclear early region-1 were detected in nine cases of mT/NKN, of which five cases of NK-cell lymphoma were found to have cytoplasmic CD3 expression, a CD56 phenotype and positivity of TIA1. According to the new World Health Organization classification, the mT/NKN class includes five cases of ATLL and five cases of NK-cell lymphomas. The five cases of ATLL were of native American extraction from an HTLV-1-endemic area around Jujuy, north-west Argentina.

Mobile Agent is a type of software system which acts “intelligently” on one’s behalf with the feature of autonomy, learning ability and most importantly mobility. Therefore, Mobile Agent technology is suitable for collecting data from police stations on behalf of police officers. In this article, Mobile Agent will be addressed as tools for retrieving Criminal record of the offenders. The offenders’ biography is an important data for police officers in deciding criminal case. So, Mobile Agent technology is used for transferring this data between police stations. At first, the authorized police officer from any police station can search for the desired biography of an offender in its own database. If it is not found, the officer can search it at remote sites by using Query Agent (QA).To get that biography, Query Agent (QA) migrates from a host station to remote stations, negotiates with Database Agent (DA) in there, and replies the required information to Police Officer Agent (POA). By implementing this system, several advantages such as time saving, reduce paper work, flexible structuring, dynamic content delivery and less manpower requirement can be achieved. Moreover, it can upgrade the traditional information retrieval system to e-government system. This paper describes the project architecture and its implementation that is based on IBM’s Aglets Workbench.

Although brain lesions have been described in some cases with HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP), little is known about the nature of brain lesion and its relation to the spinal cord lesion. In the present study, we performed histopathological analysis of the brain and the spinal cord of four autopsied cases with HAM/TSP to clarify the relationship between the brain and the spinal cord lesions. In two cases with active-chronic inflammation in the spinal cord, perivascular inflammatory infiltration was also seen in the brain, and the composition of cell subsets was similar both in the spinal cord and in the brain. No active inflammatory change was seen in the brain in two cases with inactive-chronic spinal cord lesions. Inflamed vessels were distributed mainly in the deep white matter and in the area between cerebral cortex and white matter of the brain. In the spinal cord inflamed vessels were mainly seen in the bilateral lateral and the ventral posterior columns. Parenchymal infiltration was diffused in the spinal cord but very sparse in the brain, suggesting the importance of parenchymal infiltration in the destruction of tissues. These results suggest that inflammatory changes occurred simultaneously in the spinal cord and in the brain, and that distribution of inflamed vessels closely correlated with the characteristics of vascular architecture of the brain and the spinal cord, which lead to a slow blood flow. This study may help promote a better understanding of the pathogenesis of HAM/TSP.

This paper presents a case study namely mobile agent based online examination system and the roles of mobile agents used in the system. The system provides the infrastructure for conducting computer-based examination which the candidates may be spread over in large areas. The system aims to map the real world examination system and concentrates the full stage of the examination from question setting to answer evaluation. By implementing this system using mobile agent gives us several advantages like scalability, flexible structuring, dynamic extensibility, push-pull modes of information dissemination, evaluation of subjective question, and transparency to varying communication channels, application layer multicasting, network latencies and dynamic content delivery.

Human spinocerebellar degeneration is one of the intractable diseases. We studied the detailed neuropathology of cats with hereditary cerebellar degeneration obtained from the experimental breeding. The findings included almost total loss of Purkinje cells with an increase in Bergmann’s glia in the cerebellar hemisphere, preservation of some Purkinje cells in the vermis and moderate neuronal depletion of the olive nucleus. Cerebellar and pontine nuclei were normal. The cerebrum and spinal cord as well as the peripheral nervous system appeared normal. Electron microscopic examination revealed swelling of the distal dendrites of Purkinje cells in the less-affected nodule of the vermis, and clusters of presynaptic boutons without any synaptic contact in the severely affected folia where Purkinje cell bodies and dendrites disappeared. Prolonged existence of presynapses in the molecular and Purkinje cell layers was confirmed by positive immunoreactivity to anti-synaptophysin. Quantitative analysis using electron microscopy demonstrated an apparent increase in the density and mean size of presynapses in the molecular layer of the severely affected folia. These findings indicate that degeneration of Purkinje cells started at the most distal part of the dendrite in this animal model of cerebellar degeneration, and that presynapses, axon terminals of the granular cells and basket cells can exist for a long time even after complete degeneration of the Purkinje cells. Further investigation of this novel animal model may promote a better understanding of pathogenesis of human hereditary cerebellar degeneration.