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Chromosome studies in the aquatic monocots of Myanmar: A brief review with additional records.

ABSTRACT: Myanmar (Burma) constitutes a significant component of the Indo-Myanmar biodiversity hotspot, with elements of the Indian, the Indochina, and the Sino-Japanese floristic regions, yet thus far only a few reliable sources of the country's flora have been available. As a part of a contribution for the floristic inventory of Myanmar, since it is important in a floristic survey to obtain as much information as possible, in addition to previous two reports, here we present three more chromosome counts in the aquatic monocots of Myanmar: Limnocharisflava with 2n = 20, Sagittariatrifolia with 2n = 22 (Alismataceae), and Potamogetondistinctus × Potamogetonnodosus with 2n = 52 (Potamogetonaceae); the third one is new to science. A brief review of cytological researches in the floristic regions' 45 non-hybrid aquatic monocots plus well investigated two inter-specific hybrids that are recorded in Myanmar is given, indicating that the further works with a focus on species in Myanmar that has infra-specific chromosome variation in the floristic regions will address the precise evolutionary history of the aquatic flora of Myanmar.

SUBMITTER: Ito Y

PROVIDER: S-EPMC4040401 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Chromosome studies in the aquatic monocots of Myanmar: A brief review with additional records.

Ito Yu Y Tanaka Nobuyuki N

Biodiversity data journal 20140513 2

Myanmar (Burma) constitutes a significant component of the Indo-Myanmar biodiversity hotspot, with elements of the Indian, the Indochina, and the Sino-Japanese floristic regions, yet thus far only a few reliable sources of the country's flora have been available. As a part of a contribution for the floristic inventory of Myanmar, since it is important in a floristic survey to obtain as much information as possible, in addition to previous two reports, here we present three more chromosome counts ...[more]

PMID: 24891826

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Project description:BACKGROUND:Indirect neonatal hyperbilirubinemia (INH) is a common neonatal disorder worldwide which can remain benign if prompt management is available. However there is a higher morbidity and mortality risk in settings with limited access to diagnosis and care. The manuscript describes the characteristics of neonates with INH, the burden of severe INH and identifies factors associated with severity in a resource-constrained setting. METHODS:We conducted a retrospective evaluation of anonymized records of neonates hospitalized on the Thai-Myanmar border. INH was defined according to the National Institute for Health and Care Excellence guidelines as 'moderate' if at least one serum bilirubin (SBR) value exceeded the phototherapy threshold and as 'severe' if above the exchange transfusion threshold. RESULTS:Out of 2980 records reviewed, 1580 (53%) had INH within the first 14 days of life. INH was moderate in 87% (1368/1580) and severe in 13% (212/1580). From 2009 to 2011, the proportion of severe INH decreased from 37 to 15% and the mortality dropped from 10% (8/82) to 2% (7/449) coinciding with the implementation of standardized guidelines and light-emitting diode (LED) phototherapy. Severe INH was associated with: prematurity (< 32 weeks, Adjusted Odds Ratio (AOR) 3.3; 95% CI 1.6-6.6 and 32 to 37 weeks, AOR 2.2; 95% CI 1.6-3.1), Glucose-6-phosphate dehydrogenase deficiency (G6PD) (AOR 2.3; 95% CI 1.6-3.3), potential ABO incompatibility (AOR 1.5; 95% CI 1.0-2.2) and late presentation (AOR 1.8; 95% CI 1.3-2.6). The risk of developing severe INH and INH-related mortality significantly increased with each additional risk factor. CONCLUSION:INH is an important cause of neonatal hospitalization on the Thai-Myanmar border. Risk factors for severity were similar to previous reports from Asia. Implementing standardized guidelines and appropriate treatment was successful in reducing mortality and severity. Accessing to basic neonatal care including SBR testing, LED phototherapy and G6PD screening can contribute to improve neonatal outcomes.

Project description:Mothers, caregivers, and healthcare providers in 163 countries have used paper and electronic home-based records (HBRs) to facilitate primary care visit. These standardized records have the potential to empower women, improve the quality of care for mothers and children and reduce health inequities. This review examines experiences of women, caregivers and providers with home-based records for maternal and child health and seeks to explore the feasibility, acceptability, affordability and equity of these interventions. We systematically searched MEDLINE, MEDLINE In-Process, MEDLINE Ahead of Print, Embase, CINAHL, ERIC, and PsycINFO for articles that were published between January 1992 and December 2017. We used the CASP checklist to assess study quality, a framework analysis to support synthesis, and GRADE-CERQual to assess the confidence in the key findings. Of 7,904 citations, 19 studies met our inclusion criteria. In these studies, mothers, caregivers and children shared HBR experiences in relation to maternal and child health which facilitated the monitoring of immunisations and child growth and development. Participants' reports of HBRs acting as a point of commonality between patient and provider offer an explanation for their perceptions of improved communication and patient-centered care, and enhanced engagement and empowerment during pregnancy and childcare. Healthcare providers and nurses reported that the home-based record increased their feeling of connection with their patients. Although there were concerns around electronic records and confidentiality, there were no specific concerns reported for paper records. Mothers and other caregivers see home based records as having a pivotal role in facilitating primary care visits and enhancing healthcare for their families. The records' potential could be limited by users concerns over confidentiality of electronic home-based records, or shortcomings in their design. Health systems should seize the opportunity HBRs provide in empowering women, especially in the contexts of lower literacy levels and weak health care delivery systems.

Dataset Information

Chromosome studies in the aquatic monocots of Myanmar: A brief review with additional records.

Publications

Chromosome studies in the aquatic monocots of Myanmar: A brief review with additional records.

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