Background: Coronavirus Disease 2019 (COVID-19), emerged in China at the end of 2019, became a major threat to health around the world. Breakthrough infection following COVID-19 vaccine has clinical and public health significance. The highest groups at risk of infection during the COVID-19 pandemic is health care workers; the physicians are the frontline workers. This study aimed to assess the prevalence of breakthrough COVID-19 infection and their clinical presentation, co-morbidities and outcome among physicians who were fully vaccinated, working in COVID-19 treatment centers in Myanmar. Methods: A cross-sectional descriptive study was conducted among physicians, at least 14 days after receiving second dose, working at COVID-19 treatment centers in Myanmar, during the third wave from end of May to August 2021. Data were collected by using standardized forms and analysis was done. Results: Among 410 physicians, 98.2% (221/225) received two dose of vaccination: Covaxin 90.0%, Covishield 9.5% and Sputink V 0.5%. They received first dose of vaccine in January/February 2021 and second dose in March/April 2021. In Myanmar, third wave started in end of May; the largest pandemic surge had reached its peak in July, 2021. In the third wave, most of them 72.9% (161/221) did not experience no infection. The prevalence of fully vaccinated break through infection was 27.1% (60/221); the majority 78.3% (47/60) were mild symptomatic infection. Severe infection was seen in 10% of physicians with breakthrough infection who required hospital admission and oxygen therapy. The common presenting symptoms in order of frequency were body aches and pain 62.6%, sneezing 56.6%, headache 53.5%, cough 52.5%, sore throat 45.5%, anosmia 33.3%, runny nose 23.2% and loose motion 27.3%. The uncommon symptoms were dyspnoea 9.1%, vertigo 6.1%, skin rash 5.1%, vomiting 5.1%, petechiae 3.0%, tinnitus 3.0% and silent hypoxia 3.0%, and non-per-os 1%. Most of them did not have any significant comorbidities. One out of six physicians having severe infection had diabetes mellitus and two were obese. The mean duration of hospital stay was 7 days. None of the cases was fatal. Conclusions: In this study, over 98% of physicians were fully vaccinated; majority with Covaxin. One in four physicians had breakthrough infection in third wave; mainly mild form. Nearly half of them had possible delta symptoms; aches and pain, sneezing, runny nose, headache, cough, and sore throat. Awareness of rare but important symptoms like Non-per-Os and vertigo should be highlighted both to public and health care personnel. Ten percent of physicians with breakthrough infection were severe. Mortality rate was zero.

Liquefied Petroleum Gas (LPG) is widely used for cooking fuel in developing countries for economic reasons, for energy-rich fuel source that contains the higher calorific value, for clean fuel with low carbon emission and for a portable that is available in even the faraway of areas. Therefore the proposed gas leakage detection and monitoring system for the gasoline content present in household LPG cylinder is developed. Usually, the capacity of LPG in cylinder is not determined in an exact manner and a cylinder when the gas is about to empty will be a difficult situation for the one who uses LPG gas for cooking continuously. By using IoT, the information of the near to the empty level of LPG gas in the cylinder will send to the user and the gas refill method by using telephonic ordering can be conducted. The purpose of this research is the detection of gas leakage and monitoring the LPG gas cylinder weight regularly to know the remaining value of gas in the cylinder. When the gas leakage is sensed, the warning signal and alarm sound will be active and also switch on exhaust fan automatically to decrease the gas concentration. The weight of LPG is measured using the load sensor (SEN-10245) and the output of the sensor is connected with Arduino MKR Wifi 1010 microcontroller. The user can know the validity of LPG usage daily because the amount of LPG gas will publish as events and watch them come through in real-time using the Wia IoT cloud platform. Consequently, the user is alerted by giving SMS notification to their mobile phone when the LPG level is critically low (below 20%) by use of the integration function of the Wia IoT platform call Twilio, using its web service APIs. Then by detecting the gas leakage with MQ6 gas sensor, this research work indicates for gas leakage condition and also helps to prevent the LPG gas burst accidents in the home.

A young man presented with abdominal pain and vomiting after eating Naphthalene Mothball. He had dyspnea, central cyanosis (SaO2 on air was 67% on air), marked pallor, deep jaundice and dehydration. His urine color was black; and, his plasma in clotted blood sample was brownish. He was treated as methemoglobinemia due to suicidal Naphthalene Mothball poisoning with fluid and electrolyte replacement, ascorbic acid, N-acetylcystine and exchange transfusion twice with four units of whole blood. Dramatic improvement in central cyanosis immediately following exchange transfusion. Psychiatric consultation and counselling were done; he admitted the main reason for committing suicide was socioeconomic stress due to COVID-19.