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  1 / 1582 MEDLINE  
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[PMID]:29261647
[Au] Autor:Iwagami M; Keomalaphet S; Khattignavong P; Soundala P; Lorphachan L; Matsumoto-Takahashi E; Strobel M; Reinharz D; Phommasansack M; Hongvanthong B; Brey PT; Kano S
[Ad] Endereço:SATREPS project (JICA/AMED) for Parasitic Diseases, Vientiane, Lao PDR.
[Ti] Título:The detection of cryptic Plasmodium infection among villagers in Attapeu province, Lao PDR.
[So] Source:PLoS Negl Trop Dis;11(12):e0006148, 2017 12.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although the malaria burden in the Lao PDR has gradually decreased, the elimination of malaria by 2030 presents many challenges. Microscopy and malaria rapid diagnostic tests (RDTs) are used to diagnose malaria in the Lao PDR; however, some studies have reported the prevalence of sub-microscopic Plasmodium infections or asymptomatic Plasmodium carriers in endemic areas. Thus, highly sensitive detection methods are needed to understand the precise malaria situation in these areas. METHODOLOGY/PRINCIPAL FINDINGS: A cross-sectional malaria field survey was conducted in 3 highly endemic malaria districts (Xaysetha, Sanamxay, Phouvong) in Attapeu province, Lao PDR in 2015, to investigate the precise malaria endemicity in the area; 719 volunteers from these villages participated in the survey. Microscopy, RDTs and a real-time nested PCR were used to detect Plasmodium infections and their results were compared. A questionnaire survey of all participants was also conducted to estimate risk factors of Plasmodium infection. Numbers of infections detected by the three methods were microscopy: P. falciparum (n = 1), P. vivax (n = 2); RDTs: P. falciparum (n = 2), P. vivax (n = 3); PCR: Plasmodium (n = 47; P. falciparum [n = 4], P. vivax [n = 41], mixed infection [n = 2]; 6.5%, 47/719). Using PCR as a reference, the sensitivity and specificity of microscopy were 33.3% and 100.0%, respectively, for detecting P. falciparum infection, and 7.0% and 100.0%, for detecting P. vivax infection. Among the 47 participants with parasitemia, only one had a fever (≥37.5°C) and 31 (66.0%) were adult males. Risk factors of Plasmodium infection were males and soldiers, whereas a risk factor of asymptomatic Plasmodium infection was a history of ≥3 malaria episodes. CONCLUSIONS/SIGNIFICANCE: There were many asymptomatic Plasmodium carriers in the study areas of Attapeu province in 2015. Adult males, probably soldiers, were at high risk for malaria infection. P. vivax, the dominant species, accounted for 87.2% of the Plasmodium infections among the participants. To achieve malaria elimination in the Lao PDR, highly sensitive diagnostic tests, including PCR-based diagnostic methods should be used, and plans targeting high-risk populations and elimination of P. vivax should be designed and implemented.
[Mh] Termos MeSH primário: Malária Falciparum/epidemiologia
Malária Vivax/epidemiologia
Plasmodium falciparum/isolamento & purificação
Plasmodium vivax/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Infecções Assintomáticas
Criança
Pré-Escolar
Coinfecção
Feminino
Seres Humanos
Lactente
Laos/epidemiologia
Malária Falciparum/diagnóstico
Malária Falciparum/parasitologia
Malária Vivax/diagnóstico
Malária Vivax/parasitologia
Masculino
Meia-Idade
Plasmodium falciparum/genética
Plasmodium vivax/genética
Reação em Cadeia da Polimerase
Prevalência
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0006148


  2 / 1582 MEDLINE  
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[PMID]:29232564
[Au] Autor:Schmidt S; Bounnack S; Hoehn T
[Ad] Endereço:Department of Neonatology and Pediatric Intensive Care, Children's University Hospital, Heinrich-Heine University Duesseldorf, Moorenstraße 5, 40225 Duesseldorf, Germany. Electronic address: simone@email-schmidt.de.
[Ti] Título:Neonatal mortality and morbidity in the post-implementation period of a neonatal teaching program in provincial hospitals in Laos.
[So] Source:Public Health;154:123-129, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Aim of this study was to analyze neonatal mortality and morbidity in the post-implementation period of a neonatal teaching program to examine a possible impact on neonatal outcomes. STUDY DESIGN: This study is a retrospective data analysis of all neonatal patients treated in five provincial hospitals in Laos after implementation of a neonatal teaching program. METHODS: A simulation-based teaching program aims to have positive impact on the theoretical and practical skill of hospital staff in the field of newborn care. A comparison between pre-implementation and post-implementation data of newborns admitted to provincial hospitals in Laos was used to quantify the effect of repetitive teaching on neonatal outcomes. RESULTS: Neonatal mortality and morbidity as well as case fatality rates of infections and asphyxia decreased in the post-implementation period. In contrast, neonatal mortality rate as well as case fatality rate of prematurity increased. The total neonatal mortality rate increased in the post-implementation period. CONCLUSIONS: The pre-implementation and post-implementation data enable longitudinal comparisons between hospitals and highlight the differences between hospitals concerning neonatal mortality and morbidity in provincial hospitals in Laos. These data can serve as a basis for an individual adaption of the teaching program to the unique requirements of each single hospital.
[Mh] Termos MeSH primário: Mortalidade Hospitalar/tendências
Mortalidade Infantil/tendências
Corpo Clínico Hospitalar/educação
Morbidade/tendências
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Recém-Nascido
Laos/epidemiologia
Masculino
Avaliação de Programas e Projetos de Saúde
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


