Abstract Introduction : Global effort to increase early diagnosis and engagement in HIV care emphasize the importance of developing novel approaches reaching those missed by traditional methods. Such needs are particularly great for men who have sex with (MSM), transgender women (TW), other populations face stigma. Myanmar's epidemic is concentrated among key revised National Strategy aims reduce late barriers curb incidence these groups. self‐testing (HIVST) may be one method improve...

Background: Whether thyroid cancer is more aggressive in radiation-exposed patients not resolved. The frequency of features post-Chernobyl suggests this may be the case. Our aim was to address question by re-examining pattern risk factors for recurrence cancers found a cohort exposed external radiation. Methods: study population drawn from 4296 people, followed since 1974, who were treated before age 16 with conventional radiation benign conditions head and neck between 1939 early 1960s....

Aim To prospectively evaluate the effects of vitamin D 3 on disease activity and quality life in ulcerative colitis (UC) patients with hypovitaminosis D. Methods The study was a prospective double-blinded, randomized trial conducted at Community Regional Medical Center, Fresno, CA from 2012–2013. Patients UC serum 25(OH)D level <30 ng/ml were eligible for study. Enrolled subjects to receive either 2,000 IU or 4,000 oral daily total 90 days. Short IBD Questionnaire (SIBDQ) life, Partial...

In Myanmar, HIV is concentrated among key populations, yet less than half of the estimated 250,000 men who have sex with (MSM) and transgender women (TW) report recent testing. As many as 50% MSM TW may conceal their same-sex preferences behaviors, little known about barriers faced by those are locally regarded 'hidden' – that is, do not disclose and/or identify gay. This study explored specific to accessing testing other prevention services inform appropriate models service delivery....

This study was conducted to evaluate the response of Bali bulls (Bos javanicus) different semen collection methods and their effects on fresh post-thawed quality. The employed were electro-ejaculation (EE), transrectal massage (RM) RM followed by EE (RM + EE). A total 25 untrained (age between 2 4 years old) subjected methods. Fresh samples from all evaluated for volume, pH, general motility, live/dead ratio abnormality using conventional method. For frozen collected 10 bulls,...

Background: Efforts to improve HIV diagnosis and antiretroviral therapy (ART) initiation among people living with reduce onward transmission of rely on innovative interventions along multiple steps the care continuum. These methods are particularly important for key populations, including men who have sex (MSM) transgender women (TW). The epidemic in Myanmar is concentrated national efforts now focus reducing stigma improving engagement MSM TW prevention care. Objective: This study aims test...

Immunotherapy has become a crucial cancer treatment, showing effectiveness in various types of cancer. However, as the use immunotherapy increases, so does occurrence related side effects. The incidence immunotherapy-associated acute kidney injury (AKI) is 2.2%1, making it relatively infrequent complication. On other hand, AKI common presentation medical settings, highlighting importance promptly recognising and managing immunotherapy-related patients receiving this treatment. A 46-year-old...

HIV self-testing (HIVST) shows promise to improve diagnosis among those seeking privacy and anonymity in testing. This may include sexual gender diverse populations, who experience disproportionately high burdens of stigma globally. To inform potential scale-up HIVST Myanmar, we implemented a community-led, mixed-methods randomized trial Yangon. Adult trans-feminine individuals cisgender men have sex with were recruited via respondent-driven sampling. Participants (N = 577) completed...

Abstract Aim To determine whether de‐escalating from advanced insulin therapy (AIT) to the combined use of metformin, an SGLT2 inhibitor, a GLP1 receptor agonist and basal is better option than multiple daily injections (MDI) in obese patients with poorly controlled T2DM. Methods This was 16‐week, prospective, randomized, trial. Twenty‐two T2DM on AIT were randomized intervention (step‐down) or control group. In group, all prandial discontinued, but patient remained which SGLT2i RA added....

There is a growing interest in the potential contribution private sector can make towards increasing access to antiretroviral therapy (ART) low- and middle-income settings. This article describes public-private partnership that was developed expand HIV care capacity Yangon, Myanmar. The between general practitioners (GPs) community-based non-governmental organization (International HIV/AIDS Alliance).Retrospective analysis of 2119 patient records dating from March 2009 April 2015 conducted....

Superovulation has become a common assisted reproductive technology in the field of animal reproduction.In addition, zona-free hamster oocytes have been used heterologous vitro fertilization research to evaluate sperm function.A study was conducted compare eight different superovulation protocols for golden hamsters using two concentrations human Chorionic Gonadotropin (hCG) given at time intervals post-pregnant mare's serum gonadotrophin (PMSG) injection and oocyte harvesting.Fifty-six...

Antithyroid drugs, such as methimazole (MMI), are standard therapies for the medical management of thyrotoxicosis. Agranulocytosis is a rare but lethal adverse effect antithyroid medications. We have reported 2 cases MMI-induced agranulocytosis with similar risk factors that likely predisposed them to this reaction.Case 1 involved 71-year-old woman, history Graves disease, who presented an altered mental status. She was recently discharged on 40 mg MMI twice daily, and she continued dose...

To date, the status of Brahminy Starling Sturnia pagodarum, in Southeast Asia has been unclear. The origins few reported sightings, where commented upon, have often listed as ‘uncertain’ or ‘unknown’ with implication that some, maybe all, are escaped captivity birds. current paper brings together data on distribution, date observation, and number individuals to illustrate a pattern clearly supports view records from Myanmar, Thailand, Malaysia, Singapore should be treated ‘winter vagrants’....

Abstract In the traditional step-up approach, patients with poorly-controlled T2DM are eventually advanced to multiple daily insulin injections (MDI). However, some on therapy (AIT) continue have poor control due compliance MDI and fear of insulin-induced weight gain. The recent guidelines recommend use anti-hyperglycemic agents loss benefits, such as SGLT2i or GLP1 RA, basal before MDI. Objective: To determine if de-escalating from AIT combined metformin, SGLT2i, RA by using stepping-down...

Abstract Introduction: When evaluating pituitary adenomas, one needs to be cognizant of the “hook effect” - an assay artifact leading under-reporting extremely high prolactin levels. We report a case patient with macroprolactinoma initial reported level less than 1.0 ng/dl. Such extreme in prolactinoma has not been yet. Case Presentation: A 53-year-old male medical history type II DM initially presented 2017 blurred vision. Vital signs and labs, including hormone levels, were all within...