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  1. Article ; Online: Consumption of foods containing prohibited artificial colors among middle-school children in Nay Pyi Taw union territory, Myanmar.

    Oo, Nwe / Saw, Yu Mon / Aye, Hnin Nwe Ni / Aung, Zaw Zaw / Kyaw, Hnin Nandar / Tun, Ae Mon / Kariya, Tetsuyoshi / Yamamoto, Eiko / Hamajima, Nobuyuki

    BMC public health

    2019  Volume 19, Issue 1, Page(s) 344

    Abstract: Background: Food safety control in Myanmar is regulated by the Department of Food and Drug Administration (FDA). FDA conducts food safety education programs in schools and regular market surveys of foods containing prohibited artificial colors. However, ...

    Abstract Background: Food safety control in Myanmar is regulated by the Department of Food and Drug Administration (FDA). FDA conducts food safety education programs in schools and regular market surveys of foods containing prohibited artificial colors. However, the consumption of foods containing FDA-prohibited artificial colors among school children is understudied. This study aimed to assess the consumption of foods containing FDA-prohibited artificial colors among middle-school children in Nay Pyi Taw Union Territory, Myanmar.
    Methods: A cross-sectional study was conducted at eight public schools in Nay Pyi Taw Union Territory in 2017. The schools were selected using simple random sampling with a drawing method. In total, 776 students (359 boys and 417 girls) participated in face-to-face interviews using a structured questionnaire and photos of foods containing artificial color published by FDA. A multiple logistic regression was performed to estimate adjusted odds ratio (AOR) for consumption of such foods.
    Results: In total, 519 (66.9%) children consumed foods with the FDA-prohibited colors. It was revealed that students at suburban schools were nearly five times more likely to consume foods containing FDA-prohibited artificial colors (AOR = 4.84; 95% confidence interval (CI) 2.99-7.82) compared to those at urban schools. In addition, being in the seventh grade (AOR = 3.38; 95% CI 2.30-4.98), availability of prohibited food in school canteen (AOR = 6.16; 95% CI 2.67-14.22), and having a less educated father (AOR = 1.76; 95% CI 1.06-2.92) were positively associated with consumption of the foods with the prohibited colors.
    Conclusion: More than half of the students consumed foods with the prohibited colors. Consumption was more frequent among students from suburban schools, those with unsafe foods accessible at their school canteen, seventh graders, and students with a less educated father. The findings highlighted that school food safety programs, which focus on preventing consumption of foods containing FDA-prohibited artificial colors, are urgently required. Food safety regulation is also required to ban the sale of unsafe food, especially in school canteens.
    MeSH term(s) Adolescent ; Child ; Cross-Sectional Studies ; Female ; Food/statistics & numerical data ; Food Coloring Agents/administration & dosage ; Food Safety ; Food Services ; Humans ; Legislation, Food ; Male ; Myanmar ; Risk Factors ; Schools/statistics & numerical data ; Surveys and Questionnaires
    Chemical Substances Food Coloring Agents
    Language English
    Publishing date 2019-03-27
    Publishing country England
    Document type Journal Article
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-019-6669-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Assessing the operational costs of routine immunization activities at the sub-center level in Myanmar: What matters for increasing national immunization coverage?

    Aye, Hnin Nwe Ni / Aung, Zaw Zaw / Hamajima, Nobuyuki / Kariya, Tetsuyoshi / Oo, Nwe / Saw, Yu Mon / Than, Thet Mon / Thar, Aye Mya Chan / Tin, Htun / Yamamoto, Eiko

    Vaccine. 2018 Nov. 26, v. 36, no. 49

    2018  

    Abstract: Myanmar’s national immunization program was launched in 1978. Routine immunization is mainly provided at sub-center level with midwives assigned as main vaccinators. The vaccinators at the sub-centers have to obtain vaccines from their designated ... ...