  3 / 1582 MEDLINE  
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[PMID]:29284012
[Au] Autor:Somlor S; Vongpayloth K; Diancourt L; Buchy P; Duong V; Phonekeo D; Ketmayoon P; Vongphrachanh P; Brey PT; Caro V; Buisson Y; Grandadam M
[Ad] Endereço:Institut de la Francophonie pour la Médecine Tropicale, Vientiane, Lao PDR.
[Ti] Título:Chikungunya virus emergence in the Lao PDR, 2012-2013.
[So] Source:PLoS One;12(12):e0189879, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In May 2012, the first authenticated cases of active chikungunya virus infection were detected in Champasak Province, Southern Laos. Analysis of series of human samples and mosquito specimens collected during the outbreak and over the year that followed the emergence enabled the drawing up of a map of the progression of CHIKV and the establishment of a full genetic characterization of the virus.
[Mh] Termos MeSH primário: Aedes/virologia
Febre de Chikungunya/epidemiologia
[Mh] Termos MeSH secundário: Animais
Biomarcadores/sangue
Febre de Chikungunya/sangue
Febre de Chikungunya/patologia
Vírus Chikungunya/genética
Vírus Chikungunya/isolamento & purificação
Surtos de Doenças
Seres Humanos
Laos/epidemiologia
Mosquitos Vetores
Filogenia
Estudos Soroepidemiológicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Biomarkers)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171229
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189879


  4 / 1582 MEDLINE  
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[PMID]:28820901
[Au] Autor:Gray TNE; Phommachak A; Vannachomchan K; Guegan F
[Ad] Endereço:WWF Greater Mekong, 21, Boeun Keng Kang 1, Phnom Penh, Cambodia.
[Ti] Título:Using local ecological knowledge to monitor threatened Mekong megafauna in Lao PDR.
[So] Source:PLoS One;12(8):e0183247, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pressures on freshwater biodiversity in Southeast Asia are accelerating yet the status and conservation needs of many of the region's threatened fish species are unclear. This impacts the ability to implement conservation activities and to understand the effects of infrastructure developments and other hydrological changes. We used Local Ecological Knowledge from fishing communities on the Mekong River in the Siphandone waterscape, Lao PDR to estimate mean and mode last capture dates of eight rare or culturally significant fish species in order to provide conservation monitoring baselines. One hundred and twenty fishermen, from six villages, were interviewed. All eight species had been captured, by at least one of the interviewees, within the waterscape within the past year. However the mean and mode last capture dates varied between the species. Larger species, and those with higher Red List threat status, were caught less recently than smaller species of less conservation concern. The status of the Critically Endangered Pangasius sanitwongsei (mean last capture date 116.4 months) is particularly worrying suggesting severe population decline although cultural issues may have caused this species to have been under-reported. This highlights that studies making use of Local Ecological Knowledge need to understand the cultural background and context from which data is collected. Nevertheless we recommend our approach, of stratified random interviews to establish mean last capture dates, may be an effective methodology for monitoring freshwater fish species of conservation concern within artisanal fisheries. If fishing effort remains relatively constant, or if changes in fishing effort are accounted for, differences over time in mean last capture dates are likely to represent changes in the status of species. We plan to repeat our interview surveys within the waterscape as part of a long-term fish-monitoring program.
[Mh] Termos MeSH primário: Ecologia
Monitoramento Ambiental/métodos
[Mh] Termos MeSH secundário: Animais
Biodiversidade
Feminino
Peixes
Seres Humanos
Laos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183247


