92 research outputs found
Featured Collectives: Myanmar Street Photographers Debut - Invisible Photographer Asia
aung-pyae-soe_sagaing_mandalay_myanmar_2015_02 Myanmar’s first organised group of Street Photographers will debut their exhibition and photobook titled ‘Featured Collectives’ at Myanmar Deitta in the country’s capital Yangon on 17th September 2016. Featured photographers include: Aung Khant, Aung Zaw Myo, Chan Nyein Aung, Chit Min Maung, Hein Htet, Lamin Oo, Min Zayar, Moe Myint San, Myat Thu, Naing Lin Soe, Nyein Su Wai Kyaw Soe, Phyo Hein Kyaw, Phyo Thiha, Sai Aung Main, Thant Zaw, Thet Hto..
Measuring Catastrophic Costs Due to Tuberculosis in Myanmar
Background: This is the first survey to use the World Health Organization (WHO) methodology to document the magnitude and main drivers of tuberculosis (TB) patient costs in order to guide policies on cost mitigation and to produce a baseline measure for the percentage of TB-affected households experiencing catastrophic costs in Myanmar. Methods: A nationally representative cross-sectional survey was administered to 1000 TB patients in health facilities from December 2015 to February 2016, focusing on costs of TB treatment (direct and indirect), household income, and coping strategies. A total cost was estimated for each household by extrapolating reported costs and comparing them to household income. If the proportion of total costs exceeded 20% of the annual household income, a TB-affected household was deemed to have faced catastrophic costs. Results: 60% of TB-affected households faced catastrophic costs in Myanmar. On average, total costs were USD 759, and the largest proportion of this total was accounted for by patient time (USD 365), followed by food costs (USD 200), and medical expenses (USD 130). Low household wealth quintile and undergoing MDR-TB treatment were both significant predictors for households facing catastrophic costs. Conclusions: The high proportion of TB-affected households experiencing catastrophic costs suggests the need for TB-specific social protection programs in patient-centered healthcare. The survey findings have led the government and donors to increase support for MDR-TB patients. The significant proportion of total spending attributable to lost income and food or nutritional supplements suggests that income replacement programs and/or food packages may ameliorate the burdensome costs
Effect of Attack angle on Aerodynamics Analysis of Different Wind Turbine Wings using Numerical Simulation
In this research, the performance of two airfoils are compared by using Numerical analysis. There are so many dedicated airfoils to be used in various kinds of wind turbine blades. The lift coefficient and drag coefficient are the key parameters to determine the airfoil performance. The right choice of airfoil gives good performance in wind turbine blade design based on the available wind velocity, Reynold number, blade material. The author wants to compare the performance of 3D model two airfoils (SG 6043 and NACA 4412) for low Reynold number; less than 500,000 [1]. The numerical simulation is carried out by using Ansys-Fluent software. The lift and drag coefficients are compared based on different angle of attack 0º, 5º, 10º at wind velocity 10m/s, rated wind velocity for intended regions. The design chord length is 0.5m and width of the wing is 0.25m. The numerical results are compared with the results of Profili 2.0c software. By doing this simulation, understand their flow nature and the performance of two airfoil profiles is compared. Therefore, the suitable airfoil will be used in local horizontal axis wind turbine industries.
What Are the Barriers for Uptake of Antiretroviral Therapy in HIV-Infected Tuberculosis Patients? A Mixed-Methods Study from Ayeyawady Region, Myanmar
Antiretroviral therapy (ART) coverage among HIV-infected tuberculosis (HIV-TB) patients has been suboptimal in Myanmar and the reasons are unknown. We aimed to assess the ART uptake among HIV-TB patients in public health facilities of Ayeyawady Region from July 2017–June 2018 and explore the barriers for non-initiation of ART. We conducted an explanatory mixed-methods study with a quantitative component (cohort analysis of secondary programme data) followed by a descriptive qualitative component (thematic analysis of in-depth interviews of 22 providers and five patients). Among 12,447 TB patients, 11,057 (89%) were HIV-tested and 627 (5.7%) were HIV-positive. Of 627 HIV-TB patients, 446 (71%) received ART during TB treatment (86 started on ART prior to TB treatment and rest started after TB treatment). Among the 181 patients not started on ART, 60 (33%) died and 41 (23%) were lost-to-follow-up. Patient-related barriers included geographic and economic constraints, poor awareness, denial of HIV status, and fear of adverse drug effects. The health system barriers included limited human resource, provision of ART on ‘fixed’ days only, weaknesses in counselling, referral and feedback mechanism, and clinicians’ reluctance to start ART early due to concerns about immune reconstitution inflammatory syndrome. We urge the national TB and HIV programs to take immediate actions to improve the ART uptake
Emerg Infect Dis
Multidrug resistance is a major threat to global elimination of tuberculosis (TB). We performed phenotypic drug-susceptibility testing and whole-genome sequencing for 309 isolates from 342 consecutive patients who were given a diagnosis of TB in Yangon, Myanmar, during July 2016\u2012June 2018. We identified isolates by using the GeneXpert platform to evaluate drug-resistance profiles. A total of 191 (62%) of 309 isolates had rifampin resistance; 168 (88%) of these rifampin-resistant isolates were not genomically related, indicating the repeated emergence of resistance in the population, rather than extensive local transmission. We did not detect resistance mutations to new oral drugs, including bedaquiline and pretomanid. The current GeneXpert MTB/RIF system needs to be modified by using the newly launched Xpert MTB/XDR cartridge or line-probe assay. Introducing new oral drugs to replace those currently used in treatment regimens for multidrug-resistant TB will also be useful for treating TB in Myanmar
Chapter 4 Geological and tectonic evolution of the Indo-Myanmar Ranges (IMR) in the Myanmar region
The Indo-Myanmar Ranges (IMR) of Myanmar, also known as the Indo-Burman Ranges (IBR) or the Western Ranges, extend from the East Himalayan Syntaxis (EHS) southwards along the eastern side of the Bay of Bengal to the Andaman Sea, comprising the Naga Hills Tract in the north, the Chin Hills in the middle and the Rakhine (Arakan) Yoma in the south. The IMR is economically important; major discoveries of oil and gas have been made in the Bay of Bengal to the west of the Rakhine Yoma, and there are several occurrences of chromite and nickel deposits (e.g. Webula, Mwetaung in Chin State) and submarine volcanic-hosted massive sulphide deposits (e.g. Laymyetna in Ayerwaddy Region). The IMR occupies a complex tectonic zone as the southeastwards continuation of the Indian–Asian collision belt in Tibet and Assam, and lies north of the active subduction zone of the Sunda–Andaman arc (Figs 4.1 & 4.2). The IMR occurs along the western margin of the Myanmar Microplate, also known as the Burmese Platelet or the West Myanmar Terrane or Block, situated between the Eurasian Plate to the east and the Indian Plate to the west (e.g. Fitch 1972; Curray et al. 1979; Mukhopadhyay & Dasgupta 1988; Pivnik et al. 1998; Bertrand & Rangin 2003; Shi et al. 2009; Baxter et al. 2011; Garzanti et al. 2013; Soibam et al. 2015). The West Myanmar Block has been also described as a forearc sliver, bounded on the west by a subduction zone and a strike-slip margin, on the east by a strike-slip fault (Sagaing Fault), on the south by a spreading centre and on the north by a compressional plate boundary (Curray et al. 1979; Pivnik et al. 1998; Nielsen et al. 2004).Accepted versio
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