    Abstract Myanmar’s national immunization program was launched in 1978. Routine immunization is mainly provided at sub-center level with midwives assigned as main vaccinators. The vaccinators at the sub-centers have to obtain vaccines from their designated township health department’s cold room for immunization services. This study aimed to calculate the operational costs of routine immunization at sub-centers in Myanmar.A cross-sectional study was conducted among 160 sub-centers throughout the country. Face-to-face interviews were conducted with the main vaccinator at each sub-center using a pre-tested questionnaire. The study analyzed the operational costs per facility and the associations between sub-center characteristics and operational costs.In Myanmar, the average operational costs of routine immunization per sub-center ranged from 434,700–990,125 MMK for rural areas and 235,875–674,250 MMK for urban areas. The operational costs increased by 8,749.50 MMK (95% CI: 6,805.79–10,693.21; p < 0.001) per mile and 5,752.50 MMK (95% CI: 914.22–10,590.79; p < 0.05) per working day.This study indicated that the operational costs at sub-centers were high and varied significantly among the different geographical areas. The operational costs could be reduced by additional support for the resources, for example, installing cold chain facilities at sub-centers and opening new sub-centers throughout the country.
    Keywords cold ; cross-sectional studies ; immunization ; interviews ; midwives ; operating costs ; questionnaires ; rural areas ; urban areas ; vaccines ; Myanmar
    Language English
    Dates of publication 2018-1126
    Size p. 7542-7548.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2018.10.051
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Myanmar language version of the Revised Hasegawa's Dementia Scale.

    Saw, Yu Mon / Than, Thet Mon / Win, Ei Mon / Cho, Su Myat / Khaing, Moe / Latt, Nyi Nyi / Aung, Zaw Zaw / Oo, Nwe / Aye, Hnin Nwe Ni / Kariya, Tetsuyoshi / Yamamoto, Eiko / Hamajima, Nobuyuki

    Nagoya journal of medical science

    2018  Volume 80, Issue 4, Page(s) 435–450

    Abstract: Reduced cognitive function among the elderly is an important issue not only in developed countries, but also in developing countries. As a test to measure cognitive function, the Revised Hasegawa's Dementia Scale (HDS-R) has been used in Asian countries ... ...

    Abstract Reduced cognitive function among the elderly is an important issue not only in developed countries, but also in developing countries. As a test to measure cognitive function, the Revised Hasegawa's Dementia Scale (HDS-R) has been used in Asian countries including Japan, Korea, and China. Since there was no HDS-R version in Myanmar language, a questionnaire and manual for the HDS-R were developed. The translation from English to Myanmar language was done by two Myanmar researchers. Back-translation was conducted to confirm the accuracy of the translation by two other Myanmar researchers. Back-translated English was compared to the original by two Japanese researchers, and inconsistencies were discussed by all six researchers to reach consensus. Five Myanmar researchers independently read the questionnaire and manual to verify the expressions are familiar in Myanmar language. The modified points were as follows. 1) The date order in Question 2 is day/month/year. 2) The words to be memorized in Questions 4 and 7 are padauk tree, cat, and bullock cart for the first set, and tamarind tree, dog, and car for the second set. 3) The objects to be memorized in Question 8 are shown with pictures, not actual objects. 4) Like the Lao version, we introduced two new rules; a clear time definition for no reply (10 seconds), and repeating questions twice for those with hearing problems. The revised version of the HDS-R has been prepared to be an applicable standard questionnaire for use on assessment of cognitive function in suspected dementia cases in Myanmar, both in the clinical and public healthcare setting.
    MeSH term(s) Asia ; Dementia/diagnosis ; Humans ; Language ; Myanmar ; Surveys and Questionnaires
    Language English
    Publishing date 2018-12-26
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 193148-9
    ISSN 2186-3326 ; 0027-7622
    ISSN (online) 2186-3326
    ISSN 0027-7622
    DOI 10.18999/nagjms.80.4.435
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Survival rate and mortality risk factors among TB-HIV co-infected patients at an HIV-specialist hospital in Myanmar: A 12-year retrospective follow-up study.

    Aung, Zaw Zaw / Saw, Yu Mon / Saw, Thu Nandar / Oo, Nwe / Aye, Hnin Nwe Ni / Aung, Sithu / Oo, Htun Nyunt / Cho, Su Myat / Khaing, Moe / Kariya, Tetsuyoshi / Yamamoto, Eiko / Hamajima, Nobuyuki

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2018  Volume 80, Page(s) 10–15

    Abstract: Background: Myanmar is listed as one of the countries with the highest burden of tuberculosis and HIV infections (TB-HIV) in the world. However, the survival rate and risk factors for mortality among TB-HIV co-infected patients in the country remain ... ...