  5 / 1582 MEDLINE  
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[PMID]:28722590
[Au] Autor:Gray AZ; Soukaloun D; Soumphonphakdy B
[Ad] Endereço:Royal Children's Hospital, Melbourne, Australia.
[Ti] Título:A Qualitative Study of Provider Perceptions of Influences on Uptake of Pediatric Hospital Guidelines in Lao PDR.
[So] Source:Am J Trop Med Hyg;97(2):602-610, 2017 Aug.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Strategies to improve the quality of hospital care are needed if ongoing gains in child health and survival are to be made. We previously reported on improvements in the quality of case management in hospitals following a guideline-based intervention in Lao PDR, with variation in the degree of change achieved between clinical conditions. This study aims to understand the factors that influenced the uptake of the guideline-based intervention, and its impact on care. This qualitative study was embedded in a mixed-methods evaluation of guideline implementation in nine hospitals in Lao PDR. Focus groups and individual interviews were conducted with 70 health staff from central, provincial, and district hospitals. The interview guide was based on the Theoretical Domains Framework. Inductive content analysis was performed on interview transcripts to identify themes, supported by field notes from the intervention. Findings were triangulated against previously reported quantitative outcomes using driver diagrams. Key influences on guidelines uptake related to the guideline and intervention (filling a void, physical accessibility, comprehensibility, training in guideline use), health staff (behavior regulation, trust in guidelines, and beliefs about consequences), and the environment (social influences particularly consensus and incorporation into clinical norms). The major barrier was family preference for treatments in conflict with guideline recommendations. This study identifies contextual factors that explain, as well as validate previously identified improvements in care following guideline implementation in Lao PDR. It provides novel understanding of why the same intervention may have a differential impact on different clinical conditions.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Pessoal de Saúde/psicologia
Hospitais Pediátricos/normas
Hospitais Pediátricos/utilização
Melhoria de Qualidade/normas
Qualidade da Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Laos
Masculino
Meia-Idade
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-1005


  6 / 1582 MEDLINE  
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[PMID]:28722566
[Au] Autor:Yeap AD; Woods K; Dance DAB; Pichon B; Rattanavong S; Davong V; Phetsouvanh R; Newton PN; Shetty N; Kearns AM
[Ad] Endereço:Antimicrobial Resistance and Healthcare Associated Infections Reference Unit, National Infection Service, Public Health England, London, United Kingdom.
[Ti] Título:Molecular Epidemiology of Skin and Soft Tissue Infections in the Lao People's Democratic Republic.
[So] Source:Am J Trop Med Hyg;97(2):423-428, 2017 Aug.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is the first report of the molecular epidemiology of from skin and soft tissue infections (SSTI) in Laos. We selected a random sample of 96 SSTI isolates received by the Microbiology Laboratory, Mahosot Hospital, Vientiane, between July 2012 and June 2014, including representation from seven referral hospitals. Isolates underwent susceptibility testing by Clinical and Laboratory Standards Institute methods, typing and DNA microarray analysis, with whole genome sequencing for rare lineages. Median patient age was 19.5 years (interquartile range 2-48.5 years); 52% (50) were female. Forty-three types, representing 17 lineages, were identified. Fifty-eight percent (56) of all isolates encoded Panton-Valentine leukocidin (PVL), representing six lineages: half of these patients had abscesses and three had positive blood cultures. The dominant lineage was CC121 (39; 41%); all but one isolate encoded PVL and 49% (19) were from children under five. was identified in six (6%) patients; mostly adults > 50 years and with diabetes. Six isolates (6%) belonged to rare lineage ST2885; two possibly indicate cross-infection in a neonatal unit. One isolate from a previously undescribed lineage, ST1541, was identified. Antibiotic resistance was uncommon except for penicillin (93; 97%) and tetracycline (48; 50%). Seven (7%) isolates were methicillin-resistant (MRSA), belonging to ST239-MRSA-III, CC59-MRSA-V(T) Taiwan Clone, ST2250-MRSA-IV, ST2885-MRSA-V and CC398-MRSA-V. Globally widespread CC5 and CC30 were absent. There are parallels in molecular epidemiology between Laos and neighboring countries and these data highlight the prominence of PVL and suggest infiltration of MRSA clones of epidemic potential from surrounding countries.
[Mh] Termos MeSH primário: Dermatopatias Bacterianas/epidemiologia
Infecções dos Tecidos Moles/epidemiologia
Infecções Estafilocócicas/epidemiologia
Staphylococcus aureus/genética
Staphylococcus aureus/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Feminino
Variação Genética
Seres Humanos
Laos/epidemiologia
Masculino
Meia-Idade
Filogenia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0746


  7 / 1582 MEDLINE  
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[PMID]:28644895
[Au] Autor:Zhu H
[Ad] Endereço:Center for Integrative Conservation, Xishuangbanna Tropical Botanical Garden, Chinese Academy of Sciences, Kunming, Yunnan, P. R. China.
[Ti] Título:Floristic characteristics and affinities in Lao PDR, with a reference to the biogeography of the Indochina peninsula.
[So] Source:PLoS One;12(6):e0179966, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The flora of Laos is composed of 5,005 species in 1,373 genera and 188 families of seed plants. Floristic and geographical attributes of the flora were analyzed. Tropical floristic elements at the family and generic levels contributed a majority (62.23% of the families and 82.30% of the genera) of the flora, of which the dominant geographical elements were pantropical distribution (42.02% of families) and tropical Asian distribution (30.08% of genera). This revealed that the flora of Lao PDR is tropical in nature and has a conspicuously tropical Asian affinity. Compared with the neighbouring countries of the Indochina peninsula, the flora of Laos has similar floristic composition and geographical elements. The floras of these Indochinese countries have similarities of more than 77.84% at the generic level, which suggests that they compose an affiliated biogeographical region. However, the flora of Laos showed the highest similarity to the flora of Vietnam (92.13%), followed by Myanmar (86.01%) at the generic level, but has less East Asian and North Temperate elements than Vietnam, and less North Temperate elements than Myanmar. These differences among the compared countries could be explained by the extrusion of the Indochinese block with the uplift of the Himalayas.
[Mh] Termos MeSH primário: Geografia
Plantas
[Mh] Termos MeSH secundário: Biodiversidade
Laos
Mianmar
Sementes
Vietnã
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179966


  8 / 1582 MEDLINE  
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[PMID]:28610387
[Au] Autor:Kodada J; Sangpradub N; Somnark R; Grula D; Ziak D; Freitag H
[Ad] Endereço:Department of Zoology, Faculty of Natural Sciences, Comenius University in Bratislava, Ilkovicova 6, SK-842 15 Bratislava, Slovakia.. kodada@fns.uniba.sk.
[Ti] Título:Vietelmis jablonskii, a new species of riffle beetle from Laos and Thailand and new faunistic records on Vietelmis Delève, 1968 from Malaysia (Coleoptera: Elmidae).
[So] Source:Zootaxa;4268(1):131-140, 2017 05 15.
[Is] ISSN:1175-5334
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:A new species of riffle beetle, Vietelmis jablonskii, from Laos and Thailand is described and illustrated. Differences to other Vietelmis species are discussed and an identification key for the Vietelmis is presented. New faunistic records are provided for V. kovaci Kodada & Ciampor, 2000; the genus Vietelmis is newly recorded for Thailand.
[Mh] Termos MeSH primário: Coleópteros
[Mh] Termos MeSH secundário: Animais
Laos
Malásia
Tailândia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.11646/zootaxa.4268.1.8


  9 / 1582 MEDLINE  
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[PMID]:28610376
[Au] Autor:Park KT; Bae YS
[Ad] Endereço:The Korean Academy of Science and Technology, Seongnam, Gyeonggi Prov., 463-808, Korea.. user@example.com.
[Ti] Título:Descriptions of two new species of Torodorinae (Lepidoptera, Lecithoceridae), with three new records of Torodora Meyrick from Laos.
[So] Source:Zootaxa;4268(2):285-290, 2017 05 16.
[Is] ISSN:1175-5334
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:Two new species of Torodorinae: Caveana plenalinea Park, sp. nov. and Antiochtha hemitatos Park, sp. nov., are described from Laos. At the same time, three species of the genus Torodora are reported for the first time from Laos.
[Mh] Termos MeSH primário: Mariposas
[Mh] Termos MeSH secundário: Animais
Laos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.11646/zootaxa.4268.2.7


  10 / 1582 MEDLINE  
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[PMID]:28610346
[Au] Autor:Qi MJ; Han HL
[Ad] Endereço:College of Life Sciences, Nankai University, Tianjin, CH-300071 China.. qimujie@163.com.
[Ti] Título:A description of three new species of the genus Alienia Fibiger, 2011 from Southeast Asia (Lepidoptera, Erebidae, Hypenodinae: Micronoctuini).
[So] Source:Zootaxa;4269(1):141-145, 2017 05 19.
[Is] ISSN:1175-5334
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:The genus Alienia Fibiger, 2011 of the tribe Micronoctuini of Hypenodinae is revised. Two new species: Alienia fibigeri sp.n. and Alienia cambodiaa sp.n. are described from Cambodia; a new species, Alienia laosa sp.n. from Laos described. A key for identification of Alienia based on male genitalia is present. The adult and genitalia of the new species are illustrated.
[Mh] Termos MeSH primário: Mariposas
[Mh] Termos MeSH secundário: Distribuição Animal
Animais
Camboja
Laos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.11646/zootaxa.4269.1.9



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