    Abstract Background: Myanmar is listed as one of the countries with the highest burden of tuberculosis and HIV infections (TB-HIV) in the world. However, the survival rate and risk factors for mortality among TB-HIV co-infected patients in the country remain unstudied. Therefore, the purpose of this study was to examine these factors.
    Methods: A 12-year retrospective follow-up study was conducted among 3598 TB-HIV co-infected patients (2452 male and 1146 female) aged 15 years and above, enrolled on antiretroviral therapy (ART) from July 1, 2005 to December 31, 2016. Hazard ratios (HR) were estimated using the Cox proportional hazards model. Survival rates at the beginning of ART were calculated using the Kaplan-Meier method.
    Results: A total of 494 (13.7%) patients died during this period. The survival rate of TB-HIV co-infected patients was 82.0% at 5 years and 58.1% at 10 years. The risk factors for mortality were being bedridden (adjusted hazard ratio (aHR) 2.70, 95% confidence interval (CI) 2.13-3.42), having a low baseline CD4 count (aHR 1.53, 95% CI 1.25-1.87), and being on a second-line ART regimen (aHR 8.12, 95% CI 3.56-18.54).
    Conclusions: Two out of five TB-HIV patients died within 10 years after ART initiation. Current HIV prevention and treatment programs should focus more on bedridden patients, those on second-line ART, and those with low baseline CD4 counts.
    MeSH term(s) Adolescent ; Adult ; Coinfection/mortality ; Female ; Follow-Up Studies ; HIV Infections/mortality ; Humans ; Male ; Middle Aged ; Myanmar/epidemiology ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Survival Rate ; Tuberculosis/mortality ; Young Adult
    Language English
    Publishing date 2018-12-17
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2018.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Assessing the operational costs of routine immunization activities at the sub-center level in Myanmar: What matters for increasing national immunization coverage?

    Aye, Hnin Nwe Ni / Saw, Yu Mon / Thar, Aye Mya Chan / Oo, Nwe / Aung, Zaw Zaw / Tin, Htun / Than, Thet Mon / Kariya, Tetsuyoshi / Yamamoto, Eiko / Hamajima, Nobuyuki

    Vaccine

    2018  Volume 36, Issue 49, Page(s) 7542–7548

    Abstract: Background: Myanmar's national immunization program was launched in 1978. Routine immunization is mainly provided at sub-center level with midwives assigned as main vaccinators. The vaccinators at the sub-centers have to obtain vaccines from their ... ...

    Abstract Background: Myanmar's national immunization program was launched in 1978. Routine immunization is mainly provided at sub-center level with midwives assigned as main vaccinators. The vaccinators at the sub-centers have to obtain vaccines from their designated township health department's cold room for immunization services. This study aimed to calculate the operational costs of routine immunization at sub-centers in Myanmar.
    Methods: A cross-sectional study was conducted among 160 sub-centers throughout the country. Face-to-face interviews were conducted with the main vaccinator at each sub-center using a pre-tested questionnaire. The study analyzed the operational costs per facility and the associations between sub-center characteristics and operational costs.
    Results: In Myanmar, the average operational costs of routine immunization per sub-center ranged from 434,700-990,125 MMK for rural areas and 235,875-674,250 MMK for urban areas. The operational costs increased by 8,749.50 MMK (95% CI: 6,805.79-10,693.21; p < 0.001) per mile and 5,752.50 MMK (95% CI: 914.22-10,590.79; p < 0.05) per working day.
    Conclusion: This study indicated that the operational costs at sub-centers were high and varied significantly among the different geographical areas. The operational costs could be reduced by additional support for the resources, for example, installing cold chain facilities at sub-centers and opening new sub-centers throughout the country.
    MeSH term(s) Cross-Sectional Studies ; Geography/economics ; Health Care Costs ; Health Facilities ; Immunization Programs/economics ; Myanmar ; Refrigeration ; Surveys and Questionnaires ; Vaccination Coverage/economics ; Vaccines/administration & dosage ; Vaccines/economics
    Chemical Substances Vaccines
    Language English
    Publishing date 2018-10-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2018.10.051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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